top of page

Discover the Power of Fotona 4D and 5D: Your Path to Non-Surgical Face Lift

Fotona 4D stands at the forefront of skin rejuvenation technology, setting a new standard in non-invasive aesthetic treatments. This innovative procedure harnesses the power of two complementary laser wavelengths, Er:YAG and Nd:YAG, to offer a multifaceted approach to facial rejuvenation that is truly in a class of its own. The beauty of Fotona 4D lies in its ability to synergize four distinct treatment modes, each targeting different skin concerns and layers for a comprehensive rejuvenation experience.

Fotona 4D at VBoutique

This unique approach begins with the deep collagen stimulation and natural lifting effects of SmoothLiftin™, progresses through FRAC3®'s precision in targeting skin imperfections, advances with PIANO®'s volumetric heating to firm and tighten, and completes with SupErficial™'s light peel for that final touch of radiance. By integrating these four modalities, Fotona 4D transcends the limitations of traditional treatments, offering a holistic solution that addresses not just the symptoms of aging skin but its underlying causes.

The dual-wavelength technology is key to Fotona 4D's unmatched effectiveness. The Er:YAG laser offers exceptional precision and ablation with minimal thermal damage, making it ideal for surface treatments, while the Nd:YAG laser penetrates deeper into the skin, providing extensive heating, stimulation of collagen, and improvement in skin laxity and texture. Together, these lasers work in harmony to deliver a comprehensive, customizable treatment that rejuvenates the skin at every level.

What sets Fotona 4D apart is not just the technical advancements it represents but the philosophy behind it: a commitment to providing a non-invasive, no-downtime treatment that respects the natural structure of the skin while delivering visible, long-lasting results. This approach ensures that each treatment is not just effective but also safe, catering to a wide range of skin types and concerns.

The Fotona 4D procedure delivers remarkable results through a series of four synergistic steps, each targeting a different layer of the skin for optimal rejuvenation. By combining intraoral and external laser treatments, it improves skin laxity, reduces fine lines and wrinkles, evens out pigmentation, and promotes an overall radiant complexion. The result is smoother, firmer, and more lifted skin without the need for surgery or injectables.

In summary, Fotona 4D is a revolutionary non-invasive laser treatment designed to rejuvenate and lift the skin, offering an effective alternative to more invasive cosmetic procedures. By stimulating collagen production and tightening existing collagen fibers, Fotona 4D helps restore a youthful, natural-looking glow, providing comprehensive facial rejuvenation with minimal downtime.

Who Can Benefit from Fotona 4D?

Fotona 4D is an exceptional solution for individuals in a wide age range seeking to improve skin firmness, lift sagging tissue, and improve skin quality. Whether you are noticing the first signs of aging, such as fine lines, wrinkles, and slight sagging skin, or you've observed a loss of elasticity, increased pigmentation, or jowls, this treatment can help restore a more youthful appearance. Fotona 4D targets these signs effectively by stimulating collagen production and tightening existing collagen fibers, offering a non-invasive way to achieve firmer, more lifted skin.

Moreover, the procedure is suitable for those seeking to improve overall skin tone and texture. By addressing imperfections like pigmentation, redness, and unevenness, Fotona 4D promotes a more even complexion. It also benefits those dealing with deeper wrinkles or sagging cheeks, providing a lift and volumization through its intraoral SmoothLiftin™ step. The treatment's customizable nature means it can be tailored to target specific areas of concern, whether it's fine lines around the mouth or skin laxity along the jawline.

Finally, Fotona 4D is ideal for individuals who prefer a natural, gradual improvement without the downtime associated with surgery or more invasive resurfacing lasers. By stimulating collagen production over time, results develop progressively and blend seamlessly into your natural beauty. Whether you're in your late 20s or well into your 70s, Fotona 4D can help you achieve radiant, youthful skin and maintain it for years to come. The expert team at VBoutique Aesthetics & Wellness will provide a thorough consultation to ensure the treatment plan matches your unique needs, delivering a personalized path to rejuvenated skin.

VBoutique is proud to offer the Fotona 4D laser treatment, utilizing state-of-the-art technology to deliver unparalleled precision and effectiveness. Our skilled team at VBoutique carefully customizes each session to provide a personalized experience, helping you achieve radiant, youthful skin with minimal discomfort or downtime.

The Science Behind Fotona 4D: An Overview

Fotona 4D is a revolutionary laser treatment that combines two advanced laser wavelengths, Nd:YAG and Er:YAG, to deliver comprehensive facial rejuvenation. By utilizing these wavelengths in a series of four synergistic treatment modes, Fotona 4D targets both the superficial and deeper layers of the skin, stimulating collagen production and improving skin tone and texture. The science behind Fotona 4D lies in the precise application of these laser modalities, each designed to address specific skin concerns while working together to achieve a youthful, radiant appearance.

Nd:YAG Laser Technology

The Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet) laser is known for its deep-penetrating capabilities, making it ideal for targeting deeper layers of the skin. In the Fotona 4D procedure, the Nd:YAG laser is used in two distinct treatment modes: FRAC3® and PIANO®. FRAC3® mode targets deeper imperfections, such as pigmentation and redness, by delivering fractional energy to stimulate collagen production and improve overall skin tone. PIANO® mode, on the other hand, provides bulk heating to tighten existing collagen fibers, resulting in immediate skin tightening and improved elasticity. The combination of these two modes helps address a wide range of concerns, from fine lines to sagging skin.

Er:YAG Laser Technology

The Er:YAG (Erbium-doped Yttrium Aluminum Garnet) laser is well-suited for more superficial skin treatments due to its ability to precisely ablate the outer layers of the skin. In the Fotona 4D procedure, the Er:YAG laser is utilized in the SmoothLiftin™ and SupErficial™ modes. SmoothLiftin™ mode involves intraoral laser treatment, targeting the mucosal lining inside the mouth to stimulate collagen production and naturally lift the cheeks and mouth area. Interestingly. This is the only laser technology in the world to offer this unique and effective skin tightening procedure intra-orally. SupErficial™ mode is a gentle light peel that exfoliates the skin, revealing a fresh, radiant complexion and minimizing pores and imperfections.

Synergistic Treatment Modes

The four synergistic treatment modes of Fotona 4D work together to provide full-spectrum facial rejuvenation. By combining the deep-penetrating Nd:YAG wavelengths with the precise ablation capabilities of the Er:YAG laser, Fotona 4D stimulates collagen production and tightens existing collagen fibers for long-lasting results. The intraoral SmoothLiftin™ mode volumizes and lifts the cheeks, while FRAC3® and PIANO® modes target deeper imperfections and provide thermal skin tightening. The final SupErficial™ light peel completes the process by smoothing and exfoliating the outermost layer of the skin.

Clinical Studies and Proven Results

Clinical studies have consistently demonstrated the remarkable effectiveness of Fotona 4D in improving skin laxity, reducing wrinkles, and enhancing overall skin tone and texture. Unlike traditional treatments that may only target surface-level concerns, Fotona 4D's innovative approach involves a multi-layer treatment process, addressing both superficial and deep layers of the skin. This multi-dimensional approach allows for comprehensive facial rejuvenation, giving patients the benefits of a non-surgical facelift without the associated risks or downtime.

One of the key benefits of Fotona 4D is the gradual stimulation of collagen production, which ensures natural-looking results that develop progressively over time. This means patients can expect a subtle yet significant transformation that enhances their natural beauty rather than drastically altering their appearance. The procedure leverages the body's innate healing processes to rebuild and strengthen the skin's structure, leading to smoother, firmer, and more youthful-looking skin.

Moreover, the zero downtime associated with the treatment makes it an attractive option for individuals seeking comprehensive facial rejuvenation without surgery. Patients can typically resume their regular activities immediately following the procedure, with only mild redness or minimal swelling that subsides within a few hours. This convenience makes Fotona 4D an ideal solution for busy individuals who want to achieve a refreshed, radiant appearance without sacrificing their daily routines.

Fotona 5D: A Step Above

At VBoutique we always aim for excellence! In our search to offer our patients the most sophisticated treatments available with the best outcome, we have amplified the already patented Fotona 4D treatment by adding a final step, the V-smooth, triggering specific reactions in the skin that will supercharge skin lifting results. This is called the Fotona 5D treatment. The Fotona V-SMOOTH modality is based on a recent scientific discovery that human skin can

tolerate much higher temperatures without triggering irreversible tissue denaturation, provided

that the temperature shock lasts for only a millisecond or less. The proprietary design of the

V-SMOOTH modality, combined with the T-Runner robotic delivery, ensures that a precisely

controlled sequence of high-temperature sub-millisecond heat shocks is delivered safely to the

skin surface.

The V-SMOOTH pulses are designed to trigger signals that drive skin regeneration.

The extremely short duration high-temperature V-SMOOTH superficial heat shock pulses do not

cause any irreversible damage to the skin, but send effective “Heat shock signals” deeper into the skin.

There are two effects of treatment with V-SMOOTH:

  • An immediate effect: High temperature (yet safe) thermal contraction of collagen, shrinkage and tightening, accompanied by slight erythema.

  • A delayed effect: Improvement of the surface appearance of the skin due to the complete restorative reaction after 4 weeks and longer.

The delivery of V-SMOOTH pulses is so well controlled that the laser system can determine and

report the level of superficial heat shocking to the operator. This is accomplished by displaying

the value of the surface temperature parameter, which allows the operator to adjust the level of heat based on patient’s tolerance. In general, with topical numbing, this step is quite tolerable by all patients, reporting only mild discomfort at times.

Fotona 4D FAQs: Everything You Need to Know

What is Fotona 4D, and how does it differ from other facial rejuvenation treatments?

Fotona 4D is a cutting-edge, non-invasive laser treatment that utilizes a combination of two laser wavelengths (Er:YAG and Nd:YAG) to provide comprehensive facial rejuvenation. Unlike other treatments that focus solely on the surface or deeper layers of the skin, Fotona 4D uses four synergistic treatment modes to address multiple layers of the skin and a wide range of concerns. It targets fine lines, wrinkles, pigmentation, skin laxity, and overall skin tone, delivering natural-looking results without surgery or injectables.

How does the Fotona 4D treatment work?

Fotona 4D involves a series of four synergistic steps that provide comprehensive skin rejuvenation:

SmoothLiftin™ (Intraoral Tightening): Gentle heating inside the mouth stimulates collagen production and tightens skin around the cheeks, mouth, and nasolabial folds for a natural lift.

FRAC3® (Fractional Rejuvenation): A fractional treatment mode that targets deeper imperfections like pigmentation and redness, promoting collagen renewal and improving skin texture.

PIANO® (Thermal Skin Tightening): Delivers uniform bulk heating to deeper skin layers, tightening existing collagen fibers and stimulating new collagen production for immediate tightening.

SupErficial™ (Light Peel): A gentle light peel that exfoliates the skin’s outermost layer, revealing a smooth, radiant complexion and minimizing pores and imperfections.

What skin concerns does Fotona 4D address?

Fotona 4D is designed to tackle a range of skin concerns, including:

  • Fine lines and wrinkles

  • Loss of skin laxity and sagging

  • Uneven skin tone and texture

  • Pigmentation issues, such as age spots and sun damage

  • Redness and broken capillaries

  • Nasolabial folds and marionette lines

  • Dull or lackluster complexion

  • Loose skin and jowls

Who is an ideal candidate for Fotona 4D?

Fotona 4D is suitable for individuals of various ages seeking to improve their skin’s appearance without surgery. Ideal candidates include:

  • Those noticing the first signs of aging, like fine lines and wrinkles

  • People with uneven skin tone, pigmentation and large pores

  • Individuals experiencing loss of skin elasticity or sagging

  • Anyone looking for a non-surgical facelift alternative

  • People wanting to maintain a youthful, radiant complexion

Is the Fotona 4D procedure safe?

Yes, Fotona 4D is a safe and effective treatment. The technology has been thoroughly researched and clinically tested. The procedure is non-invasive and involves no downtime, with most patients experiencing only mild redness that resolves within a day or two. What’s more, this treatment has been shown to be safe on all skin types, in all ages, and can be safely repeated numerous times without risking scaring or other side effects that can be associated with repeated use of many other laser devices.

How long does the Fotona 4D treatment take?

A typical Fotona 4D session lasts around 60 to 90 minutes. The exact time varies depending on the patient’s individual skin concerns and the extent of the treatment area.

Does the Fotona 4D procedure hurt?

Most patients find the procedure comfortable, reporting only a mild warming or tingling sensation during treatment. The Fotona system features a built-in cooling system to enhance comfort and minimize any discomfort.

What can I expect after a Fotona 4D treatment session?

After a Fotona 4D session, some patients may experience mild redness and warmth, similar to a very mild sunburn, which typically subsides within a few hours to a day. The light peel stage may cause slight peeling or flaking of the skin, but this is usually minimal. Sun protection and gentle skincare are recommended post-treatment.

How quickly will I see results from Fotona 4D?

Most patients love the immediate skin tightening effects of Fotona 4D/5D, and schedule social activity immediately after the treatment! Additional improvements are often noticeable within a week of treatment. However, full results develop over several weeks as new collagen forms, with optimal results visible after 6-12 weeks. The gradual stimulation of collagen ensures natural-looking, long-lasting outcomes.

How many Fotona 4D sessions are needed for optimal results?

The number of sessions varies depending on individual skin concerns, degree of sun damage, skin laxity and age. Typically, it is recommended to have one treatment per each decade of life, however, most patients achieve great results with 3-4 treatments spaced 3-4 weeks apart. As with all laser treatments, maintenance sessions every 6-12 months are recommended to sustain results.

How long do the results of Fotona 4D last?

Results can last up to a year or longer, depending on factors such as age, lifestyle, and skincare routine. Regular maintenance treatments every 6-12 months can help prolong and maintain results.

Is there any downtime associated with Fotona 4D?

Fotona 4D involves no downtime. While some patients experience mild redness or gentle peeling post-treatment, most can resume their normal activities immediately after the procedure. Makeup can typically be applied the same day to conceal any redness.

Can Fotona 4D be combined with other treatments?

Yes, Fotona 4D can be safely combined with other aesthetic treatments like dermal fillers, and Botox for enhanced results. Based on your individual needs, we can simultaneously use additional steps to your 4D/5D treatment to treat wrinkles and loose skin around the eyes (SmoothEye®), Lift the brows (VectorLift® ) or plump the lips (LipLase®). Some patients opt to add the Necklase procedure, aimed at tightening the neck tissues and improving crepey skin of the neck, at the same session. During your consultation at VBoutique Aesthetics & Wellness, our team will provide personalized recommendations based on your skincare goals.

Is Fotona 4D suitable for all skin types?

Fotona 4D is suitable for most skin types, including darker skin tones. The technology allows precise customization, ensuring safe and effective treatment for various skin concerns. However, a thorough consultation is essential to determine your suitability for the procedure.

Are there any side effects associated with Fotona 4D?

Fotona 4D is well-tolerated, and side effects are generally mild and temporary. Possible side effects include:

  • Mild redness or swelling

  • Slight peeling or flaking

  • Temporary sensitivity to sunlight

  • These effects typically subside within a day or two, and proper skincare can help alleviate them.

  • How should I prepare for my Fotona 4D treatment session?

  • To ensure optimal results and minimize potential side effects:

  • Avoid sun exposure or tanning beds for at least a weeks before treatment

  • Discontinue the use of retinoids, glycolic acid, and other exfoliating products for a few days prior

  • Stay hydrated and maintain a healthy diet

  • Arrive with clean, makeup-free skin

How should I care for my skin after a Fotona 4D treatment?

After your Fotona 4D session:

  • Use gentle, non-irritating skincare products

  • Avoid sun exposure and apply a broad-spectrum SPF 30+ sunscreen

  • Avoid harsh exfoliants or retinoids for a few days

  • Stay hydrated and follow any additional aftercare instructions provided by your aesthetician

  • At VBoutique we often pair our laser treatments with specific skin care protocols not only tailored to your skin type, but also to optimize your results by helping the healing and regenerating process in the skin.

Why should I choose VBoutique Aesthetics & Wellness for my Fotona 4D treatment?

At VBoutique Aesthetics & Wellness, we pride ourselves on delivering exceptional results through personalized care. Our focus is on understanding each patient's unique skin concerns and goals to ensure a treatment plan that aligns perfectly with their needs. We believe that every individual deserves a customized approach to skincare, and that's why we take the time to get to know you before crafting your treatment journey.

Our team of experienced professionals brings a wealth of knowledge and expertise to the table, ensuring that your Fotona 4D treatment is both effective and comfortable. By staying at the forefront of aesthetic advancements, we use the latest Fotona technology to provide comprehensive facial rejuvenation with minimal downtime. Our experts tailor the procedure to address your specific concerns, whether it's fine lines, pigmentation, or loss of skin laxity, guaranteeing optimal results.

From the moment you step into our medical office, you'll receive a comprehensive consultation to assess your skin's condition and design a personalized treatment plan. Our goal is to help you achieve youthful, radiant skin through a journey that is uniquely yours. With Fotona 4D, you'll experience a transformative procedure that leaves you looking refreshed, revitalized, and confident in your natural beauty.

Fotona 4D Consultation at VBoutique Aesthetics & Wellness

Our initial consultation is essential for us to understand not just your aesthetic goals, but also your lifestyle, medical history, and any specific issues you may be facing. This comprehensive conversation allows us to craft a Fotona 4D treatment plan that reflects your uniqueness. We'll guide you through the procedure, detailing each step, the expected results, and how this innovative treatment can meet your desires.

We also take this opportunity to explain what you can expect before, during, and after the procedure, ensuring you have a complete understanding of the process.

It's a perfect time to address any questions or concerns you may have and to ensure you feel thoroughly informed and comfortable with your journey ahead. Our primary goal is for you to leave feeling assured about your path toward rejuvenation.

Arranging a consultation at VBoutique Aesthetics & Wellness is the first step in your transformation journey. It's your opportunity to start on the path to a more confident, radiant you. Contact us at 561-357-2020 to set up your consultation, and together we'll develop a customized treatment plan that enhances your natural beauty and meets your precise needs.

Dr Neda Vanden Bosch - VBoutique Aesthetics & Wellness

MEET THE DOCTOR Dr. Vanden Bosch

Dr. Neda Vanden Bosch ("Dr. V") is an accomplished physician with over 17 years of practice and training in dermal fillers, collagen stimulators, laser and radiofrequency treatments, and skincare.  Dr. V holds medical licenses in 7 states and is board-certified by The American Board of Radiology and the American Board of Anti-Aging and Regenerative Medicine.  She is recognized nationwide as a top 1% injector of Sculptra Aesthetic and Restylane fillers.

"Advocating the proverbial 'ounce of prevention' approach, I favor doing 'a little bit all along' rather than waiting for substantial changes that make correction more costly."


bottom of page