Issue link: https://www.ascpskindeepdigital.com/i/1544125
74 ASCP Skin Deep Spring 2026 TOOLS OF THE TRADE In recent years, I've noticed the reemergence of traditional tools used for centuries by traditional Chinese medicine practitioners. Dating back over 2,000 years, gua sha was traditionally performed on the body—especially the back, neck, and shoulders—to release muscle tension, move stagnant qi (energy), and boost circulation. In fact, the term gua sha (刮痧) literally means to "scrape disease" when translated from Mandarin. While body gua sha is still practiced today in Eastern medicine, facial gua sha has evolved into a gentler practice: one that prioritizes relaxation, sculpting, and skin rejuvenation and doesn't produce petechiae. Gua sha work may incorporate a variety of tools, from traditional multi-edged stones and stone- rolling spools to precision pens and scalp combs, with each tool off ering a diff erent type of pressure, glide, and muscular engagement. There are also many types of gua sha massage. Some estheticians use the stones along with oil to provide a downward stroke to facilitate lymphatic drainage. Since lymph fl uid may be moved with even feather-light movements, I don't like to use the gua sha stones for this purpose; rather, I use them to scrape the skin to engage the muscles, break up stagnant knots, and wake up the muscles. I hold the stone at a 45-degree upward angle, gliding up the face and neck (not down) and wiggling the stone at the hairline, especially if the stone has a toothy, comb-like edge. Bo jin (拨筋), an incredibly powerful technique, may be used in combination with gua sha for further fascial release. This kneading, circling, and hooking technique is done with a special pen-like tool to break up adhesions, knots, and stagnation. Lymphatic drainage may also be added to the facial using manual technique or with the aid of a vacuum. I prefer to use a manual facial cupping set paired with oil to perform gentle yet eff ective drainage. This can reduce puffi ness, help defi ne the facial oval, plump expression lines, and give the face a healthy, rosy glow. When the cup is lightly compressed and placed on the skin, it creates controlled suction. This negative pressure lifts the epidermis and superfi cial fascia away from the underlying muscle rather than pushing down into the tissue. This lifting action decompresses congested tissue, reduces stagnation, and allows fresh oxygen and nutrient- rich blood to reach the area. A noncomedogenic facial oil is essential: It allows the cup to glide continuously, preventing bruising and ensuring the skin is gently mobilized rather than tugged. When performed correctly, there should be mild and transient pinkness but no bruising. CLOSE WITH A TEA CEREMONY Concluding the treatment with a luxurious tea helps the client "awaken" from the treatment, hydrate, and return to the present, all while giving them time in your reception area to browse retail off erings and book their next appointment. I recommend a unique or specialty tea. This may be a custom blend that you create using tea leaves, dried fruits, toasted rice, citrus peel, or fl ower petals. Chrysanthemums, rose buds, and Osmanthus (devilwood) fl owers are as fragrant as they are beautiful when presented in a glass teapot. Components to make such teas are readily available online through reputable Asian and Middle Eastern specialty stores. Alternatively, choosing a premade premium tea can be a great option, as these off er unique aromatic blends that work great for a spa setting. A curated tea ceremony not only helps bring the multisensory experience full circle but also ties the fl avor association to your business, ensuring the clients will be excited about returning for more ritual-fi lled services in the future.