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Fotona 4D Laser

What is Fotona 4D?

Fotona 4D laser is a non-surgical laser treatment that tightens, lifts, and refreshes the face in a single session, with little to no downtime. At Beautiful Med Spa in Las Vegas, Kristina Nguyen, PA-C, performs Fotona 4D using the Fotona SP Dynamis laser, combining four techniques that work from inside the mouth to the skin's surface.

By combining two powerful laser wavelengths, it offers unmatched versatility and precision.

Fotona 4D is designed for early-to-moderate signs of aging: loosening of the skin along the jawline, deepening of nasolabial folds and marionette lines, fine lines, enlarged pores, and dull or uneven texture. Many patients choose it as a laser skin tightening option before considering a surgical facelift, and it pairs well with Botox and dermal fillers for a complete facial rejuvenation plan.

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Fotona 4D Laser, Fotona 4D Las Vegas
Kristina Nguyen, PA-C, reviewing a Fotona 4D treatment plan with a patient at Beautiful Med Spa.

How Does Fotona 4D Work?

This treatment stimulates collagen production, smooths wrinkles, reduces pigmentation, tightens skin, and addresses concerns like nasolabial folds, sun damage, and acne scars. Fotona 4D works from the inside out, delivering a refreshed, youthful appearance without downtime, making it a safe and effective option for facial rejuvenation.

Diagram of Nd:YAG 1064 nm and Er:YAG 2940 nm laser penetration depths in skin.
Fotona 4D uses two wavelengths that behave very differently in skin. The Er:YAG 2940 nm wavelength is absorbed strongly by water, so its energy stays within a few microns of the surface, gently resurfacing texture and fine lines. The Nd:YAG 1064 nm wavelength is absorbed far less, so it passes through the surface and gently heats the deeper layers where collagen is made, which tightens skin over the following weeks

Fotona 4D

Treatment Process

Step 1: SmoothLiftin

Fotona 4D begins with a pain-free, intraoral laser treatment that tightens the delicate tissues inside the mouth, immediately starting the rejuvenation process. This step, known as SmoothLiftin, naturally reduces wrinkles and expression lines in the nasolabial folds and marionette lines while tightening the skin around the jowls, chin, and mouth. The treatment delivers immediate results, with continued improvement over the following weeks, offering a natural alternative to fillers.
Step 1 of Fotona 4D: SmoothLiftin intraoral laser tightening.

Step 2: FRAC3

The second step of Fotona 4D uses the FRAC3 fractionated laser mode, which targets both superficial and deeper layers of the skin to address imperfections like deep lines and sun spots. This treatment not only improves skin texture and restores a more even complexion but also tightens the skin by inducing thermal heat to stimulate collagen production (neocollagenesis). Together, these effects help rejuvenate and revitalize the skin for a more youthful appearance.
Fotona 4D: FRAC3 Nd:YAG laser treatment for skin tone and texture

Step 3: PIANO

In the third step of Fotona 4D, the PIANO mode is used to heat the deep layers of the dermis, applying controlled thermal energy to stimulate collagen production and strengthen skin structures. This process gently tightens and remodels the skin from the inside out, resulting in firmer, more lifted skin with an overall tightening effect.

Step 4: SupErficial

The final step of Fotona 4D is a light laser peel, fully customizable to each patient's needs and desired downtime. This SupErficial treatment brightens and tones the skin, reduces fine lines, wrinkles, and pore size, and enhances overall skin texture. The result is refreshed, tighter skin with a youthful glow. Most patients notice visible improvements immediately, and while this step usually requires no downtime, it can be intensified for a deeper peel with minimal recovery time.
SupErficial Er:YAG laser resurfacing for smoother skin

There's little to no downtime. You may experience mild redness or flaking for 1–3 days, depending on skin sensitivity and the settings used. Your provider can customize your treatment to fit your busy lifestyle.

Many patients see visible improvement after one session, but we typically recommend a series of 3 treatments spaced 4–6 weeks apart for optimal, long-lasting results.

You'll notice a natural glow and improved skin tone within a few days. Collagen remodeling and tightening continue to improve over 6–12 weeks post-treatment.

Fotona 4D is suitable for most skin types. A consultation is recommended to confirm it's right for your skin.

Ideal candidates want noticeable facial rejuvenation without surgery or significant downtime. It's a great fit for adults in their 30s to 60s who want firmer skin, smoother wrinkles, and a radiant glow.

Absolutely! It pairs well with injectables like Botox and dermal fillers, as well as other med spa treatments. Your provider will help customize a treatment plan for your skin goals.

Avoid sun exposure, self-tanners, or active skin treatments on the area before your session. After treatment, keep the area clean, moisturized, and protected from sun.

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At Beautiful Med Spa, we blend medical expertise with an artistic touch to help you look refreshed, radiant, and confident. Whether you’re new to aesthetics or maintaining your glow, we’re here to guide you every step of the way

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Las Vegas, NV

4280 S. Hualapai Way
Suite 200
Las Vegas, NV 89147

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