Vivace® Direct – May 7th

Vivace® Direct – May 7, 2020

Passes and Overlap. Why it matters! The Vivace® Microneedle RF system is a safe and effective choice of treatment for skin rejuvenation, skin tightening, fine lines, and wrinkles on the face.  Last week, we discussed the benefits of the 3D Precision Approach, a layered technique of delivering RF energy deep into the dermis, which creates multiple depth coagulation zones. To achieve optimum results, multiple passes at different depths is recommended.  

This week we focus on defining a pass, number off passes to consider and discuss how to achieve proper overlap technique.

When discussing a pass, it is important to treat the entire face with each pass. After the entire face is treated, repeat the process for each subsequent pass.

Figure (A) demonstrates a pass without overlap technique and can be a good starting point for a novice user. Once a starting point is selected, each subsequent pulse lines up to the boarder of the next treatment pulse, regardless of direction. One full treatment of the face is equal to one pass. Up to six passes with no overpass is sufficient, but very timely.

Figure (B) demonstrates the recommended technique of overlapping pulses by 50%, regardless of direction. A fifty percent overlap ensures uniform treatment area coverage and fills any gaps between coagulation zones. This technique is recommended for at least the first pass.  In addition, it allows for a faster treatment times with more passes, which also equates to faster patient turnaround times. ONE pass with 50% overlap equals TWO passes without overlap. Two to three passes with 50% overlap is equivalent to four to six passes with no overlap.


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: Vivace® Direct is not intended to be a substitute for professional medical advice, diagnosis, or treatment. RF levels, pulse duration, and passes should all be adjusted based off patient skin type, pass considerations patient comfort and physician discretion. 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.