The gua sha trend: fact or fiction
When it comes to skincare and skin health, our approach is always the same. We look past trends and dig into the science. Especially when something gains widespread attention online.
This perspective on gua sha facial massage is based on peer-reviewed research and clinical studies, not hype. While the practice is rooted in ancient Eastern medicine, modern research is beginning to explore how and why it may support skin and overall wellness when used appropriately.
An ancient practice gaining modern attention
Gua sha massage has been practiced for centuries in traditional Chinese medicine. Today, it’s reappearing across social media as a facial massage technique often used with stone tools.
While Western scientific research on gua sha is still limited, emerging studies are beginning to evaluate its physiological effects. Most research emphasizes gentle, controlled application, not aggressive scraping. When practiced with light pressure, gua sha is studied as a supportive technique for circulation and tissue health rather than a corrective treatment.
What the research shows about circulation
Several studies have examined how gua sha massage affects circulation and microcirculation.
One human study observed that gua sha massage increased circulatory activity by an average of 1.85 times, suggesting enhanced blood flow in treated tissues. [1] Improved circulation is closely linked to skin health, as it supports nutrient and oxygen delivery to the skin.
Another study found that gua sha treatment increased local microcirculation by up to four times, further supporting its role in promoting blood flow at the skin’s surface. [5]
Improved microcirculation is considered one of the key mechanisms through which gua sha may support skin vitality.
Circulation and the biology of skin aging
As part of the natural aging process, skin receives less consistent blood flow. This can influence how efficiently the skin completes its natural renewal cycles.
Reduced circulation is associated with visible changes such as uneven tone, textural changes, and signs of photoaging. Supporting circulation through gentle massage may help encourage healthier skin function over time, though it does not replace foundational skincare or sun protection.
Beyond skincare: broader wellness research
While our focus is skin health, it’s worth noting that research on gua sha extends beyond cosmetic applications.
Clinical studies have explored its potential role in:
- Supporting recovery and performance in weightlifting training [2]
- Reducing fatigue and improving recovery in sports settings [3]
- Improving sleep quality and relaxation [3]
- Reducing pain and improving mobility in individuals with chronic neck pain [4]
These findings highlight gua sha’s broader relationship with circulation, tissue response, and nervous system regulation, areas that indirectly influence skin health as well.
A grounded conclusion
Based on current research, gua sha is not simply an internet trend. It is a long-standing practice that is now being explored through modern scientific frameworks.
While research is still evolving, existing studies suggest that gentle, consistent gua sha massage may support circulation and skin vitality when used safely and appropriately. It is best viewed as a complementary practice rather than a standalone solution.
For those interested in incorporating gua sha, we recommend using light pressure and practicing it two to three times per week as part of a balanced skincare and wellness routine.
References
- Dubinskaya AD et al. Changes in microcirculation during gua sha massage. Bulletin of Rehabilitation Medicine. 2023;22(2):112–119. doi:10.38025/2078-1962-2023-22-2-112-119
- Wang X et al. Effects of Gua Sha therapy on weightlifting training: a randomized trial. J Tradit Chin Med. 2019;39(4):575–581. PMID: 32186106
- Wang X, Yu J, Chen P. Effects to resist sport fatigue based on heart rate variability with gua sha therapy. Journal of Shanghai University of Sport. 2021;45(7):76–83. doi:10.16099/j.sus.2021.07.008
- Braun M et al. Effectiveness of traditional Chinese gua sha therapy in patients with chronic neck pain. Pain Medicine. 2011;12(3):362–369. https://doi.org/10.1111/j.1526-4637.2011.01053.x
- Nielsen A et al. The effect of gua sha treatment on the microcirculation of surface tissue: a pilot study in healthy subjects. EXPLORE. 2007;3(5):456–466. https://doi.org/10.1016/j.explore.2007.06.001