Gua Sha Facials: The Ancient Technique Behind Modern Skin Glow

Explore the ancient art of gua sha facials, its beauty benefits, how-tos, potential risks, and what science and tradition say about achieving a natural glow.

By Sneha Tete, Integrated MA, Certified Relationship Coach
Created on

Gua Sha Facials 101: Everything You Need to Know

If you’ve spent any time scrolling through beauty feeds or chatting about skincare trends, you’ve likely seen a gua sha tool gliding across radiant faces. This ancient tradition has become an Instagram-favorite practice for those seeking sculpted cheekbones, less puffiness, and a natural glow—but what’s the truth behind the trend? Ahead, explore gua sha’s origins, how it works, its real benefits, how to try it, expert advice for safety and technique, and answers to common questions.

What is Gua Sha?

Gua sha is a traditional healing practice rooted in Chinese medicine that involves scraping the skin with a smooth-edged stone tool to boost microcirculation, relieve tension, and encourage lymphatic drainage. While body gua sha uses firmer pressure and sometimes leaves petechiae (small red or purple marks), facial gua sha is gentler, designed to refresh the skin without bruising or discomfort .

How Gua Sha Became a Skincare Phenomenon

Although gua sha has been a staple in traditional medicine for centuries, its rise to viral skincare fame accelerated in the last few years. Influencers and beauty experts have showcased their before-and-after results, emphasizing de-puffed cheeks and accentuated jawlines. The increase in video calls during the pandemic also boosted demand for facial techniques that promise instant rejuvenation .

Key Benefits of Gua Sha

The potential perks of gua sha facials are a blend of anecdotal tradition, visual proof, and early scientific investigation. Let’s break them down:

  • Reduces puffiness: The gliding motion helps move lymph fluid, lessening swelling under the eyes and along the cheeks .
  • Contours and lifts: By draining fluid, gua sha can subtly define cheekbones and jawlines for a sculpted look—temporarily mimicking the effect of facial contour products .
  • Implements circulation: The scraping stimulates blood flow, delivering oxygen and nutrients for an instant healthy glow .
  • Releases muscle tension: Gua sha can ease tight jaw muscles (TMJ), furrowed brows, and even neck and shoulder stiffness, acting like a manual massage .
  • May support lymphatic health: Lymph stimulation helps the body clear toxins, which could bolster immune defense and reduce minor inflammation .
  • Relaxes the mind: Many find the ritual of gua sha meditative, easing daily stress along with muscle tightness.

Expert Opinions: What Do Pros Say?

According to Sandra Lanshin Chiu, an acupuncturist and gua sha specialist, the body version can involve “heavy pressure” for deep tension relief. For facial gua sha, she recommends light, slow strokes to prevent bruising and focus on lymphatic flow and muscle release .

Dermatologists like Dhaval G. Bhanusali, MD, FAAD, are generally positive about gua sha’s safety, noting that “it can provide temporary improvement in appearance through basic massaging.” However, Dr. Bhanusali cautions that most benefits are short-term and sustained by regular practice; the scientific literature on more dramatic or long-term results is still limited .

How Does Gua Sha Actually Work?

Traditional Chinese Medicine (TCM) frames gua sha as a way to move “Qi” and dispersed stagnant energy, which practitioners believe can result in improved flow of blood and body fluids. Modern interpretations focus on the physiological mechanisms: improved microcirculation, greater lymph drainage, and subtle changes in tissue shape and relaxation. Key studies have shown that gua sha can increase local blood flow up to four times above baseline and help decrease facial puffiness through lymphatic drainage .

Body vs. Facial Gua Sha: A Quick Comparison

AspectBody Gua ShaFacial Gua Sha
PressureFirm, often leads to redness/petechiaeGentle, always avoids bruising
PurposeRelieve deep muscle tension, pain, and stagnationReduce puffiness, contour, boost glow, release tension
Typical ToolsLarger, heavier stones (jade, bian, rose quartz)Flat, smooth-edged stones in ergonomic shapes
Common AreasBack, neck, shoulders, limbsFace, neck, jawline, décolletage
FrequencyWeekly or as needed2–4 times a week

How to Do a Gua Sha Facial at Home

Ready to try gua sha for yourself? Follow these steps for a safe, soothing, and effective self-massage routine:

  • 1. Start with a clean face and tool: Wash your face and your gua sha stone before every session to avoid introducing bacteria.
  • 2. Apply facial oil or serum: A little slip prevents tugging and helps the tool glide smoothly. Choose a nourishing oil or favorite serum.
  • 3. Hold the tool at a 15-degree angle: Place the flat side nearly flush to your skin for the best movement and comfort.
  • 4. Stroke in sweeping motions: Start at the neck, stroking upward toward the jaw. Move to the jawline (chin to ear), cheeks, and gently under the eyes. Each area gets 3–5 strokes, always working outward and upward.
  • 5. Be gentle: The sensation should be relaxing, not painful. If you notice redness, back off the pressure.
  • 6. Finish with the forehead: Sweep upward from eyebrows to the hairline in smooth movements.
  • 7. Clean your tool and skin: Wipe down the gua sha stone and pat in any remaining serum. Finish with moisturizer.

Common Myths and FAQs

Can gua sha replace filler or facelift procedures?

No. Gua sha cannot add volume or produce permanent changes like dermal fillers or surgery; its effects are subtle, mostly temporary, and rooted in fluid movement, tension release, and short-term contouring .

How often should I do a gua sha facial?

Most experts recommend 2–4 times a week for visible results, but even once a week can relax muscles and provide a glow .

Is facial gua sha safe for all skin types?

Most people tolerate facial gua sha well when using gentle pressure and correct technique.Avoid if you have active acne, inflamed skin, psoriasis, eczema flares, or fragile capillaries. If you use acne medications that thin the skin, check with your dermatologist first .

Who shouldn’t use gua sha?

If you have bleeding disorders, are on blood thinners, or have recent facial fillers, surgery, or infection, skip gua sha or consult your doctor first.

Can gua sha help jaw pain, headaches, or allergies?

There’s some anecdotal evidence for relieving muscle tension in the jaw, sinus congestion, and mild headaches or allergy symptoms, but it’s not a replacement for medical treatment in severe cases .

Will I bruise or mark after a facial gua sha session?

Proper facial gua sha should not cause bruising. If you see marks, lighten your touch or take a break .

Choosing and Caring for Your Gua Sha Tool

With endless options online, look for stones made from authentic jade, rose quartz, or bian stone—these are traditional, durable, and naturally cool to the touch. Ergonomic shapes designed for facial contours maximize results. Always clean your tool before and after use with soap and warm water.

Science, Skepticism, and What to Expect

While early studies support improved microcirculation and lymphatic drainage, and users rave about a post-treatment glow, long-term claims about collagen, anti-aging, or deep tissue change lack robust scientific proof . Still, as a meditative, risk-minimal addition to your skincare routine, gua sha is celebrated by many for delivering temporary sculpting, reduced facial swelling, and moments of mindful calm.

Potential Side Effects

  • Redness: Mild and should fade quickly. Persistent redness means you may be pressing too hard.
  • Sensitivity: Especially if you have very thin or very sensitive skin.
  • Aggravation of skin conditions: Gua sha may trigger flare-ups in those with active dermatitis or rosacea.

Frequently Asked Questions (FAQs)

Q: How long does it take to see results from gua sha?

A: Many people see a temporary reduction in puffiness and brighter skin immediately after a session. For lasting benefits such as tension relief, regular practice is necessary.

Q: Is it normal to experience redness during gua sha?

A: Mild redness is normal and a sign of increased circulation, but bruising is not typical for facial gua sha. Adjust pressure as needed.

Q: Can you use gua sha on areas besides the face?

A: Yes. Body gua sha is used for neck, back, and shoulders to relieve deeper muscle tension, but it should be done with care and moderate pressure.

Q: What should I apply after a gua sha facial?

A: Finish with a hydrating serum and moisturizer to lock in results and protect your revitalized skin barrier.

Final Thoughts

Gua sha facials blend ancient wisdom with the momentum of modern skincare trends. While not a miracle age-reverser, this approachable ritual offers visible, short-term improvements in puffiness, glow, and jaw tension—and provides valuable moments of self-care. When practiced with proper technique and expectation, gua sha can become a soothing high-point in any beauty routine.

Sneha Tete
Sneha TeteBeauty & Lifestyle Writer
Sneha is a relationships and lifestyle writer with a strong foundation in applied linguistics and certified training in relationship coaching. She brings over five years of writing experience to thebridalbox, crafting thoughtful, research-driven content that empowers readers to build healthier relationships, boost emotional well-being, and embrace holistic living.

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