Fotona 4D — Non-Surgical Facelift
Four laser modalities, one anti-aging protocol. Lift from inside and outside.
- Free consultation
- Same-week booking
- Cherry · 0% APR
- 60–90 minutes
The Short Answer
UpdatedFotona 4D is a non-surgical laser facelift combining four laser modalities, including intraoral lifting, offered at Aurelia Med Spa in North Miami and Palm Beach Gardens, FL. It suits mature skin, early-to-moderate laxity and lower-face aging. Sessions take 60–90 minutes with 2–7 days of downtime depending on intensity; results show at 2 weeks and peak at 8–12 weeks. Priced from $1,200 per session · 3-pack $3,200. Rated 5.0★ from 217 verified reviews.
Medically reviewed by the Aurelia Med Spa medical team (Top-100-USA injector-led, board-certified oversight) · Last updated
Fotona's signature 4D protocol uses Nd:YAG and Er:YAG wavelengths in four distinct steps — including intraoral lifting — for a full non-surgical facelift effect.
Fotona 4D is the most complete protocol Fotona has built — four distinct laser modalities applied across one comprehensive facial rejuvenation. The two wavelengths (Nd:YAG for depth, Er:YAG for surface) and four delivery techniques work together to lift from beneath, tighten the surface, smooth lines, and brighten tone in a single session.
The four steps: (1) SmoothLiftin — intraoral Er:YAG laser delivered inside the mouth, heating the deep tissue around the lips, marionette lines, and lower face from within. (2) FRAC3 — Nd:YAG delivered through skin to target deep pigmentation and stimulate dermal renewal. (3) PIANO — bulk Nd:YAG heating of the deep dermis for skin tightening. (4) SupErficial — gentle Er:YAG peel for the surface texture, fine lines, and luminosity.
The result is genuine lifting, tightening, and brightening in a single comprehensive treatment — a 'liquid facelift' effect without injectables.
Who it's for: Mature skin, early-to-moderate laxity, lower-face aging (marionette and perioral lines), patients who prefer laser-only protocols, or patients who want a maintenance modality between injectable visits. Best done October–April in Florida to avoid peak sun during the recovery window.
What to expect: 60–90 minute session. Mild redness 2–4 days, optional peeling 5–7 days depending on the surface step intensity. Visible at 2 weeks, peak at 8–12 weeks. A series of 3 sessions 4–6 weeks apart gives the strongest result.
Mature skin, early-to-moderate laxity, lower-face aging.
Fotona 4D Non-Surgical Laser Facelift combines four laser modalities in one comprehensive protocol — including SmoothLiftin intraoral lifting that reaches tissues no surface treatment can. Lifts and brightens lower face, perioral lines, and overall tone without injectables, at our North Miami and Palm Beach Gardens clinics. From $1,200 per session · 3-session course $3,200. Often paired with Fotona CO2 fractional resurfacing, Ultraformer SMAS lifting, or our Renaissance Lift program for layered, peak-result rejuvenation. Ideal for mature skin, lower-face aging, and patients who prefer laser-only protocols. Book your Fotona 4D consultation · view price list.
What you can expect.
Comprehensive non-surgical facelift effect
Intraoral lifting reaches tissues no surface laser can
Tightening + smoothing + brightening in one session
No injectables required
Schedule Fotona 4D in 30 seconds.
Same-week appointments · Free consultation · Cherry 0% APR
Common questions, answered.
How much does Fotona 4D cost in Miami?+
Fotona 4D starts from $1,200 per session, or $3,200 for a 3-pack, at our North Miami and Palm Beach Gardens clinics. Each 60–90 minute session combines four laser steps in one protocol. Cherry and Care Credit financing is available, and your plan is confirmed at a complimentary consultation.
What is the downtime after Fotona 4D?+
Downtime ranges from 2–7 days depending on intensity: expect mild redness for 2–4 days, and optional peeling for 5–7 days depending on the intensity of the surface step. There are no injectables or incisions involved, and your provider will explain what to expect for the settings chosen for your skin.
How many Fotona 4D sessions do I need?+
A series of 3 sessions spaced 4–6 weeks apart gives the strongest result. Each session lifts, tightens, smooths and brightens in one comprehensive treatment, and the effects build across the series. Some patients also use Fotona 4D as a maintenance modality between injectable visits; your provider will advise at consultation.
When will I see results from Fotona 4D?+
Results are typically visible at about 2 weeks and peak at 8–12 weeks as the deeper tissue tightens and renews. Because the protocol works from inside the mouth as well as on the skin's surface, improvements in the lower face, perioral lines and overall tone develop gradually rather than all at once.
What are the four steps of Fotona 4D?+
Fotona 4D uses two wavelengths in four steps: SmoothLiftin, an intraoral Er:YAG treatment that heats tissue around the lips and lower face from inside the mouth; FRAC3, Nd:YAG for deep pigmentation and dermal renewal; PIANO, bulk Nd:YAG heating for tightening; and SupErficial, a gentle Er:YAG peel for texture, fine lines and luminosity.
Fotona 4D vs fillers: which is better?+
Fotona 4D suits patients who prefer laser-only rejuvenation, offering a 'liquid facelift' effect of lifting, tightening and brightening without injectables. Filler works differently, and some patients use 4D as a maintenance modality between injectable visits. The best choice depends on your anatomy and goals, which we assess at a complimentary consultation.
When is the best time to get Fotona 4D in Florida?+
Fotona 4D is best done between October and April in Florida, so peak sun exposure doesn't coincide with your recovery window. If you are planning the recommended 3-session series, starting in early fall gives you room to complete every session before summer at our North Miami or Palm Beach Gardens clinic.
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Educational content from an independent medical body. Not affiliated with Aurelia Med Spa.
- Top 100Injector-led clinical team — recognized among the Top 100 Injectors in the USA
- Board-certifiedFNP-C medical oversight on every treatment plan
- Since 2016Two South Florida clinics — North Miami & Palm Beach Gardens
- 5.0★From 217 verified patient reviews
- FDA-approvedInjectables, plus medical-grade, clinically studied devices
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Every treatment page and clinical article is reviewed by our medical director — a board-certified FNP-C recognized among the Top 100 Injectors in the USA.
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Nothing here is a substitute for a consultation. Candidacy, dosing, and expected outcomes are always confirmed in person by your Aurelia provider.
Aurelia Med Spa has operated in Florida since 2016. Content on this site is for education and does not replace personalized medical advice. Individual results vary. Questions? Call (786) 622-2871 or contact our team.
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