Fotona 4D

Fotona 4D is a comprehensive non-surgical facial rejuvenation protocol that combines four sequential laser treatments in a single session. Each step targets a different depth and concern: intraoral tissue volumising, deep dermal collagen stimulation, surface pigment and vascular cleanup, and superficial peel-like resurfacing. Together, they produce a lifting, tightening, and rejuvenating effect that mimics a facelift without surgery, downtime, or injections.

Fotona 4D treats sagging skin and loss of facial contour, fine lines and wrinkles, mid-face volume loss, jowls, marionette lines, perioral lines around the mouth, dull or uneven skin tone, surface pigmentation, and broken capillaries. The platform is particularly well known for producing visible lifting and contouring without injectables or surgery.

The protocol moves through four sequential steps. Step 1 (SmoothLiftin) delivers laser energy through the inside of the mouth to tighten and volumise the cheeks from the inside out. Step 2 (FRAC3) targets imperfections in the deeper layers of the skin, including pigment, vascularity, and laxity. Step 3 (PIANO) uses a long, gentle bulk-heating pulse to stimulate collagen contraction and remodelling at depth. Step 4 (SupErficial) is a light superficial peel that polishes the skin surface and improves overall tone.

Each step has a different sensation. The intraoral step feels like a warm pressure inside the mouth. The deeper laser steps produce a sensation of warmth on the skin with occasional brief snaps. The bulk-heating step feels like a sustained warming, often described as relaxing. The surface peel step is the most superficial and feels like a light, brisk pulse. Numbing is generally not required.

A full Fotona 4D session typically takes 60 to 90 minutes, including all four sequential laser steps. This is a thorough treatment by design, not a quick procedure, because each step is doing distinct work at a different skin depth.

Downtime is minimal. Most patients experience mild redness and a flushed appearance for a few hours to one day. Makeup can typically be applied 24 hours after treatment. There is no peeling, scabbing, or social downtime in most cases. Your practitioner will provide a clear post-treatment care plan.

Many patients notice an immediate tightening and brightening effect after a single session. The most significant lifting, contouring, and skin quality improvements develop over the following two to four months as collagen remodelling continues. Results build cumulatively across a series of treatments.

Most patients see meaningful improvement after a series of 3 to 4 sessions spaced four to six weeks apart, followed by maintenance treatments every six to twelve months. Some patients book a single Fotona 4D session for event prep or seasonal refresh. Your medical team will build a personalised plan during your consultation.

BioPlus was founded by Luwyna Li, who brought the Fotona platform to British Columbia in the early days of advanced aesthetic lasers in the province. Fotona has been a central part of the BioPlus practice for nearly three decades, and continues to be one of the most requested treatments at our Burnaby clinic. Every Fotona 4D session at BioPlus is performed by our certified, fully-trained medical team, supported by one of the deepest Fotona experience benches in BC.