Laser education center since 2008 · Zagreb & Daruvar
4D Laser Tightening of the Face, Neck and Décolletage in Croatia
A jawline that has slipped and skin that has lost its firmness are treated with creams for years, while fear of surgery postpones every next step. At the Maletić Polyclinic we have worked with lasers since 2008 — the year we also became a world education center for laser procedures — so at the examination we will tell you what 4D laser tightening can achieve in your case, and what it cannot.
Hardly anyone comes in because they spotted a new wrinkle that morning. For years it gets postponed with creams and the hope it will pass on its own — and when the moment comes for something more serious, many stop halfway, afraid of the scalpel and wary of devices. That is why the first step with us is not a treatment. The first step is an examination, where you will hear whether 4D laser tightening is the right choice in your case.
Is this for me?
What 4D laser tightening of the face, neck and décolletage is
4D laser tightening is a non-invasive treatment that works through the full thickness of the skin, performed with two medical lasers of different wavelengths, Er:YAG and Nd:YAG. The name “4D” comes from the four steps performed in a single session, each targeting a different level — from the deepest layers to the very surface. Unlike ablative laser treatments, here the skin stays intact, so there is no peeling and no dressings.
The first step is performed from inside the oral cavity, on the inner side of the face, and this is what sets the protocol apart from other laser treatments. It sounds unusual when you first hear it, and almost everyone asks about it, but it is a key part of the protocol. The other three steps are performed from the outside, over the skin of the face, neck, and décolletage.
The goal is for the skin to regain part of the firmness it has lost. In practice, that means a clearer contour, shallower-looking wrinkles, and a more even texture — within the limits of your face.
Who the treatment suits, and who it does not
The treatment makes sense if the laxity is mild to moderate and if the main problem is the quality and tension of the skin. It is most often chosen by people who notice that their jawline has blurred, that the skin of their neck and décolletage looks thinner and slacker, or that photographs keep catching them with a tired expression.
Increasingly, we also see people whose face has slackened after faster weight loss, because the skin could not keep up with the change in volume. That is a real and increasingly common situation, not a rarity no one talks about.
The treatment is not the right choice if the laxity is advanced and there is genuine excess skin. We write about that in more detail further down the page, together with what is worth considering in that situation.
How it is performed
What the treatment looks like, step by step
The treatment takes between 45 and 60 minutes and is performed in a single session, without anesthesia and without preparation that would require you to interrupt or postpone anything. Afterwards you go home and return to your obligations the same day.
- Duration
- 45–60 minutes
- Anesthesia
- not needed
- Number of treatments
- 3 treatments one month apart, followed by maintenance once a year.
- Performed by
- Ines Maletić, MD
The four steps follow one another, and each has its own task:
- From inside the oral cavity, using the non-ablative mode of the Er:YAG laser, the contraction of existing collagen and the formation of new collagen are stimulated. This is also where the nasolabial folds are addressed — from the inner side of the face.
- The Nd:YAG laser works on deeper irregularities in the skin, with the goal of better tone.
- Heating through the skin down to the subcutaneous tissue achieves an additional tightening effect.
- A final pass with the Er:YAG laser works on the very surface and behaves like a very gentle peel.
The hand performing the technique decides the result just as much. The Maletić Polyclinic has worked with lasers since 2008, the year it also became a world education center for laser procedures in cooperation with the Fotona Laser & Health Academy. This means physicians from the United Kingdom, Italy, the United States, Canada, Brazil, Turkey, Israel, Russia and other countries come to Zagreb and Daruvar to learn these methods, and in Daruvar we have a training hall from which procedures are broadcast live. At the clinic we work exclusively with Fotona lasers — devices from the same manufacturer we train on.
Why part of the treatment is performed from inside the mouth
Because it is the shortest route to the deeper layers of the skin. The lining of the oral cavity is thinner than facial skin, so the heat reaches the layer where collagen is produced more easily, without passing through the surface. Studies that compared the same mode of work from the inside and from the outside showed the internal approach to be more effective, with a thickening of the subcutaneous layer that the external approach does not achieve to the same degree.
For you it looks simple: for a short while, the work is done from the inner side of the cheek, with a feeling of warmth. There are no needles and no cutting.
What you feel during the treatment
During the treatment you may feel warmth and mild tingling as the laser passes over the skin. Sensations vary from person to person, so we will not promise that the treatment is completely painless. Anesthesia is not needed, and the warmth and tingling stop immediately after the treatment ends. If you feel uncomfortable at any point, please tell us — we can slow down and adjust the treatment to how you feel.
The technology behind the result
The lasers we use
At the Maletić Polyclinic we work exclusively with lasers made by Fotona — a cooperation that dates back to 2008, when we also became its education center. The device, however, is only one part, because the outcome of a procedure is decided by the knowledge with which it is applied.
Physicians from the United States, Canada, Australia, Dubai, Russia, Israel, Turkey and other parts of the world come to our polyclinic to learn about laser procedures and see how we work. Daruvar is home to a training hall with live broadcasts of procedures from the operating room, so learning happens on real clinical cases.
Our physicians — Ines Maletić, Duško Maletić, MD, MSc, and Mario Bartol — regularly take part in Fotona’s international meetings, which bring together experts in laser medicine. What they learn there, we apply in our work with patients.
We perform the 4D protocol with two medical lasers, Er:YAG and Nd:YAG, which act on different depths of the skin in four steps.
- Education center since 2008
- Fotona Laser & Health Academy
- Live broadcasts from the operating room
Why us
Why choose us for 4D laser tightening
A world education center for laser procedures since 2008
physicians from all over the world come to watch how we perform laser treatments
Fotona Laser & Health Academy
we cooperate with the laser manufacturer’s academy, and our physicians are its Expert Clinical Lecturers
Live broadcasts from the operating room
in Daruvar we have a training hall where course participants follow procedures in real time
Exclusively Fotona lasers
at the clinic we work only with Fotona devices — the same ones we use to train physicians from abroad
Two medical lasers, Er:YAG and Nd:YAG
we perform the 4D protocol with two wavelengths, not a single all-purpose device
A family polyclinic since 1998
two generations of physicians under the same roof, in Zagreb and Daruvar
Honesty before revenue
we will tell you when a treatment is not needed or when it will not give you what you expect
The same team from consultation to last treatment
with us, you are not passed from person to person between appointments
Honest about the limits
What you can realistically expect, and what you cannot
This is the part missing from most pages, so we write it without embellishment.
Part of the effect is visible immediately, because the existing collagen contracts under the effect of heat. That impression partly recedes in the first days — an expected course, not a sign that the treatment failed. The real result builds gradually over the following weeks, as the skin produces new collagen. That is why we do not assess the result the next day, but at the follow-up.
The result is not permanent, because the skin keeps aging after the treatment, so the treatment is repeated over time for maintenance. We will not quote a number of years the result lasts because its duration differs from person to person. The rounded figures often quoted online are usually only estimates and guesses.
It is also useful to know how the results of this kind of treatment are monitored. Changes in facial contour after the two-wavelength protocol were objectively assessed at different points in time — one week, one month, and three and six months after the last treatment. The reason is simple: the change does not happen overnight but develops gradually over time.
The professional literature on non-ablative lasers describes the results as gradual and subtle, and those are the expectations we want to set too. We are not talking about a dramatic transformation, but about a change that may become noticeable over time in the contour and appearance of the skin.
The treatment does not change the natural shape of your face or stop the aging process. The aim is a subtle, natural change that develops gradually and remains in harmony with your appearance.
Laser treatment is not a substitute for a surgical facelift, and it matters to us to be honest about what it can achieve. If we assess that the skin laxity is more pronounced and the laser will not deliver the change you expect, we will tell you before starting treatment. We would rather tell you honestly when this treatment is not the right choice than recommend something that will not give you the result you are hoping for.
When a laser will not replace surgery
A non-ablative laser acts on the quality and tension of the skin, but it does not remove excess skin and does not lift the deeper structures of the face. Laser treatment gives a general impression of firmness, while advanced laxity of the facial skin is addressed with surgery.
If at the examination we assess that the skin laxity is more pronounced, that the facial contour has lost considerable definition, or that there is excess tissue, we will openly tell you that laser treatment is unlikely to give you the result you expect. In such cases we can discuss other options, including a surgical facelift, or simply conclude that nothing needs to be done for now.
Not every examination has to end with a treatment booking. What matters to us is that you leave the consultation with a realistic understanding of your options and make a decision that is right for you.
Sometimes the answer runs the other way: if the main problem is texture, scars, or surface changes rather than laxity, a different treatment is more appropriate and we will point you to laser skin rejuvenation.
When the treatment should be postponed
A few situations call for moving the appointment, not forcing it:
- Tanned skin. A laser is not applied to skin with activated pigment, because the risk of pigmentation changes increases, so we schedule the appointment once the pigment has settled.
- A sun holiday coming up. If you are heading to the seaside in two weeks, we will move the treatment to after your return.
- Isotretinoin within the last year. Tell us if you have taken it, because it affects how the skin reacts.
- An autoimmune disease, weakened immunity, or an active infection.
- A tendency to cold sores Because part of the treatment is performed inside the mouth, it is important to tell us if you are prone to cold sores. If you have an active cold sore, treatment is postponed until it has completely cleared.
- A skin lesion in the treatment area that first needs to be examined.
Most of this does not mean a ban — just a different plan and a different date.
After the treatment
Recovery and care after the treatment
No downtime is needed, and you return to your usual obligations the same day. After the treatment, mild redness and a feeling of warmth are possible, which as a rule subside within a few hours. With more sensitive skin the redness can last somewhat longer.
What really matters in the days after the treatment comes down to two things: sun protection and patience. Use protection consistently, not just when it is sunny, because after a laser treatment the skin is more sensitive to ultraviolet radiation and that is when the risk of unwanted pigmentation is highest. You will receive written care instructions before you leave, so there is nothing you need to memorize.
Who we are
Who performs the treatment at the Maletić Polyclinic
The treatment is performed by Ines Maletić, MD, co-founder of the Polyclinic and one of the two physicians who opened it in Daruvar in 1998. Alongside her specialization in anesthesiology and reanimatology and further training in the Czech Republic and Austria, she is an Expert Clinical Lecturer at the Laser & Health Academy — a physician who not only performs laser methods but teaches them to colleagues from abroad.
Patients notice that difference in the treatment room, because the treatment is performed by a physician who has worked with lasers since the Laser Center began.
Our long-standing patient, Josipa Lisac, one of Croatia’s best-known singers, publicly shared her experience with this treatment:
“I would especially single out Ines Maletić, whose expertise and empathy are truly special. From the very beginning she filled me with confidence.” — Josipa Lisac, public post, October 2024
Alongside the physician, the same team of nurses follows you through the treatment, from the examination to the last appointment. You will not be explaining your story from scratch every time you come.
Meet the whole team
Watch
See what it looks like
4D laser tightening of the face, neck and décolletage at the Maletić Polyclinic
Price
The price of 4D laser tightening
Prices for a single treatment and a package of three treatments are listed in the table below. In the price list the treatment is listed under the name “4D laser rejuvenation of the face, neck and décolletage”, which is the same treatment described on this page.
The treatment is performed without anesthesia, so there is no anesthesia surcharge of the kind that applies to surgical procedures. The full price list is available on the prices page, and you will find all the other laser treatments in the Laser Center.
For an examination and a conversation, reach us through the contact page — Zagreb or Daruvar, whichever suits you.
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4D laser rejuvenation of the face, neck and décolletage – 1 treatment
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4D laser rejuvenation of the face, neck and décolletage – package of 3 treatments
Patient reviews
What our patients say
Reviews taken from our Google Business profiles, Zagreb and Daruvar, translated from Croatian.
★★★★★
“Blepharoplasty, 4D laser and double chin. Perfect. Highly recommended!”
★★★★★
“Laser acne treatment is the only treatment that has helped me, and I would not choose any other facial treatment over it. Dr. Ines is one of the kindest people I have ever met and always has useful advice. Kind staff and excellent service — I warmly recommend it to everyone!”
★★★★★
“The best team of physicians, exceptionally professional and kind. I have been loyal to the Maletić Polyclinic for more than 10 years and I am always satisfied with the results. Thank you.”
★★★★★
“I came to Dr. Maletić with a big problem and a lot of stress. I was met with such warm empathy and kindness, and patience in answering all my questions. Thank you, Dr. Maletić, for your advice and sincere support. I know I can always turn to her for advice, and that means a lot to me. The staff of the Zagreb polyclinic are also very accommodating and kind. My thanks to them as well.”
★★★★★
“I can only recommend Dr. Maletić’s practice, both in Daruvar and in Zagreb — and I have had several procedures there — because I felt very comfortable and in expert hands!”
★★★★★
“I come from the United Kingdom and I had an extremely positive experience here. From the moment I arrived I felt welcome and cared for, the team is incredible, and the doctor is outstanding! They offer a wide range of treatments, and mine went perfectly and without any problems. If I ever need another treatment in the future, I would definitely choose them again. I absolutely recommend them!”
★★★★★
“My experience at the Maletić Polyclinic in Daruvar was extremely positive. From the very beginning I was impressed by the professionalism and kindness of the entire staff. The physicians took the time to inform me in detail about all the procedures, which gave me a sense of security and trust. The whole team was exceptionally professional and attentive, and the result exceeded all my expectations. I would certainly recommend the Maletić Polyclinic to anyone looking for quality, personalized healthcare.”
★★★★★
“Greetings from Makarska! I have no words for all of you that would not be in superlatives. From the welcome itself and my fear before the operation, the nurses guided me so nicely through everything I had to go through before the procedure — and I must emphasize, with a huge smile on their faces. Since I had not slept for several days beforehand from excitement and some inner restlessness, it is incredible with how much humor all the nurses, and the doctor herself, kept steering my thoughts elsewhere just so I would not be focused on the operation. A big thank you to everyone, and I was especially touched by the nurse who kept me entertained during the procedure and nearly moved me to tears with her humor. My greetings to the whole team and the physician of the Maletić Polyclinic in Daruvar. All the best to everyone!”
★★★★★
“The Maletić Polyclinic deserves all praise! The team is exceptionally professional, knowledgeable, and kind. The whole procedure was explained to me in detail, and the result is excellent. The atmosphere at the polyclinic is pleasant, and the approach to patients warm and approachable. I recommend it to anyone looking for top-quality service.”
★★★★★
“An exceptionally professional, pleasant, and skilled team who know and love their work. It is good to be in the hands of some of the greatest experts in their field, who provide the kind of service I would wish for and recommend to anyone.”
Questions and answers
Frequently asked questions
Does 4D laser tightening hurt?
The treatment is performed without anesthesia and most people describe it as comfortable, with a feeling of warmth and mild tingling as the laser passes over the skin. We will not promise you that you feel nothing, because that would not be true — but the sensation is mild and stops as soon as the treatment ends. If you are sensitive to heat, tell us right away and we will adjust the pace.
How many treatments are needed, and when are results visible?
With us, the protocol usually consists of three treatments at agreed intervals, and the exact schedule is set according to the condition of your skin. Part of the effect is visible immediately after the first treatment, because the existing collagen contracts under the effect of heat. The rest builds gradually over the following weeks, as the skin produces new collagen, so a true impression of the result forms only after several weeks.
How long do the results last?
The result is not permanent, because the skin keeps aging after the treatment. How long it lasts depends on your age, genetics, sun exposure, and habits, so we will not quote a number of years that would sound convincing but would not hold true for everyone. Most people repeat the treatment over time for maintenance, and at the follow-up we will tell you when that makes sense.
Can a 4D laser replace a facelift?
No — and that is the most important sentence on this page. The laser acts on the quality and tension of the skin, but it does not remove excess skin and does not lift the deeper structures of the face. With mild to moderate laxity the result can be very satisfying, while with advanced laxity a laser cannot deliver what surgery can. If we judge that you are in the second group, we will tell you so at the examination.
Can the treatment be done in summer?
In principle, the treatment can also be performed during summer, provided you strictly avoid sun exposure for one month afterward and consistently protect your skin. If you are planning a holiday, a trip to the seaside, or a longer period in the sun, we recommend postponing treatment until you can give your skin the protection it needs. This reduces the risk of unwanted pigmentation changes and provides the best conditions for skin recovery.
Why is part of the treatment performed through the mouth?
Because that route reaches the deeper layers of the skin more directly than from the outside of the face. The lining of the oral cavity is thinner than skin, so the heat reaches the level where collagen is produced more easily, especially in the area of the nasolabial folds. This part of the treatment is performed with a special non-ablative mode and does not damage the mucosa.
Who should not have this treatment?
We postpone the treatment if the skin is tanned or if you are planning sun exposure soon. Caution is also needed if you have taken isotretinoin within the last year, if you have an autoimmune disease or weakened immunity, an active infection or a skin lesion in the treatment area, or if you are prone to cold sores. Tell us all of this at the examination, because part of it does not mean a ban — just a different plan.