To use the Microdermabrasion wand, start off with a clean and dry skin. Select your preferred head and choose mode (Auto Mode or Manual Mode) by pressing the Mode Selection button. Select your suction level and press the start button. The Microderm Wand has 3 heads: the massage head, fine head, and normal head. Vanity Planet recommends starters to use the massage head until they get accustomed to the device. Users should also avoid over exfoliation by making one pass over each area.