Great looking item!  Completely covers the tissue box.  It is made out of a flexible material (semi-rigid plastic) so it is very durable.  However, it looks much more sophisticated and expensive than plastic.

Like others have said, the only improvement to this would be to make it weighted so that you don't have to hold down the box while pulling a tissue (this same issue exists with just a tissue box alone as well).

Be careful with peeling the stickers off as your fingernail can scuff the exterior