FOTONA 4D | ARNPRIOR + OTTAWA VALLEY
Fotona 4D® Laser Skin Tightening
Four complementary laser modes using 1064 nm Nd:YAG and 2940 nm Er:YAG to address mild facial laxity, fine lines, perioral aging, texture and overall skin quality.
The short answer
Fotona 4D is a non-surgical laser treatment that firms and refreshes the face in four passes, including one from inside your mouth, which is how it reaches the lines around the lips that surface treatments cannot. There are no needles and no numbing, and the result from a full series typically lasts 12 to 18 months.
- Best for
- Mild laxity, jawline definition, lines around the mouth and skin quality
- Your appointment
- 60 to 75 minutes, with no needles and no numbing
- Price
- $649 full face, $749 with the neck
- Sessions
- A series of three, three to four weeks apart
From our own feed
Stacey walks you through the treatment
One minute, filmed in our own clinic. She names the four modes, shows the intraoral pass that reaches the lines around the mouth, and explains what each stage is doing under the skin. Sound on.
- Four treatments in one appointment, and the first pass is done from inside the mouth
- Nothing is injected and nothing is surgically removed
- Some redness, warmth, dryness or light flaking afterwards, depending on how hard we treat
- It is not a facelift. It is gradual improvement in firmness and skin quality
Read the full transcript
This is Fotona 4D, and it’s really four different treatments performed in one appointment. The first pass is the one most people don’t expect, and it’s done from inside the mouth. I use a laser to gently heat the tissue and collagen from the inside, which allows me to work around the mouth and mid face from a completely different direction.
Then we move into a deeper fractional pass, followed by a slow, bulk heating pass that gradually warms deeper tissue to stimulate collagen remodelling. The final step is the light Er:YAG resurfacing pass over the surface of the skin, to improve texture, brightness and overall skin luminosity.
Nothing is injected and nothing is surgically removed. Depending on how aggressively we treat, you can expect some redness, warmth, dryness or light flaking afterwards.
And I’m very careful with how I describe this treatment. It is not a facelift. It’s for someone who wants gradual improvement in skin firmness and in skin quality, without adding volume or having surgery. Contact us today to see if the Fotona 4D treatment is the correct one for your skin.
What Can Fotona 4D Improve?
Fotona 4D is designed for progressive facial rejuvenation rather than an immediate surgical-style lift. By combining complementary laser treatment modes, Fotona 4D may improve the appearance of mild facial laxity, fine lines, perioral aging, texture and overall skin quality. Results develop gradually and vary according to baseline skin quality, anatomy and the treatment plan selected.
Improved Skin Firmness
Fotona 4D may improve the appearance of mild facial laxity and age-related loss of firmness as tissue remodeling develops following treatment.
Fine Lines + Perioral Aging
The Fotona 4D protocol includes intraoral and external treatment, making it particularly useful when fine lines and changes around the mouth are part of the overall concern.
Texture + Skin Quality
Its combination of thermal, fractional and superficial treatment modes allows Fotona 4D to address texture and visible skin quality alongside facial rejuvenation.
Early Lower-Face Changes
Fotona 4D may be considered when mild laxity contributes to early jowling, jawline softness or other subtle changes through the lower face.
How Fotona 4D Results Develop
Results evolve rather than happen all at once.Immediately After
Skin may feel warm or temporarily tighter following treatment. Mild redness or swelling can occur depending on treatment intensity.
Early Changes
Some clients begin to notice early changes in smoothness, firmness or overall skin quality following treatment.
2 to 3 Months
Results can continue to develop gradually as collagen remodeling progresses and the effects of treatment become more apparent.
Your Long-Term Plan
The number of treatments and need for maintenance are customized according to skin quality, degree of laxity and individual goals.
Our Fotona 4D Clinical Gallery Is Growing
We are currently documenting our own Fotona 4D treatment outcomes at Arnprior Med Spa. As our clinical gallery grows, results will be presented with meaningful context including the treatment performed, number of sessions and follow-up interval, not simply a before-and-after photograph without the story behind it.
Individual results vary. Fotona 4D treatment recommendations and expected outcomes depend on factors including skin quality, facial anatomy, degree of laxity, treatment intensity and number of sessions.
What Fotona 4D Does for Your Face
You get four treatment modes in one appointment
Fotona4D combines SMOOTH®, FRAC3®, PIANO® and SupErficial™ using complementary 2940 nm Er:YAG and 1064 nm Nd:YAG wavelengths. Each stage plays a different role, allowing treatment to address multiple aspects of facial aging rather than relying on a single laser mode.
It treats more than looseness alone
Fotona4D may be particularly useful when mild laxity occurs alongside fine lines, perioral aging, texture changes or declining skin quality. The combination of intraoral treatment, external thermal stimulation and a customizable superficial Er:YAG step allows us to approach facial rejuvenation from several complementary directions.
It reaches the lines around your mouth from the inside
SmoothLiftin™ uses Er:YAG energy from inside the mouth, allowing Fotona4D to treat the oral mucosa as part of a broader facial rejuvenation strategy. This makes it especially relevant for clients concerned with perioral aging, fine lines and early lower-face changes.
The intensity is set to your skin and your downtime
Fotona4D is not a one-setting treatment. The balance between its thermal, fractional and superficial Er:YAG components can be adjusted according to skin quality, degree of laxity, tolerance and desired recovery time, allowing the treatment plan to be tailored rather than standardized.
Advanced Facial Rejuvenation with Fotona 4D
Four treatment modes. Two wavelengths. One customized approach.Fotona 4D is a multi-step laser rejuvenation treatment combining 1064 nm Nd:YAG and 2940 nm Er:YAG wavelengths. Rather than relying on one treatment mechanism, the protocol uses complementary intraoral and external laser modes to address multiple components of facial aging within one treatment strategy.

Mid treatment, with the aiming beam and the treated pattern visible

Stacey performing the intraoral SmoothLifting pass
Two Complementary Wavelengths
Fotona 4D combines 1064 nm Nd:YAG and 2940 nm Er:YAG laser energy, allowing different stages of the treatment to perform different roles within one facial rejuvenation protocol.
Four Treatment Modes
SmoothLiftin™, FRAC3®, PIANO® and SupErficial™ are used sequentially, creating a treatment that is broader than a single-mode laser procedure.
Intraoral + External Treatment
Treatment begins inside the mouth with SmoothLiftin™ before progressing through external thermal and superficial laser stages, making the perioral region part of the overall rejuvenation plan.
Firmness + Visible Skin Quality
The combination of thermal stimulation and customizable Er:YAG resurfacing allows Fotona 4D to address mild laxity while also considering fine lines, texture and overall skin quality.
When Laxity Isn’t the Only Concern
Treatment selection starts with what your skin actually needs.At Arnprior Med Spa, we consider Fotona 4D when mild facial laxity occurs alongside other visible signs of skin aging such as fine lines, perioral changes, uneven texture or declining overall skin quality.
For example, someone experiencing early lower-face softness together with fine lines and textural change may benefit from a different treatment strategy than someone whose primary concern is laxity alone.
We assess skin laxity, facial anatomy, texture, skin quality and treatment goals before determining whether Fotona 4D, RF Microneedling or another treatment approach is the most appropriate fit.

How Does Fotona4D Compare?
Choosing the right approach for skin tightening and facial rejuvenation.
There is no single “best” treatment for every client. Fotona4D and Genius RF Microneedling use different technologies and are selected for different combinations of skin laxity, texture, facial anatomy and treatment goals.
Fotona4D combines 2940 nm Er:YAG and 1064 nm Nd:YAG laser energy across four complementary treatment modes: SMOOTH®, FRAC3®, PIANO® and SupErficial™. This makes it particularly useful when mild facial laxity occurs alongside fine lines, perioral aging, texture changes or declining overall skin quality. Fotona describes the protocol as addressing different tissue levels and skin imperfections using its complementary wavelengths and four treatment modes.
Genius RF Microneedling combines microneedling with radiofrequency energy and real-time tissue feedback. It can be particularly useful when mild laxity occurs alongside concerns such as acne scarring, enlarged pores, wrinkles or uneven texture.
The right choice depends on what is contributing to the concern, which is why treatment selection begins with assessment rather than automatically choosing one device.
Is Fotona 4D Right for You?
Fotona4D may be a good option for clients with mild facial laxity who also want to address fine lines, perioral aging, texture and overall skin quality. The treatment combines 1064 nm Nd:YAG and 2940 nm Er:YAG laser energy across four complementary treatment modes, allowing us to approach facial rejuvenation from inside the mouth through to the skin surface. Fotona describes the protocol as combining SMOOTH®, FRAC3®, PIANO® and SupErficial™ treatment modes.
At Arnprior Med Spa, treatment selection starts with what is causing the concern, not simply which device is newest. We assess skin laxity, texture, facial anatomy, skin quality and treatment goals before determining whether Fotona4D, RF Microneedling or another treatment approach is the better fit.
Other resurfacing options
This page names other lasers because the right one depends on the concern. Here is where each of them sits.
Frequently asked questions
Ready to Build Your Fotona 4D Treatment Plan?
Fotona4D may be used on its own or incorporated into a broader skin-tightening and resurfacing strategy. At Arnprior Med Spa, we assess facial laxity, texture, perioral aging, skin quality and treatment goals before determining whether Fotona4D, or another technology, is the most appropriate approach.