Vivace Q & A

Vivace is the latest generation of microneedling treatment with radiofrequency energy. This revolutionary device is FDA-approved and designed for a comfortable patient experience. Using a ultra-precise, robotic motor and fine gold needles, Vivace combines microneedling with multi-level radiofrequency for comfortable, advanced microneedling treatment that stimulates and tightens the deeper layers of skin.

Before the procedure begins, a topical anesthetic is applied to the treatment area. The handheld, robotically driven device containing 36 small diameter needles is applied to the skin to create tiny micro-injuries deep in the dermis of the skin that stay open for up to 4 to 6 hours. At the same time, radiofrequency energy is delivered at 31 varying depths of penetration.

These micro-channels stimulate the body’s natural wound healing process to promote wound contraction and collagen and elastin production. As the micro-injuries stay open for longer with Vivace treatment than with traditional microneedling, the body has an opportunity to produce more collagen for better results. Radiofrequency energy helps stimulate and tighten the skin for exceptional outcomes.

At PPS, our FDA-approved ​ Vivace​ microneedling with radiofrequency dramatically improves treatment outcomes over earlier generation microneedling systems. This cutting-edge technology uses radiofrequency energy combined with microneedling to gently heat the area below the epidermis for impressive results and no downtime. The micro-channels in the skin created by the treatment stay open for several hours, encouraging the body to produce more collagen and elastin for better skin quality, firmness, texture, and vitality.

Topical anesthetic and advanced Vivace technology makes treatment comfortable for patients. Prior generations of RF devices were very painful and often required dental blocks and even IV sedation to make them tolerable to most patients! In addition, disposable tips used with the Vivace device do not time out as occurs with other systems, allowing for extra treatment in more stubborn areas. Vivace microneedling can be effectively used to treat both hypertrophic (raised) and atrophic (depressed) scars, as well as surgical scars, sagging skin, and stretch marks.

Vivace microneedling with radiofrequency is an exciting new treatment option for fine lines, wrinkles, scarring, texture, and other unsightly skin concerns. Benefits of Vivace treatment include:


  • Safe, comfortable treatment
  • Exceptional skin tightening results
  • Diminish scars, sagging skin, and stretch marks
  • Disposable tips don’t time out (allows for treatment of multiple areas with unlimited pulses in the same session)
  • Reduce pore size, skin oil secretions, and the occurrence of acne
  • Produce more uniform skin tone and texture
  • Minimal to no downtime after treatment – patients can return to normal activities almost immediately!

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Providence Plastic Surgery

Plastic and Reconstructive Surgery located in Charlotte, NC

Skin is the largest organ in the body and has a unique capacity for regeneration and repair. Sadly, with time, this capacity diminishes, leading to all the stigmata of aging including fine lines, wrinkles, looseness, etc. Like an old T-shirt, skin elasticity peters out and it starts to show. No one enjoys this process, and it is even more painful in the age of social media and selfies where our flaws are under a microscope. At PPS, we offer a broad spectrum of non-surgical skin rejuvenation treatments that now includes ​Vivace microneedling with radiofrequency! Vivace is a next gen, state-of-the-art, and FDA approved non-invasive skin rejuvenation technology that can treat a variety of age-related skin issues.


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