Fotona 4D

Fotona 4D non-invasive facial rejuvenation at Centre for Surgery in London has long been the most highly desired aesthetic improvement, and the increased interest in skin rejuvenation has promoted rapid evolution of different methods to treat aged skin. The Fotona 4D laser facelift is a completely non-invasive method of improving the appearance of fine lines, wrinkles, uneven tone and texture and loss of volume. Using the incredible Fotona SP Dynamis Erbium laser, new collagen and elastin production is also stimulated, resulting in skin tightening and giving the skin a youthful, more healthier appearance. Fotona 4D perfectly complements injectable treatments such as wrinkle relaxing injections and dermal fillers.

This will help to combat facial ageing as well as target superficial imperfections. For younger patients, Fotona 4D is a genuine alternative to a facelift. Fotona 4D can tighten your skin and increase volume, without using any anti-wrinkle injections, dermal fillers or undergoing any invasive surgical procedure..

This procedure is one of our most popular procedures at Centre for Surgery. The procedure is popular amongst celebrities. Kim Kardashian is the most recent high profile celebrity to have recently had a Fotona 4D laser lift procedure in the US. Fotona 4D can be combined with SmoothEye for a comprehensive facial rejuvenation.

Benefits of Fotona 4D

• Effective skin tightening and tissue volumisation without the need for injectable toxins or fillers
• Powerful skin lifting effect from inside out
• More youthful, healthier and firmer skin
• No downtime after procedure
• No use of needles, anaesthesia or surgery

All our doctors are on the GMC specialist register. Our London clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.

10 REASONS TO CHOOSE US – CLICK HERE TO LEARN MORE

Based on 85 reviews.

Aisha N

16/04/2021

Verified

Would highly recommend Centre for Surgery. Very professional staff who supported me through my entire journey from initial consultation to the procedure. Always on hand to answer any questions I had and thoroughly explained the procedure and associated risks to ensure I was well-informed.

Tache Dill

13/04/2021

Verified

Amazing, exceptional, professional and quality service! From the initial request for more information until the day of procedure and after the procedure. The constant calls and emails from the team made me feel as if I was relevant and showed me that my business was important to them. Dr. Mitakos, Carolyn, Samira and Natalie (recovery nurse) OUTSTANDING, OUTSTANDING, OUTSTANDING!!! Dr. Mitakos was thorough and made sure to be honest about the procedure and my results. It’s been a week post-op and I’m in love! Even with swelling in some areas!! I couldn’t have asked for a better Dr. He was very professional, kind and genuine. Carolyn, Samira and Natalie are angel sent! They were so kind, caring and ensured that I was well taken care of days leading up to the surgery, on the day of surgery and during recovery. I would recommend Centre for Surgery to anyone who wants to get surgery to feel better about themselves.

Jacop Coxy

04/04/2021

Verified

Amazing service from start to finish, extremely professional staff and surgeons. Special thanks to my Consultant Plastic Surgeon Dr Ertan Erel was brilliant and made me feel so calm and confident from the moment we met through my consultation . He is definitally second to none.. I would recommend Centre for Surgery in a heart beat.

Stacey Harris

02/04/2021

Verified

Recommend highly!! Always wanted a breast augmentation and never had the nerve to go through with it. Until i got Recommended center for surgery and spoke to carolyn and the ball got rolling 🙂 meeting dr tillo for a couple consultation made me certain i wanted it and i would be in great hands. The day of the surgery i was nervous but having such a great support team from the nurses and care team was a massive relaxation. And the aftercare is amazing. They check in with you every over day and i could contact them if needed for anything. I could name so many great people that helped me throughout my journey but dr tillo is amazing with what he does. And carolyn was and still is the best person to organise and help me with everything throughtout.

Hayley Norman

01/04/2021

Verified

Absolutely amazing service from start to finish. I have been looked after the whole way through the process, from initial conversations, consultation, to having my surgery and being looked after by the brilliant aftercare team. I could not recommend Dr Omar Tillo enough, lovely surgeon who was honest with me throughout and made me feel so comfortable.

Domenico Betti

24/03/2021

Verified

Really wonderful experience, Jasmin the receptionist was very helpful and sweet she assisted me throughout my appointments, bookings and payment. The day of my surgery I was extremely nervous and very anxious, I was booked in for upper eyelid surgery ( Blepharoplasty ) First I was met with the lovely Gregory who I could not have asked for such a lovely kind person to be the Surgeons right hand man, he made me feel at ease straight away and as comfortable as possible. I then met my Surgeon Dr Ertan Erel who was also wonderful ( I had previously met him 2 weeks before for my consultation) I had a instant liking to him and felt comfortable with him performing the procedure on me. I had the treatment with Local anesthetic so I was fully awake and aware of what was going on, again I was extremely nervous and felt like I was having a small mini panic attack when we started but both Dr Ertan Erel and his assistant Gregory both made me feel at ease and as relaxed as they possibly could, we even had some 80s music on that helped to calm me down, Gregory was holding my hand the majority of the time and was having a chat with me that made me feel so relaxed, I could not have asked for 2 lovely men to have worked on me. Both the Surgeon and his assistant are as important as each other when you have a very nervous patient like myself. I have not had any complications since leaving the clinic and so far I am really so happy I can already see the amazing results. Dr Ertan returned my call back two days later to make sure everything was ok and how I was getting on ( that was very reassuring ) Very exited to get my stitches out in a few days. I could not give less than 5 stars so thank you very much. I will definitely be recommending. Verity.

Emma Howes

24/03/2021

Verified

Well where do I begin. So I am 6week post surgery and I couldn’t be happier with my results. I done endless research on the procedure I wanted doing and where is best in England and Centre for surgery was the strongest contender and I felt super confident in the reviews and before and after photos they have online. So my journey started when I emailed centre for surgery for more information about liposuction and fat transfer with Dr Antonios Mitsakos. I then was contacted by Yasmin, she called me for a chat about what I’m after and to discuss options etc. She was incredible with getting my consultation and day of surgery booked as soon as she could and was on the end of the phone with any questions you had any time of day. As a first point of call Yasmin set a very high standard for the company and I was confident in my choice. I went for my consultation with Dr Antonios Mitsakos to discuss the procedure in much more depth, he went though all the risks, told me all the information I needed, we looked at my body to see if it’s something he would be happy to do for me and went through all the aftercare I would need to do as well. We went through my medicals and talked about previous surgery I already had. He was so professional so informative that I literally wanted the surgery there and then. I left super happy and excited for my surgery date that was booked in. Before my surgery date I got phone call to go through all the paperwork and guidelines I had to follow and all the prep I needed to do before hand, I was told what garments were best to purchase and all the necessary bits I needed to by prior to the day. That support team were amazing and also answered any questions I had. So the day of my Surgery came and I was so calm but excited because I felt my care already had been great so I knew I was in safe hands. I had my nurse meet me to go through all medicals again, she helped me get prepared and dressed for the op and get everything ready. I then met my anaesthetist to also went through my medicals and asked all the relevant questions, gave me my pre meds and told me what he will be doing. I was super confident and he was very reassuring. Then Dr Antonios Mitsakos had my final chat before surgery checking everything through with me, confirming what he was going to do and where he was removing the unwanted fat and where he was going to transfer it too. He made me feel super comfortable and confident that I was in the right hands. I went into that theatre room a woman so unhappy with her body and when I woke up I was a new woman physically and mentally. Every single day for 2 weeks after my op I had a phone call to check in that I was doing ok and if I have any issues or concerns. The support team were absolutely amazing. I’ve just had my 6 week post op appointment with Dr Antonios, he again showed me my before photos and took new after photos and honestly the results are unreal. He has given me the body confidence I have never ever had and I can’t thank him enough for his amazing skills and the transformation he has achieved. Thankyou so much to all of you that looked after me though out this whole procedure and a special Thankyou to Dr Antonios for changing my confidence, my body and my life. I’ll be back again for more.

Maxim

03/03/2021

Verified

The service has been so far excellent and is highly recommended to anyone.

Julia Low

20/02/2021

Verified

I recently had surgery here and would definitely recommend, from initial contact from Carolyn to the aftercare I received was exceptional, Carolyn was very helpful and informative and answered all my questions - even the silly ones late at night! Dr Tillo was very knowledgable, professional and welcoming at the same time and put me at ease about the procedure, it’s still early but so far I’m pleased with the results

Traditional ablative laser skin resurfacing treatments using lasers such as fractional CO2 have long been considered the gold standard for skin rejuvenation. Fotona Er:YAG lasers produce less residual thermal injury and hence a much reduced depth of tissue injury compared, with quicker healing and much reduced down time in comparison with traditional CO2 lasers. However, ablative laser treatments have become less popular recently due to prolonged downtime and an increased risk of complications with long-lasting side effects.

Fotona 4D improves upon existing laser resurfacing with a protocol that combines high efficacy with minimal downtime and minimal chance of side effects. A number of non-ablative treatments using different wavelengths have been developed but few have the safety and efficacy of Fotona 4D. With traditional ablative techniques, a reduction of superficial imperfections such as photodamaged skin can be achieved, but with nonablative methods, a thermal effect produces a wound healing response and the stimulation of collagen remodeling, leading to tissue tightening. Fotona 4D combines non-ablative tissue tightening with a more gentler erbium laser micropeel with minimal downtime.

Unlike other facial rejuvenation techniques, Fotona 4D does not involve the use of any injections, chemicals or surgery. It is ideal for those who are wanting to appear rejuvenated and also wish to have minimal downtime following the 4D procedure. Fotona 4D uses two laser wavelengths (NdYAG 1064nm and ErYAG 2940nm) in four different modalities (SmoothLiftin, Frac3, Piano and SupErficial) during the same treatment session with a goal to thermally stimulate various depths and structures of the facial skin.

The four dimensions of the laser facelift refer to four treatments within Fotona’s SP Dynamis system: SmoothLiftin, FRAC3, PIANO and SupErficial. These treatments work together to combat the signs of ageing.

Based on 104 reviews.

Danielle Palmer

24/07/2021

Verified

Amazing!! I had a labiaplasty done recently and could not fault the practice on anything. The results themselves snd the experience I had with the team has been incredible

Thiago Ferreira

06/07/2021

Verified

I got in touch with the staff and they promptly got back to solve my concerns even if for some reason we had a gap in comms they were able to get back to me and answer my questions Thanks for the good customer service.

Steven Parson

05/07/2021

Verified

Everything was great from start to finish. Was easy and straight forward. Would highly recommenced using Centre for surgery to have a procedure.

Gina

22/06/2021

Verified

I had an osteoma removed from my forehead with Dr Omar Tillo and I couldn’t have asked for a better result! I had been researching for a long time before deciding to go ahead with the procedure as I knew I didn’t want to swap a bump on my forehead with a scar. Dr Omar Tillo was able to successfully and skilfully remove the osteoma endoscopically and I was left with a very small inconspicuous scar, less than 1cm, hidden nicely behind my hairline. I couldn’t be happier with the end result. All the staff at Centre for Surgery were brilliant. Carolyn, my patient co-ordinator was very helpful, patient and always had time to answer my questions. On the day of the procedure, Dr Omar Tillo and Gregory were amazing! They were very professional and made me feel at complete ease. I experienced very little discomfort during and after the procedure. The whole thing was a breeze and my only regret is that I didn’t do it sooner. The after care was also amazing and I healed very quickly. I would like to take this opportunity to thank Dr Omar Tillo, Carolyn, Gregory and all the staff at Centre for Surgery. I would highly recommend Dr Omar Tillo and Centre for Surgery!

J S

02/06/2021

Verified

I had a smooth procedure all throughout. Staff were very compassionate and caring.

Ida Bafende is a specialist aesthetic practitioner. She has over 17 years experience as a senior nurse Specialist in Dermatology at one of the major teaching hospitals in London. She has managed large teams of nurses, run nurse-led clinics and worked closely with all members of the Multidisciplinary team to ensure the best possible care is given to individual patients.

Ida is an expert in Fotona 4D, SmoothEye and LipLase and treats many hundreds of patients each year. Patients come to see her from all over London and further afield.

Harsh abrasives are eliminated with the Fotona 4D method. The 4th step of Fotona 4D is a Erbium micropeel which is able to precisely remove up to 10-20 microns of the outer skin. The Erbium micropeel is a far more accurate method of gently resurfacing the skin with only 1-2 days of mild skin redness. One session of Erbium micropeel replaces a course of 6-8 microdermabrasion treatments.

You will be a suitable candidate for Fotona 4D laser if you have wrinkles, fine lines, uneven skin, lack of volume, and uneven tone and texture which you are wishing to treat.

It is suitable for people who do not wish to use chemicals or harsh abrasives. Fotona 4D is the perfect complement to facial injectables including anti wrinkle injections and dermal fillers. In many cases, a full course of Fotona 4D may give you the results you want without any need for facial injectables.

Fotona 4D before and after:

Case 1:

55 year old female had Fotona 4D with removal of bilateral xanthelasma below the eyes with Erbium laser.

Case 2:

44 year old man with facial pigmentation and concerns of facial wrinkling had a course of Fotona 4D.

Case 3:

61 year old female extensive hyperpigmentation and facial rhytids who completed a course of Fotona 4D combined with the Obagi Nu-Derm system.

In those with more extensive degrees of sun damage, hyperpigmentation or rhytid formation, your practitioner may use higher laser settings which result in a longer downtime. Your practitioner may therefore recommend a skin preconditioning regime consisting of hydroxyquinone (2%-4%), topical tretinoin (0.05%-0.1%), alpha hydroxy acid (4%-10%) and sunscreen. The preconditioning regime improves skin tolerance, bleaches the skin and increases blood flow in the skin and also allows the skin to heal 3-4 days faster due to more rapidly renewing skin and increased collagen production.

Fotona4D laser involves the use of four treatments with Fotona’s SP Dynamis system. These are:

• (1) SmoothLiftin: The first step of Fotona 4D protocol is SmoothLiftin,  which is a solution for reduction of both nasolabial folds and perioral wrinkles. Completely unique for Erbium laser, a special non-ablative modality of Er:YAG called Smooth Mode is applied inside the mouth with application of four to six Smooth pulses aimed at the areas corresponding to the nasolabial folds and applying four pulses across the whole accessible tissue beneath both cheeks and lips. No other laser is able to work so effectively when applied within the mouth. The non-ablative Er:YAG laser for gentle heating. This stimulates collagen contraction and stimulates new collagen production. This results in an increase of tightness and elasticity in the skin. No special patient preparation is needed for this step. No anaesthesia or cooling are applied before or after the treatment. 

• (2) FRAC3: FRAC3 mode is the second step in which short pulses are used with a purpose of achieving contraction of the deeper facial tissues. With this technique, your practitioner is able to produce the vectors of tension in the skin along the SMAS layer anchoring areas which mimicks the action of PDO threads which is a more invasive procedure.

• (3) PIANO: Piano NdYAG is the third modality in which extremely long laser pulses are used (in seconds), producing a gentle painless warming of the skin through all its layers. The bulk skin heating is applied across the whole face with a manual scanning technique until the temperature at the skin surface reaches about 42°C. Ida will usually maintain this temperature for about three minutes at each of the scanned areas.

• (4) SupErficial: for a pearl finish, the light cold Er:YAG ablation is used. This reduces imperfections and improves the appearance of the skin. This stage involves a controlled cold erbium micropeel without any thermal effects.

The Fotona 4D laser usually takes around one hour to complete and you will be able to return home once the treatment is complete.

As Fotona 4D laser non-surgical procedure, there is no downtime. You will be able to resume your usual daily routine right away.

You may notice some redness or swelling of the skin, which will last one to two days.

For optimal results, you may wish to undergo repeat treatments. You may opt to undergo three treatments, which should be done 14-21 days apart.

Courtesy of Fotona

Centre for Surgery are committed to following the latest national guidance and strict medical protocols in the provision of Fotona 4D treatments. All laser treatments are only carried out by trained aesthetic practitioners, dermatologists and plastic surgeons for safer outcomes.

You will be looked after by a dedicated patient coordinator to act as your point of contact throughout your journey with us. Once we have a clear idea of your presenting concern, we will book you in to see either an aesthetic practitioner, dermatologist or plastic surgeon who is best placed to assess and treat you. The consultation is free and no-obligation and the full range of treatment options will be explained.

What happens at the consultation for Fotona 4D?

The specialist will take a comprehensive approach to assessing you by taking a full history and examination:

• Treatment options based on your facial structure and the possible outcomes that can be achieved
• In-depth discussion of the different non-surgical facial rejuvenation options and what potential treatment outcome can be expected with each option and whether any downtime is to be expected
• Assessing your physical and mental health to make sure that Fotona 4D is right for you
• Answer your questions that you may have about the different treatment options

If it is determined that Fotona 4D treatment is appropriate, a written treatment plan will be prepared and presented to you for making a decision on whether to proceed. Some treatments such as facial injectables can take place in the same visit where as other treatments such as laser resurfacing may need a period of skin preparation which may require up to six weeks before the actual treatment can take place.

The consultation for Fotona 4D is free but a £25 deposit is required to confirm the consultation and this can be redeemed against any potential treatment that you wish to go ahead with in the same visit.

Your practitioner will ask you to return for a follow-up visit 2 weeks later for a review which may include a free top-up or ‘tweakment’ if you had facial injectables.

Patient journey quick overview:

• Visit us at 106 Crawford Street, Marylebone for a free consultation with a fully trained and qualified aesthetic practitioner, dermatologist or plastic surgeon
• At the consultation, decide on the best treatment option for you based on expert advice from your practitioner. You can choose to have treatment at the same visit if you prefer for certain treatments.
• Come back in 2 weeks for your follow-up visit for a check-up and repeat treatment or free top-up if appropriate if you had facial injectables.

Centre for Surgery is located at 106 Crawford Street in Marylebone. Crawford Street is just off Baker Street.

We are easily accessible by all major bus routes that pass through Baker Street as well as Baker Street underground station.

From the tube station, we are just a 5 minute walk southwards down Baker Street followed by a right turn onto Crawford Street. The clinic is about 200 yards on the left.

There is ample local pay & display parking in the surrounding area and an NCP car park is located further west along Crawford Street. Our local residential parking zone is the City of Westminster.

Address: 106 Crawford Street, Marylebone, London, W1H 2HY