Instructions not included. I contacted the seller who sent links to a couple of youtube videos that helped some but it would be great to have more instructions and troubleshooting. At the end of the day I figured out how to operate the machine, but unfortunately even at maximum suction (used for an hour) it didn't bring any results - it just left a slight bruise. However, there is no increase in volume. I've tried this a few times and my guess is that the suction just isn't strong enough. It may work if you only use it for massaging or cupping, but it is not recommended for volume/lifting.
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