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Four hand massage is a type of massage therapy that involves two therapists working simultaneously. This type is more expensive than other forms of massage, since two therapists must be compensated for their time and skill. In this kind of massage, each therapist may focus on a specific area of the body, with one working on the upper body and one working on the lower. Four hand massage can also combine massage techniques, with one therapist doing reflexology while another gives a Swedish style massage.