FOTONA 4D^® & FOTONA LASER TREATMENTS PRE AND POST CARE INSTRUCTIONS
(Advanced Laser Systems by Fotona)

Fotona 4D® is a non-surgical laser facelift combining four treatment modes:

• SmoothLiftin™ (intraoral tightening)
• FRAC3^® (fractional rejuvenation)
• PIANO^® (deep dermal heating)
• SupErficial™ (light ablative polish)

It addresses:

• Laxity
• Volume loss appearance
• Texture
• Fine lines
• Perioral aging

5 – 7 Days Before Treatment

Discontinue (if medically appropriate and approved by your provider):

• NSAIDs (Ibuprofen, Aspirin, etc.)
• Magnesium
• Vitamin D
• Fish oil
• Flaxseed oil

This helps reduce bruising and inflammation.

Medication Disclosure (Very Important)

Inform your provider about all medications and supplements, especially:

• Antibiotics
• Photosensitizing medications
• Blood thinners
• Biological infusions/injections
• Steroids
• Hormone therapy

If you have a history of cold sores, begin antiviral medication as prescribed.

Pain & Swelling Prevention Protocol

For comfort:

• Take 2 tablets of Extra Strength Tylenol (1000 mg total) 1 hour prior to treatment.

For swelling prevention:

• Take 1 tablet of non-drowsy antihistamine 2 – 3 hours prior to treatment.

1 – 2 Weeks Before Treatment

• Avoid excessive sun exposure.
• Discontinue retinoids and exfoliating acids unless directed.
• Avoid waxing or chemical peels in treatment area.

Eye Area or Perioral Treatments

If treating eyelids or full face:

• Arrange transportation if sensitive to swelling or light sensitivity.

Day of Treatment

• Arrive with clean skin (no makeup, lotion, sunscreen).
• Stay well hydrated.
• Eat normally.

Instructions vary depending on the specific Fotona treatment performed.

Fotona 4D® (Mild to Moderate Downtime)

What to Expect

• Mild redness (1 – 3 days)
• Mild swelling (1 – 3 days)
• Warm sensation
• Light flaking if SupErficial™ step included

Most patients return to normal activity within 24 – 48 hours.

Aftercare

• Cleanse gently twice daily.
• Use gentle moisturizer.
• Avoid harsh products for 5 – 7 days.
• Avoid strenuous exercise for 24 – 48 hours.
• Avoid heat exposure (sauna, steam, hot yoga) for 48 hours.

Makeup may usually be applied within 24 – 48 hours if skin is intact.

Fotona TightSculpting® / Nd:YAG Skin Tightening

What to Expect

• Mild redness
• Mild swelling
• Warmth sensation

No peeling typically occurs.

Aftercare

• Hydrate well.
• Avoid strenuous exercise for 24 hours.
• Avoid excessive heat exposure for 48 hours.
• Resume skincare the next day unless instructed otherwise.

Fotona Vascular Treatments (Nd:YAG)

What to Expect

• Temporary redness
• Mild swelling
• Possible vessel darkening before fading

Aftercare

• Avoid heat and strenuous activity for 48 hours.
• Avoid sun exposure.
• Do not apply ice directly on treated vessels unless instructed.
• Avoid compression or friction over treated area.

Fotona Fractional / SupErficial™ / Ablative Settings

What to Expect

• Redness: 3 – 7 days
• Swelling: 1 – 4 days
• Bronzing or micro-crusting
• Peeling Days 3 – 7

More aggressive treatments may require up to 2 – 3 weeks for full normalization.

Aftercare for Ablative / Fractional

• Cleanse gently twice daily.
• Apply recommended moisturizer.
• Do not pick, rub, or exfoliate.
• Avoid strenuous exercise for 48 – 72 hours.
• Avoid pools, hot tubs, saunas.
• Shower with lukewarm water only.

Makeup may be applied once:

• Skin is fully re-epithelialized
• No signs of infection (Usually Day 5 – 7)

Sun protection is critical for 2 months.

• Avoid direct sun exposure.
• Wear broad-spectrum SPF daily.
• Use tinted sunscreen if prone to melasma or diffuse pigmentation.
• Especially important for boating, beach, or pool exposure.

Do NOT use self-tanners on treated areas.

Self-tanners may cause pigment irregularities or trigger hyperpigmentation.

We recommend a follow-up appointment 1 – 2 weeks after treatment to:

• Evaluate healing
• Assess results
• Adjust skincare
• Plan additional sessions

Fotona treatments are often performed in a series depending on goals.

We recommend a follow-up appointment 1 – 2 weeks after treatment to:

• Excessive swelling
• Drainage resembling pus
• Increasing warmth
• Fever of 101.5°F or higher
• Severe or worsening pain
• Spreading redness

Early intervention prevents complications.

Proper preparation and aftercare are essential for optimal collagen stimulation, skin tightening, and resurfacing results.