Skin Laxity + Loss of Firmness

RF Microneedling by Vivace Ultra® delivers radiofrequency energy beneath the skin’s surface through precise microneedles, helping warm the deeper dermal layers where collagen remodeling begins. This helps contract existing collagen while stimulating new collagen and elastin production for skin that appears firmer, tighter, and more resilient over time.

Fine Lines + Wrinkles

By creating controlled micro-injuries and delivering RF energy into the dermis, Vivace Ultra® helps activate the skin’s natural repair response. This supports collagen and elastin renewal at a structural level, helping soften the look of fine lines and wrinkles while improving skin density, smoothness, and overall youthfulness.

Acne Scars + Scarring

RF Microneedling by Vivace Ultra® helps break up the appearance of scar tissue while encouraging healthy collagen remodeling beneath the skin. As new collagen forms, uneven texture and pitted acne scars may appear smoother, softer, and more refined.

Enlarged Pores + Irregular Texture

Vivace Ultra® helps improve the look of enlarged pores by tightening the surrounding skin and supporting more even collagen structure. The result is a visibly smoother, more polished surface with improved texture, tone, and refinement.

Crepey Skin on the Face, Neck + Body

By targeting the dermal layers where firmness and elasticity originate, RF Microneedling by Vivace Ultra® helps strengthen the appearance of thin, fragile, crepey skin. Over time, the treatment can improve visible skin thickness, elasticity, and bounce on delicate areas like the face and neck, as well as select areas of the body.

Stretch Marks

Stretch marks occur where the dermis has been disrupted. Vivace Ultra® helps stimulate collagen and elastin production within these areas, improving the look of texture, tone, and overall skin smoothness. With a series of treatments, stretch marks may appear softer, flatter, and more blended with the surrounding skin.

Why Vivace Ultra®

Vivace Ultra® pairs RF microneedling with ultrasound visualization, allowing treatment depth to be more precisely customized to the skin and treatment area. This advanced approach supports a more personalized experience for a wide range of skin tones and concerns, with little downtime and a focus on smoother, firmer, healthier-looking skin. Vivace Ultra® is described as combining ultrasound visualization with RF microneedling for precise, personalized treatment, while Vivace RF microneedling is positioned to support collagen production and improve the appearance of fine lines, wrinkles, tightening, and toning on the face, neck, hands, and body.

Once you arrive for RF Microneedling by Vivace Ultra®, you’ll begin with fresh, clean skin. Please remove any makeup, lotion, SPF, or skincare before treatment, or your clinician can help cleanse the skin when you arrive.

Your clinician will then apply a topical numbing cream to help keep the experience as comfortable as possible. The numbing process takes about 40 minutes.

Once your skin is fully numb, your clinician will begin the treatment using advanced ultrasound-guided technology to customize the depth and delivery of radiofrequency energy beneath the skin’s surface. This allows the treatment to precisely target the dermal layers where collagen remodeling, firming, and skin renewal begin.

The treatment itself takes about 30 minutes. During the experience, you may feel light pressure, warmth, or a quick stamping sensation as the microneedles create controlled microchannels and deliver RF energy into the skin.

All in, you can expect to spend about 70 minutes with us for a skin-firming, texture-refining treatment designed to support smoother, tighter, more rejuvenated-looking skin that continues to improve over time.

RF Microneedling by Vivace Ultra® combines two powerful skin-renewal technologies: microneedling and radiofrequency energy. Together, they create a controlled healing response beneath the skin’s surface, helping improve firmness, texture, fine lines, acne scars, enlarged pores, crepiness, and overall skin quality.

The treatment uses ultra-fine microneedles to create precise microchannels in the skin. These controlled micro-injuries activate the body’s natural repair process, encouraging the production of fresh collagen and elastin, the essential proteins responsible for smoother, firmer, more resilient-looking skin.

At the same time, radiofrequency energy is delivered deep into the dermis, where skin laxity, wrinkles, and textural changes begin. This gentle heat helps contract existing collagen fibers while stimulating new collagen remodeling over time, creating visible improvements in tightness, density, and elasticity.

What makes Vivace Ultra® especially advanced is its ultrasound-guided technology, which allows your clinician to visualize the skin’s layers and customize treatment depth with precision. This helps ensure energy is delivered exactly where it is needed, creating a more tailored treatment for your skin type, concern, and treatment area.

As your skin heals, you may notice a gradual improvement in tone, texture, firmness, and overall smoothness. Results continue to build as new collagen develops, leaving the skin looking tighter, more refined, and naturally rejuvenated.

Immediately after treatment, you can expect mild redness and a warm, sun-kissed sensation similar to a light sunburn. Some patients may experience slight swelling or pinpoint marks from the microneedling, which typically subside within 24–72 hours.

As your skin begins its natural renewal process, you may notice a subtle tightening effect early on, with continued improvements in firmness, texture, and tone developing over the following weeks.