Vivace® Direct – April 30th

Vivace Direct® – April 30, 2020

With a growing demand for Vivace® RF microneedling treatments, FDA cleared at the 1MHz, we are happy to announce the release of the new and updated Vivace® Suggested Treatment Training Guidelines. This customer centric tool is a helpful guide on how to provide the most safe and efficacious Vivace Experience® to date using advanced circuitry that delivers controlled RF energy at 1MHz through an insulated needle set.

This guide takes user experience, patient tolerability and a science-based approach to help Vivace® users customize and tailor a treatment plan can that produce optimum outcomes. The data shows, there is an evidenced variance of technique and methodology, not only seen from office to office, but also between Vivace® users. Understanding technique will maximize results.

Vivace® Direct is meant to be a resource for providers across the United States. Each week we will discuss the collective treatment techniques performed and offer clinical education and best practices to improve the Vivace Experience®.

“What is the 3D Precision Approach”?

The Vivace® RF microneedling system is a safe and effective choice of treatment for skin rejuvenation, skin tightening, fine lines and wrinkles on the face. In order to achieve  maximum results, through the optimal delivery of thermal damage, multiple passes at different depths is recommended. This is called the 3D Precision Approach. This is a layered approach of delivering RF energy deep into the dermis, which creates multiple depth coagulation zones.

In this technique, the first pass is the deepest and the power level is at the highest setting per patient tolerability (a power level of 6, and RF Time of 600ms is a good starting point, however patient skin type and comfort level must be considered). Users have the flexibility to adjust the power level or the RF time down to achieve patient comfort. For new patients or when settings are changed, a test spot is recommended.

After the first pass is completed, the needle depth is retracted by 0.2mm – 0.5mm with each subsequent pass. Initially, a good rule of thumb to follow is that in shallow treatment areas, you may toggle the needle back up to 0.2mm. In deeper treatment areas, you may toggle the needle back up to 0.5mm.

Example 1 If initial depth setting for specific area is 2.0mm for PASS 1, then decrease to 1.5mm during PASS 2, and decrease to 1.0mm during PASS 3
Example 2 If initial depth setting for specific area is 1.3mm during PASS 1, then decrease to 1.1mm during PASS 2, and decrease to 0.9mm during PASS 3

We’ll see you next week as we discuss more clinical education updates and useful treatment techniques. Feel free to send any question or comments to



Disclaimer: The Vivace® Microneedle RF Suggested Treatment Training Guidelines are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, medical director or qualified health provider with any questions you may have regarding a medical condition. All suggested treatment settings are for suggested use only.