I am interested in Vivace for skin tightening and minimizing pores; however, I am taking Xarelto. Is this a problem?

For general skin rejuvenation - including skin tightening, minimizing pores, and improving skin texture, Vivace is a very effective treatment. Taking a blood thinner like Xarelto would not preclude you from receiving Vivace treatments. There is a chance you may experience some pinpoint bleeding, perhaps slightly more than someone not on blood thinners, however this should not effect your treatment outcomes. Additionally, experienced Vivace providers should be able to properly adjust the device settings if this occurs during treatments. 

Hello! There is less pinpoint bleeding with Vivace, even at deeper treatment depths, compared to standard microneedling. The reason is the cauterizing effect of the RF. Therefore, even patients on blood thinners typically have great results with little downtime. The mask and serum we apply immediately after the treatment further help to cool and quiet the skin down. I hope this helps! - Dr. Brown

You are a candidate for Vivace even while you are taking Xarelto.  Vivace is much kinder of a treatment and has less downtime than many other treatments that have comparable results. In your situation, it is possible that you will have a bit more downtime including pinpoint bleeding.  I have actually seen my patients have less downtime with Microneedling Radiofrequency than with Microneedling. This is because the heat from Radiofrequency stops cauterizes all small vessel bleeding. This is quite advantageous in your case.  Make sure you get your treatment series is done with an experienced provider. 
Warmest regards,

Dr. Bonakdar