Fotona 4D in Brasília: laser rejuvenation for diplomats
Four-pass Nd:YAG and Er:YAG laser protocol delivering full-face collagen stimulation, texture refinement and tightening — no injections, minimal downtime, in Lago Sul, Brasília.
Book ConsultationWhat Fotona 4D delivers: the four-pass protocol explained
Fotona 4D is a structured, four-pass laser facial protocol that uses two complementary wavelengths — Nd:YAG (1064 nm) and Er:YAG (2940 nm) — to address facial ageing across multiple tissue depths in a single session. The name refers to four distinct dimensions of treatment, each targeting a different anatomical layer or mechanism.
The first pass, SmoothLiftin, uses the Nd:YAG wavelength delivered intraorally. The handpiece is placed inside the mouth and along the perioral region, heating the mucosal and submucosal connective tissue from within. This stimulates collagen remodelling in the lower face and perioral area without any external contact.
The second pass, FRAC3, delivers fractional Nd:YAG pulses transcutaneously. The deeper penetration of this wavelength targets haemoglobin and melanin deposits beneath the surface, addressing post-inflammatory pigmentation, small telangiectasias and uneven tone without disrupting the skin barrier.
The third pass, PIANO, applies Nd:YAG energy in a continuous, sweeping motion to produce controlled bulk heating of the dermis. The skin surface remains cool while the deeper layers reach the thermal threshold required for sustained collagen stimulation.
The fourth pass, SupErficial, uses a low-energy Er:YAG pulse to refine the outermost epidermal layer. The result is improved luminosity, reduced surface roughness and a more even complexion.
Who is a suitable candidate — and important contraindications
Fotona 4D is well matched to patients presenting with early-to-moderate facial laxity, perioral fine lines, textural irregularities and mild photodamage who prefer a non-injectable approach.
- Early jowling and mild lower-face laxity without significant skin excess
- Perioral lines and lip border attenuation
- Mild-to-moderate photoageing with irregular tone or texture
- Post-summer pigmentation and mild telangiectasia
- Patients seeking maintenance between more structural procedures
- Those with needle aversion or preference for device-based care
Skin tone considerations: The Nd:YAG wavelength is considered safe across Fitzpatrick types I-VI due to its low melanin absorption. The Er:YAG SupErficial pass carries a higher risk of post-inflammatory hyperpigmentation in Fitzpatrick types V-VI; for these patients, the fourth pass is modified or omitted.
Contraindications include:
- Active cutaneous infection, open lesions or herpes simplex in the treatment area
- Isotretinoin use within six months
- Pregnancy
- Uncontrolled photosensitive conditions (lupus, porphyria)
Sessions, downtime and practical considerations for patients based in Brasília
The standard Fotona 4D protocol consists of four to six sessions delivered at intervals of three to four weeks, with the full depth of clinical improvement apparent approximately eight weeks after the final session.
Each session lasts 60 to 90 minutes. No topical anaesthesia is required for most patients. The PIANO and SmoothLiftin passes use warming sensations that are well tolerated.
Downtime is minimal. Mild facial redness resembling a light sunburn is expected for 24 to 48 hours. In some patients, redness may persist three to four days. No wound care, no dressings and no restriction on normal professional or social activity are required after the first day.
For patients on diplomatic or professional assignment in Brasília: the absence of meaningful downtime makes Fotona 4D practical within a working schedule. Sessions can be timed to Thursday or Friday afternoon with recovery complete before the working week resumes. INTI clinic is located within the diplomatic residential zone in Lago Sul.
Fotona 4D sessions in major Western European capitals and North American cities typically range from USD 800 to 1,800 per session. Pricing in Brasília reflects the local cost structure while using the identical Fotona-branded platform and four-pass protocol.
by Dr. Thiago Perfeito, CRM-DF 23199, Aesthetic and Regenerative Medicine, INTI Clinic, Lago Sul, Brasília.
Dr. Thiago Perfeito
CRM-DF 23199 · Aesthetic and Regenerative Medicine
Physician with more than 10 years of practice in aesthetic and regenerative medicine. Master's degree in Aesthetic Medicine (2024). International training at Harvard Medical School and Mayo Clinic. Member of ASLMS, A4M, AMS, and NYAS. Practicing in Brasília, Lago Sul.
Learn about Dr. Thiago →Frequently asked questions about Fotona 4D
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What are the 4 dimensions?
The four dimensions correspond to four sequential laser passes, each targeting a distinct tissue depth. Pass 1, SmoothLiftin, delivers Nd:YAG energy intraorally to stimulate perioral and lower-face collagen from within the mouth. Pass 2, FRAC3, uses fractional Nd:YAG to address subsurface pigment and vascular irregularities. Pass 3, PIANO, applies continuous Nd:YAG bulk heating to the dermis for deep collagen stimulation with minimal surface disruption. Pass 4, SupErficial, uses a low-energy Er:YAG pulse to refine skin texture and improve luminosity at the surface level.
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How many sessions?
The standard primary protocol consists of four to six sessions, each separated by three to four weeks. The final clinical result becomes fully apparent approximately six to eight weeks after the last session, as new collagen requires time to mature. Following the primary course, maintenance sessions every six to twelve months are recommended to sustain results. The exact number is determined at the initial consultation based on skin assessment and patient objectives.
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Recovery time?
Recovery is minimal. The most common finding after treatment is mild facial redness resembling a moderate sunburn, which resolves in 24 to 48 hours for the majority of patients. In some cases, redness may persist for three to four days. No wound care or dressings are required. There is no restriction on professional or social activity after the first day. Makeup can be applied the following morning. There is no peeling, crusting or weeping associated with this protocol under standard parameters.
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Cost in USD comparison?
Fotona 4D sessions in major Western European capitals and North American cities typically range from USD 800 to 1,800 per session, with full protocols costing USD 4,000 to 10,000 or more depending on the provider. Pricing in Brasília reflects the local cost structure while using the identical Fotona-branded SP Dynamis platform and the same four-pass protocol. For diplomats and expats with access to foreign currency, the cost differential is material. An exact price is provided at consultation.
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Safe for all skin types?
The Nd:YAG wavelength used in three of the four passes has low melanin absorption and is considered safe across Fitzpatrick skin types I through VI, including darker skin tones common in the Brazilian and international diplomatic population. The fourth pass, SupErficial, uses Er:YAG, which carries a higher risk of post-inflammatory hyperpigmentation in Fitzpatrick types V and VI. For these patients, the SupErficial pass is modified or omitted. Each patient undergoes a pre-treatment skin assessment before any session begins.
Schedule a Fotona 4D consultation in Brasília
Dr. Thiago Perfeito, CRM-DF 23199, receives patients at INTI Clinic, Lago Sul. Consultations are conducted in English. Contact us via WhatsApp to confirm availability.