Cecily Braden, a holistic esthetician and N.York–based spa educator who has spent her career importing traditional Eastern beauty and wellness treatments (including the proliferationb of Balinese massage at luxury resorts in the US) and translating them for a Western audience claims that as acupuncturists used facial pressure points to treat ailments in other parts of the body, they discovered that signs of aging like wrinkles were dimished as well.

Traditionally, gua sha could be performed with whatever tool was on hand—an animal bone or horn, a soup spoon, a coin.

“The Chinese character for ‘Gua’ (刮) is composed of the character for ‘tongue’ on the left and ’knife’ on the right. The Chinese character for ‘Sha’ (痧) is composed of ’illness’ or ’disease’ on top and ’sand’ on the bottom,” explained Sonia Lee, DACM, LAc.

Elaine Huntzinger, a Canada-born accupunturist w/ roots in HongKong, Nv in her atelier in Paris looks at patients' tongues to check for other system imbalances; and gives food recommendations to rebalance the qi—energy flow—which also contributes to a radiant complexion.

Unbeknown to most, gua sha is not just for the face, it can be used on the back and shoulders as well.

1. PROMOTE BLOOD CIRCULATION

“From a Chinese medicine perspective, the Tai Yin meridians (composed of the lung and spleen) and Yang Ming meridians (large intestines and the stomach) are responsible for your skin's overall health,” said Lee. “When you gently scrape the skin on your face with your gua sha tool, what you are doing is stimulating your Yang Ming meridians. You are also sending your body a signal that this area needs more blood circulation.” -Sonia Lee, DACM, LAc. 

2. IMPROVE THE APPEARANCE OF FINE LINES & WRINKLES

Gua sha “can temporarily improve the appearance for the newly and very gentle ones,” Wang said. However “for long-standing wrinkles, gua sha should not be the first choice.”

3. PROMOTE LYMPHATIC DRAINAGE

Gua sha can eliminate fluid build-up and in turn reduce puffiness.

4. RELIEVE MUSCLE TENSION

By regularly applying pressure with a gua sha tool, knotted areas are untangled and built-up muscular tension are released.

Despite some TikTokers claims that gua sha sculpted their faces, Wang noted that it cant enhance jawlines. Instead, gua sha works by engaging tissue to eliminate fluid build-up in the lymph nodes (which can eliminate the puffiness and give the illusion of a more firm and sculpted face) — IT CAN'T ACTUALLY REMOVE FAT FROM CERTAIN AREAS.

5. CAN BENEFIT PEOPLE WITH WEAK IMMUNE SYSTEMS

Lee recommends that people with weak immune systems especially those who struggle with seasonal allergies or tend to catch colds easil try gua sha. As Wang explained, this is especially useful for those people because by repeatedly stimulating certain areas, gua sha helps purge non-circulating blood and toxins from the body. Visual signifiers of this purging can be anything from redness to slight bruising.

1. Cleansing to ensure your face is free from any impurities that may get into your skin when scraping.

2. Lather facial oil to protect your top layer of skin from abrasion.

3. Locate and follow the right meridian.

4. Once you have located your meridian, hold the tool flat against the face you can use that to guide where the gua sha should be on your face by drawing an imaginary line up

5. Once you've located your meridian, hold the tool flat against the face.Move the guasha from your forehead in an upwards direction,applying gentle pressure as you go; then, to the cheeks, moving the device outwards from the nose to the ear in a “swoop” motion. According to Lee, this suggests moving from the yin side to the yang side.

6. Finally, flip the guasha around to the 2 curved sections. Moving from the chin, scrape along your jawline to your ear. 

For best results, do these for about 10 min,scraping in 1 direction at a time to attract more blood and stimulation to a specific area