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The top of a tissue box usually features a perforated or pre-cut opening, enabling the user to pull out individual tissue sheets one at a time. Some boxes incorporate a pop-up or pull-through design, where the next tissue sheet automatically appears as one is pulled out, ensuring easy and efficient dispensing. Tissue boxes often come in different sizes, ranging from small pocket-sized boxes for travel purposes to larger boxes that can hold more tissue sheets for longer use. They are also available in a wide variety of colors, patterns, and designs, allowing individuals to choose options that match their personal preferences or complement their home or office decor.