The Hopi candle is a hollow tube made of cotton flax and infused with medicinal herbs which is placed gently into the outer ear. When lit, the candle creates a light chimney effect, massaging the ear drum and ear canal through vibration and warmth, drawing out wax and impurities and clearing the ear, sinuses and nose. This helps to balance the pressure in the ears, forehead and sinuses, creating a lighter feeling in the ear and head. A soft crackling sound may be heard during the treatment as the candle burns. A facial massage is also carried out to improve circulation and lymphatic drainage, making it a very soothing and calming treatment.