The best way to use this effectively is after a hot shower or use a hot towel on your face to open up your pores. If you use this without this step it won't be very efficient. Once the pores open, turn on the vacuum and move from one spot to another on the nose without holding it in place for more than 1 second. This creates red areas. It takes a little getting used to, but once you get the hang of it, it will work fine. Try from largest to smallest when it comes to top sizing. See what works best without being too small and therefore with more suction power per unit area. Their goal is to prevent reddening of the skin caused by oversuction. Same goes for suction power, go bottom to top and see what works.
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