Vivace® RF
Microneedling
RF heat through fine needles — 24–48 hours of mild redness.
How Vivace Works
Vivace RF Microneedling pairs the collagen-stimulating effects of traditional microneedling with radiofrequency (RF) energy delivered directly into the deeper dermis through the same needles.
The RF heat causes controlled thermal injury below the surface, prompting your body to produce denser, more structured collagen and elastin. This dual mechanism — mechanical micro-channels plus thermal energy — produces measurable skin tightening that standard microneedling alone cannot achieve.
Vivace's precision robotic motor controls needle depth and speed, which reduces discomfort during the procedure. Downtime is typically 24–48 hours of mild redness.
What Vivace Does
Deeper Collagen Production
RF thermal energy reaches deeper tissue layers than standard microneedling, promoting denser collagen remodeling for measurably tighter, firmer skin over a series of treatments.
Scar & Texture Reduction
Targets pitted acne scars, fine lines, and enlarged pores through collagen remodeling at the dermal level — where topical products cannot reach.
Shorter Recovery
Vivace's robotic motor controls needle depth and speed precisely, resulting in less surface trauma than older RF devices. Most patients experience only mild redness for 24–48 hours.
Concerns Vivace Treats
As collagen and elastin degrade with age, skin loses its structural support — leading to sagging along the jawline, cheeks, and neck. Vivace's RF energy penetrates deeper than standard microneedling, generating controlled thermal injury that triggers dense, structured collagen formation. Over a series of treatments, this produces measurable tightening. For patients also concerned with dynamic wrinkles (forehead, crow's feet), combining Vivace with Botox or Dysport addresses both structural laxity and muscle-driven lines.
Pitted and rolling acne scars result from collagen loss in the dermis during the inflammatory healing process. Vivace breaks up fibrous scar tissue with needle penetration while delivering RF heat to stimulate new collagen production at the exact depth of the scarring. This dual action fills depressed scars from within. For active acne or post-inflammatory hyperpigmentation, your provider may recommend combining Vivace with chemical peels or medical-grade skincare to address both texture and discoloration.
Fine lines around the eyes, forehead, and mouth develop as the dermal collagen matrix thins. Vivace's RF energy stimulates new collagen and elastin fibers at deeper tissue levels than topical treatments can reach, gradually thickening the skin and smoothing surface creases. Results build progressively over 3–4 sessions. For deeper expression lines, combining Vivace with dermal fillers provides both structural volume and surface-level smoothing.
Pores appear larger when the surrounding collagen weakens and the pore walls lose structural support. Vivace's RF heat tightens the tissue around each pore, reducing their visible size. Needle penetration also helps break up surface congestion. Between Vivace sessions, a HydraFacial keeps pores clear and hydrated, extending the refinement effects of each RF treatment.
The neck and décolletage have thinner skin with less collagen density than the face, making them especially prone to crepiness, horizontal lines, and textural aging. Vivace is effective in these areas because the RF energy reaches the deeper dermis where structural support is needed most, while the robotic motor adjusts needle depth for the thinner tissue. For patients with surface-level pigmentation on the chest, adding BBL Photofacial targets sun spots at a different tissue layer.
Jowling occurs when the skin and soft tissue along the jawline loses collagen support and begins to descend. RF microneedling delivers targeted thermal energy along the mandibular border and lower cheeks, stimulating dense collagen that tightens and lifts the tissue non-surgically. While Vivace produces gradual, cumulative improvement, it is not a substitute for surgical intervention in cases of significant laxity. Your provider will assess during consultation whether Vivace alone is appropriate or whether a combination approach is recommended.
What to Expect
After Your Treatment
Avoid direct sun exposure and apply SPF 30+ daily. Do not use retinoids, exfoliants, or active ingredients for 5–7 days. Avoid strenuous exercise, saunas, and hot showers for 48 hours. Keep the skin hydrated with a gentle, fragrance-free moisturizer. Do not touch or pick at the treated area. See our full post-care instructions for detailed guidance.
Vivace Options
Vivace RF is available for the face, neck, and chest. Your provider will recommend the right coverage level based on your skin and goals.
Face
Face & Neck
Face, Neck & Chest
Who Performs This Treatment
Lauren Siso
Jaycee Zotti
Christian Carter
How Many Sessions & How Often
Your provider will recommend the exact number and spacing based on your skin condition, concerns, and goals. For patients also addressing tone and pigmentation, Vivace pairs well with BBL Photofacial and MOXI Laser for a comprehensive, multi-layer approach.
Vivace RF vs. Standard Microneedling
Both treatments use fine needles to stimulate collagen, but they differ in depth of tissue remodeling, tightening capability, and the types of concerns they address most effectively.
Standard microneedling is an effective treatment for texture and tone. Vivace RF adds thermal energy for patients who need measurable tightening, deeper scar remodeling, or structural firming that mechanical microneedling alone cannot achieve. Schedule a consultation to determine which approach is right for your skin.
Vivace Reviews
"Have had 3 Vivace treatments. The procedure is tolerable with numbing. Downtime is minimal — slight redness for a day. My skin is smoother, and it feels noticeably firmer."
"Vivace has made a real difference for my pitted scars and dark spots. I'm covering them up less and feel much more confident. Glad I did this."
"I needed help with tightening my lower face and jowls. Minimal downtime, and my skin is looking and feeling firmer. The results have been worth it."
"I've had three Vivace sessions and the results are consistent. It works well on texture, fine lines around my eyes, and forehead wrinkles."
"After one Vivace session, I already saw a difference. It was comfortable, no real downtime, and it even seemed to extend the life of my Dysport."
"Vivace RF produced clear results for my large pores and crepey neck skin. Minimal downtime and I can see a real improvement."
"I was considering a neck lift but decided on Vivace first — glad I did. The downtime was minimal, pain was tolerable, and the results are noticeable."
"My face and neck feel tight and the texture has improved. Little to no downtime. My husband noticed how much better my skin looked."
"The session was comfortable with minimal discomfort after numbing. My forehead wrinkles have softened and my skin looks smoother overall."
"The appointment was smooth, and the staff was knowledgeable and professional. The numbing cream did its job, and I'm looking forward to my next session."
Common
Questions
What to know before booking Vivace RF Microneedling at ELLEMES.
RF Microneedling combines microneedling with radiofrequency (RF) energy. Fine needles create controlled micro-injuries while RF heat penetrates deeper tissue layers, stimulating collagen and elastin production for tighter, firmer skin.
Standard microneedling stimulates collagen through physical micro-injuries alone. Vivace adds focused RF thermal energy, which further tightens skin, shrinks pores, and enhances deep collagen remodeling. Its robotic motor also controls needle depth and speed for a more comfortable experience.
Most patients benefit from a series of 3–4 treatments spaced about 4 weeks apart. The exact frequency depends on your skin condition and goals — your provider will recommend a plan during consultation.
Yes. RF Microneedling is well-suited for improving pitted acne scars, tightening mild to moderate jowls, and smoothing deep wrinkles by stimulating denser collagen production at the dermal level.
The treatment itself typically lasts 30–60 minutes depending on the areas covered. An additional 30–45 minutes is scheduled beforehand for medical-grade numbing to ensure comfort.
With topical numbing applied beforehand, most patients report little to no discomfort. Post-treatment, you may experience mild redness or swelling that typically subsides within 24–48 hours.
Unlike traditional resurfacing lasers that can cause hyperpigmentation in darker skin, Vivace delivers RF energy below the skin's surface. This makes it a suitable option for a wide range of skin tones and types.
When You're Ready
Schedule a consultation and we'll recommend the right treatment based on your skin, your concerns, and your timeline.
Book a Consultation