Fotona Laser Treatment
As time passes, natural structural shifts beneath the skin change how your face holds its youthful volume and firmness. You might notice your cheeks beginning to sag, nasolabial folds around your mouth deepening, or an overall loss of skin tone and elasticity. Many traditional laser treatments focus on the skin's surface, overlooking the deeper structures that form the foundation of your face. The Fotona laser's 4D skin tightening goes further, providing both deep structural tightening and surface refinement.
Alchemy Medical Aesthetics is proud to be one of only a few medical aesthetic providers in the region to provide the revolutionary Fotona 4D laser treatment. We specialize in energy-based therapies, precisely tailoring each treatment to your facial anatomy and skin type. With decades of combined experience in aesthetic medicine, we are passionate about helping our patients achieve exceptionally beautiful, natural results.
Firms, lifts, and smooths the skin, stimulates collagen, improves skin laxity, fine lines, skin texture, and facial definition.
A complete full-face session typically takes 60 minutes.
Little to no downtime; most patients experience mild redness and a slight flaking phase that resolves after a few days.
A series of 3-4 sessions spaced 4-6 weeks apart is recommended for optimal results.
The Fotona laser stands apart in aesthetic medicine because it uses two complementary laser wavelengths, the Nd:YAG and the Er:YAG, within a single treatment session. The name Fotona 4D refers to the four distinct treatment modes to address the skin from multiple depths. Uniquely, treatment begins inside the mouth and continues externally to stimulate collagen, improve laxity, smooth texture, and gently restore facial definition.
This multidimensional approach matters because facial aging doesn't occur at just one level. By targeting both deeper tissues and the skin's surface, Fotona 4D encourages progressive collagen remodeling for firmer, smoother, healthier-looking skin. The result is natural rejuvenation that develops gradually - with little downtime and without relying on surgery or added volume.
Your Fotona 4D treatment is a carefully sequenced, four-step experience designed to rejuvenate the face from the inside out. Treatment begins inside the mouth, where gentle laser energy heats the tissue to stimulate collagen and support firmness around the mouth and lower face. We then transition to the skin's surface, using complementary laser modes to target deeper tissue, encourage collagen remodeling, and improve overall skin quality.
Step 1 - SmoothLiftin: This step is administered inside the mouth, applying gentle light energy to the mucosal tissue to bulk-heat the deeper tissue layers of the cheeks and perioral area.
Step 2 - FRAC3: The treatment moves to the skin on the face, where precise micro-columns of energy are delivered into the deeper skin layers to target pigmentation and fine wrinkles.
Step 3 - PIANO: Laser energy is delivered using a rapid brushing technique to deliver heating into the thick dermal layers for tightening.
Step 4 - SupErficial: The Fotona handpiece is used to gently polish the skin's surface with a light laser peel to improve skin texture. Most patients feel heat and a deep warming sensation during the application, which fades rapidly.
Step 4 Alternative - Smooth Mode: For patients who prefer to skip the ultra-light peel, SmoothMode offers an elegant alternative for Step 4 of Fotona 4D. Rather than resurfacing the skin's surface, this non-ablative approach delivers controlled Er:YAG energy to gently heat the tissue, supporting collagen remodeling and improved firmness while preserving the outermost layer of the skin. Smooth Mode is an excellent final step when the goal is continued collagen stimulation with minimal visible recovery.
Protective eyewear is provided throughout the appropriate portions of your treatment. For added comfort, patients may choose to apply topical numbing cream for 30 to 45 minutes beforehand, although many find Fotona 4D comfortable enough without it. You'll experience varying sensations of warmth as we move through each step, with energy and intensity carefully adjusted to your skin and goals. The treatment is well tolerated with little to no downtime, allowing you to return to most normal activities right away.
Fotona 4D provides both deep, structural tightening and surface-level refinement for the lower and mid-face. By delivering laser energy into the mouth, the intraoral step directly targets the underlying supporting ligaments that hold the cheeks and jawline in place, while subsequent steps further enhance collagen production and target pigmentation and fine lines on the skin's surface.
Fotona's multi-wavelength laser can also be used to improve skin tone and tightness across the neck and upper chest. These areas have thin, delicate skin that often shows structural laxity and textural changes due to natural aging and environmental factors. Extending the treatment down to these areas provides a smooth, natural-looking result across your entire upper profile.
Fotona 4D takes a layered approach to facial rejuvenation, addressing multiple signs of aging within one thoughtfully designed treatment. By working at different depths of the skin and underlying tissues, we can target concerns ranging from early laxity and loss of firmness to fine lines, uneven texture, and overall skin quality. Individual skin concerns that may be improved are:
Fotona 4D offers a uniquely comprehensive approach to facial rejuvenation, creating gradual improvement without changing what makes you look like you. By stimulating your own collagen and encouraging tissue remodeling, treatments can leave the skin feeling firmer, smoother, and more resilient, with improved texture, softened fine lines, and more refined facial definition.
Perhaps the greatest benefit is how naturally the results develop. There's no added volume and little to no downtime - just progressive improvement as your skin continues to rebuild collagen in the weeks and months following treatment. The result is a refreshed, rested appearance that still looks entirely like you.
Fotona 4D is appropriate for a broad range of skin types and is an excellent option for patients noticing early to moderate laxity, fine lines, textural changes, or loss of firmness who want natural improvement without surgery, injections, or significant downtime. Because the energy delivery is highly adjustable, we can customize each step to your skin, from very fair to darker skin tones, without the elevated risk of hyperpigmentation associated with older laser systems.
Candidacy is determined during consultation based on skin type, medical history, medications, treatment goals, and recent sun exposure. And because 4D includes intraoral SmoothLiftin, those prone to cold sores may benefit from taking prescription antiviral medication prior to treatment to minimize the risk of a breakout. Your Alchemy provider will carefully review your complete medical history during your initial consultation to ensure this advanced protocol is appropriate for your goals.
Fotona 4D requires little to no downtime. Immediately after treatment, your skin may appear pink or flushed and feel warm, tight, or mildly sensitive, similar to a light sunburn. Mild swelling or dryness can occur, but most patients look comfortable returning to normal activities the same day or by the following morning. Depending on the intensity of the surface peel (Step 4), some patients may experience mild dryness, flaking, or peeling beginning around day three to four.
During recovery, keep skincare simple and gentle. Use a mild cleanser, nourishing moisturizer, and a physical broad-spectrum SPF 30+ daily. Avoid retinoids, exfoliating acids, scrubs, and other potentially irritating products until the skin feels completely comfortable and has returned to baseline.
Many patients notice an immediate improvement in skin radiance and a temporary feeling of firmness or tightening after their first Fotona 4D treatment. The more meaningful results develop gradually as collagen production and remodeling continue, with progressive improvement in skin firmness, texture, fine lines, and overall skin quality following a recommended initial series of 3 to 4 treatments.
Results continue to evolve over the following months and are designed to look natural, refreshed, and never overdone. Daily sun protection, medical-grade skincare, and periodic maintenance treatments can help protect and extend your results over time.
Face: $1050
Face/Neck: $1550
Face/Neck/Chest: $2250
All prices listed are cost per treatment session. For optimal results, the Fotona 4D is recommended to be done in a series of 3 initial treatment sessions spaced every 4 to 6 weeks, followed by periodic maintenance treatments. Pre-paid package discounts are available.
Advanced laser technology is only as effective as the experience and judgment behind it. With more than two decades in aesthetic medicine and extensive experience with laser-based rejuvenation, we understand how to thoughtfully adjust Fotona's multiple wavelengths, treatment modes, energy levels, and depths to your individual skin, anatomy, and goals. Every 4D treatment is intentionally customized rather than performed from a standard protocol.
At Alchemy, we believe beautiful results come from knowing what to treat, how to treat it, and when another approach may serve you better. Our goal is never to chase dramatic change, but to create progressive, natural-looking improvement while protecting the long-term health and integrity of your skin. From the moment you enter our clinic nestled in the Sugar House and Cottonwood Heights areas, everything from your consultation to your treatment series and maintenance plan is guided by experience, precision, and a genuine investment in your results. By choosing our practice, you are partnering with a highly skilled team that prioritizes safety, ongoing advanced education, and honest, patient-centered guidance to help you discover your ultimate skin health.
Step 1, the intraoral SmoothLiftin phase feels like a deep, rolling warmth inside your cheeks and along your gums. While treating the inside of the mouth can feel slightly unfamiliar at first, it is a completely painless process that most patients tolerate beautifully without any numbing cream. The laser energy is delivered in gentle pulses that cause the supporting ligaments to contract and tighten immediately.
Yes, you can eat and drink completely normally immediately after your session is complete. The intraoral laser energy uses bulk-heating to stimulate collagen contraction within the deeper structural layers of the mucosal tissue without causing any raw breaks or open wounds on the surface. There is no lingering discomfort or numbness inside the mouth, so your daily routine remains entirely uninterrupted.
While a lovely skin brightness and initial firmness are often noticeable within a week of your first visit, a series of three to four sessions spaced about four weeks apart is highly recommended for full-thickness collagen remodeling. This structured approach allows each session to build effectively upon the last, maximizing your natural lifting and skin firmness over time.
Absolutely, and a multi-layered approach is an excellent way to achieve a balanced, full-face rejuvenation. However, because the laser utilizes deep thermal energy to stimulate your tissue, we recommend completing your laser sessions before receiving dermal fillers or neuromodulators. If you already have injectables, we typically suggest waiting at least two to four weeks before treating those same areas with the laser system.
Yes, this advanced technology can be safely performed year-round on all skin types. Because the system relies heavily on non-ablative deep tissue heating rather than aggressive surface removal, it does not carry the same high seasonal risks as traditional resurfacing lasers. However, you must still practice proper sun protection and wear sunscreen daily to safeguard your fresh collagen.
Not at all, as this protocol is celebrated specifically for delivering entirely natural looking results. It does not freeze your expressions or add external volume to your features; instead, it relies exclusively on your body's own natural ability to rebuild new collagen and firm up lax tissue. Your face will simply look refreshed, rested, and structurally more youthfully contoured.
The final SupErficial phase functions like an ultra-light, cold laser peel to polish the skin's surface. You may feel a slightly prickling sensation or a light snap against the skin, along with a mild smell of skin vaporization. This phase removes microscopic cellular debris and dead cells, instantly improving an uneven skin tone and giving your complexion a smooth, pearl-like finish.
For patients who prefer to skip the ultra-light peel, SmoothMode offers an elegant alternative for Step 4 of Fotona 4D. Rather than resurfacing the skin's surface, this non-ablative approach delivers controlled Er:YAG energy to gently heat the tissue, supporting collagen remodeling and improved firmness while preserving the outermost layer of the skin.
Both systems are excellent for collagen stimulation and skin texture improvement, but they use entirely different energy delivery methods. Radiofrequency microneedling uses physical needles to puncture the skin and deliver thermal energy, which involves a brief healing period. This treatment utilizes pure, non-invasive laser energy across two wavelengths ... including an internal oral stage ... to lift and tighten without ever breaking the skin barrier.
Mon & Weds: 8am - 3:00pm
Tuesday: 9:00am - 4:00pm
Thursday: 12:00pm - 7:00pm
Friday: 9:00am - 3:00pm
Sat - Sun: Select Hours
