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How Fotona 4D Laser Reverses The Signs Of Ageing

Fotona 4D Laser Reverses The Signs Of Ageing

The advancements seen in technology and science have made themselves known in our day to day lives – internet banking and online shopping at the click of a button, e-wallets that don’t require us to bring out our own physical wallets anymore and face recognition systems that help you to open doors, unlock applications, and contribute to the Artificial Intelligence database. But the one area of technology and science that has increased in engagement and investment drastically over the years is – surprise! – the anti-ageing industry.

The 2021 Global Anti-Ageing Market Report estimates that this market is set to cross $422.8 billion U.S. dollars by 2030 with a compound annual growth rate of 8.6%! They also estimate that the fastest market growth will likely be seen in the Asia-Pacific (APAC) regions as the ageing population in Asia has set this specific market in motion. The treatment for age-related cosmetic issues is set to escalate in line with the surge of people 65 years old and older from  395.3 million in 2019 to 954.7 million by 2050.

With the focus of the global aesthetic market going from fancy skincare to really zoom on anti-ageing processes, we know that people are looking to reverse the signs of ageing through any current means possible. This includes the latest laser technologies, one of them being the Fotona 4D Laser in Singapore! If you are doing your research on how lasers can help you achieve some form of anti-ageing results, this article will help you to understand more about Fotona 4D lasers, including:

  • What the signs of ageing are,
  • How Fotona 4D laser can help reverse those signs of ageing, and
  • What can you achieve through the use of the Fotona 4D laser?


What Are The Signs Of Ageing?

Before we dive deeper into what Fotona lasers can do for anti-ageing, we should understand what the signs of ageing are. These signs can creep up slowly as the years go by and we might not even realise when they’ve appeared! Since we look at the same face in the mirror daily or cover up imperfections with makeup before heading to work, we do not realise when these changes occur since ageing is not a drastic switch with clear boundaries.

Signs of Aging

Loss of skin firmness

One of the first tell-tale signs of ageing but also one that is commonly missed is loss of skin firmness. Since skin ageing comes from intrinsic and extrinsic factors, some areas of our face and body will tend to age faster than others. For example, the skin around the inner parts of your arm may not become looser until a person hits their 60s due to intrinsic genetic and metabolic factors, but the face may start to show signs of looseness in a person’s 40s. This is because our face is exposed to the daily environment and UV rays more than other parts of our body which are covered. As our face experiences more ageing stress, the collagen bonds in our skin begin to break down and lead to a loss of elasticity. Sagging skin occurs since the skin scaffold that could previously hold up the tension well begins to lose its stability.

Sagging skin & Wrinkles

When skin loses its tension and sags, it’s not just gravity acting on your face after all your years of existence. There is a loss of fibrillin in the skin, which is an integral part of the skin elastin framework, and also a loss of collagen, particularly collagen type VII (Col-7). The degradation of fibrillin and collagen type VII causes sagging skin and wrinkles by weakening the bonds between the dermis (deeper layer of skin) and the epidermis (upper layers of skin) – when they are not ‘glued’ tightly together through these bonds, it becomes easier for the skin layers to start sagging. Additionally, as ageing occurs, older skin has been shown to have irregular and disorganised collagen matrix and a loss of collagen content per unit area of the skin surface by approximately 1% each subsequent year!

Rough and dry skin texture

There are other changes that happen to skin cell production in the skin layers – the innermost layer of your epidermis, called the basal layer, contains cells that multiply constantly to push up older ones to the surface of the skin so they can be shed off through exfoliating processes. As ageing occurs, the growth of these cells reduces and your skin layer becomes thinner. This leads to a reduced exchange of nutrition supply to the top layer of your skin and reduced ability of your skin cells to renew themselves, leading to rough skin and visible dullness. Glycosaminoglycans (GAG), which help to bind water together in your skin matrix, reduce their efficacy to do their job in ageing skin; hyaluronic acid concentration which attracts water in your skin also diminishes markedly. This is why individuals begin to complain of dry and dehydrated skin as they get older.

Appearance of hyperpigmentation

Skin ageing is associated with abnormalities in melanin pigmentation. The irregular pigmentation or spots on the skin are formed by melanocytes, and chronic exposure to sunlight may stimulate epidermal melanocyte activity. Hormonal changes through the years like pregnancy or menopause can also increase the activity of melanocytes. Melanocyte activity transfers melanosomes – little star-shaped cells that produce and store melanin – to the cells in the top skin layer where they form the melanin caps that attempt to reduce UV-induced DNA damage, but form hyperpigmentation.

How Can Fotona 4D Laser Help Reverse Signs Of Ageing?

Now that we know the classic signs of ageing and why they happen, let’s have a look to see how a Fotona 4D laser in Singapore can help to reverse the signs of ageing.

What is the Fotona 4D laser and how does it work?

Fotono 4D Laser

The Fotona 4D laser is a non-invasive laser treatment that can be used internally – for the interior oral cavity or vaginal regions – or externally, to achieve anti-ageing results for the face and body. This laser targets full-thickness contraction of collagen, giving a tightening and volumizing effect without the use of injectable treatments. There are two laser wavelengths possible


Traditionally, Er: YAG (erbium-doped yttrium aluminium garnet), of typically 2940nm wavelengths, are ablative wavelengths meaning that they ‘vaporise’ the top layer of the skin, or epidermis, to create a form of facial skin resurfacing. This leaves a zone of heat-induced injury over target areas, and a person requires a period of time to heal for collagen remodelling and skin regeneration again. For this reason of a longer recovery time, new minimally or non-ablative forms of the Er: YAG laser wavelength have been developed and are gaining popularity in modern laser therapy.

The Fotona 4D laser uses this non-ablative version of Er: YAG wavelength, where laser energy is delivered into the skin tissues in a quick sequence of laser pulses. This produces a large degree of thermal/heating effect in the skin tissues with minimal trauma to the superficial layer of the skin. This leads to the same collagen remodelling changes and stimulation of fibroblasts with a much lesser recovery time.


The Nd: YAG (neodymium-doped yttrium aluminium garnet) is a wavelength that typically has a wavelength of 1064nm, and is able to reach the deeper layers of skin tissues. This helps to provide thermal energy penetration to the deeper skin cells without causing damage to the surrounding or overlying skin tissues.

Darker skin tones are also suitable for the Fotona 4D laser treatment in Singapore, as these wavelengths do not cause epidermal damage that other light-based skin lasers may cause.  The resulting laser-induced collagen remodelling and new collagen formation through a combination of the Er: YAG and Nd: YAG wavelengths slow down the effects of skin ageing.

There are also 4 treatment modes possible, and anti-ageing will utilise the different goals of these modes for more comprehensive treatment. The 4 treatment modes are:

Fotona 4D Laser Step

Step 1: SmoothLiftin™

The laser works inside the mouth region of the lips and cheeks. It uses the Er: YAG wavelength to create gentle heating and collagen contraction in this area, giving it a lift from the inside out. People often report a plumping effect around the nasolabial folds (smile lines around the mouth) after this step.

Step 2: FRAC3®

This Nd: YAG wavelength then works in the deeper layers as it generates tiny spikes of high temperature. This helps to complement the first intraoral step and targets deeper imperfections.

Step 3: PIANO®

While also an Nd: YAG wavelength, this step generates longer pulses instead of tiny spikes to cause bulk tissue heating safely and rapidly. By increasing the pulse duration, more heat can be diffused in the skin. There is an overall tightening effect from the concentrated energy delivery with a brushing technique to the skin.

Step 4: SupErficial™

With a short pulse width, the Er: YAG laser then utilises a light cold effect to provide a smooth finish to the skin. This is a form of controlled light peeling to reveal healthy skin without any downtime.

How does the Fotona 4D Laser process work?

A consultation is usually done to assess your suitability for this treatment and to understand your anti-ageing goals! During the Fotona 4D laser treatment process, which typically lasts 45 to 60 minutes, you will be lying down on an inclined chair with a pair of dark goggles on to protect your eyes from the laser.

There may be some discomfort or tingling sensations, depending on the area being targeted and your pain tolerance (more sensitive areas such as the inside of your mouth may be more uncomfortable), but it is generally a minimally-painful procedure.

Two treatment sessions are usually recommended, one month apart, and a maintenance session once a year after that. For those about 50 years old who are looking for a more intensive anti-ageing treatment, a follow-up session 6 months after their second treatment can provide better maintenance of the skin rejuvenation effects.

At SL Aesthetic clinic, the Fotona 4D laser in Singapore price is $2400 per session. For prices on multiple sessions, speak to our doctor to learn more!

What Can You Achieve Using The Fotona 4D Laser?

The literature is quite comprehensive on what can be achieved using the Fotona 4D laser.

Significant structural changes in the upper and deeper layers of the skin were found, confirmed by assessing the skin tissues under a microscope before and 2 months after treatment. Increased collagen and connective tissue density, skin thickness, new blood capillaries were identified after 2 sessions of the Fotona 4D laser with 1 month in between.

A case report study on over 100 patients who received the FRAC3® skin tightening procedure between 2010 and 2012 showed good to excellent satisfaction rates by over 90% of the patients treated.

The correction and plumping of perioral wrinkles and nasolabial folds, or the deep creases we see around our nose to our mouth that forms as we smile, was significantly improved after treatment and seen in this study of 20 patients as well as in this study.

Some of the main benefits that have people choosing the Fotona 4D laser for their needs are also the fact that it is effective for tightening and volumizing sagging and ageing skin tissues without the need for injections, fillers, or lengthy recovery times. It provides a full lifting effect from the inside out and results are usually well-maintained over the years with an annual follow-up session. It’s not just for older people, and can be used for anyone who is looking to keep their skin looking youthful and to counteract the ageing effects of environmental pollution and excessive sun exposure! From the young to the elderly, the Fotona 4D laser treatment can provide skin rejuvenation and an improved complexion without surgery, anaesthesia, or needles.

A High Precision Treatment for Head To Toe Anti-Ageing

After reading this article on how the Fotona 4D laser in Singapore can help to reverse the signs of ageing and you’re ready to begin to improve the appearance of sagging, rough, dull and wrinkly skin, get in touch with us at SL Aesthetic Clinic today! Our certified professionals are ready to provide a tailored skin assessment for you with recommendations for the right types of treatment and skincare products for your individual skin concerns and needs, according to your skincare goals. Book an appointment with us by calling your nearest branch today.

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