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The same two words describe a delicate skincare ritual and robust bodywork. This newcomer's guide explains the difference and the suitability questions to ask.

The term gua sha covers a wide spectrum, from feather-light facial routines to firmer scraping across the back or shoulders. If you are new to it, knowing which kind you have in mind will make it easier to find a suitable practitioner and ask useful questions.

Two different procedures

Facial and body gua sha differ in pressure, purpose and aftercare. Treating them as interchangeable makes little sense, even though they share a name and sometimes a tool.

Naming the version you mean

Gua sha is among the Lane Cove services of Dr Christine Shen, Acupuncturist; when you contact her, say which type you are thinking of and what you expect from it. Christine can then discuss whether it is a sensible choice for your skin and circumstances, or whether something else would be more appropriate.

Questions about suitability

• Would my skin cope with this at the moment?
• How firm will the pressure be?
• What aftercare will I need, and for how long?
• Are there areas you would avoid in my case?

However fashionable the stone, it is the wrong choice over a rash, a new strain or symptoms that have not been looked into.

Letting your skin set the pace

Ahead of a repeat visit, report any soreness that outstayed its welcome, itchiness or bruises you did not expect. Choices about tools and strokes should follow your situation, not an influencer's glowing complexion. Christine can then talk about continuing, adapting or considering another option altogether.

Who you are booking with

Facial gua sha is offered by beauty therapists and health practitioners alike, so ask about training and whether the person can recognise skin changes that need medical review.

A tip for beginners

If you have been practising facial gua sha at home, mention it at your appointment and consider bringing the tool along. Knowing your existing routine helps the practitioner give advice that fits, and it may highlight habits, such as pressing too firmly or scraping irritated skin, that are worth adjusting before you add anything new.