First, cover the head, hair, shoulders, and upper torso with a damp towel to protect the patient from flame or any ashes that may fall during the process. The patient should sit upright. Gently rub with a circular motion just below the patient's ear behind the jaw bone, the temples and scalp for at least 30 seconds to open up circulation in the ear and facial areas. The tapered end of the ear candle is seated gently, but firmly enough to create a seal to the outer ear canal. The opposite end is then lit on fire. The candle will burn slowly and the patient will experience an interesting crackling sound while smoke and warmth from the candle enter the outer ear. Scissors should be used to cut each inch of ash into a pie tin or bowl of water. An aluminum pie pan with a hole punched in it may be used as a shield if desired. Keep the candle in the ear until it burns to four inches in length, then remove and extinguish it in a bowl of water.