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This has helped greatly with sinus issues, migraines and headaches and even when I feel puffy from allergies. I wish the coldness lasted a little longer, but it cools quickly. Also wish there was more contact with the skin around my sinuses without having to press it down with my fingers but it's a small issue
On an average woman’s small head it isn’t tight at all, will slip down my face if I don’t put it on in a particular way. And I can see light through it.