2D, 3D, 4D®

Face Lifting




Fotana4D is a range of trusted synergistic and non-invasive laser treatments of exterior facial and interior oral cavity. This includes increasing volume without injectables, enabling full-thickness of collagen.  With two laser wavelengths (Er. YAG and Nd: YAG) and for treatment methods, anti-aging is completely approached from four levels such as medical and superficial connective structure of the skin, working on deeper, and targeting imperfections. 

The four "dimensions" of Fotona 4D® refer to four distinct treatments with Fotona’s SP Dynamis system: SmoothLiftinTM, FRAC3®, PIANO® and SupErficial, all harnessed in concert to combat facial aging, with little or no downtime or anesthesia.

Fotona4D® = 4 Dimensions = 4 Steps


Fotona4D uses 4 dimensions of modes to rejuvenate and tighten the skin from the inside out. 

1D Step 1: SmoothLiftin™


This revolutionary non-ablative Er: YAG intraoral treatment for controlled and mild “bulk-heating” to stimulate collagen reduction. The effects deliver optimal result in an overall improvement of elasticity and tightness in the treated tissue and plumping effect to the nasolabial folds, also known as filler. 

Treats cheeks and lips inside the mouth

  • Restores volume to diminish nasolabial folds 

  • Lifts the cheeks & corners of the mouth 

  • Comfortable and no downtime 

  • Results are often seen instantly


2D Step 2: FRAC3®


Effects of the Nd: YAG laser and a specific pulse structure that generates regional spikes of high temperature. This non-ablative modality allows one to treat specific and deeper imperfections to complement the efficacy of intraoral treatment. The treatment help restore youthful texture and provides results.  

  • ​Address deep skin imperfections

  • Improves texture, tone, and wrinkles

  • Stimulates collagen to tighten skin

  • Suitable for even the darkest skin

  • Extensive sun avoidance not required



3D Step 3: PIANO®


A unique and ultra-long Nd: YAG mode is used for the third level of Fotona4D. The laser help with tissue heating in a safe and quick manner, by concentrating energy delivery dermally. The PIANO pulse is a second regime mode that includes brushing technique for delivering a complete thickness and overall synergistic tightening effect. 

  • Penetrates deeply for synergistic tightening

  • Stimulates collagen from the outside in 

  • Safe and effective for fair-medium or dark skin

  • Tightens efficiently on the face or body

  • Comfortable and no downtime


4D Step 4: SupErficial™


A light cold Er: YAG ablation provides a pearl-like finishing to the skin. This mode additionally improves the look and texture of the skin by reducing imperfections using VSP technology. This allows extreme controlled peel without thermal effects and ensures precise treatment. 

  • ​Peels off sun damage effectively

  • Polishes the skin for a smoother finish

  • Restores luminosity

  • Reduces surface imperfections

  • Suitable for fair, medium and dark skin types

4D Non-invasive Face Lifting


SmoothLiftin, Frac3, Piano, and Superficial are four trusted methods that we deliver individually, thanks to expanded abilities of Fotona Dynamis laser. Since each treatment has their own unique advantages to target superficial, deeper connective structure, and medial texture of the skin. When combined, they offer non-invasive and synergistic solutions for both exterior facial and interior oral cavity, targeting all skin imperfections. 

Which combination is right for you?

2D Face Lifting - SmoothLiftin™ and PIANO®

The “In-Out Facelift” tightens the skin of the face from the inside and the outside providing subtle lifting of the cheeks, the corners of the mouth and the nasolabial folds.

3D Face Lifting - SmoothLiftin™ and PIANO® and FRAC3®

Volumize, tighten, lift and seek out miniscule age-related imperfections.

4D Face Lifting - SmoothLiftin™ and PIANO® and FRAC3® and SupErficial™

Add a light micro-laser peel to polish the skin for a complete rejuvenation.

4D Non-invasive Face Lifting

Prior to Treatment


Every person wishing to be treated at Advanced Laser Clinic will require a consultation with our Laser Consultant prior to their first treatment.

At this appointment, we welcome all questions to advance your understanding of the treatment. There will be a consultation form to be completed about your health and medications to assess your eligibility for treatment.

It is important to run a patch test on the skin to make sure that the settings are safe and suitable for your skin. If there are no reactions 24 hours after your patch test, we can commence your laser treatment.

Before laser therapy, it is very important that you keep your treated area away from sun exposure. Your skin needs to be protected from the sun for a minimum of two weeks before any treatment commences. It is important for pre and post treatment. The lasers work on delivering a specific temperature at a certain depth in the tissue to produce the desired results. This is the end point that can be aggravated if or when exposed to sun causing unwanted adverse effects on the skin.   


Procedure Time

Down Time

Skin Types

Price/ Procedure


Topical Anesthetic

30-90 mins.





Before & After


Tightening of Facial Skin Using Intraoral 2940 nm Er:YAG SMOOTH Mode. Gaspar A, Gasti GA. Journal of the Laser and Health Academy, Vol. 2013, No.2. Read Full Text

Photo-Thermal Hormetic Rejuvenation with 1064 nm Nd:YAG PIANO Pulse Laser. Marini L, Alexiou A. Journal of the Laser and Health Academy, Vol. 2012, No.1 Read Full Text

CASE REPORT: Clinical experience with FRAC3 Non-ablative Skin Tightening. Gansel R. Journal of the Laser and Health Academy, Vol. 2012, No.1. Read Full Text

New Skin Treatment Possibilities with PIANO Mode on an Nd:YAG Laser. Lukac M, Vizintin Z, Pirnat S, Nemes K. Journal of the Laser and Health Academy, Vol. 2011, No.1. Read Full Tex

Clinical study & research