Venus Viva is a fractioned RF skin resurfacing treatment. Many doctors, myself included, will combine Botox and filler treatment on the same day as an RF treatment. I do this with Thermage. I suspect Venus Viva is not much different but it all depends on the degree of swelling post procedure. If you have a lot of swelling from the Venus Viva then I would wait until it has gone down before getting the Botox treatment.