Indian head massages can be done dressed seated over clothing ideally the clothing of on the upper half is removed and a towel rapped around the torso so the massage can be performed with oils it can also be done lying down on a massage couch and this can be more relaxing especially for longer sessions for those who have issues with lying down on their front a seated massage is a great option upper back shoulders arms hands neck scalp ears and face are massaged with ayurvedic