Fotona Laser Cost in London: 4D, SmoothEye and LipLase Prices

Fotona 4D is one of the more clinically credible non-surgical laser facelift options available in London — and one of the more variably priced. Costs range from around £500 per session at high-street aesthetic clinics to over £900 per session at premium central-London practices. This page sets out exactly what Fotona 4D costs at Centre for Surgery, what is included, what influences the price, and how the figures compare across the London market.

Fotona 4D Prices at Centre for Surgery

All Fotona 4D prices at Centre for Surgery are all-inclusive. The figure quoted at consultation covers the practitioner’s fee, the use of our CQC-regulated treatment facility at Baker Street, topical numbing if required, and any follow-up review appointments. There are no consumable fees, no aftercare add-ons, and no surprise invoices.

Fotona 4D — face

• 1 session — £750
• 2 sessions — £1,400 (£700 per session — saving £100)
• 3 sessions — £1,950 (£650 per session — saving £300)

The face single-area pricing covers the full face, including SmoothLiftin™ (intra-oral tightening), FRAC3 deep fractional treatment, PIANO bulk heating, and the SupErficial cold Er:YAG micro-peel. Most patients book a course of three sessions one month apart, which is the recommended protocol for meaningful collagen remodelling.

Fotona 4D — face and neck combined

• 1 session — £950
• 2 sessions — £1,750 (£875 per session — saving £150)
• 3 sessions — £2,500 (£833 per session — saving £350)

Treating the face and neck together is the most common protocol for patients in their late thirties through fifties. The neck typically ages faster than the face, so a face-only treatment that ignores the neck often leaves a visible mismatch.

Add-ons (when bundled with Fotona 4D)

• Décolletage — £400 single, £1,100 course of 3
• SmoothEye (eye area) — £300 single, £800 course of 3
• LipLase (lip rejuvenation) — £250 single, £650 course of 3

What’s Included in the Price

Every Fotona 4D quote at Centre for Surgery includes:

• The aesthetic practitioner’s fee
• Use of the treatment room at our CQC-regulated Baker Street clinic
• Topical numbing cream (most patients tolerate the treatment without it, but it’s available if needed)
• Post-treatment skincare advice and product recommendations
• Follow-up review appointments at no additional charge

There are no hidden charges. The price quoted at consultation is the price you pay. Any compression garment or prescribed medication you need is bought separately, and histology is charged separately where a sample is sent for analysis; your coordinator confirms these in advance. If you need additional follow-up appointments to track your progress or address a concern, those are arranged at no extra charge.

How Many Fotona 4D Sessions Will You Need?

Most patients see initial improvement in skin texture and tone within 4–6 weeks of the first session, but the structural tightening — the reason most patients book Fotona 4D in the first place — develops over the months that follow as new collagen and elastin are laid down by fibroblasts.

For face and neck concerns, two sessions one month apart is the standard starter course, with a third session added for patients with more pronounced concerns. After the initial course, maintenance sessions are recommended every six months for patients under 50, or every four months for patients over 50.

For more on session planning and what to expect from each treatment, see the main Fotona 4D service page.

Fotona 4D Cost: How Centre for Surgery Compares

Fotona 4D prices in London vary considerably. Budget aesthetic clinics in outer London advertise from around £400–£500 per session for face-only treatment. Mid-range central-London clinics typically charge £550–£700 per session. Premium central-London surgical practices charge £795–£900 per session, with course pricing scaled accordingly.

Centre for Surgery sits in the upper-mid tier — and there are reasons that justify the pricing rather than reflexive central-London markup:

• CQC-regulated private clinic, not a high-street aesthetic clinic. Most Fotona 4D in London is delivered at clinics that are not regulated by the Care Quality Commission. Centre for Surgery is registered and regulated by the CQC — see our CQC rating for the inspection report. If you ever need to escalate a concern, you have a regulator to escalate to.
• Registered healthcare professionals. Fotona laser treatments at Centre for Surgery are delivered by Ida Bafende, an NMC-registered aesthetic practitioner, working within our CQC-regulated clinic. Fotona 4D at Centre for Surgery is performed by a registered healthcare professional, not by unregulated or non-medical aestheticians. Energy settings, mode selection, and treatment depth are clinical decisions that should be made by clinicians.
• Surgical pathway available if you need it. If your consultation reveals that surgery would give a more durable result than Fotona 4D — a facelift, blepharoplasty, or a neck lift — that pathway is available at the same clinic, with the same clinical team. You are not handed off elsewhere or sold the wrong treatment because the clinic doesn’t offer the right one.
• Genuine Fotona SP Dynamis Pro system. We use a genuine Fotona SP Dynamis Pro platform, not grey-market or refurbished alternatives. The Slovenian-made Fotona laser is the device the SmoothLiftin™, FRAC3, PIANO, and SupErficial protocols were designed for.
• Aftercare included as standard. Follow-up review appointments are included in the package price, not invoiced separately.

Fotona 4D vs Other Skin Tightening Treatments

Fotona 4D is one option in a treatment ladder. Whether it’s the right one depends on your skin, your concerns, and your tolerance for downtime and cost. Here’s how it compares to the other non-surgical and surgical skin-tightening treatments at Centre for Surgery:

For more detail on choosing between Fotona 4D and Morpheus8, see Fotona 4D vs Morpheus8 — which is right for you?

Adding SmoothEye to a Fotona 4D Course

SmoothEye uses the same Fotona SP Dynamis Pro platform, with a precision handpiece calibrated for the thinner, more vascular skin around the eyes. Fotona 4D treats the face and neck; SmoothEye treats the periocular area that a full-face protocol deliberately avoids. Adding it is the most common combination patients book.

The platform, the room and the practitioner time are already committed, so SmoothEye is priced lower as an add-on than as a standalone treatment:

• 1 session added to a Fotona 4D course — £300 (£450 standalone)
• 3 sessions added to a Fotona 4D course — £800 (£1,250 standalone — £267 per session)

Booked on its own, SmoothEye is £450 for a single session, £1,250 for a course of three, or £2,200 for a course of six. Full detail, including who it suits and where surgery would give a better result, is on our SmoothEye treatment page.

Adding LipLase to a Fotona 4D Course

LipLase is Fotona’s intra-oral protocol for the lips — controlled heat applied from inside the mouth stimulates collagen in the lip tissue, plumping the lips and defining the vermilion border without any filler injection. It runs on the same SP Dynamis Pro platform as Fotona 4D and SmoothEye.

LipLase starts from £300 per session. A standard course is four to six sessions two to four weeks apart, so budget accordingly — course and combined pricing is confirmed at consultation based on the protocol you need. Full detail is on our LipLase treatment page.

It suits patients who want a subtle, biologically driven result rather than the immediate volume of filler — and patients who would prefer to avoid injectables entirely. It will not match the volume increase achievable with dermal filler, and we will say so at consultation if filler is the better answer for what you want.

Fotona Intimate Laser Treatments

The Fotona platform also runs four intimate protocols — IntimaLase for vaginal tightening, IncontiLase for stress urinary incontinence, ProlapLase for mild prolapse, and RenovaLase for menopausal vaginal atrophy.

These are priced separately from the facial treatments on this page, and set out in full on our vaginal rejuvenation cost guide alongside the surgical options.

Spread the Cost — Finance from Chrysalis Finance

You can pay in full or spread the cost with finance through Chrysalis Finance, subject to status. Plans and a representative example are on our finance options page, and a patient coordinator can talk you through them on 020 7993 4849.

Is Fotona 4D Worth It?

Fotona 4D is good value for the right patient and poor value for the wrong patient. It is not a cheap treatment, particularly when booked as a course of three sessions plus annual maintenance. The honest framing:

• For mild-to-moderate skin laxity, fine lines, sun damage, or uneven tone — Fotona 4D can deliver meaningful improvement that lasts 12–18 months without maintenance, and longer with regular top-ups. Patients in this group typically feel they have had value for money.
• For very mild concerns that could be addressed with a less involved treatment — basic skincare and SPF, or a course of microneedling alone — Fotona 4D may be more than the situation calls for. We will tell you so at consultation.
• For significant skin laxity — pronounced jowling, neck banding, hooded eyelids — surgery will give a more durable result. Booking a £2,500 Fotona 4D course when what you actually need is a facelift is poor value at any price. We will tell you that too.

The treatment is generally well tolerated. Most patients describe the sensation as a gentle warmth with brief moments of more focused heat. Side effects are typically limited to mild redness for a few hours to two days. There is no peeling phase and no need to take time off work — for full details see the recovery section of the main service page.

The Four Fotona 4D Modes — What You’re Paying For

The “4D” in Fotona 4D refers to four distinct laser modes applied in sequence in a single 60–90 minute session. Each works at a different depth and addresses a different concern. Understanding what’s included in the protocol helps explain the itemised pricing.

Step 1 — SmoothLiftin™ (intra-oral tightening)

The first step is performed inside the mouth, with a non-ablative Er:YAG laser applied through the inside of the cheek and lip. Heat causes collagen contraction in the deep tissue around the nasolabial folds, marionette lines, and perioral area. This intra-oral approach is unique to Fotona — no other commercial laser delivers this protocol.

Step 2 — FRAC3

FRAC3 uses short, fractionated Nd:YAG pulses to target deeper tissue at multiple levels. The practitioner can use FRAC3 to create vectors of tension along the SMAS layer anchoring areas, producing a lifting effect through deep tissue stimulation without any needle insertion.

Step 3 — PIANO

PIANO mode uses extremely long Nd:YAG pulses to deliver controlled bulk heating across the full thickness of the skin. The practitioner scans the entire face, maintaining a surface temperature of approximately 42°C for around three minutes per zone.

Step 4 — SupErficial (Er:YAG micro-peel)

The final step is a controlled cold Er:YAG micro-peel that removes the outer 10–20 microns of skin without thermal injury. The result is a smoother, brighter surface — clinical-grade surface refinement that surface-level exfoliation alternatives can’t match.

Book a Fotona 4D Consultation

A face-to-face consultation is required before any Fotona 4D treatment is booked. The practitioner will assess your skin, discuss what is realistic, and confirm whether Fotona 4D is the right answer for your case — or whether a different treatment would suit you better. We recommend a two-week cooling-off period before your first session.

Call: 020 7993 4849
Email: contact@centreforsurgery.com
Address: 95–97 Baker Street, Marylebone, London W1U 6RN
Online: Book a consultation via our contact form

For more on Fotona 4D, see our Fotona 4D service page and our guides to whether Fotona 4D really tightens skin without surgery and whether Fotona 4D is safe for all skin types. Patients researching all available laser options should also see our laser skin rejuvenation overview.