What is Fotona 4D®?

Fotona 4D is a safe, non-surgical, and non-invasive facelift treatment that delivers natural-looking results. Using a combination of 2 complementary laser wavelengths — Nd:YAG and Er:YAG, it treats 4 distinct dimensions of the skin to rejuvenate and tighten from the inside out.

As an alternative to injectables and surgery, this laser facelift treats both the outside of your skin and the inside (oral cavity) to lift your inner middle face. It stimulates collagen remodelling so that new and healthy-looking skin can be formed in place, resulting in immediate rejuvenation, tightening and glow.

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Benefits of Fotona4D®

  • Lifts and tightens loose, sagging skin from the inside out

  • Improves nasolabial folds, marionette lines, and fine wrinkles

  • Enhances overall skin tone while reducing redness and pigmentation

  • Smooths both superficial and deeper textural irregularities

  • Stimulates collagen production at multiple skin depths

  • Sculpts and debulks heavy or bulky lower-face areas

  • Plumps and restores elasticity without fillers or injectables

  • Immediate visible improvement

  • Supports long-term collagen remodelling for sustained results

What to Expect

 

Step 1: SmoothLiftin™

To stimulate collagen production, we begin within the oral cavity where it provides a gentle heating sensation. This helps improve nasolabial folds, perioral wrinkles and sagging jowels while delivering rejuvenating facial tightening from the inside-out.

Step 2: FRAC3 Mode™

High-intensity fractional energy produces a 3-dimensional fractional pattern in the epidermis and dermis layer to promote collagen remodelling for treatment of deeper, age-related skin imperfections, like lines and wrinkles. Overall skin texture and tone is restored.

Step 3: PIANO Mode™

A brushing technique is used to safely, and rapidly apply bulk-heating to create a tightening effect, resulting in firmer, lifted skin. This procedure is safe and controlled by our aesthetic doctor, hence it spares the skin from unnecessary thermal damage.

Step 4: SupErficial™

The final step is a gentle, laser peel that gently exfoliates for a pearly smooth finish. This mode also improves the appearance of the skin, reduces superficial imperfections, and restores a youthful texture.

Fotona 4D® Frequently Asked Questions

  • Fotona 4D® is suitable for most individuals and delivers good results for those experiencing early to moderate signs of ageing and skin laxity.

    It is ideal for people with:

    • Mild to moderate skin sagging or loss of firmness

    • Early jowls and lower-face heaviness

    • Smile lines and nasolabial folds

    • Fine lines or wrinkles

    • Uneven skin tone and texture

    • Redness, pigmentation, or sun spots

    • Dull or tired-looking skin

    This treatment is particularly well-suited for patients seeking visible lifting, tightening, and skin refinement without surgery or injectables, while supporting long-term collagen renewal

  • While results can vary from person to person, most patients notice immediate tightening after treatment — with full results building gradually over the next 12 weeks as collagen remodelling continues.

    For optimal results, a typical plan consists of 3–4 sessions, spaced 4–6 weeks apart.
    After completing the series, regular maintenance every 6–12 months helps maintain the lift and skin quality for the long term.

  • Results can last 1–2 years, depending on factors like age, lifestyle, and collagen quality. Maintenance treatments help extend and preserve results for longer.

  • You may experience slight redness that should subside in a few hours. Fotona 4D® is non-surgical and non-invasive, hence there is zero downtime required. Patients can resume their normal daily activities immediately after the treatment.

  • Numbing cream is not typically required, though it can be applied for 15 to 30 minutes if it is desired by the patient to improve overall comfort. There would be a gradual warming sensation, and after a few minutes you may experience some very brief hot sensations in the treatment area from the laser energy, which will dissipate quickly.

  • Fotona 4D® is the only “facelift laser” that includes an intraoral lifting step, which helps improve areas that are often addressed with fillers — but without injections. It also targets multiple skin layers in a single session for more comprehensive lifting and skin quality improvement.

  • There are several proven non-surgical lifting technologies, and the best choice depends on what you want to improve—lift, contour, skin texture, or a quick refresh.

    Fotona4D (Multi-layer Laser Lift)
    Best for: Lifting with visible skin quality improvement
    • Targets 4 layers, including an intraoral (inside-the-mouth) step
    • Helps with smile lines (nasolabial folds), mid-face sagging and early jowls
    • Improves texture, pores, pigmentation, and redness
    • Boosts collagen deeply while refining the surface
    Choose Fotona4D if you want both lifting and an overall “better skin” effect.

    Ultraformer MPT (HIFU)
    Best for: Deep lifting and facial contour definition
    • Targets deeper structural layers (SMAS)
    • Effective for jowls, lower-face heaviness, and double chin
    • Ideal for a sharper jawline and V-shape definition
    Choose Ultraformer MPT if your main goal is a more defined shape and contour.

    Morpheus8 (RF Microneedling)
    Best for: Tightening and texture refinement
    • Great for loose, crepey skin
    • Helps acne scars, enlarged pores and fine lines
    • Focuses more on skin tightening and quality than structural lifting
    Choose Morpheus8 if your concern is skin laxity and texture rather than facial contour.

    Titanium Lifting (Non-invasive handpiece)
    Best for: A quick glow with subtle firming
    • Low discomfort and no downtime
    • Instant radiance
    • Gentle tightening (less intensive than Fotona or HIFU)
    • Great before events or as maintenance
    Choose Titanium if you want a fast, gentle refresh.

  • Most patients benefit from a combination approach because each device targets different layers of the face.

    For example:
    • Fotona4D for internal lifting and collagen stimulation
    • Ultraformer MPT for contouring a heavier lower face
    • Morpheus8 for tightening crepey skin and refining texture
    • Titanium for glow and maintenance

    The best results come from a personalized plan, designed after assessing:
    • Your facial anatomy
    • Skin thickness
    • Degree of sagging
    • Amount of lower-face heaviness
    • Your long-term goals

    You’ll receive a tailored recommendation during your consultation.

  • Fotona4D® can give a subtle, filler-like lifting effect for early to moderate signs of ageing, especially when the goal is tightening and collagen stimulation.

    However, it cannot match the results of a surgical facelift in cases of very severe sagging. Many patients use Fotona4D® to postpone injectables or surgery while maintaining a lifted, refreshed look.

  • Yes. Fotona 4D® is generally suitable for all skin types, including Asian and darker skin tones.

    Its wavelengths can be used safely with a low risk of pigmentation when performed with the correct settings and technique.

The Aesthetic Studio | Fotona 4D® Facelift & Skin Tightening - Frequently Asked Questions(FAQ)