I usually maintain this temperature for about three minutes at each of scanned areas.įor the last step, SupErficial, the laser wavelength is changed back to 2940nm ErYAG and a very light peel is performed to give a pearl finish, reducing the imperfections and improving the appearance giving a special glow to the skin.
FOTONA 4D LASER MANUAL
As such, bulk skin heating is applied across the whole face with a manual scanning technique until the temperature at the skin surface reaches about 42☌. Piano NdYAG is a modality in which extremely long laser pulses are used (in seconds), producing a gentle painless warming of the skin through all its layers. Immediately after Frac3 I proceed to the third step – Piano mode, using R34 with 15mm spot, 100-300J/cm2 and 21 second pulse duration. For this modality there is also no need for any anaesthesia as there is merely a very tolerable sensation of warmth during the execution of Frac3. A few passes are delivered along the SMAS anchoring areas. For this modality I use the R33 handpiece, 4mm spot, 35J/cm², 0.1-0.3msec and 4Hz. With this we can produce the vectors of tension in the skin along the SMAS anchoring areas mimicking the threads. I first do the Frac3 mode in which short pulses (0.1-0.3msec) are used with a purpose of achieving shrinkage of deep shrinkable structures (retinacula cutis) in anchoring areas of the superficial muscular aponeurotic system (SMAS). No anaesthesia is needed as this intraoral treatment is not painful.įor the next two steps, Frac3 and Piano, the laser wavelength is changed to 1064nm NdYAG. A PS03 handpiece is used with 7mm spot, 9.0-10.0J/cm² and 2.0Hz. A special non-ablative modality of ErYAG called Smooth Mode is used intraorally applying the bursts of four to six Smooth pulses at intraoral mucosa and executing four passes across the whole accessible tissue beneath both cheeks and lips.
The first step of Fotona 4D protocol is SmoothLiftin, a solution for reduction of nasolabial folds and perioral wrinkles. “There is no need for any special postoperative procedure as the whole treatment is minimally invasive that the only side-effect is mild erythema” Several years ago I started to use a combined, non-invasive protocol called Fotona 4D in which two laser wavelengths (NdYAG 1064nm and ErYAG 2940nm) are used in four different modalities (SmoothLiftin, Frac3, Piano and SupErficial) during the same visit with a goal to thermally process various depths and structures of the facial skin. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of them acting on collagen with various levels of hyperthermia. SupErficial – Finally, a more superficial approach that can be considered a light laser peel is performed across the face to smooth out and correct surface-level imperfections like pore size and very fine lines for an immediately satisfying result.Skin tightening, especially on the face, is currently one of the most common aesthetic procedures.PIANO – The PIANO setting on the Nd:YAG is fine-tuned to provide large-area treatments with the intensity needed to rapidly tighten skin combined with a technique designed to protect the epidermis.
The 4D facelift occurs in four waves, or methods of laser rejuvenation:
FOTONA 4D LASER PRO
Using Fotona’s innovative SP Dynamis Pro laser, the 4D facelift combines two distinct laser wavelengths with four unique “modes” to achieve comprehensive results not seen with traditional laser resurfacing treatments. After this time, additional sessions can be scheduled for further enhancement. Depending on the degree of rejuvenation youre after, people experience benefits over the course of three months or so with just one treatment session.
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