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Facial and body cosmetic massage. Dr. Sintija Strautiņa- Strēle, Linda Zeltiņa CIDESCO International Riga School of Cosmetics November 24,2011. Massage. Massein (from Greek language) – to press with a hand, to knead.

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facial and body cosmetic massage

Facial and body cosmetic massage

Dr. Sintija Strautiņa- Strēle,

Linda Zeltiņa

CIDESCO International Riga School of Cosmetics

November 24,2011

  • Massein (from Greek language) – to press with a hand, to knead.
  • Massage is a measured mechanical effect to a patient’s/client’s body with a therapeutic, cosmetic and relaxing impact.
  • Massage is one of the most ancient ways of treatment. Already for ages in various cultures it has been used for strengthening of human physical and mental health.
  • The origins of the most ancient massage can be tracked in China in year 2698 b.c., there were medical schools and schools of gymnastics, where doctors gained the necessary knowledge of massage
  • The basics of contemporary massage were established by Peter Ling

( 1776-1839).

massage is performed with




special brushes




Massage is performed with:
massage is having effect
Massage is having effect :
  • Physiologically. Massage is having effect to a human body as a mechanic irritant.
  • Psychologically. Major part of the clients perceive massage as a pleasant touch giving a sensual feeling of comfort and relaxation helping to appraise one’s body.
physiological effect of massage
Physiological effect of massage
  • Humoral- mechanically and directly affecting the tissues a formation of histamine, acetilholine and other biologically active substances is favoured
  • Neuro-reflective- mechanical irritation is perceived by the receptor apparatus in skin, muscles, tendons, cords and internal organs transforming the mechanical energy in a buck fever energy. Flow of impulses from afferent nerves reach the cerebral cortices and thereby induces reflector response reactions of the skin, muscles and internal organs.
  • Mechanical- tissues are compressed and moved thereby inducing an acceleration of intercellular fluid, lymph flow and blood circulation.
completion of client s body analysis and assessment sheet
Completion of Client’s body analysis and assessment sheet
  • Name, surname
  • Date of birth
  • Address, phone number
  • Medicine taken
  • Contraindication:
    • Acute skin diseases
    • High or low blood-pressure
    • Varicose veins
    • Recent operation
    • Pregnancy
    • Heart diseases
    • Epilepsy
    • Diabetes
    • Haematomas
    • Skin bruises
completion of client s body analysis and assessment sheet1
Completion of Client’s body analysis and assessment sheet
  • Occupation
  • Assessment of muscle tonus
  • Posture assessment
  • Skin condition
  • Cellulites
  • Fat deposits
  • Stretch marks
  • Weight, length, body mass index
  • Selection of massage zone- massage performed at a particular area of the body or a massage for the whole body
  • Recommendation for body treatment at home and at the beauty saloon
constitutional types of the body
Constitutional types of the body
  • Ectomorph
  • Mesomorph
  • Endomorph
  • Aesthetic, cosmetic defect that visually looks as an “orange peel”- a dimpled appearance of the skin.
localised areas of cellulite
Localised areas of cellulite
  • Hips
  • Buttocks
  • Thighs
  • Upper arms
  • Abdomen
stages of cellulite
1st stage

Lymphostasis in subcutaneous adipose tissues. Skin is even, smooth without any changes in color. It takes longer time to heal hematomas and skin bruises. For diagnosing it is recommended to use thermographic films.

Stages of cellulite
stages of cellulite1
2nd stage

Chronic lymph stasis, venous stasis. Alterations of skin relief. Dimples are more apparent at muscle tension. When touching, a lower skin temperature is observed.

Stages of cellulite
stages of cellulite2
3rd stage

Chronic lymph stasis, venous stasis, a deteriorated microcirculation. Local to a diffuse fibrosis in the subcutaneous fat layer - micronodules, which can be palpated. Skin is dimpled and looks like an “orange peel”. Skin is cold by touch. When pressing on separate thickening areas, one has painful sensations.

Stages of cellulite
stages of cellulite3
4th stage

Cellulite is apparant also at relaxed muscles. Micronodules are integrated in macronodules. Due to the microcirculatory disorders, the skin in the areas affected by cellulite is cold with a bluish tone. When pressing, one has painful feelings. Macronodules are also called as cellulite stones.

Stages of cellulite
posture deviations
Posture deviations
  • Scoliosis
  • Lordosis
  • Kyphosis

Preventive measures for all healthy humans!

  • Skin and muscle trophic disturbances
  • Celullite
  • Abatement of oedema
  • Hypertensic, painful muscles
  • Local fat deposits, obesity
Bad overall health condition-heart, kidneys and liver failure, fever, acute respiratory diseases, tonsillitis, sickness, vomiting,

Malignant diseases

Acute skin diseases

Dermal mycosis, furunculosis, nettle-rash, angioneurotic oedema,


Joint inflammation

Thrombophlebitis, thrombosis

Blood diseases

Chronic osteomyelitis

Acute pain

Hematoma, acute injuries

Acute ulcer stages

Uterine hemorrhage

Acute gynecological adnexitis

Psychic disorders


topographic al anatomy of the back
Topographical anatomy of the back
  • Bones
  • Muscles
  • Blood-vessels, lymph nodes
  • Nerves
topographic al anatomy of the arm
Topographical anatomy of the arm
  • Bones
  • Muscles
  • Blood vessels, lymph nodes
  • Nerves
topographic al anatomy of the pelvis and leg
Topographical anatomy of the pelvis and leg
  • Bones
  • Muscles
  • Blood vessels, lymph nodes
  • Nerves
topographical anatomy of the abdomen
Topographical anatomy of the abdomen
  • Muscles
  • Blood vessels, lymph nodes
  • Nerves
  • Internal organs
topographical anatomy of the chest
Topographical anatomy of the chest
  • Bones
  • Muscles
  • Blood vessels, lymph nodes
  • Nerves
  • Internal organs
effects of massage
Effects of massage

To nervous system ( coordinates an integrated activity of all vital functions of the human body):

  • Reduces activity of sympathetic nervous system
  • Reduces fatigue, stress and increases the mental work abilities
  • Improves the transmission of nerve impulse processes.

Heart-blood vessel systems:

  • Blood flows from the internal organs to skin and muscles
  • Expand peripheral blood vessels
  • Improve blood supply to tissues and accelerate capillary blood circulation
  • Affect the tissue trophicity processes
  • Facilitate and accelerate venous blood circulation
  • Facilitate heart work and improve blood supply to cardiac muscle
  • Reduce blood pressure and decelerate heart rate
effects of massage1
Effects of massage

Lymphatic system:

  • Speed of the lymph flow in largest lymphatic vessels is four mm/sec. Through the thoracic duct ( ductus thoracicus) all the lymph flows through only six times in twenty-four-hours
  • Massage empties cells from the end-products of metabolism, reduces lymph stasis and oedema.

Muscle system:

  • Affects the blood and lymph flow in muscles
  • Enhances elimination of lactic acid
  • Restores muscle capacity two to four times (the number of active capillaries increases in muscles). In1mm² of the cross- section of muscles there are opened and functioning 1400 of capillaries
  • Increases or reduces muscle tone
  • Most effective are kneading techniques ( petrissage)
effects of massage2
Effects of massage

Joint and ligament system:

  • Increases elasticity and agility of ligaments
  • Influences blood and lymph flow in bones and joints.
  • Most effectively works with friction.


  • Purifies the skin from dead horny cells
  • Improves blood supply to tissues, increases skin temperature
  • Affects the venous and lymph flow, decreases oedemas
  • Improves skin and subcutaneous tissue trophicity
  • Enhances the activity of sweat and sebaceous glands
effects of massage3
Effects of massage
  • Respiratory system-
  • Reduces the frequency of breathing,
  • Increases the oxygen intake and the carbon dioxide elimination,
  • Improves the blood and lymph flow in respiratory organs and muscles
  • Enhances expectoration
  • Digestive system-
  • Improves small intestine peristalsis,
  • Stimulates blood and lymph flow, thereby improving the absorption of nutrients.
  • Increases secretion of bile
  • Internal organs are most effectively affected by vibration techniques of massage.
effects of massage4
Effects of massage
  • Urogenital system-
    • Increases the elaboration of urine, mineral salts, urea and uric acid.
  • Endocrine system-
    • Improves blood, lymph circulation, activates functional activity of internal secretion glands. Improves self-comfort.
requirements to cosmetician at performance of massage
Requirements to cosmetician at performance of massage :
  • Clothes: in a white color, with short sleeves, comfortable, neat, well ironed
  • Hands: manicured, without nail varnish, short nails
  • Hair: clean, not falling onto eyes and face during the procedure
  • Make-up: a light day make-up
  • Footwear: light, comfortable, neat, on a low heal or without, not making noise
  • Bijouterie: no bijouterie( also no wedding ring), an exception can be small earrings)
  • Perfume: no perfume
necessary materials and conditions for performance of massage
Necessary materials and conditions for performance of massage:
  • Couch
  • Chair
  • Towels of various sizes
  • Towels for compresses/ gloves
  • Movable table
  • Small pallets of various sizes
  • Skin disinfection liquid
  • Skin cleansing lotions (body peeling)
  • Massage creams and oils
  • Body masks, creams and lotions
  • Disposable panties
  • Auxiliary materials- napkins, spatulas, etc..
  • Clock
  • Temperature at premises may not be lower than 20-22°C.
  • Premises shall be painted in warm tones, filled with pleasant aroma and enjoyable music
preparation of the client for a massage
Preparation of the client for a massage
  • Client’s analysis and assessment sheet shall be filled in
  • Clothes shall be taken off ( disposable panties)
  • Bijouterie shall be taken off
  • Selection of massage pose
  • For performance of the back massage , hair band shall be used
  • Placement of the massage bolsters, depending of the chosen pose
placement of massage bolsters
Placement of massage bolsters
  • When lying on back
    • Massage bolster is placed under the neck curve ( not obligatory)
    • Placed under the knees – straighten out back/neck /waist, hips and knee joint are placed in a physiological position
  • When lying on belly
    • Massage bolster is placed under the feet joints.
  • When massaging the back, the bolster may be placed under the belly.
  • Neck and head massage is performed on a special chair
preparation of the client for a massage1
Preparation of the client for a massage
  • Cleansing of the skin
  • Application of the massage oil or cream
massage oils and lotions
Massage oils and lotions
  • Massage cream
  • Massage oil
  • Talc powder
  • Massage gel
5 basic techniques methods of massage
5 basic techniques/methods of massage
  • Stroking ( effleurage)
  • Friction
  • Kneading( petrissage)
  • Percussion ( tapotement)
  • Vibration
massage techniques
Massage techniques
  • Techniques of classical massage are performed in a prescribed sequence and manner, that are related to the intensity of action and the depth.
  • Stroking- friction- kneading- percussion- vibration
stroking effleurage
Hand of the masseur is gliding over the skin without shirring it

This is the initial technique of the massage, also performed in between the other techniques and at the end of massage. The emphasis is put on the middle part of the stroking.

Stroking( effleurage)
  • When performing stroking, palms of the hands should fit tight to the client’s skin
  • There should be no space between the palm and the skin
  • Hands should be relaxed
  • Stroking shall be performed gently, smoothly and slowly in a direction of lymph flow-to the nearest lymph node areas
effect of the stroking
Effect of the stroking:
  • To get introduced to the client’s body
  • Exfoliation of epidermis
  • Improves blood provision to the skin
  • Improves venous and lymph flow, reduces oedema
  • Relaxes skeleton muscles
  • A massage technique pushing aside the skin
  • Performed by fingers and palms
effect of friction
Effect of friction :
  • Increases supply of blood and lymph to the massage area- a warming effect
  • Loosening cicatrices
  • Anesthetic
  • Prepares the skin for the other massage techniques
  • Improves the agility of joints
kneading petrissage
Kneading ( petrissage)
  • Effect on muscles

Muscle shall be taken in hands, pressed on, lifted upwards and put in the initial position

  • Longitudinal kneading- longitudinally cross the muscle fibres
  • Cross-kneading – cross over the muscle fibres
effect of the kneading
Effect of the kneading:
  • Induces muscle hyperemia
  • Enhances elimination of metabolic end-products from muscles- restores muscle performance (reduces acidosis)
  • Improves muscle performance(muscular endurance, strength, elasticity)
percussion tapotement
Percussion (Tapotement)

- Very intense effect, increases blood pressure, improves blood circulation, lymph flow, improves muscle tone

Performed with palms of the hands, finger tips


  • Shall not be applied if muscles are overworked, exhausted and crampy
  • Arm wrists shall be relaxed
  • Shall not be performed on neck, heart area, kidney area, abdomen, spinal cord, joints
  • a relaxing effect (reducing muscle tension)
  • Vibration possesses a particular reflectory and relaxing efffect
  • Heart rate is slowed down
  • Reflectory effect to internal organs- normalizes the secretory and motor functions of internal organs
sequence of overall massage
Sequence of overall massage
  • Back
  • Backs of the legs
  • Front of the legs
  • Abdomen
  • Chest
  • Arms
Length of massage depends on the scheme of techniques and areas of treatment -20-60-90 minutes.
  • Course of treatment-1-2-3 times a week, treatment course up to 10 visits.
topographical anatomy of face
Topographical anatomy of face
  • Bones
  • Muscles
  • Blood vessels, lymph nodes
  • Nerves
facial skin types
Facial skin types
  • Dry
  • Oily
  • Combined
  • Normal
cosmetic facial classical massage
Cosmetic facial classical massage

Massage areas:



decollete area.

Massage length: 20 min

  • Improvement of micorcirculation;
  • Enhancement of venous flow;
  • Improvement of facial muscles tone;
  • Toning up and correction of facial oval;
  • Smoothing of small, sublime wrinkles;
  • Relaxation of client;
  • Secondary – nutritioning of facial skin, moisturising;
  • Recommended as prophylactic for clients aged 25-30.
preparation of facial neck and d collet area skin
Preparation of facial, neck and décolleté area skin :

Cleansing of facial, neck and decollete area skin;

Application of a hot compress ;


Application of vaposone steamer prior to massage.

preconditions to be observed prior and during the massage
Preconditions to be observed prior and during the massage :
  • Creation of comfortable and pleasant environment during the massage treatment (premises, decorations, pleasant music, lighting, air temperature);
  • Avoidance of discussions with the client during the procedure;
  • Selection of correct and suitable massage oil or cream;
  • Precise observance of Langer’s lines and fixation places;
  • Intensity of massage movements dependence on the skin type and condition

Purulent efflorescence;

Dermatitis, eczemas, psoriasis (only with a permission of a physician );

Enlarged lymph nodes;


Acute respiratory diseases;

Recent visit to the dentist;

Cerebral commotion(up to 6 months);


Dynamic blood circulation disturbances

Neo growths on face(oncology);

Infectious eye diseases;

Allergic reactions to the massage oil or cream.

basic principles to be observed during a massage
Basic principles to be observed during a massage

Massage shall be performed slowly;

Langer’s lines shall be observed;

Hands shall not be taken off the face, neck or décolleté area during the massage;

Massage movements shall not be applied in the area of thyroid gland;

Joining movements that are performed against the Langer’s lines shall be worked in a gentle manner without moving the skin aside;

Fixation places are performed ina precise manner;

Hand movements are gentle and plastic, fitting close to the face;

Time anticipated for the massage shall be observed – 20 minutes ( together with the décolleté area);

The applied massage oil or cream shall be enough during all the treatment procedure.

short summary
Short summary
  • Massage is among the most ancient medical therapies.
  • For prophylactic purposes, massage is recommended to any healthy individual
  • Massage has an effect on all organ systems of a human body.
  • Classic massage has five basic stroke techniques (four according to alternative classifications). The strokes should be applied in a definite sequence dictated by the intensity and depth of their effect.
  • The duration of a massage depends on the selected combination of techniques, the number of treatment areas and may be 20-60-90 minutes.
  • Recommendable 1-2-3 times per week, up to 10 times in the massage therapy cycle.
  • Classical facial cosmetic massage is applied to the face, neck and decolette area and lasts 20 minutes.
  • The facial massage cycle consists of 15-20 treatments 1-2 times per week; the cycle to be repeated after 2 months.