I ordered this full knowing from other reviews that this tissue-box novelty cover cannot be used in the upright position. It can stand but once you start pulling the next tissue it will topple over.
The solution I came up with was to attach a small pin on my bookshelves back panel and tie the top of the box to it with a nylon thread. It works and it is not too much hassle when it comes time to change the tissue box inside; however, it would had been so much easier to simply have an (attachable?) stabilization stand.
Also, make sure to remove all the sticky foam from inside the nose when using for the first time. It is there to hold the mock-tissue in place but it will mess-up your tissues if not completely removed.
Overall, a fun purchase. If the Easter Island Giants can have a runny nose, who am I to complain, right?