A kind of method and apparatus, this method and equipment influence vacuum to massage the skin nursing energy coupling of the skin of certain volume and one or more types and generate desired therapeutic effect to massage volume processing skin and subcutaneous adipose tissue. To include cavity and many different energy to skin apply element can operate and handle this energy of energy in source with receiving surface based on skin treating unit and each surface treatment unit that coupling an array or several arrays are components for this method and device, and coupled or apply energy to processed segment skin.