Fotona 4D®
At Deluxe Med Spa and Wellness, we build long-term skin health plans around the technology that actually delivers — and Fotona 4D® is one of the most advanced tools in that lineup. Using dual wavelengths across four precisely sequenced steps, Fotona 4D® addresses dermal laxity, volume loss, surface texture, and pigmentation in a single session. The result is a naturally lifted, rejuvenated appearance that develops progressively over months. No surgery. No injectables. No recovery period. Just consistent, compounding results — the Deluxe way.
Face
& Body Tightening
Laser
& Energy-Based
RF Microneedling
& Skin
Injectables
& Wellness
Authorized provider · trained, certified, and stocked with authentic product
What Is Fotona 4D®?
Fotona 4D® is a non-surgical laser lifting protocol that uses dual Er:YAG and Nd:YAG wavelengths to stimulate deep collagen remodeling and dermal tightening across four distinct treatment dimensions.
Each step targets a specific tissue depth, including the intraoral mucosa, delivering a comprehensive, layered rejuvenation response that no single-wavelength system or injectable regimen can fully replicate.
The Science, Visualized
Dual wavelengths, four delivery modes — the data behind the Fotona 4D® protocol.
Two lasers, four depths.
Nd:YAG (1064 nm) reaches 8-10 mm for structural heating; Er:YAG (2940 nm) refines the surface — no other platform combines both.
Each pass, a distinct depth.
SmoothLiftin™, FRAC3®, PIANO®, and SupErficial™ run in sequence — intraoral lift to surface polish in 30-45 minutes.
Visible improvement reported.
Published clinical data shows over 90% of patients report visible improvements in firmness, tone, and texture — building over six months.
Imagery & clinical data — Fotona LA&HA Clinical Excellence · Published studies on file
Who Is a Candidate for Fotona 4D®?
Fotona 4D® is best for customers seeking clinically substantial lifting and rejuvenation without surgery or injectables.
Fotona 4D® also integrates into existing injectable or device-based treatment plans, especially for customers looking to extend results, build structural improvement over time, or progressively reduce dependence on fillers.
Every Fotona 4D® journey at Deluxe Med Spa and Wellness begins with a thorough skin assessment. We’ll determine whether Fotona 4D® is the right protocol for your goals, or whether a combined approach will deliver the best outcome. And because Deluxe offers a full spectrum of treatments — from injectables and facials to skin tightening devices and IV therapy — your entire skin health plan can be built and managed in one place.
Fotona 4D® is most effective for those experiencing:
Early to moderate skin laxity along the jawline, midface, cheeks, or perioral region
Volume and structural loss that have not yet reached the threshold for surgical correction
Fine lines and dynamic wrinkles, including nasolabial folds and periocular lines
Uneven skin texture, enlarged pores, pigmentation irregularities, or diminished luminosity
Lip thinning or loss of vermilion border definition
Four Dimensions. One Session.
Each step targets a different depth of tissue. Sequenced together, they produce results no single laser modality can deliver. Calibrated to your skin by a clinician trained on the platform.
SmoothLiftin™
SmoothLiftin™
Treatment begins inside the oral cavity. Er:YAG laser energy is delivered to the intraoral mucosa to initiate immediate tightening along the jawline and perioral region — activating the tissue’s own biological response, without any injected material.
FRAC3®
FRAC3®
Fractional laser energy selectively targets deeper dermal imperfections — stubborn lines, textural irregularities, and pigmentation asymmetry — working at depth to restore a more uniform complexion and structurally smoother skin.
PIANO®
PIANO®
A controlled bulk-heating technique applied across the full treatment area. PIANO® safely and rapidly elevates tissue temperature in the deep dermis and subdermal layers, triggering collagen contraction and a sustained lifting response.
SupErficial™
SupErficial™
The final step is a precision light laser peel targeting the stratum corneum and superficial epidermal layer. Surface imperfections are smoothed, pore appearance is refined, and the skin takes on immediate luminosity.
Fotona 4D® Add-Ons
Lips · No Needles
Fotona LipLase™
For customers looking to address lip thinning or vermilion border definition without injectables, LipLase™ is available as a Fotona 4D® add-on. The Er:YAG SMOOTH® modality stimulates the lips’ own collagen synthesis and remodeling to restore fullness, improve lip proportion, and define the border — with no needles, no foreign material, and no downtime.
Eye Contour · Non-Ablative
Fotona SmoothEye®
SmoothEye® applies non-ablative Er:YAG SMOOTH® mode to the periocular region, stimulating neocollagenesis and collagen contraction to tighten lax eyelid skin and reduce periorbital fine lines. It is one of the few laser modalities with both the precision and safety profile appropriate for the periocular area, and pairs naturally with the full Fotona 4D® protocol.
What It Delivers
Non-Surgical Lifting
Full-thickness collagen contraction across four tissue depths — delivering structural lift and tightening that previously required surgery or significant injectable volume.
Zero Downtime
Thirty to forty-five minutes. No wounds, no peeling, no social downtime. Most patients resume normal activity immediately following treatment.
Results That Build Over Time
Immediate luminosity is visible on treatment day. Meaningful structural lifting becomes apparent at four to six weeks. Collagen remodeling continues for up to six months post-session.
Safe for All Skin Types
The dual-wavelength protocol and VSP technology allow precise calibration for every skin tone and type — with no excess thermal spread to surrounding tissue.
Two Fotona platforms.
One protocol.
Fotona 4D® treatments at Deluxe Med Spa and Wellness are performed using Fotona’s flagship laser platforms — dual wavelengths (Nd:YAG + Er:YAG), four delivery modes, and the only systems that can run all four dimensions in a single session.
The Dedicated 4D Platform
A dedicated Er:YAG and Nd:YAG aesthetic laser system engineered for non-invasive facial lifting protocols, including Fotona 4D®, SmoothEye®, and LipLase™. Integrates Fotona’s ASP-powered treatment modes for precise, protocol-optimized energy delivery calibrated to each step’s depth and tissue target.
The Multi-Application Powerhouse
A multi-application platform offering ultra-high-performance Er:YAG and Nd:YAG capability in a single system. Equipped with Fotona’s proprietary VSP (Variable Square Pulse) technology for precise calibration between cold ablative and non-ablative thermal ratios — full control over depth, energy, and tissue response.
What makes Fotona different: the Nd:YAG wavelength penetrates deeply into the dermis to generate targeted thermal effects without surface disruption, while Er:YAG complements it with precise superficial ablation — together addressing the skin simultaneously at every clinically relevant depth. Fotona’s VSP technology ensures energy is deposited only where it’s needed, with no excess thermal spread to surrounding tissue, making these among the safest and most controllable laser systems available for facial rejuvenation.
Watch a full session, end to end.
Two official Fotona® films — the four-pass protocol in motion, and the treatment experience from the patient’s chair.
Fotona4D® — The Official Protocol Film
Inside the Fotona4D® Treatment
Fotona 4D® Recovery and Results
Fotona 4D® is designed to fit into a real schedule. The full four-step protocol takes approximately 30–45 minutes, with minimal discomfort and no required downtime — most customers resume normal activity the same day.
Immediately After Treatment
Skin feels tighter and appears more luminous directly following the session. Some customers experience mild warmth or temporary flushing in the treated area, which typically resolves within a few hours. There are no wounds, no peeling, and no social downtime.
How Results Develop
The initial refresh is visible right away, but the deeper biological work is just beginning. The collagen remodeling and neocollagenesis triggered by Fotona 4D® continue beneath the surface for months. Meaningful structural lifting and tightening typically become visible at 4–6 weeks, with progressive improvement continuing for up to 6 months post-treatment.
Optimal Outcomes
A series of treatments spaced 3–4 weeks apart is recommended for customers seeking significant or sustained correction. Periodic maintenance sessions help preserve structural results over time. During your skin assessment, we’ll build a treatment plan around your goals, starting point, and schedule — so every session has a purpose.
Fotona 4D® Pricing
Fotona 4D® is priced per session. Treatment plans are recommended in series of three to four sessions for optimal collagen remodeling outcomes — with maintenance sessions annually.
Full Face
first session
regular $700
The complete four-dimension protocol — SmoothLiftin™, FRAC3®, PIANO®, and SupErficial™ in a single sitting.
Full Face + Neck
first session
regular $1,000
The full protocol extended through the jawline and neck for complete lower-face and cervical tightening.
Package pricing available. Ask your provider about series-of-three plans and current promotions at your assessment.
Common Questions
Most patients describe a sensation of warmth across the skin, with mild tingling during the FRAC3 and PIANO steps. No anesthesia is required. The intraoral SmoothLiftin step is the most novel sensation but is well-tolerated.
A typical course is three to four sessions spaced four to six weeks apart, followed by an annual maintenance session. Your treatment plan is calibrated during your clinical assessment based on your individual collagen response and aesthetic goals.
Immediate luminosity is visible the day of treatment. Structural lifting becomes apparent at four to six weeks as new collagen settles into the dermis. Full results develop over three to six months and continue to improve as collagen remodeling progresses.
Yes. Fotona’s dual-wavelength VSP technology allows precise calibration for every skin tone and type. The non-ablative protocol does not target melanin, making it safe across the Fitzpatrick scale — including skin of color.
Yes. Fotona 4D pairs well with injectables and other energy-based protocols. Your clinician will sequence treatments to optimize results and prevent overlap. Most multi-modality patients receive Fotona 4D as the structural foundation of their care plan.
Where Fotona 4D treats.
The dual-wavelength protocol is calibrated for the regions where laxity, fine lines, and texture loss show up first — and where injectables can’t reach.
Full Face
Full-face structural lift across forehead, mid-face, and lower face. Targets laxity, fine lines, and tone in one session — without injectables or surgery.
Jawline & Jowls
Intraoral SmoothLiftin tightens the perioral region from the inside out. Marionette lines soften, the jawline reads cleaner, jowl heaviness reduces.
Neck & Submental
Targeted laxity reduction below the jawline and along the cervicomental angle. Crepiness and horizontal banding diminish over the collagen-remodel window.
Periorbital (Eyes)
SmoothEye protocol for crepiness, fine lines, and lid laxity around the entire orbital region. Non-ablative, no injectables, safe for the most delicate skin.
Lips (LipLase)
Non-invasive volumization and vermilion border definition. Your own collagen, no filler — fullness without the filler-stack look so common in this category.
Décolleté
Sun damage, crepiness, and tone irregularities across the upper chest and clavicle — the area injectables cannot reach. Most patients pair this with a Full Face protocol.
Compounding results from structured protocols.
Fotona 4D delivers immediate luminosity and compounding structural change. Here’s what to expect across the full collagen-remodel window.
Immediate Glow
Visible luminosity within minutes of the final pass. Smoother surface texture, refined pore appearance, mild flush that subsides within hours.
Surface Refinement
Pore appearance refined. Texture continues to settle. Skin feels firmer to the touch. Resume workouts, makeup, sun protection without missing a step.
Structural Lift
First wave of new collagen settles into the dermis. Jawline definition sharpens. Perioral lift becomes visibly apparent.
Compounding Effect
Deeper dermal remodeling continues. Tone evens. Fine lines soften meaningfully. Density returns. The window where Fotona 4D outperforms most alternatives.
Full Result
Peak collagen response. Documented improvement in firmness, texture, and tone across all four treated tissue depths. Annual cadence keeps the lift compounding.
Four Dimensions. One Protocol.
Real Lift.
Before/after imagery courtesy of Fotona® — physician-submitted clinical results from the official Fotona4D® gallery. Individual results vary. Deluxe in-clinic patient gallery available at your complimentary consultation.
Locations
Visit a Deluxe Med Spa Near You
Fotona 4D® — available at all five Southern California locations.
Fotona 4D® in Diamond Bar
1241 Grand Ave #H, #C
Diamond Bar, CA 91765
(909) 686-8888
Fotona 4D® in Los Angeles
2630 West Olympic Blvd
Los Angeles, CA 90006
(213) 900-9777
Fotona 4D® in Hacienda Heights
17188 Colima Rd #B
Hacienda Heights, CA 91745
(626) 686-8666
Your skin has a baseline. We’ll find it, build from it & track it.
Skin laxity, volume loss, and dullness don’t resolve on their own — but the right protocol can change the trajectory. Fotona 4D® works at every relevant tissue depth to build real, lasting improvement over time. With locations across Los Angeles, Irvine, Diamond Bar, Hacienda Heights, and Brea, the same expertise and technology are available wherever you are.
Our Locations
1241 Grand Ave #H, #C, Diamond Bar, CA 91765
2646 Dupont Dr., #250, Irvine, CA 92612
2630 West Olympic Blvd, Los Angeles, CA 90006
17188 Colima Rd #B, Hacienda Heights, CA 91745
2415 E Imperial Hwy, Suite A, Brea, CA 92821
