
Fotona 4D® Laser Facelift
Fotona 4D® in Sarasota: Non-Surgical Lifting, Layer by Layer
Fotona 4D® treats the face from the inside of the cheek to the surface of the skin in one visit. Four laser modes work at four depths to firm, lift and refresh, with no incisions, no injections and little to no downtime.
Developed by Dr. Ashraf Badawi
The Fotona 4D protocol, from the physician who developed it
Fotona 4D® was developed by Dr. Ashraf Badawi, MD, PhD, Professor of Dermatology at the Laser Institute of Cairo University and former President of the European Society for Lasers and Energy Based Devices (ESLD). It has become one of the best-known Fotona procedures and is performed by Fotona providers around the world.
Dr. Badawi joins Revive Derm Sarasota as visiting consultant and educational observer. He helps design our treatment protocols and trains our clinical team, so the Fotona 4D treatment you receive in Sarasota follows his method. Treatment is performed by our licensed U.S. team under the direction of Dr. Ehab Michael.

How Fotona 4D Works
Four modes, four depths, one treatment
Each step targets a different layer, so the face is treated as a whole instead of one wrinkle at a time.
SmoothLiftin™
Gentle Er:YAG heat applied from inside the mouth tightens the tissue of the cheeks and the area around the lips, helping soften nasolabial folds and restore lost volume.
FRAC3®
Short Nd:YAG pulses target small imperfections deeper in the skin, improving tone and texture while the surface stays intact.
PIANO®
A long, even Nd:YAG pulse warms the deep layers of the skin to encourage new collagen, for firmer contours along the cheeks and jawline.
SupErficial™
A light Er:YAG peel removes a micro-thin layer of surface skin for a smoother, brighter finish.
The Laser
Fotona Dynamis® Max at Revive Derm Sarasota
Fotona 4D is performed on the Fotona Dynamis® Max, a face and body laser platform that pairs two wavelengths: Er:YAG for the skin surface and Nd:YAG for deeper tissue. Each comes with several pulse modes, and the system offers more than 100 preset treatment options.
Built-in DMC™ cooling uses room-temperature air and water to keep you comfortable without over-chilling the skin, and the MatrixView® sensor tracks skin temperature during treatment so the heat stays where it should.
Because one system covers so many treatments, your plan can pair Fotona 4D with SmoothEye®, LipLase®, SuperSmooth™ or TightSculpting® when that suits your goals.

Good Candidates
Is Fotona 4D right for you?
Fotona 4D is often a good fit if you have:
- Mild to moderate laxity in the cheeks, jawline or neck
- Nasolabial folds and lines around the mouth
- Fine lines and wrinkles
- Dull, uneven skin texture
- You prefer a non-surgical option with little downtime
- You want natural-looking results without injectables
A consultation with Dr. Michael confirms whether it suits your skin.
Before & After
Fotona 4D results
Photos courtesy of Fotona and its clinical partners. They show results achieved by other providers, not patients of Revive Derm Sarasota. Individual results vary.
FAQs
Fotona 4D questions
What is Fotona 4D?
Fotona 4D is a non-surgical laser facelift that combines four Fotona laser modes in one session. It works from inside the mouth to the skin surface to firm, lift and refresh the face.
Who developed Fotona 4D?
Fotona 4D was developed by Dr. Ashraf Badawi, MD, PhD. Dr. Badawi joins Revive Derm Sarasota as visiting consultant and educational observer and helps guide our treatment protocols.
Does Fotona 4D hurt?
Most patients describe warmth and a light snapping sensation. Built-in skin cooling keeps you comfortable, and anesthesia is usually not needed.
Is there downtime?
Many patients return to normal activities the same day. Some redness or mild swelling can occur and usually fades within a few hours to a few days.
How many sessions will I need?
Results build as new collagen forms, and many plans include more than one session. Dr. Michael will recommend a schedule based on your skin and goals.
Schedule Your Consultation
Visit Revive Derm Sarasota on Bee Ridge Road to find out whether Fotona 4D is right for you. Book online or call our office, and Dr. Michael will review your skin, your goals and your options.

