You have to unfold it from the package, and it is a thin sheet with holes in it, it's really strange! It's a bit tricky positioning it on your face.
You are supposed to leave it on for 20-30 minutes, and it didn't itch or irritate me during that time. Afterwards just rinse off. My face felt a little softer and smoother right after I used it, but it isn't a long-lasting effect. It says on the back to use one 2-3 times weekly for the most benefits. Something different to try!