Using this Earthlite FacePillow is straightforward. First, make sure the dowels are properly placed on your Earthlite table. Then, adjust the platform to the desired height using the cam lever. Place the pillow on the platform and let your client rest their face on it during the massage. For maintenance, wipe the NaturSoft upholstery with a mild cleaning solution regularly to keep it clean and fresh. Avoid using harsh chemicals as they may damage the material. When not in use, store the pillow in a dry and cool place to prolong its lifespan. Always check the cam lever and dowels periodically to ensure they are in good working condition.