Skin-tightening shown to be superior to Thermage ® on clinical studies.

The Fotona PIANO delivers a ultra-long pulse Nd:YAG laser beam into the skin to create firming by stimulating collagen production in multiple layers from skin to fat and ligaments. This is a unique ultra-long-pulse beam and the only one made for use of face slimming and lifting. This laser has been clinically proven to improve wrinkles and tighten lax skin, providing a face-lifting rejuvenation.

In fact, a study was recently done showing the superior lifting and anti-wrinkle effects of this laser compared to a popular radiofrequency treatment. The link of this study can be found here.

This treatment gives drastic results even with the first session – patients with saggy laugh lines see it reduced from the first session, when higher settings are used for people with bulky cheeks, there is a face slimming effect immediately after.

What can it be used for?

  • Sagging tissues
  • Bulky cheeks
  • Wrinkles

How does it work?

The ultra-long pulsed mode of the 1064nm Nd-YAG wavelength is significantly different from the cheaper Q-switched mode of the same wavelength (commonly known as Q-switched laser). This long pulse duration allows much deeper penetration of the laser beam to induce collagen stimulation in all layers of the skin, especially in sagging fat and ligamental layers as shown in this picture. Each session takes about 30 to 60 minutes.

The long pulse duration is necessary for absorption by water and collagen fibres to ensure collagen remodelling. Fotona took this a step further by creating the world’s first ultra-long pulse technology, enabling deeper tissue penetration and tightening of all skin layers. When used in combination with other laser modalities, it is known as the Fotona 4D Facelift.

This results in improvement of facial laxity, wrinkles, texture as well as pigmentation for an all in one treatment.

What is the PIANO difference?

The Fotona PIANO is the only laser used in the world for face slimming and lifting. It is the only ultra-long-pulsed laser technology that reaches into the fat and ligamental layers of the face to create results other devices cannot achieve.

This laser is unlike other facelift or skin rejuvenation treatments in that it produces superior results and is still safe for all skin types. A study was recently done showing the superior lifting and anti-wrinkle effects of this laser compared to a popular radiofrequency treatment.

The link of this study can be found here.
“Improvement judged by six blinded observers was greater for wrinkles and laxity (30% median) on the laser-treated side”

There is no contact required, unlike radiofrequency devices, and its safety features include a real-time continuous temperature sensor. Hence, it has minimal risk of causing skin burns from poor contact, and can be used even with injectable treatments. Monopolar radiofrequency has a high inherent risk of causing skin burns which has been well documented by recent clinical case studies.

PIANO gives drastic results to patients from the first session. Some frequent comments from patients who do it for face slimming say that they see their face “halve” in size in the next few days. In other words, for lower cost and lesser time, you get better results with greater safety.


VERITAS is a pioneer clinic in Singapore to use the powerful Fotona Starwalker and also the Fotona SP Dynamis. Our founder is currently the only Singaporean LAHA international expert lecturer, and has given talks to local and international doctors on various skin conditions, contributing actively to international clinical publications. Our team of doctors have lectured at the American Academy of Aesthetic Medicine (AAAM) as well as the National Surgical ATLS team.

VERITAS Medical is frequently used as a local and international training centre for various laser, medical devices and also injectable filler/botox/threadlift procedures. Our team of doctors specialise in laser and skin treatments with full accreditation by the Singapore Medical Council. Our various post-graduate qualifications in MRCS (Membership of Royal College of Surgeons Edinburgh) and GDFM (Graduate Diploma in Family Medicine) reflect the expertise of our doctors and our commitment to our patients’ safety and results. This medical expertise ensures the treatments offered in the clinic are firmly grounded on solid science.

Aesthetic medicine is more than a precise science, it is also an intricate art. As avid photographers and musicians, our doctors try to balance the science with the art with every patient that we see, and bring out the best in each individual. In fact, the clinic is decorated to reflect our artistic hobbies, with portrait photographs that show individuals at the pinnacle of their craft. These large photographs ultimately portray that our core business is about the craft and also about each individual human being. We have been on many media features such as HerWorld, Prestige, NuYou and etc, as well as contributing regularly to medical sites like DoctorXDentist and HealthAscent.


Each unique patient/condition requires a different treatment protocol. Results are typically seen from the first session, but because collagen stimulation takes time, but it shows in the next few days! With time and aging, sagging will return, so regular sessions will help make sure your results get better and more lasting.

This treatment gives quicker results (usually in a few days) compared to all other facelifting devices we use in the clinic. Patients normally see the laughlines lessen substantially as well as slimming of bulky cheeks or double chin (if used for that purpose).

This laser gives off a deep heating sensation with each shot and is tolerable with the use numbing cream, just as it is done with Thermage. We also use the Zimmer air cooler technology to maximise comfort.

It causes minimal to no downtime depending on individual and allows for immediate use of makeup and return to normal activities. Some redness akin to applying a light blusher may be visible.

The PIANO skin tightening laser uses the 1064nm ultra-long pulse, which is proven safe for all skin types.

Sunblock is essential after laser. Depending on your condition or skin type, we may recommend that you use different proprietary post-care creams as well for optimal results. This is not compulsory but ensures a tailored treatment.

A study was recently done showing the superior lifting and anti-wrinkle effects of this laser compared to the popular Thermage treatment. The link of this study can be found here. “Improvement judged by six blinded observers was greater for wrinkles and laxity (30% median) on the laser-treated side”.

Also, because no contact is required, unlike Thermage, it does not have any risk of causing skin burns from poor contact.

The collagen stimulation from this laser results in collagen that belongs to your own body – this can last as long as the other collagen fibres in your body.

The total cost may vary for each patient because this will depend on the severity of each patient’s condition and the area affected. Please bear in mind that we customize our approach for each patient, which means that the components of your combination treatment may not necessarily be the same as the next person’s treatment. We suggest that you come in for a personal consultation so that our doctors can thoroughly assess your condition and map out a specific treatment plan and its corresponding quotation.

Contact Us

Please drop us a call or send in a contact form and we’ll be happy to assist you.

13 Stamford Rd, #B2-35 Capitol Piazza, Singapore 178905
+65 6283 3885

We’ll love to hear from you.