Fotona 4D facelift · Downtown Vancouver

Fotona 4D laser facelift in Vancouver.

Lift and tighten your face without surgery, needles or filler. Fotona 4D works from inside your mouth and on your skin, in 4 laser steps, in one visit. Get $50 off your first session at Vancouver Medi Spa, 1086 Hornby Street.

Book free consultation →Call 604-620-1772

Fotona 4DNo needlesNo surgery45 to 60 minutesLittle to no downtimeMen and women

How Fotona 4D works

A non-surgical facelift in 4 layers.

Fotona 4D uses two lasers, Er:YAG and Nd:YAG, to heat 4 layers of your face, from the lining inside your cheeks to the skin surface. The heat shrinks your existing collagen right away and triggers new collagen over the next 3 to 6 months. Women get the standard Fotona 4D protocol. Men get Fotona 4D Men, adjusted for thicker skin, larger pores and facial hair. Vancouver Medi Spa was the first Fotona clinic in Vancouver, treating faces since 2014.

SmoothLiftin

Inside the mouth

The Er:YAG laser warms the inner cheek and lip lining. It plumps nasolabial folds and smile lines from the inside, with no filler.

FRAC3

Deep spots and texture

The Nd:YAG laser targets tiny imperfections under the surface: fine lines, uneven tone and enlarged pores.

PIANO

Deep heat for lift

Long, gentle Nd:YAG pulses heat the deeper layers along your cheeks, jawline and jowls to tighten loose skin.

SupErficial

Light peel finish

A cool Er:YAG peel smooths the very top layer and leaves your skin with a fresh, even glow.

Treatment areas

What Fotona 4D treats.

One session covers your whole face. These are the areas clients ask about most.

Nasolabial folds

Smile lines

SmoothLiftin softens the lines from your nose to your mouth from the inside. Nasolabial folds →

Jawline and jowls

A sharper profile

PIANO heat tightens loose skin along your jawline and chin, with no surgery.

Cheeks

Lift flat or hollow cheeks

4D rebuilds your own collagen to lift the cheeks. A non-surgical option to cheek filler.

Eyes

Crow's feet and crepey skin

Tightens crepey under-eye skin and softens crow's feet. SmoothEye →

Lips

Fuller, smoother lips

Adds natural volume and smooths fine lip lines with no filler or needles. Lip plumping →

Fine lines and texture

Smoother skin

The light peel step evens out fine wrinkles, pores and rough texture. Skin resurfacing →

Before and after your session

Pre and post care for Fotona 4D.

Follow these steps to keep your skin calm and get the most from each session.

Before your session

Skip the tan

2 weeks before

Avoid sunbathing, tanning beds and self-tanner for 2 weeks. Tanned skin heats up more.

Pause retinol and acids

3 to 5 days before

Stop retinol, glycolic and other exfoliating acids a few days before your session.

Tell Kam about cold sores

Before booking

Step 1 works inside your mouth. If you get cold sores, let Kam know so you can plan ahead.

Come with a clean face

No makeup

Arrive with clean skin. Numbing cream is optional, and Kam applies it 30 minutes before if you want it.

After your session

Expect pink skin

1 to 2 days

Mild redness and a warm, tight feeling are normal and fade within a day or two.

Wear SPF 30 or higher

Every day

Use broad-spectrum sunscreen daily, and wear a hat on sunny days.

Keep skincare gentle

For 5 to 7 days

Use a mild cleanser and moisturizer. Wait a week before retinol or acids.

Skip heat for 48 hours

No sauna or hot yoga

Avoid saunas, steam rooms, hot yoga and hard workouts for 2 days.

Drink plenty of water

Help your skin heal

Stay hydrated. New collagen keeps building for 3 to 6 months after each session.

Not sure if Fotona 4D fits you? Book a free consult and Kam will check.

Real results

Fotona 4D before and after.

Collagen keeps building for months after each session, so results grow over time. Each photo shows the face before treatment first, then after.

Firmer, brighter face

Full face

Before: dull skin, visible pores and deep smile lines. After: brighter, smoother skin with softer folds around the mouth.

Lifted cheek and jawline

Side profile

Before: loose skin along the cheek and jaw. After: a tighter jawline and lifted cheek.

Fotona 4D non-surgical facelift before and after on two women

Two clients, natural lift

Front view

Both women show smoother skin, softer under-eye hollows and a fresher look after Fotona 4D.

Softer smile lines

Nasolabial fold

Before: a deep fold from the nose to the mouth. After: a shallower, smoother line.

Smoother eye area

Crow's feet and under-eyes

Three clients show fewer lines around the eyes and less crepey skin after treatment.

Results vary by person and number of sessions.

Clinical research

10 published studies on Fotona 4D and its laser steps.

5 of these come from Fotona's Laser and Health Academy journal. The rest are independent studies on PubMed, including a 2026 study that measured the lift with 3D scans. Swipe through them and tap any card to read the original.

Fotona pilot study · 9 patients

Tightening of Facial Skin Using Intraoral 2940 nm Er:YAG SMOOTH Mode

Nasolabial fold and mouth wrinkle scores improved 69% after up to 5 sessions. Patients rated pain at 0.67 out of 10.

Gaspar & Gasti · Journal of the Laser and Health Academy · 2013

Read the study →

Fotona clinical case · 4D protocol

Facial Tightening with Combination of Nd:YAG and Er:YAG Lasers

A 57-year-old woman had one 4-step session. At 2 months her marionette lines were clearly softer and her jawline smoother, with no side effects.

Wong · Journal of the Laser and Health Academy · 2024

Read the study →

Fotona clinical case · men

Fotona4D®Men - Rejuvenation for Men

A 55-year-old man had 4 monthly sessions of the Fotona 4D Men protocol with no anaesthetic and no complications.

Gaspar · Journal of the Laser and Health Academy · 2021

Read the study →

Fotona clinical study · 100+ patients

Case Report: Clinical Experience with FRAC3 Non-ablative Skin Tightening

More than 90% of over 100 patients rated their FRAC3 skin tightening good to excellent.

Gansel · Journal of the Laser and Health Academy · 2012

Read the study →

Fotona clinical case · cheeks and neck

PIANO Mode Nd:YAG Laser Skin Tightening

PIANO tightened early jowls and loose skin on the cheeks and neck. The author recommends 3 to 5 sessions a month apart, then 1 to 2 a year.

Taylor · Journal of the Laser and Health Academy · 2013

Read the study →

Prospective study · 13 women

Three-Dimensional Imaging of Dynamic Changes After Nd:YAG/Er:YAG Laser Skin Tightening: A Prospective Study

After 4 monthly Fotona 4D sessions, 3D scans showed measurable lift around the eyes and midface, with better wrinkle and pore scores at 3 and 6 months.

Qi et al. · Lasers in Surgery and Medicine · 2026

Read the study →

Clinical study · 14 patients

Histological and immunohistochemical changes in facial skin treated with combined ablative and non-ablative laser therapy

A 4-step dual-wavelength protocol improved every area of the face. Skin biopsies confirmed structural changes in the epidermis and dermis.

Shanina et al. · Journal of Cosmetic Dermatology · 2021

Read the study →

Clinical study · 20 patients

Correction of nasolabial folds wrinkle using intraoral non-ablative Er:YAG laser

Nasolabial folds were significantly smoother 6 months after 6 intraoral sessions. The authors called it safe and painless.

Ebrahim & Gharib · Journal of Cosmetic and Laser Therapy · 2018

Read the study →

Randomized study · 36 women

Comparative analysis of erbium: glass 1550 nm and combined erbium: YAG & Nd: YAG lasers for perioral rejuvenation: a prospective study

Combined Er:YAG and Nd:YAG improved upper-lip lines. Only the combined group improved wrinkles at the corners of the mouth.

Mohamadi et al. · Lasers in Medical Science · 2025

Read the study →

Prospective study · 30 patients

Periocular rejuvenation using a unique non-ablative long-pulse 2940 nm Er:YAG laser

3 sessions of SMOOTH mode Er:YAG gave significant improvement in wrinkles and loose skin around the eyes, still visible 12 months later.

Badawi & Sobeih · Lasers in Medical Science · 2022

Read the study →

Study summaries from Fotona's Journal of the Laser and Health Academy and from abstracts on PubMed. Results vary by person.

Fotona 4D FAQ

Questions people ask before booking.

13 answers on how Fotona 4D works, what a session feels like and who it suits. Swipe through them.

About Fotona 4D

What is a Fotona 4D facelift?

A non-surgical facelift that uses two lasers, Er:YAG and Nd:YAG, in 4 steps. It works inside your mouth and on your skin to lift, tighten and smooth your face in one visit, with no needles or filler.

About Fotona 4D

Does Fotona 4D work?

Yes. In a 2026 study, 3D scans measured lift around the eyes and midface after 4 monthly Fotona 4D sessions, with better wrinkle and pore scores at 6 months. A Fotona pilot study found 69% improvement in smile-line wrinkles. See all 10 clinical studies.

About Fotona 4D

Is Fotona 4D better than filler or Botox?

Fotona 4D builds your own collagen, so results look natural and keep improving for months. Filler adds volume and Botox relaxes muscles. Some clients use Fotona 4D alongside them. Kam helps you choose at your consult.

About Fotona 4D

Does Fotona 4D work for men?

Yes. We offer Fotona 4D Men, a protocol adjusted for thicker skin, larger pores and facial hair.

Your treatment

How many Fotona 4D sessions do I need?

Most people need 3 to 4 sessions about a month apart. One or two maintenance sessions a year keep the results going. Kam builds your plan at the free consult.

Your treatment

How long does a session take?

45 to 60 minutes, plus 30 minutes if you choose numbing cream.

Your treatment

Does Fotona 4D hurt?

Most people feel warmth, with a few hot spots during the deep-heat step. The step inside the mouth is close to painless. Numbing cream is available if you want it.

Your treatment

Is there downtime after Fotona 4D?

Little to none. Your skin looks pink and feels tight for 1 to 2 days. Most people go back to work the next day. See the full pre and post care steps.

Your treatment

When will I see results?

Many people see tighter, brighter skin within a week. Collagen keeps building for 3 to 6 months, so results improve after each session.

Your treatment

How long do Fotona 4D results last?

Results last a year or longer. Your face keeps ageing, so 1 to 2 maintenance sessions a year keep you looking your best.

Cost and suitability

How much does Fotona 4D cost in Vancouver?

Your price depends on your plan and number of sessions. Kam gives you an exact quote at your free consultation, and you get $50 off your first Fotona 4D session.

Cost and suitability

Who is a good candidate?

Adults with early to moderate sagging, fine lines, smile lines or dull skin who want a natural lift without surgery. Very loose skin may need a surgical opinion, and Kam tells you honestly at the consult.

Cost and suitability

Who should not have Fotona 4D?

Fotona 4D is not offered during pregnancy, over active cold sores or infections, or on a fresh tan. Tell Kam about any medications and skin conditions at your free consult.

Free · No commitment

Book your Fotona 4D facelift in Vancouver.

Book a free consultation at 1086 Hornby Street in downtown Vancouver. Kam checks your skin, answers your questions and gives you a clear plan and price. Get $50 off your first Fotona 4D session.

Book free consultation →Call 604-620-1772

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