THE 4T REJUVENATION: ASSOCIATION OF PAN-FACIAL PMMA FILLING, FRACTIONAL CARBON DIOXIDE LASER, RADIOFREQUENCY, AND BOTULINUM TOXIN

Abstract

Introduction: The use of associated less invasive techniques can be an alternative skin rejuvenation treatment. Objective: To demonstrate the efcacy and safety of the 4T treatment. Methods: Retrospective study of patients that underwent rejuvenation treatment using 4 different techniques simultaneously: polymethylmethacrylate (PMMA) lling, fractional CO laser, 2 radiofrequency, and botulinum toxin. More than 1,400 patients who underwent this treatment between December 2009 and July 2019 were analyzed. Results were very good in all patients submitted to the 4T technique as documented by pic Results: tures, assessment of the medical team and by the patients. Follow-up was similar to the single use of CO2 laser with edema for 2-3 days, additional 3-4 days until complete skin scaling and decrease of the swelling (downtime 5-7 days). It was possible to reestablish the natural volumetric loss caused by ageing and there were no complications in any patient. Conclusion: Treatment with the 4T technique is effective and safe for facial rejuvenation and can enhance a good aesthetic result as assessed by physicians and patients.