How to Gua Sha at Home: A Step-by-Step Guide from a Licensed Acupuncturist

How to Gua Sha at Home: A Step-by-Step Guide from a Licensed Acupuncturist
How to Gua Sha at Home: A Step-by-Step Guide from a Licensed Acupuncturist

How to Gua Sha at Home: A Step-by-Step Guide from a Licensed Acupuncturist

Everything you need to know about angles, strokes, pressure, and building a gua sha practice that actually feels good — from someone who does this for a living.

By Jude the Acupuncturist, BSc (Hons) · Licensed Practitioner Updated March 2026 · 14 min read

If you've been on social media in the last few years, you've almost certainly seen someone gliding a smooth stone across their face in slow, deliberate strokes. That's gua sha — and while it might look like a modern beauty trend, it's actually one of the oldest self-care techniques in Traditional Chinese Medicine, practised in various forms for thousands of years.

The thing is, most online tutorials skip the foundations. They show you the motions but don't explain why you're moving in a particular direction, how much pressure is actually appropriate, or what the technique is intended to do in the context of the broader tradition it comes from.

I'm a licensed acupuncturist, and gua sha is a technique I use in my clinic and recommend to my patients regularly. This guide is what I wish every person learning gua sha at home would read first — not a list of promises, but a practical, honest walkthrough of the technique itself, written by someone who was trained in it.

A note on expectations Gua sha is a self-care ritual with roots in Traditional Chinese Medicine. In this guide, I'm going to teach you the technique — how to hold the tool, where to move it, and how to build a consistent practice. I'm not going to make specific claims about what gua sha will or won't do for your skin or health. Everyone's experience is different, and gua sha is not a substitute for medical advice, diagnosis, or treatment. What I can say is that many of my patients find it deeply relaxing and enjoy making it part of their daily routine. The rest, I'll leave for you to discover.

What Is Gua Sha, Exactly?

Gua sha (pronounced "gwah shah") translates roughly to "scraping sand" — a reference to the appearance of the skin after traditional body treatments, where firmer strokes can produce temporary redness called petechiae (known as "sha" in Chinese). The practice involves using a smooth-edged tool to sweep across the skin in deliberate, repeated strokes.

In Traditional Chinese Medicine, gua sha is used by practitioners as part of a broader treatment approach. The underlying philosophy relates to the concept of Qi (pronounced "chee") — the body's vital energy — and the idea that physical tension, discomfort, and stagnation can be addressed by encouraging smoother flow through the body's meridian pathways.

Modern interest in gua sha tends to focus on the facial version, which is significantly gentler than traditional body gua sha. Facial gua sha uses lighter pressure and softer strokes, working with the contours of the face rather than scraping firmly enough to produce any marks. Think of it as a slow, intentional facial massage using a tool instead of your hands — the tool's edges and curves allow you to work more precisely along bone structure, jawline, and the muscles of the face and neck.

Whether you're drawn to the TCM philosophy or simply enjoy the tactile ritual of it, the technique itself is straightforward once you understand the fundamentals. Let's start with the tool.

Choosing the Right Tool

Gua sha tools come in a dizzying variety of shapes, sizes, and materials. Here's what actually matters when you're choosing one.

Shape

A good gua sha tool should have a variety of edges — at minimum, a long flat edge for broad strokes across the cheeks and forehead, a curved or concave edge that follows the jawline and cheekbone, and a more pointed or notched section for working around the brow bone and nose. The more versatile the shape, the fewer tools you need.

Material

The two most common categories are stone (jade, rose quartz, obsidian) and metal (stainless steel, brass). Both work well, but they have different qualities:

Stone tools feel cool to the touch and can be chilled in the fridge for a soothing, temperature-based element. They tend to have a slightly more "grippy" feel on the skin. Obsidian is a popular choice because it's naturally smooth, non-porous, and easy to keep clean.

Metal tools (like the INVG Scarab, which combines walnut and brass) offer a different kind of glide — smoother and more fluid. They're extremely durable, easy to sterilise, and retain coolness longer than stone. Metal also tends to be heavier, which some people prefer because the weight does some of the work for you.

What to avoid

Steer clear of tools with rough, porous, or chipped edges. A damaged edge can scratch or irritate the skin. If your tool develops a crack or chip, replace it — it's not worth the risk. Also, be wary of very cheap tools sold without clear information about the material. If the stone feels plasticky or the edges are uneven, it probably won't give you a good experience.

Before You Start: Prep Essentials

Proper preparation makes the difference between a gua sha session that feels luxurious and one that drags, tugs, or irritates. Here's your checklist:

1. Clean your face. Always start with freshly cleansed skin. Gua sha on top of makeup, SPF, or accumulated oil can push debris into the skin rather than working with it.

2. Apply facial oil — generously. This is non-negotiable. The oil creates a "slip" that allows the tool to glide across your skin without friction. Without oil, you'll end up pulling at the skin, which defeats the purpose. Any facial oil you already use and enjoy will work. Apply enough that your skin feels slippery, not just slightly moisturised. You can always add more mid-session if the glide starts to feel dry.

3. Clean your tool. Wash it with warm water and mild soap before and after each use. If you're using a stone tool, dry it thoroughly to prevent water damage over time. Metal tools can be sanitised with alcohol wipes if you prefer a deeper clean.

4. Set up comfortably. You'll want a mirror (a bathroom mirror is fine) and a comfortable position. Sitting upright is best — it helps you see what you're doing and keeps you from hunching. Some people enjoy doing gua sha after a warm shower, when the skin and muscles are naturally more relaxed.

Practitioner tip If you want the cooling sensation that many people enjoy, place your gua sha tool in the fridge for 10–15 minutes before you begin. This works best with stone or metal tools and can feel particularly satisfying around the eyes and jawline.

The Technique: Angles, Pressure, and Direction

This is the section most tutorials rush through — but it's the most important. Getting the fundamentals right means every stroke you make is working with the natural structure of your face rather than against it.

Tool angle

Hold your gua sha tool at approximately a 15–30 degree angle to your skin. This means the tool is almost flat against your face, with just a slight tilt. If you hold it perpendicular (at 90 degrees), the edge digs in too sharply and the tool can't glide. If it's completely flat, you lose the edge contact that makes gua sha effective. Think of it like spreading butter with a knife — you angle the blade gently, not jam it straight down.

Pressure

On the face, use light to moderate pressure. You should feel the tool moving across your skin with intention — not just floating over the surface, but not pressing hard enough to cause discomfort, redness that lasts more than a few minutes, or any kind of bruising. If the skin beneath the tool blanches (turns white and then quickly returns to colour), your pressure is about right. If it hurts, ease up immediately.

Different areas of the face call for different pressure. The jawline and cheekbones can handle slightly firmer strokes because the tissue is thicker and sits over bone. The under-eye area, temples, and forehead require the lightest touch.

Direction

The general rule for facial gua sha is to stroke outward and upward — from the centre of the face toward the ears and hairline. The one exception is the neck, where you'll stroke downward from the jaw toward the collarbone. This follows the natural direction that TCM practitioners traditionally work in when using gua sha on the face and neck.

Speed

Slow. Slower than you think. Each stroke should take about 2–3 seconds. This isn't a rushed scrubbing motion — it's a deliberate, smooth sweep. Rushing doesn't make it more effective; it just makes it less pleasant.

Area Direction Pressure Strokes
Neck Downward (jaw → collarbone) Light-moderate 5–8 per side
Jawline Outward (chin → ear) Moderate 5–8 per side
Cheeks Outward (nose → ear) Moderate 5–8 per side
Under-eyes Outward (inner corner → temple) Very light 3–5 per side
Brow bone Outward (centre → temple) Light-moderate 5–8 per side
Forehead Upward (brow → hairline) Light-moderate 5–8 per section

Your 10-Minute Facial Gua Sha Routine

Here's a complete facial gua sha sequence you can follow at home. Work through each step on one side of the face, then repeat on the other. The whole routine takes about 10 minutes once you're comfortable with it — less if you move through it briskly, more if you take your time and enjoy it.

1

Neck — Open the Pathway

Why start here: In TCM, working the neck first is thought to "open the pathway" before addressing the face.

Using the flat, long edge of your tool, sweep gently downward from just below the ear toward the collarbone. Work in parallel lines, covering the entire side of the neck. Keep the pressure light — the skin here is thin and the underlying structures are delicate. These should feel like long, languid strokes, almost like smoothing fabric.

Technique Flat edge of the tool. 15-degree angle. Slow downward strokes. Light pressure.
5–8 strokes per side
2

Jawline — Follow the Bone

A satisfying area to work, especially if you hold tension in the jaw.

Place the curved or notched edge of your tool at the centre of your chin. Sweep firmly along the jawline toward the earlobe, following the bone. The jaw can handle slightly firmer pressure than other areas of the face — this is where many people carry tension (from clenching, grinding, or simply holding stress in the face), and it can feel deeply satisfying to work along this line slowly and deliberately.

When you reach the angle of the jaw (just below the ear), pause and hold for a moment with gentle pressure before releasing. You can also use a small jiggling or wiggling motion here if you feel any areas that are particularly taut.

Technique Curved or notched edge. 20-degree angle. Moderate, steady pressure. Follow the bone precisely.
5–8 strokes per side
3

Cheeks — Sweep Outward

Working along the cheekbone toward the ear.

Place the flat or gently curved edge of your tool beside the nose, just below the cheekbone. Sweep outward across the cheek toward the ear, following the line of the cheekbone. Work in parallel rows — one stroke along the cheekbone itself, one slightly above, and one slightly below — to cover the full surface of the cheek.

This is where the tool angle really matters. Keep the tool almost flat against the skin so the full edge is in contact. If you tilt it too steeply, you'll lose the smooth, gliding quality and it can feel scratchy.

Technique Flat or curved edge. 15–20 degree angle. Moderate pressure on bone, lighter on soft tissue.
5–8 strokes per side
4

Under-Eyes — Barely-There Touch

The most delicate area. Light pressure only.

This is the area that requires the most care. The skin under the eyes is the thinnest on the face, and the tissue beneath it is fragile. Using the smallest, smoothest edge of your tool (or the flat side if your tool doesn't have a fine edge), glide very gently from the inner corner of the eye outward toward the temple.

Think of this less as "pressing" and more as "stroking across the surface." The weight of the tool itself should be almost enough — you're barely adding any pressure at all. If the skin is moving or bunching, you're pressing too hard.

Technique Smallest or flattest edge. Almost zero added pressure — let the tool's weight do the work. Very slow strokes.
3–5 strokes per side
5

Brow Bone — Release and Lift

Particularly satisfying if you get tension headaches or spend long hours at a screen.

Place the curved edge of your tool at the centre of your eyebrow. Sweep outward along the brow bone toward the temple. You can use a slightly firmer pressure here because the underlying bone provides a stable surface. Some people find this area surprisingly tender — if so, ease up and go slowly.

After completing your outward strokes, you can also use the notched edge (if your tool has one) to gently hook under the brow bone and sweep outward. This follows the orbital rim and can feel like a lovely release for the muscles around the eye socket.

Technique Curved or notched edge. 20-degree angle. Light to moderate pressure along the bone.
5–8 strokes per side
6

Forehead — Upward to the Hairline

The finishing move. Upward strokes from brow to hairline.

Working in vertical sections across the forehead, place the flat edge of your tool just above the eyebrow and sweep upward to the hairline. Start at the centre of the forehead and work outward in columns toward the temples. The forehead is a relatively forgiving area to work — the skin sits over a flat bone — so you can use moderate, confident strokes.

If you'd like, finish with a few broad horizontal strokes across the entire forehead, sweeping from the centre outward to the temples. This creates a satisfying sense of completion.

Technique Flat edge. 15-degree angle. Moderate pressure. Work in columns, then finish with lateral sweeps.
5–8 strokes per section
Practitioner tip Always finish by gently pressing the flat of the tool against different areas of the face for a few seconds each — forehead, cheeks, jawline. This is a calming way to close the routine and feels like a small act of kindness to your skin. Take a few slow breaths here. The ritual matters as much as the technique.

Gua Sha for the Neck, Shoulders, and Jaw

Facial gua sha gets most of the attention, but gua sha was originally developed as a body technique — and using it on the neck, shoulders, and jaw can be a deeply satisfying way to release tension at the end of a long day.

Neck and shoulders

Apply a body oil to the neck and upper shoulder area. Using a broader tool edge (the flat side of the INVG Scarab works well here), sweep in long, firm strokes from the base of the skull down the side of the neck toward the shoulder. You can use firmer pressure than you would on the face — the muscles here are thicker and often hold more tension.

For the upper trapezius (the muscle between your neck and shoulder tip), sweep from the base of the neck outward toward the shoulder in slow, deliberate strokes. You may feel areas of particular tautness — slow down and give these areas extra attention, using short, repeated passes rather than long sweeps.

Jaw (masseter muscle)

If you clench your jaw — consciously or unconsciously — gua sha along the masseter muscle can feel remarkable. The masseter is the thick muscle you can feel at the angle of your jaw when you clench your teeth. Apply oil, then use the curved edge of your tool to sweep downward from just in front of the ear toward the chin, following the muscle. Use moderate, steady pressure. Many people find this is where they notice the most tangible sense of release.

When to skip gua sha Avoid gua sha on areas with active skin conditions (eczema, psoriasis, rosacea flare-ups, acne breakouts), sunburned or irritated skin, or recent cosmetic procedures (Botox, fillers, chemical peels — wait until fully healed). If you're pregnant, speak with your healthcare provider before using gua sha, particularly on the body. If you have a bleeding disorder or are taking blood-thinning medication, consult your doctor first. When in doubt, ask a qualified practitioner.

Common Mistakes (and How to Avoid Them)

Going too fast. The most common mistake by far. Gua sha is a slow, deliberate practice. If you're zipping the tool across your face in under 3 minutes, you're rushing. Slow down. Two seconds per stroke, minimum.

Not using enough oil. If you can hear the tool dragging or feel it catching, add more oil. The glide should be effortless from start to finish.

Pressing too hard on the face. Your face is not your back. Facial gua sha uses significantly lighter pressure than body gua sha. You should never see bruising, lasting redness, or broken capillaries from facial gua sha. If you do, you're pressing much too hard.

Wrong tool angle. Holding the tool perpendicular to the skin is the second most common mistake. Keep it nearly flat — 15 to 30 degrees. This allows the edge to sweep smoothly and avoids digging into the skin.

Skipping the neck. The neck step isn't optional filler — it's the foundation of the routine. In TCM, working the neck first is considered important for establishing flow before you address the rest of the face. Don't skip it.

Using a damaged tool. Chips, cracks, or rough patches on a gua sha tool can scratch and irritate the skin. Inspect your tool regularly and replace it if it's damaged. This is a tool you're pressing against your face — quality matters.

Practitioner-Designed Gua Sha Tools

Every INVG tool is crafted by a licensed acupuncturist for the kind of precise, comfortable gua sha you'd get in a clinic — at home. Explore tools trusted by over 1.2 million people.

Shop INVG Tools

How Often Should You Gua Sha?

There's no single correct answer, and you'll find varying recommendations depending on who you ask. My general guidance for patients is to start with 2–3 times per week and see how your skin responds. If you enjoy it and your skin feels good, you can increase to daily practice.

Consistency matters more than frequency. A 10-minute gua sha routine three times a week, done with attention and proper technique, is far more valuable than a hasty daily session done on autopilot. The ritual aspect of gua sha — the slowness, the intention, the few minutes of quiet focus on your own body — is part of what makes it worth doing. Don't rush that away.

Morning and evening both work. A morning routine pairs naturally with your skincare and can feel like a calm, grounding way to start the day. An evening routine fits into wind-down time and many people find it deeply relaxing before bed. Try both and see what resonates with your schedule and your body.

Frequently Asked Questions

How often should I gua sha my face?

Start with 2–3 times per week and see how your skin responds. Many people work up to a daily practice once they're comfortable with the technique. Consistency matters more than frequency — a few minutes several times a week is a great starting point.

Does gua sha hurt?

Facial gua sha should never hurt. You're using light to moderate pressure — enough to feel the tool working into the tissue, but not enough to cause discomfort. If it hurts, you're pressing too hard. Body gua sha (on the shoulders, for example) can use firmer pressure, but should still feel like a satisfying release rather than pain.

What kind of gua sha tool should I use?

Look for a tool with smooth, well-finished edges in a shape that offers versatility — a mix of curved, flat, and notched edges is ideal. The material should be non-porous and easy to clean. Stainless steel, brass, and polished stone (like obsidian) are all popular practitioner-grade choices.

Can I gua sha without oil?

It's best to always apply a facial oil or serum before gua sha. The oil creates the slip that allows the tool to glide without dragging or pulling at the skin. Without it, you risk creating friction that may irritate. Any lightweight facial oil you already use will work.

What's the difference between gua sha and a jade roller?

A jade roller uses a rolling motion and is generally lighter and more surface-level. Gua sha involves sweeping and pressing strokes at an angle, which allows you to work more intentionally along the face's contours and into areas of tension. Many practitioners consider gua sha the more versatile and effective technique.

Should I gua sha in the morning or at night?

Both work beautifully. Morning routines can feel invigorating and pair well with your skincare. Evening routines tend to be more relaxing and fit naturally into wind-down time. Try both and see which you prefer — or alternate.

I saw redness after gua sha — is that normal?

Mild, temporary pinkness that fades within a few minutes is common and generally nothing to worry about. Persistent redness, bruising, or broken capillaries means you used too much pressure. On the face, always err on the side of lighter pressure. If you have sensitive skin or rosacea, be extra gentle and consult a dermatologist if you're unsure.

Building the Ritual

Gua sha is one of those rare things that is simultaneously very simple and surprisingly rewarding. The technique itself takes minutes to learn. But the practice — the daily act of slowing down, picking up a tool you love, and spending a few quiet minutes in attentive contact with your own body — that's what transforms it from a skincare step into something more meaningful.

I designed the INVG gua sha tools to feel right in that context: substantial enough to feel intentional, beautiful enough that you want to reach for them every day, and shaped by the same clinical understanding that guides my work with patients in the treatment room.

Start simple. Follow this routine. Pay attention to how it feels. The rest will follow.

INVG Wellness products are designed for self-care and wellbeing. They are not medical devices and are not intended to diagnose, treat, cure, or prevent any medical condition. If you have a health condition or concern, please consult a qualified healthcare practitioner before use.