I got this for my mother for Christmas with a picture of all us kids on the back. She absolutely loved it and it came out great. The only thing was that it was hard to peel off the paper it came on so i ended up cutting it out but that worked fine.
The picture came out great. The skin is not very easy to apply on the kindle...you have to line it up perfectly and then smooth it out a LOT, and even so it still has some air bubbles. Overall a good product, but basically just a removable sticker cut to fit your product.
I ordered the Kindle Photo Design-A-Skin and was more than pleased with the purchase. Photo of my Shih Tzu Chewy came out beautifully, went on easily and is staying on. Only change I would make would be able to have more color choices or the same photo cutout for the front so it would match better. That's why four stars instead of five. But the back is beautiful.