A hand held massage device which provides a massage pattern that approximates the desirable circular and spiral pattern of a hand facial massage. In preferred form, the device comprises a housing presenting a rotatable support table and a massage element that is mounted on the support table. The massage element is rotated by a shaft extending through the support table and offset from the rotating axis of the table. Separate drive trains for the support table and the massage element rotate the massage element for part of a cycle while the support table remains stationary, after which the support table and massage element are simultaneously rotated in opposite directions. The rotations of the massage element and the support table combine to provide a reversing circular motion followed by an increasing, then decreasing spiral massage motion, wherein a selected point on the massage element follows a first directional path comprising a circle about the axis of the massage element, then a second directional path in the opposite direction and comprising a semicircle followed by an increasing, then decreasing spiral path about the axis of the support table.