Skin not working in-game

So I am trying to put in a skin but for some reason when I go into the skin in-game and play, it does not show the correct skin. I put the skin file into the dance folder already. Any idea why this is?

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Do you have reload the theme, change theme or relaunch the game and check noteskin loaded in the list?

Even Etterna client are based on SM5, I think not all of noteskins are compatible, e.g. you will see white dot if you’re trying to hide receptor (use Dark modifier), note explosion particle won’t show, etc.