Vivace combines targeted microneedling with radiofrequency energy to stimulate and tighten the skin. The procedure begins with the application of a numbing cream. The Vivace handpiece is moved across the areas to be treated and 36 tiny needles penetrate the skin while RF energy is passed to the deeper levels of the dermis to form collagen production. When the handpiece is moved over bony areas, such as the cheekbones or forehead, a little bit of pressure is felt. After the Vivace treatment, a soothing serum and hydrating face mask ensure the skin is moisturized, hydrated and ready to heal.