Fotona 4D Pro (Non Surgical Laser Facelift)

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. It 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.

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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 and your practitioner may advise to combine Fotona4D with Morpheus8 for an even more powerful anti-ageing effect.

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. There is lower melanin absorption with Nd:YAG lasers and therefore less concern for epidermal damage, and they may be more safely used to treat patients with darker skin. Compared to other lasers, the risk for post-inflammatory hyper-pigmentation is very low.

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 135 reviews.

Zara Khan

19/11/2021

Amazing from start to finish, the communication was the main thing was fully informed and looked after, on the day of my breast augmentation, the staff were fab and made me feel at ease through out the whole process. Thank you so much.

Mohammed Farid

18/11/2021

I’ve had such a great experience with excellent advice, care and attention and surgical treatment (gynaecomastia) - I can fully endorse the treatment I have received from Centre for Surgery with absolutely no qualms at all. Brilliant in every way - thank you all so much.

Caroline Thorpe

14/11/2021

Very pleased with my whole experience of having a procedure. Was so nervous about getting treatment and i was reassured and felt so comfortable throughout thanks to the amazing nurses. I definitely made the right decision to have breast augmentation at centre for surgery with dr erel.

Melissa Briggs

08/11/2021

So glad I went with centre for surgery, the whole process went very smoothly from the consultations down to the actual day of the procedure. I was so nervous on the day but the whole team put me at ease and I’m happy with my results as I feel a lot more comfortable wearing certain clothes now. My surgeon was Alberto Di Giuseppe who performed a breast Augmentation on me, and I would definitely recommend as he was very clear on what the outcome of the surgery would be and which size would look the best for my frame.

Raphinha kiki

08/11/2021

Couldn’t be happier with Dr Tillo work,i had my breast surgery one week ago and so happy with the results so far,all the staff are extremely nice and very supportive,i would definitely recommend their services,thank so much

Grace Olafemi

15/10/2021

From start to the finish everything was perfect for tummy tuck surgery. All staff is very friendly and the aftercare has been good. The Doctor and the nurse team was fantastic. I'm so happy...result is amazing. Thank you!!!

Ranjit Singh

14/10/2021

This was overall a great experience, all the staff at Centre for Surgery were friendly and put me at ease. It is a nerve wracking thing to go through an op but the staff were so nice. Mr Ertan has got a great team around him. On the day of the operation everything went smoothly to plan, there was no delay or holdups, I had another consultation with Mr Ertan who confirmed what was going to be done and that I was still happy to proceed. I was prepped for the procedure, I met with the anaesthetist who again was really nice and put me at ease explaining his role. After the procedure I woke up with the nurse by my side making sure I was OK and checking on me, I was able to stay in the clinic until I was ready to leave and was not rushed at all. I was well looked after from the start to the point when I was discharged. Post operation I was staying at a local hotel it was so close there was no point in even getting a taxi and I was able to walk back where my partner was waiting for me. I was expecting a lot of bruising to both my eyes but there was very little if any by the time the cast came off after 7 days, I am now at the two week post operation point and it is healing well with no outwardly visible bruising or scaring. The next milestone is a checkup at the 6 week point with my surgeon. If you're thinking of having something like this done I would highly recommend getting in touch with Centre for Surgery.

Layla Karami

13/10/2021

The staff at Centre for Surgery were very kind and accommodating. They answered any questions I had about the procedure and were constantly checking up on me. A special thank you to Christina for all her support throughout.

Gemma Small

08/10/2021

I would just like to state the quality of care received from the nurses at Centre for Surgery was beyond the highest level. Sophie takes her patient care to another level beyond words. She always puts me at ease. She is there for me even at awkward hours just when I mostly needed reassurance and she is one of the most compassionate nurses I have come across and demonstrates her passion naturally for caring for others. She totally deserves recognition at its finest and thank you for always being there for me. 😍

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:

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

Case 3:

In those with more extensive degrees of sun damage, hyperpigmentation or wrinkle 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 mimics the action of PDO threads which is a more invasive procedure.

• (3) PIANO: Piano Nd:YAG 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.

Case 1:

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

Case 2:

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