After the machine has been adjust to hand as described before, push on switch and start massaging by applying the two middle fingers to the palm of the body which is to be massaging. Applications should be firm, but not too harsh. Enough pressure should be applied to thoroughly exercise the skin and muscles and stimulate blood circulation. When massaging scalp or body, curve fingers of hand slightly.... holding machine downward and using cushion tips of fingers as applicators. When massaging face, hold the fingers straight and lightly pat the skin with the tips of the two vibrating fingers.