As the face ages, it loses firmness in more than one place at once. The jawline softens, lines settle in around the mouth, and the skin looks less tight than it used to. A treatment that only works on the surface cannot do much about all of that.
The Fotona 4D Facelift treats the face in four passes, each working at a different depth, including one performed from inside the mouth. At Chi Aesthetics Medspa & Wellness Center in Staten Island, the treatment is performed with our Fotona SP Dynamis Pro laser. No incisions, no injections, and most patients return to their normal day right away.
The Fotona 4D Facelift is a laser treatment that uses two wavelengths, Er:YAG and Nd:YAG, delivered in four separate modes during a single appointment. Each mode reaches a different layer of tissue, which is where the name comes from.
Because the treatment works from inside the mouth as well as on the surface of the skin, it can address firmness in the mid-face without adding filler. The goal is a firmer, smoother, more rested look rather than a dramatic change.
It is commonly chosen by patients who want to address:
It is often preferred by people who want laser facial rejuvenation but are not ready for surgery, or who would rather avoid injectables.
All four steps are performed in sequence during the same visit, which together take roughly an hour.
1. SMOOTHliftin. The first pass is delivered inside the mouth. Gentle laser heat works on the area around the mouth and the nasolabial folds from beneath the skin, without touching the surface at all.
2. FRAC3. A fractional Nd:YAG mode reaches deeper into the skin and targets uneven pigment, redness and sun damage while leaving surrounding tissue intact, so healing is quicker.
3. PIANO. This pass warms the deeper layers evenly and steadily. The controlled heating drives collagen remodeling and contributes most to the tightening effect along the cheeks and jawline.
4. SupErficial. A light surface peel refreshes the top layer of skin. This is the step responsible for the immediate glow patients notice when they leave.
The treatment tends to work best for patients with mild to moderate loss of firmness who want improvement without surgery.
It may be a good fit for:
It may not be appropriate during pregnancy or breastfeeding, with an active infection or breakout in the treatment area, with recent use of certain photosensitising medications, or where significant laxity would be better addressed surgically.
A consultation at our Medspa Wellness clinic helps us determine whether the treatment makes sense for your goals and medical history.
Patients choose the Fotona 4D Facelift for the advantages it offers
over both surgery and surface-only laser treatments:
No incisions, no sutures and nothing injected into the face. The entire treatment is performed with the laser.
Rather than treating only the surface, the four modes work at different levels of tissue in a single appointment.
The intraoral step treats the mid-face from beneath, which surface-only lasers cannot do.
Most patients have mild warmth and redness that settles within a day, then return to normal activity.
The wavelengths can be adjusted for different skin types after your provider assesses your skin.
Improvement comes from your own collagen rebuilding, so the change develops gradually and looks natural.
We begin with a consultation to review your skin, discuss what is bothering you and explain what the treatment can realistically achieve.
During the procedure:
Afterward you may look slightly flushed for a few hours to a day. Makeup can usually be applied the following day.
A full-face Fotona 4D Facelift session generally takes 45 to 60 minutes, with extra time at your first visit for the consultation.
The number of sessions depends on:
Many patients are advised to plan for a series of sessions spaced a few weeks apart, followed by periodic maintenance. Your provider will recommend a personalized plan after assessing your skin.
Downtime is minimal. Afterward you may notice temporary effects such as:
These are usually mild and settle on their own within a day.
To get the most out of your results, it helps to:
Your provider will give you written aftercare instructions before you leave.
Most patients tolerate it well. The sensation is a building warmth on the skin rather than a sharp feeling, and numbing cream is usually not required.
A surgical facelift repositions tissue and produces a more dramatic, longer-lasting change. The Fotona 4D Facelift works by stimulating your own collagen, with far less downtime and more subtle results.
The skin often looks brighter immediately because of the surface pass. The firming and lifting develops gradually over the following months as collagen remodels.
Very little. Mild redness and warmth usually settle within a day, and most patients return to normal activity right away.
The wavelengths used can be adapted for a range of skin types. Your provider will assess your skin and confirm the appropriate settings during your consultation.
Often, yes. Many patients pair it with injectables, microneedling or medical-grade facials. Our team will advise on the right sequencing and timing.
Patients interested in the Fotona 4D Facelift may also like complementary aesthetic services such as:
Our team can point you toward the right options based on your goals.
If you have been thinking about a facelift but are not ready for surgery, the Fotona 4D Facelift is worth discussing. Schedule a consultation with our experienced team to review your skin, discuss your goals and build a personalized treatment plan.
Contact Chi Aesthetics Medspa & Wellness Center today to take the first step toward firmer, smoother skin.
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