Patients are searching for a nonsurgical treatment that can bring back their natural-looking, youthful firmness and glow. The Fotona® Facelift is one of the most innovative treatments in this field. It’s a laser treatment that revitalizes skin from the inside out. The 4D system from Fotona redefines what is possible for non-invasive tightening of the face and toning. What makes it so different? And how does it work exactly? Take a look at the science behind Fotona’s 4D Facelift and learn how it tones, lifts, and transforms skin naturally.
What is Fotona4D®?
The Fotona(r) Facelift uses a multi-dimensional, non-invasive laser treatment that targets all layers of facial tissues—from the deep collagen structures up to the surface skin. Fotona 4D is different from other laser systems, which only focus on the outer layer. It works both internally and externally for comprehensive rejuvenation.
The “4D” offers four different treatment methods, each of which is recommended for specific aspects of facial aging:
(i) SmoothLiftin® (Intraoral Tightening)
(ii) FRAC3® (Fractional Rejuvenation)
(iii) Piano® (Deep Skin Tightening)
(iv) SupErficial (TM) Light Peel for Polishing
These four dimensions work together to lift, firm, and tone the skin without using needles, fillers, or surgery.
Each step has a science behind It
1. SmoothLiftin®—Internal Collagen Activation
Treatment begins with SoftLiftin®—a revolutionary intraoral laser technique using Fotona’s Er : YAG laser. The laser is placed inside the mouth and targets the mucosal tissue of the cheeks, nasolabial lines, and the squamous cells.
This gentle but powerful process heats the collagen fibers from inside, stimulating neocollagenesis—the natural production of new collagen.
What does it do?
(i) The cheeks are lifted, and the smile lines are reduced.
(ii) Increases the volume of skin from within
(iii) Restores youthful firmness
(iv) This internal tightening provides a subtle but noticeable “lifting”, similar to soft tissue filler, but achieved naturally.
2. FRAC3®, Targeted Skin Renewal
The NdYAG laser is used to target deeper dermal imperfections. It produces fractional thermal zones that stimulate the skin’s natural healing process.
This procedure helps to reduce fine wrinkles and uneven pigmentation while improving skin texture and tone.
How does it work?
(i) It reduces wrinkles and pores.
(ii) Improves skin tone and reduces other imperfections
(iii) Promotes collagen production
(iv) It is ideal for those who desire a smoother and tighter complexion without any redness or peeling.
3. PIANO® – Deep Skin Tightening
The piano® mode uses ultra-long pulses of Nd:YAG to heat deeper skin layers and stimulate collagen and elastic production. PIANO®, unlike surface-focused treatments that only target the superficial layers of skin, penetrates deep and evenly to tighten loose tissue and improve facial contours.
What does it do?
(i) Firms the skin from inside
(ii) Enhances jawline definition
(iii) Increases structure and elasticity
The PIANO ® phase is the “foundation” for the Fotona 4D Facelift. It reinforces the skin’s structure at the underlying level to provide long-lasting firmness.
4. SupErficial (TM): The Perfect Finishing Touch
The final step, SuperErficial(tm), is a gentle Er YAG laser peel which polishes skin’s top layer. It smooths out fine lines and refines pores to give a radiant, refreshed finish.
What does it do?
(i) Skin refinement
(ii) Restores natural glow
(iii) Minimises surface imperfections
(iv) The skin will become smoother, younger, and brighter after this treatment.
Why Fotona4D® Works So Well
The layering approach is the science that underlies Fotona’s 4D Facelift. Each mode targets different layers of skin tissue to create synergistic results: tightening the deep collagen, remodeling the mid-dermal structure, and resurfacing outer skin.
This stimulation is designed to trigger controlled remodeling. Over time, the skin becomes thicker, firmer, and more elastic.
In short:
Fotona® 4D rejuvenates the entire skin, from the inner orifice to the outer surface, resulting in natural, gradual, and long-lasting results.
The benefits of the Fotona 4D® Facelift
1. Non-invasive and needle-free
Light energy is the only treatment that does not require any injections, anesthesia, or incisions.
2. Minimum Downtime
Usually, patients can resume their normal activities right away after treatment. Mild redness can occur, but it will disappear within a couple of hours.
3. Natural Collagen Stimulation
The body produces collagen naturally, so results are gradual. You will look more natural without having to overdo it.
4. All Skin Types Safe
The advanced pulse control of Fotona and its customizable settings ensure safe treatment for a variety of skin types and conditions.
5. Long-lasting Results
The results of proper skincare can last for up to one year, or even longer. Collagen continues to remodel and improve.
What to expect during treatment
The treatment area determines the length of a Fotona session. What to expect
Consultation:
The practitioner assesses your skin condition and discusses with you your goals
Treatment:
The four laser steps are performed sequentially, aiming at the internal and external layers of skin.
Aftercare:
Redness or warmth after treatment is minimal, and it fades rapidly. After the treatment, it is important to use sunscreen and stay hydrated.
As collagen regeneration progresses, most patients will notice an immediate tightening of the skin.
Research and Clinical Evidence
The technology of Fotona is widely researched and clinically supported. In a 2017 clinical study, published in the Journal of Laser and Health Academy, Fotona 4D laser treatments improved skin elasticity and fine lines after only a few treatment sessions. Patients reported higher levels of satisfaction and natural-looking results compared to non-invasive treatments (Drnovšek-Olup et al., 2017). A second study showed that intraoral laser tightening with SmoothLiftin® was effective. They noted measurable increases in the dermal collagen density as well as improved nasolabialfold depth reduction.(Vokurka et al., 2019)
These studies confirm the Fotona 4-D Facelift delivers both aesthetic and scientific results – safely and effectively.
Conclusion:
The Fotona 4D facelift offers a range of facial uplift options, including tightening and toning. The intelligent dual-wavelength technology is used, which works from inside to outside and provides complete lifting and toning without surgery. Fotona 4D increases collagen production to restore volume, which is helpful to reduce wrinkles and improve your skin’s youthful look. Fotona provides non-surgical, scientifically proven, and natural solutions for all types of skin.
FAQs
Q: How many sessions do I need to see visible results?
A: The majority of patients will see improvements after just one treatment, but three to four treatments separated by a month provide the best long-term outcomes.
Q: Is treatment painful?
A: There is very little discomfort. During treatment, patients usually describe a mild tingling or a warming sensation.
Q: How long do results last?
If you take care of your results, they can last between 12 and 18 months. For continued collagen stimulation, maintenance sessions are recommended.
Q: Can Fotona 4D be used to replace a surgical facial lift?
Yes, Fotona 4D is a non-surgical treatment that offers visible lifting and firming.
Q: Is sensitive skin be treated with Fotona 4D?
A: Yes. Fotona laser treatments are suitable for sensitive and mature skin.


















