Fotona 4D in Karachi
A laser facelift in four dimensions: inside the mouth, deep, mid and surface, for lift, firmness and texture in one session, with no needles and no downtime.
Is Fotona 4D right for me?
- For mild to moderate laxity with loss of skin quality: softening cheeks, nasolabial folds, jowls and dull, uneven texture.
- Three to four monthly sessions of forty-five to sixty minutes; pink skin for a day, nothing more.
- Tightening and glow improve session by session, with the full result three months after the course.
Laser lifting, without needles.
Fotona 4D is a laser facelift without needles, fillers or toxins. It works in four dimensions, four modes of the Er:YAG and Nd:YAG lasers in one session, so the face is tightened from the inside of the mouth, through the deep layers, to the surface.
SmoothLiftin treats the cheeks and nasolabial folds from inside the mouth, lifting and volumising the lower face. FRAC3 targets deeper imperfections and pigment for texture. PIANO delivers bulk heating to the subcutaneous layer for an overall tightening effect. Superficial finishes with a light Er:YAG peel that leaves the skin smooth and bright.
Three to four monthly sessions is the usual course. It is the choice for patients who want lift, volume and skin quality together, with no downtime beyond a day of pinkness.
Four modes, one face.
Cheeks and folds
SmoothLiftin from inside the mouth lifts the midface and softens nasolabial folds.
Cheeks and folds → Concern · sagging and laxityJawline and jowls
PIANO bulk heating tightens the lower face.
Jawline and jowls → Concern · textureTexture and pores
FRAC3 and Superficial modes refine texture and shrink pores.
Texture and pores → Concern · pigmentSun damage
FRAC3 targets uneven pigment and fine lines.
Sun damage → Concern · sagging and laxityNeck
The same protocol applied to the neck for tightening.
Neck →Good candidates
- Mild to moderate laxity in the forties and fifties.
- Patients who want lift and skin quality without injectables.
- Dull, uneven, sun-damaged skin alongside early sagging.
- Maintenance between or after other lifting treatments.
Not suitable for
- Severe laxity, which needs a surgical opinion.
- Pregnancy.
- Active infection, cold sores or a fresh tan on the face.
- Recent isotretinoin use; wait six months.
Inside out, in four steps.
SmoothLiftin
A gentle Er:YAG pass inside the mouth heats the cheeks and folds from within, lifting and volumising the lower face.
FRAC3 and PIANO
Nd:YAG modes treat deep imperfections and deliver bulk heating to the subcutaneous layer for overall tightening.
Superficial
A light Er:YAG peel finishes the surface, leaving the skin smooth and bright. Collagen builds for months after each session.
Before and after, by area.
Full face
Brighter, firmer skin across the whole face. Courtesy of Ivan Peev, MD.
Clinical photography from Fotona, the maker of the SP Dynamis platform used for Fotona 4D, with the treating physician credited on each set. Individual results vary.
From consultation to results.
Dr. Fehmida confirms the degree of laxity and sets the course.
Forty-five to sixty minutes. Warmth inside the mouth and on the skin; pink for a day.
Smoother, brighter skin and early tightening.
Photographs compared. One or two maintenance sessions a year.
"Fotona 4D is the treatment I suggest when a patient wants to look fresher and does not want injectables. It works on the whole face at once."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
Fotona 4D, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppYes. All four modes are non-ablative or very superficial, precisely controlled, and widely used on all skin tones with the right settings.
Forty-five to sixty minutes for the full four-step protocol.
Pink skin for up to a day. Makeup the next day; normal activities immediately.
A glow immediately; tightening builds session by session, with the full lift about three months after the last session.
Warmth, inside the mouth and on the skin. No anaesthetic is needed for most patients.
Three to four, a month apart, then maintenance once or twice a year.
HIFU lifts deeper tissue in fewer sessions; Fotona 4D improves texture, tone and firmness and leaves a glow. Many patients alternate them.
Yes. It pairs well with Profhilo and light filler; Botox can be done in the same period.
Pricing is per session for the course. The clinic shares the exact fee at the consultation. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
200/1 Clifton 1, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 6:00, Saturday 9:00 to 5:00.
Call or WhatsApp 0301 827 9630