In April 2020 Dr. Fernandes, a Board-Certified Plastic Surgeon and Skin Care Specialist who built on the work of others to invent the internationally popular Percutaneous Collagen Induction Therapy (CIT) [AKA microneedling, derma rolling, skin needling) and the Environ™ Cosmetic Roll-Cit updated his treatment protocol and published guidelines to enhance the results of skin needling treatments.

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