I’ve never used a Gua Sha before purchasing this, but it is such a nice addition to my care routine. I try to use it every night. I do believe I’ve noticed a difference in my facial appearance, but I had solid underlying bone structure to begin with, so I think the change is from the lymphatic drainage the tool provides more than anything else. Even if it doesn’t sculpt your face, I think this is a great purchase just because the massage it provides is very soothing.