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.

Stacey performing the intraoral SmoothLifting pass of a Fotona 4D treatment at Arnprior Med Spa
In our clinic. A Fotona 4D pass at Arnprior Med Spa. Our Fotona 4D before and after gallery is still being built.
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.

Fotona 4D Results

What Can Fotona 4D Improve?

Progressive rejuvenation. Designed around your skin.

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.

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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.

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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.

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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.

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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.

What to Expect

How Fotona 4D Results Develop

Results evolve rather than happen all at once.
01

Immediately After

Skin may feel warm or temporarily tighter following treatment. Mild redness or swelling can occur depending on treatment intensity.

02

Early Changes

Some clients begin to notice early changes in smoothness, firmness or overall skin quality following treatment.

03

2 to 3 Months

Results can continue to develop gradually as collagen remodeling progresses and the effects of treatment become more apparent.

04

Your Long-Term Plan

The number of treatments and need for maintenance are customized according to skin quality, degree of laxity and individual goals.

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.

Dual-Wavelength Facial Rejuvenation

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.

The Fotona 4D fractional handpiece, its green aiming beam and the treated pattern across a client cheek, at Arnprior Med Spa

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

Stacey performing a Fotona 4D SmoothLifting pass at Arnprior Med Spa

Stacey performing the intraoral SmoothLifting pass

01

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.

02

Four Treatment Modes

SmoothLiftin™, FRAC3®, PIANO® and SupErficial™ are used sequentially, creating a treatment that is broader than a single-mode laser procedure.

03

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.

04

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.

Why We Use It

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.

Mild Facial Laxity Early Jowling Jawline Softness Fine Lines Perioral Aging Texture Skin Quality
Fotona4D Consult

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

Fotona 4D is a non-surgical laser skin tightening treatment that uses two wavelengths, Nd:YAG 1064 nm and Er:YAG 2940 nm, across four sequential modes. It treats the face from inside the mouth outward to the skin surface, tightening collagen at multiple depths in one 60 to 75 minute session with no needles and no incisions.

No. Fotona4D is a non-surgical laser treatment. It does not remove excess skin or surgically reposition facial tissues. It may improve mild laxity and skin quality, but significant jowling or skin redundancy may require a different treatment approach.

Fotona4D includes thermal treatment modes intended to support collagen remodelling and can be considered when mild facial laxity is part of the concern. We view it as a broader facial rejuvenation protocol rather than a dedicated replacement for every skin-tightening technology. Published dual-wavelength studies have reported improvements in measures of facial laxity and skin quality, but individual outcomes vary.

RF Microneedling may be particularly useful when textural concerns such as acne scarring, enlarged pores or uneven texture occur alongside mild laxity. Fotona4D approaches facial rejuvenation differently by combining intraoral and external Er:YAG and Nd:YAG laser treatments within one protocol.

Fotona4D can be considered when mild skin laxity contributes to early jowling or reduced jawline definition. Jowls are not caused by skin laxity alone, however; volume change, facial anatomy, tissue descent and submental fullness can all influence the lower face. This is why assessment comes before treatment selection.

Yes. SmoothLiftin™, the first stage of Fotona4D, uses Er:YAG SMOOTH® mode intraorally. This gives the protocol a distinctive way to address the oral/perioral region as part of a broader facial rejuvenation treatment.

Downtime depends on the intensity of treatment, particularly the Er:YAG resurfacing stage. Some clients experience temporary redness, warmth, dryness or mild flaking. More intensive resurfacing settings can produce greater visible recovery.

Results from a full series typically last 12 to 18 months. Because the treatment stimulates your own collagen, longevity depends on age, skin quality, sun exposure and home care. An annual maintenance session preserves the result.


Yes. Published studies have evaluated dual-wavelength Er:YAG/Nd:YAG Fotona4D protocols using clinical assessment, histology and more recently three-dimensional imaging. The evidence is encouraging, but the body of research remains relatively modest and includes small studies, so we avoid portraying Fotona4D as equivalent to surgical lifting.

Most clients describe it as a deep, spreading warmth rather than sharp pain, and no topical numbing or injection is required. The intraoral step feels like warmth inside the cheek; the final resurfacing pass feels like a light snap of heat at the surface. Zimmer cooling runs throughout.

A single Fotona4D Full Face treatment is $649, while Full Face + Neck is $749.

Some clients may benefit from Fotona4D as a stand-alone treatment series, while others are better suited to a more comprehensive approach that combines skin tightening with laser resurfacing.

Our 6-Month Skin Tightening + Resurfacing Program includes:

3 customized skin-tightening treatments
Selected from Fotona4D and/or Genius RF Microneedling

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3 customized laser resurfacing treatments

$500/month for 6 months
Treatment program: $3,000
One-time program administration fee: $149
Total: $3,149 + applicable tax

Treatment selection is individualized according to skin laxity, facial anatomy, texture, pigmentation, skin quality and treatment goals, so Fotona4D may be used alone or as one component of a broader treatment plan.

They work differently. Ultherapy uses focused ultrasound to reach the SMAS layer in a single deep pass and is generally more uncomfortable. Fotona 4D uses laser energy at four depths including inside the mouth, is comfortable without numbing, and also improves tone and texture, which ultrasound does not.

Yes, and many clients do. We schedule laser treatment two weeks before or two weeks after injectables so that heat does not affect product placement. Fotona 4D handles skin quality and firmness; injectables handle movement and volume.

The Nd:YAG 1064 nm wavelength is among the safest available for higher Fitzpatrick skin types because it bypasses surface melanin. Settings are matched to your skin type after VISIA analysis, and we test-patch when appropriate.

Arnprior Med Spa is on Highway 417 in Arnprior, Ontario, roughly 35 minutes from Kanata and west Ottawa, 25 minutes from Carleton Place, and convenient to Renfrew, Pembroke, Petawawa and Perth.

Fotona 4D is not suitable during pregnancy or breastfeeding, with active cold sores, oral infection or recent dental work, on recently tanned skin, while taking isotretinoin within the past six months, or with photosensitising medication. Significant, advanced laxity may be better served by a surgical consultation, and we will tell you if that is the case.

Most clients complete a series of three sessions spaced three to four weeks apart, then maintain with one or two sessions per year. Collagen contraction is visible immediately after each session, while remodelling continues building for three to six months.

Ready to Build Your Fotona 4D Treatment Plan?