Step 1: Clean and dry the face.Step 2: Apply your chosen essence.Step 3: Choose your treatment programme on the VZUSA II.Step 4: Follow the suggested movements; upward and outward.Step 5: When finished, choose another program or clean and store.The EMS and LTN Modes can each be used for 5 minutes daily. Begin with EMS and then use LTN.The IPR and UP Modes can each be used for 5 minutes weekly. Start with IPR and follow with UP.