Fotona 3D™ and Fotona 4D™ - Non-Invasive Laser Face Lifting

Fotona 3D™ and Fotona 4D™ are a series of synergistic, non-invasive laser treatments of both the exterior facial and interior oral cavity, enabling full-thickness contraction of collagen for persistent, no-downtime tightening and volumization, without injectables.


With Fotona 4D™'s two laser wavelengths (Er:YAG and Nd:YAG) and 4 treatment modes, anti-aging is comprehensively approached from 4 different levels, working on deeper, medial and superficial connective structures of the skin as well as targeting imperfections. A full course of Fotona 4D™ consists of four separate treatment sessions.

The four ‘dimensions’ of Fotona 4D™ refer to four distinct modes of treatment: SmoothLiftin™, FRAC3®, PIANO® and SupErficial™, all harnessed for aesthetic use in concert to combat facial aging. Fotona’s SP Dynamis system gives practitioners a unique possibility to combine these exclusive 4 modes and two wavelengths to achieve face lifting with a cumulative, synergistic effect, with little or no downtime or anesthesia.


1. SmoothLiftin™ - Intraoral Tightening

2. FRAC3® - Rejuvenation

3. PIANO® - Skin Tightening

4. SupErficial™ - Light Peel

What is SmoothLiftin™?

SmoothLiftin™ is a revolutionary non-ablative Er:YAG intraoral treatment for controlled and gentle “bulk-heating” to stimulate collagen contraction. In addition to an immediate effect resulting in the shrinkage of collagen fibers, the initiation of collagenesis, or new collagen formation, occurs. The effects result in an overall improvement of tightness and elasticity in the treated tissue as well as a plumping effect to the nasolabial folds from the inside, much like a filler.

What is FRAC3®?

FRAC3® is a three-dimensional treatment effect that seeks out minuscule, age-related imperfections in skin tissue. With FRAC3® more surrounding tissue remains unaffected, ensuring faster healing and less patient downtime compared to conventional fractional treatments.

What is PIANO® mode?

PIANO® mode is a new Nd:YAG bulk heating approach based on super-long pulse durations (0.3 - 60 s) which are longer than the thermal relaxation time of the epidermis and other skin structures such as hair follicles or blood vessels. Since PIANO® mode does not cause high initial temperature peaks in the epidermis, it is the safest mode for reaching deeper lying skin tissues.

What is SupErficial™?

SupErficial™ is a light cold Er:YAG ablation that gives a pearl finish to the skin. SupErficial™ additionally improves the appearance of the skin and reduces imperfections by using Fotona's propriety VSP™ technology, enabling the operator to easily adjust the laser to an extremely controlled light peel without thermal effects, for a no-downtime, highly precise treatment.


What is the difference between 3D and 4D?

SupErficial™ is the last step of Fotona 4D™ only.