Skin needs to be well prepared with mild levels of vitamin A before you can start needling. Needle only once your skin is with at least the second level of the Environ Vitamin STEP-UP SYSTEM™ of moisturisers. Start by using it twice a week and slowly increase to daily use. Pre-cleanse, cleanse and tone your skin with your preferred Environ products. Divide your target areas into sections and pat firmly for 3-5 minutes, using mild but firm pressure. Follow with your recommended Environ products. Rinse the instrument with warm water before and after use, and cleanse once a week with the Environ Instrument Cleaning Solution.