In this collection · Facial Aesthetics
Fotona 4D®
Working from the inside out.
A non-invasive laser approach delivered in four stages — some from inside the mouth, some on the skin surface — supporting gradual change without incisions or injectables.
What makes it different
Two directions, not one.
From inside the mouth
Some passes are delivered intraorally, through the tissue inside the cheeks and lips — approaching the mid- and lower face from behind rather than only from the outside.
From the skin surface
Other passes are delivered externally to the skin. Working in both directions is what distinguishes this approach from a surface-only laser treatment.
The four stages
A sequence, performed in one visit.
Described here in plain terms. Technical settings are clinical decisions and are not published on this page.
01
Intraoral warming
Controlled warming delivered from inside the mouth, addressing the mid- and lower face from within.
02
Deeper surface pass
Energy directed through the skin with the goal of supporting the tissue’s own remodeling processes.
03
Tone and evenness
A pass focused on overall skin tone and evenness across the treated area.
04
Surface refinement
A final light pass focused on the skin surface and texture.
Who it may suit
What people usually come in asking about.
- Gradual softening around the mouth and mid-face
- Skin texture and overall facial tone
- Mild laxity through the mid- and lower face
- A preference for avoiding needles and surgery
- Comfort with change that develops over time rather than immediately
Who it is not for
Where this is the wrong answer.
- Anyone looking for a surgical-level change
- Anyone expecting added volume — this is not an injectable
- Anyone wanting a permanent or guaranteed result
- Certain medications, skin conditions and medical histories, assessed individually
- Anyone who would rather not commit to a series of visits
What natural change means
Looking like yourself, still.
Gradual, not sudden
Change develops over weeks to months as tissue responds. Nobody should be able to point at a date and say something happened.
Supportive, not surgical
This is not a facelift and we do not describe it as one. It supports the face you have rather than replacing a surgical option.
Individual, not uniform
Responses vary between patients. Some notice meaningful change, some notice modest change, and we are honest about that in advance.
Maintained, not permanent
Aging continues. We do not describe results as permanent, and any maintenance is discussed individually.
What a visit involves
Nothing surprising should happen.
In-office and non-invasive
No incisions and no injectables. Treatment is performed in our Alpine office.
A warm sensation
Most people describe controlled warmth during treatment. Tell us at any point if anything feels uncomfortable.
Comfort is managed
How comfort is handled for you is discussed in advance, based on your evaluation.
Afterwards
Any aftercare guidance, sun-care considerations and follow-up are given to you directly, because they depend on your skin and your plan.
Your plan
Recommendations are individualized.
How many sessions, how they are spaced, what recovery looks like for you and whether any maintenance is appropriate are clinical decisions made after evaluation. We deliberately do not publish those specifics, because the honest answer depends on the patient.
The consultation
We start with your goals, not a treatment.
What you want to change
Your goals, in your words, before anyone describes a treatment.
Skin and health history
Medications, skin conditions and history that affect whether this is appropriate.
Whether this is the right tool
Sometimes another treatment is a better fit, and sometimes the honest answer is nothing at all.
Expectations, plainly
What is realistic for you specifically, including what this will not do.
On photographs
We don’t publish representative results.
Aesthetic marketing is full of imagery that implies an outcome someone else achieved, under someone else’s lighting. We would rather set expectations with you in person, honestly, about what is realistic for your face.
Why a dental practice
We already work inside the mouth.
A treatment approached partly from inside the cheeks and lips sits naturally in a practice that thinks about the mouth, the jaw and the structure of the face every day. That is the context we bring to it.
Related treatments
Sometimes something narrower fits better.
Fotona Laser Rejuvenation
A concern-first overview of the targeted Fotona treatments — lower face, eyes, lips and neck — if one area is the question.
Explore laser rejuvenation →SmoothLase
An intraoral laser approach focused on the lower face, sometimes discussed alongside or instead of a full 4D sequence.
Explore SmoothLase →Laser Skin Resurfacing
A surface-focused option where texture and skin quality are the primary concern.
Explore Laser Skin Resurfacing →Emface
A needle-free option that pairs muscle stimulation with radiofrequency, sometimes considered alongside laser treatment.
Explore Emface →Questions
Questions about Fotona 4D®.
What is Fotona 4D®?
Is it a facelift?
Are needles or injectables involved?
Does it hurt?
Why is part of it done inside the mouth?
How many sessions will I need?
How soon will I see a difference?
How long do results last?
Is there downtime?
Is it safe for all skin types?
Can it be combined with other treatments?
Do you show before-and-after photos?
How do I know if it is right for me?
Clinically reviewed by Dr. Brittany Johansen. This page is general education, not a diagnosis or a treatment plan.
We see patients at our Alpine, Utah office, including families from Highland, Cedar Hills, American Fork, Lehi and across Utah County.
Facial Aesthetics
The full picture of what we offer and how we think about it.
Explore Facial Aesthetics →Laser Skin Resurfacing
Where skin texture and quality are the primary concern.
Explore Laser Skin Resurfacing →Start with a conversation.
A consultation in Alpine, Utah is where we work out what you actually want changed — and whether Fotona 4D® is the right way to approach it.