Fotona 4D Laser Lifting

Fotona 4D non-ablative laser facelift using four complementary Nd:YAG and Er:YAG laser passes targeting intraoral tightening, sub-dermal collagen stimulation, surface smoothing, and skin toning — no needles, no downtime.

Fotona 4D is a four-pass laser protocol developed by Fotona (Slovenia) that works from inside the mouth outward through the skin, using two laser wavelengths in complementary modes. The sequence begins with SmoothLiftin, an intraoral pass using the Nd:YAG laser in SMOOTH mode that heats the mucosa and submucosal collagen from inside, causing immediate tissue contraction and triggering a perioral and nasolabial collagen remodelling response. The second pass — FRAC3 — uses fractional Nd:YAG delivery on the skin surface to target deep thermal coagulation zones, stimulating dermal fibroblasts. The third pass, PIANO, uses long-pulse Nd:YAG to heat the deep subcutaneous tissue uniformly, creating a bulk heating effect that tightens the SMAS-level connective tissue. The fourth pass uses a lighter superficial Er:YAG setting (SupErficial) to resurface and brighten the skin surface, reducing redness and fine texture irregularities. At Premier Clinic, the first Fotona 4D session is priced at 20,900 CZK (approximately 836 EUR), with subsequent sessions at 15,900 CZK (636 EUR). Equivalent Fotona 4D treatments in Germany and Western Europe typically run 1,200 to 2,000 EUR per session. For patients planning a multi-session course (three sessions over three months is the standard protocol), Prague offers significant savings while receiving the same Fotona-certified treatment on the same platform. The 4D protocol is particularly well-suited to patients in their 40s and 50s who want meaningful lifting and tightening without the commitment of a surgical facelift and its associated recovery. The intraoral component is unique to the Fotona protocol — no other non-invasive device reaches the tissue from the inside — and this bilateral approach to the perioral and nasolabial zone addresses one of the most ageing aspects of mid-life facial change from an angle that surface-only devices cannot reach.