Fotona 4D® Facelift
The future of non-invasive facial rejuvenation. Four dimensions of laser precision working together for natural, lasting results.
What is Fotona 4D?
Fotona 4D is a revolutionary non-invasive laser facelift that addresses facial aging from the inside out. Using two complementary laser wavelengths (Nd:YAG and Er:YAG), it works in four distinct modes to tighten, volumize, and rejuvenate your skin without surgery or downtime.
Powered by our Fotona SP Dynamis Pro platform, Fotona 4D harnesses precision laser technology to stimulate your body's natural collagen production and achieve results that continue to improve over time — without incisions or recovery periods.
Watch Fotona 4D
Discover how this revolutionary technology works and the incredible results it delivers.
The Four Dimensions
Each mode targets a specific layer and concern, creating a synergistic effect that delivers comprehensive facial rejuvenation.
SmoothLiftin™
Internal TighteningNon-ablative Er:YAG laser is applied inside the oral cavity to target and heat the collagen. This stimulates collagen contraction and initiates new collagen formation.
- Immediate lifting effect
- Tightens oral mucosa
- Collagen stimulation from inside
- No external skin contact
Frac3®
Fractional RejuvenationFractional ablative Er:YAG laser treatment restores the youthful texture and glow of the skin by thermally affecting the superficial layers and triggering new collagen synthesis.
- Skin texture improvement
- Pigmentation correction
- Pore size reduction
- Renewed collagen production
Piano®
Bulk HeatingUltra-long Nd:YAG pulses safely heat the dermis deep beneath the skin surface. This provides effective skin tightening while keeping the epidermis safe.
- Deep dermal heating
- Collagen neogenesis
- Natural volume restoration
- Safe for epidermis
SupErficial™
Light PeelA final light Er:YAG peel improves the overall appearance of the skin and enhances the results of the previous three modes. It provides an immediate freshness to the skin.
- Superficial skin tightening
- Fine line reduction
- Immediate freshness
- Enhanced overall results
Treatment Areas
The Fotona laser system can treat a wide range of conditions beyond facial rejuvenation—from active and old acne to scars, spider veins, and even toenail fungus (onychomycosis).
- Face and neck
- Jawline definition
- Under-eye area
- Marionette lines
- Nasolabial folds
- Overall skin texture
- Cheek volume
- Brow lifting
- Active acne treatment
- Old acne treatment
- Scars & acne scars
- Spider veins & vessel treatment
- Onychomycosis (toenail fungus)

Fotona 4D vs Traditional Facelift
| Feature | Traditional Facelift | Fotona 4D |
|---|---|---|
| Surgery | Required | Not needed |
| Anesthesia | General/local | None |
| Downtime | 2-4 weeks | None |
| Results visible | After healing | Immediate |
| Skin type | Limited | All types |
| Treatment time | 2-4 hours | 45-60 minutes |
What to Expect
Consultation
Meet with Stephen Johnson, FNP-C for a comprehensive skin assessment and personalized treatment plan tailored to your goals.
Treatment Day
Your 45-60 minute session involves all four laser modes. Most patients describe the sensation as warm and comfortable.
Immediate Results
Walk out the same day with visible freshness and tightening. Resume normal activities immediately.
Progressive Improvement
Over 3-6 months, collagen rebuilding continues. Optimal results typically seen after 3-6 sessions spaced 4-6 weeks apart.
Why Johnsons Family Medicine & Aesthetics?
Provider-Administered
Stephen Johnson, FNP-C personally performs all Fotona 4D treatments, ensuring the highest level of safety and precision.
Medical-Grade Equipment
We use genuine Fotona technology—not spa-grade alternatives. Medical-grade means medical-grade results.
Science-Led Approach
Every treatment is guided by evidence-based protocols and customized to your unique skin biology.
Comprehensive Assessment
We evaluate your overall health and aesthetic goals to create a holistic treatment plan that delivers real results.
Frequently Asked Questions
Does Fotona 4D hurt?
Most patients describe the sensation as warm and comfortable. No numbing or anesthesia is needed — you can relax during the entire 45-minute treatment.
How many sessions do I need?
Most patients see noticeable improvement after just one session. For optimal results, we typically recommend 3-6 sessions spaced 4-6 weeks apart. Results continue improving for months as your body builds new collagen.
Is there any downtime?
None. You can return to your normal activities immediately — many patients come in on their lunch break. You may notice some mild warmth or slight redness for a few hours.
How is this different from a surgical facelift?
Fotona 4D tightens, lifts, and smooths your skin using laser energy instead of cutting. There are no incisions, no anesthesia, and no recovery period. Results are more subtle and natural-looking, building gradually over time.
What areas can Fotona 4D treat?
The full face and neck are the most popular areas, including jawline, under-eye area, nasolabial folds, and cheeks. The Fotona laser system can also treat acne, scars, spider veins, and even toenail fungus.
How long do results last?
Results typically last 6-12 months, depending on your skin and lifestyle. Many patients schedule maintenance sessions 2-3 times per year to keep their results looking fresh.
Ready to Experience Fotona 4D?
Schedule your consultation today and discover how non-invasive laser technology can rejuvenate your appearance naturally.