Concerns Treated
Addresses skin laxity and sagging, pitted acne scars, fine lines and wrinkles, enlarged pores, crepey neck and chest, and mild-to-moderate jowls. Vivace is best for patients who want measurable tightening and deep collagen remodeling — for significant laxity, it produces gradual improvement but is not a substitute for surgery.
Ideal Candidate
Best for patients with mild-to-moderate skin laxity, acne scarring, enlarged pores, or fine lines who want measurable tightening with minimal downtime. Because Vivace delivers RF energy below the skin’s surface, it is suitable for a wide range of skin tones, including darker skin that carries more risk with traditional resurfacing lasers. Not recommended during pregnancy, with active skin infections in the treatment area, or for patients with a pacemaker or other implanted electrical device. Your provider will confirm candidacy at consultation.
Vivace RF vs. Standard
Standard microneedling stimulates collagen through physical micro-injuries alone — effective for texture and tone. Vivace adds focused RF thermal energy delivered into the deeper dermis through the needles, which further tightens skin, shrinks pores, and enhances collagen remodeling. Its robotic motor also controls needle depth and speed for a more comfortable, precise treatment.
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
Vivace works at the dermal level to tighten skin and rebuild collagen. Here’s what it addresses and how it works for each concern.
Skin Laxity & Sagging
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, combining Vivace with Botox or Dysport addresses both structural laxity and muscle-driven lines.
Acne Scars & Pitting
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 to address both texture and discoloration.
Fine Lines & Wrinkles
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.
Enlarged Pores
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.
Crepey Neck & Chest
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.
Jowls & Lower Face
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.
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.
What to Expect
A Vivace appointment runs 60–90 minutes including numbing time. Most patients return to normal activity the next day.
Consultation & Assessment
Your provider evaluates your skin type, laxity, scarring depth, and aesthetic goals. Based on this analysis, they determine the appropriate needle depth, RF intensity, and number of passes — and recommend how many sessions you’ll need.
Numbing & Preparation
A medical-grade topical numbing cream is applied to the treatment area and left on for 30–45 minutes. The skin is then thoroughly cleansed. Vivace’s robotic motor is calibrated to the settings your provider selected during assessment.
RF Microneedling Treatment
The Vivace handpiece delivers fine needles into the skin while simultaneously emitting RF energy at the tip of each needle. Your provider works methodically across the treatment area, adjusting depth as needed for different facial zones. Most patients describe the sensation as light pressure with mild warmth.
Post-Treatment Soothing
A calming serum is applied immediately after treatment to hydrate and soothe the skin. Your provider reviews aftercare instructions, including which products to use and avoid during the healing period.
Recovery & Results
Mild redness and slight swelling are normal for 24–48 hours. Makeup can typically be applied after 24 hours. Skin begins to feel tighter within the first week, but the full collagen remodeling response develops over 4–8 weeks as new fibers mature and strengthen.
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
RF energy delivered through microneedles across the full face to stimulate collagen, reduce fine lines, and refine skin texture. Sessions take approximately 60–90 minutes including numbing.
- Full-face RF microneedling
- Collagen stimulation
- Fine lines & texture
- Pore refinement
Face & Neck
Extends the treatment to the neck, where skin thins and loses elasticity at a similar rate to the face. Produces consistent tightening and texture correction across both areas.
- Full face plus neck
- Consistent tightening
- Treats below the jawline
- Single-session coverage
Face, Neck & Chest
Full upper-body coverage for patients with laxity and sun damage extending to the décolletage. Addresses the face, neck, and chest in a single session.
- Face, neck & chest
- Treats décolletage laxity
- Uniform collagen remodeling
- Complete upper-body coverage
Multi-session packages available
- ✓ Package of 3 — save 10% on the standard per-session price
- ✓ Package of 5 — save 15% on the standard per-session price
- ✓ Most patients need 3–4 sessions; collagen remodeling is cumulative across the series
Your provider will recommend the right coverage area and number of sessions based on your skin condition and goals at consultation.
Who Performs This Treatment
How Many Sessions & How Often
A single session produces visible improvement in skin texture and early tightening within 2–4 weeks as the initial collagen response begins. Often chosen to assess how the skin responds before committing to a full series.
For significant tightening, scar reduction, or pore refinement, 3–4 sessions spaced 4–6 weeks apart allow cumulative collagen remodeling. Each session builds on the previous one for progressively denser, firmer skin.
After completing your initial series, annual or biannual maintenance sessions preserve collagen density and skin firmness. Your provider adjusts settings based on how your skin has responded over time.
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 Questions
What to know before booking Vivace RF Microneedling at ELLEMES Medical Spa in Atlanta.
What is RF Microneedling and how does it work?
What makes Vivace different from standard microneedling?
How often should I get it for best results?
Can it help with acne scars or jowls?
How long does a session take?
Is there any downtime or pain?
Is it safe for sensitive or darker skin tones?
Real Patients, Real Results
Verified Google reviews from ELLEMES patients who chose us for Vivace RF Microneedling.
“Had Vivace RF Microneedling done with Jaycee today, she was very informative and explained everything really well. The process was easy and painless. Can’t wait to see my results!”
“Their team and work are exceptional, they make you feel comfortable, and best of all, you are satisfied with the results. I had my second Moxi laser session, and I am 100% satisfied with the results. I also did RF microneedling and am awaiting the results for that. The work is excellent, highly recommended.”
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 →Or call (470) 222-6581