Pianissimo: A Paced-Breathing App With Vibration

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⏱ 6 min read·Updated October 2026·Reviewed by the Tinnitus Relief App team

Breathing exercises work best with your eyes closed, which is exactly when you cannot watch an animated circle. Pianissimo moves the guide from the screen to your body: rest your iPhone on your chest and follow a gentle vibration that swells as you breathe in and fades as you breathe out. Here is how it works, how to use it well, what slow breathing can and cannot do, and the one safety rule to know first.

Quick Answer
Is there a breathing app that vibrates?

Yes. Pianissimo guides each breath with the iPhone's vibration, so you can follow the rhythm with your eyes closed. The phone rests on your chest, and the vibration swells on the in-breath and softens on the out-breath. No watch or wearable is needed.


How many breaths per minute is slow breathing?

Most studies of paced breathing use about five to six breaths per minute, roughly ten to twelve seconds per breath. Pianissimo offers both paces. Individual results vary significantly.

How Pianissimo Works

Pianissimo turns your iPhone into a breathing metronome that you feel rather than watch.

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A rhythm you can feel

The phone lies on your chest. Its vibration grows as you breathe in and eases as you breathe out, so you can keep your eyes closed from start to finish.

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Two slow paces

Choose five or six breaths per minute. Many people start at six and move to five when it feels easy.

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A low, soft hum

An optional low hum follows the same rhythm, for when you prefer to listen as well as feel.

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No wearable to buy

Just your iPhone. No band, headset or accessory.

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Nothing to sign up for

No account and no tracking. Your settings stay on your phone.

How to Use It

Lie down or sit back, rest the phone on your chest and let the vibration set the pace.

Get comfortable

Lie on your back or recline in a chair. Loosen anything tight around your chest or waist.

Place the phone on your breastbone

Lay it flat, screen up. Skip this step if you have an implanted medical device: see the safety section below.

Choose a pace and a duration

Start with a few minutes at six breaths per minute. You can lengthen the session later.

Breathe gently, not deeply

Let your breath follow the vibration without forcing big breaths. If you feel light-headed, return to normal breathing.

Make it a habit

A short session at the same moment each day, for example before sleep, is easier to keep than a long one now and then.

What Slow Breathing Can and Cannot Do

Slow breathing is a well-studied relaxation technique, not a treatment.

What the research says

Reviews of slow-breathing studies report short-term increases in relaxation and changes in heart-rate variability at around six breaths per minute. Most studies are small and short, and effects differ from one person to another.

Zaccaro A, et al. Frontiers in Human Neuroscience, 2018. Lehrer PM, Gevirtz R. Frontiers in Psychology, 2014.
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Where it may help

Winding down before sleep. Taking a calmer pause in a stressful day. Shifting your attention when tinnitus feels intrusive, as described in our guide on tinnitus and stress.

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What it does not do

Treat anxiety, insomnia or any medical condition. Replace care from a doctor or therapist. If symptoms last or worsen, seek professional help.

Paced Breathing vs. Box Breathing and 4-7-8

Paced breathing keeps a slow, even rhythm with no breath-holding, which makes it easy to follow for several minutes.

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Paced breathing

About five to six breaths per minute, with a smooth in-breath and a slightly longer out-breath. No holds. This is the rhythm Pianissimo guides.

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Box breathing

Four equal phases: breathe in, hold, breathe out, hold, often four seconds each. The holds make it slower, and some people find them uncomfortable.

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4-7-8 breathing

Breathe in for four seconds, hold for seven, breathe out for eight. It is usually done for a few rounds rather than a long session.

No single pattern suits everyone. If holding your breath feels tense, an even rhythm without holds is a gentle place to start.

Who Pianissimo Is For

Pianissimo suits people who want a short, screen-free breathing routine.

  • People who close their eyes to relax and lose track of an on-screen guide.
  • Evening routines: a few minutes lying down before sleep.
  • People living with tinnitus who want a calm pause that does not rely on listening.
  • Anyone who does not want another device to charge, wear or pay for.

Safety First

Two precautions matter: implanted medical devices, and how your body responds during a session.

Before your first session

If you have a pacemaker, an implanted defibrillator or another implanted medical device, do not place your iPhone on your chest: Apple advises keeping iPhone more than 15 cm (6 inches) away from such devices. Ask your doctor first. If you feel dizzy, short of breath or uncomfortable, stop and breathe normally. If you have a heart or breathing condition, ask your doctor before starting, and never use the app while driving.

Pianissimo and Tinnitus Relief App

Both apps come from the same team, and they do different jobs.

Pricing

Pianissimo offers two options: a yearly plan or a one-time lifetime purchase. The price is shown in the app before payment.

Frequently Asked Questions

Does Pianissimo work with my eyes closed?+
Yes, that is the point. The vibration and the optional low hum carry the rhythm, so you never need to look at the screen during a session.
Where should I put my phone?+
Flat on your breastbone, screen up, while lying on your back or reclining. If you have a pacemaker, an implanted defibrillator or another implanted medical device, do not place the phone on your chest: Apple advises keeping iPhone more than 15 cm away from such devices.
How long should a session last?+
A few minutes is enough to start. Many breathing routines use five to ten minutes. Choose what feels comfortable, and stop if you feel dizzy or uncomfortable.
Can Pianissimo help me fall asleep?+
Slow breathing can help some people wind down before sleep, but it does not treat insomnia. Individual results vary significantly. If poor sleep lasts for weeks, talk to a doctor.
Is Pianissimo a medical device?+
No. Pianissimo is a paced-breathing app for relaxation. It does not diagnose, treat or prevent any condition.
Is Pianissimo available on Android?+
Not yet. Pianissimo is available on iPhone first. An Android version may follow later.
Pianissimo for iPhone

Breathe Slowly, Eyes Closed

Rest your iPhone on your chest and let a gentle vibration set the pace. No wearable, no account.

Vibration-guided breathingFive or six breaths per minuteYearly or lifetime purchase
Download on the App Store
iPhone · No account · Price shown in the app before payment

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Disclaimer: Pianissimo is a paced-breathing app for relaxation. It is not a medical device and does not diagnose, treat or prevent any condition. Do not place your iPhone on your chest if you have an implanted medical device. Individual results vary significantly.
Sources
  1. Zaccaro A, Piarulli A, Laurino M, et al. How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing. Frontiers in Human Neuroscience, 2018.
  2. Lehrer PM, Gevirtz R. Heart rate variability biofeedback: how and why does it work? Frontiers in Psychology, 2014.
  3. NHS. Breathing exercises for stress. nhs.uk.
  4. Apple. About potential magnetic interference with medical devices. Apple Support.