Another Dimension

Fotona4D is a 4 step, multimodality treatment package for holistic rejuvenation of your full face and complexion to brighten, tighten, lift and smooth out your complexion for a holistically more youthful appearance.


Step 1 – Contract & stimulate

Step 1 treats smile lines and cheeks by directing the laser from inside the mouth to contract collagen fibres and stimulate collagen regeneration at every layer to reduce lines and promote youthful-looking, voluminous skin.


Step 2 – Strengthen & refine

Fotona4D is a 4 step, multimodality treatment package for holistic rejuvenation of your full face and complexion to brighten, tighten, lift and smooth out your complexion for a holistically more youthful appearance.


Step 3 – Tighten & lift

Step 3 uses specialised settings to induce controlled heat in your face and neck. The heat contracts the collagen fibres and stimulates collagen regeneration to tighten, lift and strengthen your skin, restore youthful elasticity and reduce fine lines.


Step 4 – Exfoliate & refresh

Step 4 brings in a new treatment factor to gently exfoliate the skin and create a micro healing response in the superficial layer. It reveals a healthy new layer of skin cells and a softness you’ll just want to touch.

Step Up Your Rejuvenation Game

Fotona4D is a comprehensive treatment package that works from the inside out offering a non-surgical, non-invasive facelift alternative that delivers natural, long-lasting results. A real step up from your average rejuvenation treatment.

Botox is an FDA-approved cosmetic procedure, which can be effective for the treatment of a number of skin conditions. It is recommended to reduce the signs of aging especially on the face such as the wrinkles and fine lines.

It can also be used to reduce crow’s feet, and the facial lines between the eyebrows, and on the forehead. Smile lines caused due to the repeated contractions of the muscles of the face can also be reduced by giving Botox injections.

Botox is ideal for other skin issues such as:

  • Forehead rows
  • Frown lines
  • Vertical lines between the eyebrows popularly known as the 11’s
  • Reshaping of the eyebrows and brow lift
  • Lifting the corners of the mouth
  • Wrinkles beside the nose called the bunny lines
  • Vertical lip lines around the lips
  • Reducing jowls
  • Diminishing neck bands
  • Correction of a gummy smile
  • Correction of facial asymmetry
  • Preventing deepening of wrinkles

Botox injections are also recommended for non-cosmetic reasons such as for treating health conditions. The use of Botox has been approved by the FDA for the management of a specific form of urinary incontinence.

Healthcare practitioners may recommend the administration of Botox or botulinum toxin A injection to treat involuntary dribbling of urine caused due to neurological conditions like spinal cord injury or multiple sclerosis.

These conditions can lead to the overactivity of the bladder due to which patients experience frequent urge to pass urine and an inability to control the flow resulting in urinary incontinence.

Uninhibited contractions of the muscles in the urinary bladder in these cases can be managed well by Botox treatment.  Botox injections can cause relaxation of the urinary bladder thereby allowing it to store urine for longer thus preventing involuntary urination and increased frequency of urination.

Botox is a quick and minimally invasive procedure during which a certified healthcare practitioner will inject Botox into the affected parts of the skin using a very small needle. The injection is administered directly into the muscles which need to be relaxed.
Botox is a safe and painless cosmetic procedure with no downtime. It does not cause any pain or discomfort. Patients may experience mild stinging sensation at the site of the treatment.

Most people experience no discomfort during and after the sessions of Botox. They can resume their routine activities immediately after the treatment. There is no pain or discomfort after the sessions.

Preparing for your Treatment
Patients are advised to consult an expert dermatologist or a cosmetic surgeon to discuss their skin problems and expectations. The physician can guide the patients about how well Botox would be able to help improve their appearance and reduce the signs of aging or other symptoms they want to treat.

Patients should also inform the physician of the medications they are using. The use of some medications must be stopped before Botox.
If patients are using any drugs that can affect the blood clotting processes, they must stop using them before the Botox sessions to prevent the risk of bleeding or bruising. Similarly, the use of over-the-counter drugs such as aspirin and ibuprofen should also be avoided for a few days before the treatment as these drugs are known to prevent the clotting of blood and increase the risk of bruising.

Most patients are able to see a noticeable difference in their skin immediately after the Botox session. The relaxation of the muscles induced by the Botox injection can reduce the appearance of wrinkles and fine lines. Patients can also notice an improvement in smile lines and crow’s feet after the session.

The results continue to improve for the next few days. Patients can notice a gradual improvement in the appearance of their skin over the next 7 to 14 days. The results usually last for about 3 to 6 months after which the patient may need another session of Botox.

The relaxation of the muscles induced by Botox typically lasts for about 3 to 6 months. As the nerves regain their functions and the effect of the injection wears off, the muscles begin to contract.

As the muscles resume their activities, the fine lines and wrinkles also re-appear slowly. These signs may need to be re-treated with another session of Botox injection.

However, this does not mean patients need to visit a cosmetic surgeon every 3 to 6 months. The duration of the results tends to improve as the patient continues to receive Botox injections at regular intervals. Repeated sessions of Botox therapy can train the muscles in the part to stay relaxed. As a result, the muscles do not contract as strongly or repeatedly as they used to do earlier even after the effect of Botox wears off. Hence, the results of this therapy can persist for longer.

This means if a patient continues to receive Botox injections at regular intervals, it can help to reduce the frequency of sessions he or she would need in the future to maintain the results.
Also, it should be noted that the outcome of Botox and the duration of the results can vary among different patients. The body of every person can metabolize the botulinum toxin at a different rate. Hence, the results may take a variable time to appear or persist for a variable duration among different individuals.

The results may also vary depending on the age of the patient, muscle mass, and the desired outcome.

The optimal results are usually achieved when the sessions are performed at regular intervals about 3 to 4 times per year. With continued use, most people find they need a reduced number of maintenance sessions to 2 to 3 visits per year.

Botox injections usually cost about $12 per unit. The entire treatments may cost between $250 to $650. According to the American Society of Plastic Surgeons, the average cost of Botox therapy based on the data collected during the year 2018 is around $397.

The cost of Botox therapy depends on the extent of skin symptoms to be treated. If a larger area of the skin is to be treated, the costs would be higher. Similarly, the total cost would also increase with the number of sessions needed to achieve the desired outcome.

The number of areas where Botox injections need to be administered and the number of product units also need to be taken into consideration for determining the costs of Botox. Usually, the cost of Botox is higher in men as they need more injections compared to women due to their larger facial muscles.

You may feel a slight heaviness and pressure in the area treated with Botox injections. Some patients experience mild to moderate side effects such as headaches on the day of the Botox session. Slight bruising and redness may occur at the site of injection.

The side effects usually resolve spontaneously without any active treatment. In rare cases, patients may feel a sense of numbness or an inability to move the muscles in the treated part. However, these symptoms last only for a short duration. Patients can resume their routine activities immediately after Botox sessions.

Achieve Natural Looking results

The results of Botox are comparable to the natural appearance of a person. They need not worry about looking unnatural, fake, or overdone. The results look so natural that most often, others are not able to guess you have undergone Botox therapy.

An expert dermatologist at Tight Clinic would be able to recommend an optimum number of sessions of Botox injections so that the results are natural and aesthetically appealing. The change in the facial appearance would promote your natural look while enhancing the firmness of the skin to reduce the fine lines and wrinkles.

At Tight Clinic, we ensure optimum satisfaction of our patients with faster and better outcomes to reduce the signs of aging and other skin problems with natural results.

At Tight Clinic, we offer a perfect combination of the expertise of dermatologists, cosmetic surgeons, and spa specialists. We have brought together the best of the med spa and cosmetic spa worlds, thanks to our nationally recognized medical aesthetics who have talent and years of experience to provide you a beautiful and relaxing spa experience.

We recommend the best treatment to our patients depending on their specific skin complaints and the expected outcomes. We provide end-to-end solutions to enhance the results and make the entire experience comfortable and convenient for our patients. We suggest the best pre- and post-treatment suggestions to optimize and maintain the results.

Neuromodulator injections such as Botox are used widely as a preventative measure to delay the signs of aging such as fine lines and wrinkles. Experts recommend patients to start receiving Botox treatment before these signs of aging begin to appear.

As the age increases, the lines and wrinkles deepen further due to which a complete reversal to the youthful appearance would need more number of Botox sessions. Hence, it is advisable to seek Botox treatment before the signs of aging begin to appear.

The best results are seen when younger adults begin Botox therapy in the mid-20s or early 30s. It can delay the appearance of wrinkles and fine lines and even reduce their extent and depth. However, it is not advisable to start Botox injections at a too early age, say 18 years

While Botox is a safe and effective treatment to improve skin health and reduce wrinkles and fine lines, it may be contraindicated in some cases.

Here is a list of contraindications for Botox injections:

  • You have an active skin infection at the intended site of Botox treatment.
  • You have a severe infection or illness that may interfere with the action of the injection or your recovery after Botox injections.
  • You have a history of allergy to any ingredient in the Botox injections or other products containing botulinum toxin.
  • You are suffering from a nerve or muscle condition that may worsen due to the administration of Botox injections. Some of such conditions include ALS (amyotrophic lateral sclerosis) and myasthenia gravis.
  • You are pregnant or breastfeeding.

The popularity of Botox injections has increased dramatically over the past few years. The number of people choosing cosmetic injectables such as Botox has increased more than ever before. The treatment is no longer limited only to celebrities and has reached the masses. The rising popularity can be attributed to the reduction in the cost of Botox treatment and the change in the perception of people about how their appearance can affect their life.

According to the American Society of Plastic Surgeons, it is estimated that nearly 7.44 million Botox treatments were performed in the US in 2018.

There is no downtime for Botox sessions. This treatment is safe and not known to cause any serious side effects. It does not require the administration of local anesthesia. Hence, patients can go home immediately after the sessions. They can resume their routine activities immediately after the treatment.

However, it is advisable to avoid excessive use of the treated muscles for 1 or 2 hours after the session. Strenuous exercises should also be avoided for the rest of the day. It is advisable to sit upright and stay in a vertical position for about 4 hours after the session.

Post Treatment

  • Exercise the treated muscles for about 1 to 2 hours after the treatment. You can practice these muscles by frowning, raising the eyebrows, and squinting. These exercises can let Botox work into the muscles and improve the results.
  • Apply ice packs to the treated area to reduce redness, swelling, and bruising.
  • Wait for the redness, swelling, and bruising to subside before applying any makeup.
  • Avoid placing pressure on the area for 2 to 3 days. Be gentle while cleansing the face.
  • You can take a dose of acetaminophen or Tylenol; in case you develop any discomfort or tenderness.
  • Avoid exposure to the sun until redness and swelling of the treated part have subsided. Apply a sunscreen with SPF 30 or higher.
  • Wait for at least 2 weeks before receiving any other skin treatment including laser treatments.

Usually, patients are able to see an improvement in their skin after 3 to 5 days.  The results continue to improve for the next few days and reach a peak after about 2 weeks.

The results of Botox usually last for up to 6 to 12 months.

However, the time taken for the improvement in the skin symptoms to occur may vary among different patients. The duration may be longer if the depth of the indentation or lines being treated is more. It also depends on the type of skin and the extent of the skin surface treated during the session.

The affected nerves have “binding sites” that allow the chemical in Botox injections to adhere to their surface to inhibit the activity of the muscles. The higher number of binding sites on your nerves can ensure the results would appear more quickly. In some patients, the full results are seen after 5 days or more.

It is advisable to leave a gap of at least 4 months between 2 sessions of Botox to ensure the fullest development of the results. It should be noted that the skin takes time to form new collagen to fill in the depression caused due to the reduced activities of the muscles. Once the muscles have relaxed fully, the depressions can smoothen out and soften on their own.

Botox is a clear injectable liquid that is administered into the targeted muscle tissues using an ultra-fine needle. It is administered into the muscles under the part of the skin at the site of wrinkles and fine lines.

Botulinum toxin in Botox acts on the nerves which carry signals to the muscles of the targeted tissues such as the face. It blocks the signals from these nerves to the muscles. As a result, the muscles become weak and no longer contract. Once the muscles become riled, the skin overlying them also relaxes due to which the wrinkles and fine lines soften.