Dr. Kumar Shivdasani specializes in cosmetic, non-surgical treatments and strives to deliver world-class Non-surgical skin tightening in Vancouver, BC. Dr. Kumar Shivdasani can provide you with lasting skin rejuvenating treatments.

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Smooth Lifting™ PIANO® mode Advantages Blogger Corner Related Links

This innovative method for stimulating collagen production to lift and tighten features the ability to treat from both within the mouth and from outside. Thus stimulating full thickness collagen production and tightening. We use 2 different settings on the same platform laser.

Smooth Lifting™

A revolutionary non-ablative Er:YAG intra-oral treatment for controlled and gentle “bulk-heating” to stimulate collagen contraction. In addition to an immediate effect resulting in the shrinkage of collagen fibers, the initiation of new collagen generation occurs. The effects result in an overall improvement of tightness and elasticity in the treated tissue as well as a plumping effect to the nasolabial folds from the inside, much like a filler.

Tightening of Facial Skin Using Intraoral 2940 nm Er:YAG SMOOTH Mode

PIANO® mode

A unique, ultra-long Nd:YAG pulse mode for the third stage of Fotona 4D®. The laser causes bulk tissue heating safely and rapidly, from the outside in, by concentrating energy delivery subcutaneously. The PIANO® pulse is in the super extended seconds regime mode, with a brushing technique for completing the full-thickness bulk heating with an overall synergistic tightening effect.

Treatments are about 30 minutes each performed 2 – 3 weeks apart. Tightening and lifting will continue to improve for over subsequent weeks and months.

Best results will be see 3 – 4 months after last treatment.


  • No downtime
  • No pain
  • Just a pleasant, gentle warmth sensation during the treatment