When using Vivace for antiaging what needle size would you recommend?

Hi and thank you for your question!! Each microneedling procedure /treatment is a little different. Vivace is needling with radiofrequency and it delivers the needling in a more consistent and controlled pattern than some other devices. This is usually & less often visibly traumatic to the superficial tissue. Also, because it is delivery radiofrequency energy during each pulse, this in itself will minimize some of the bleeding. We use 1-1.2 mm on the upper facial areas, around the eyes and forehead. We use 1.5-3 mm in the other areas and the neck. Vivace is a great treatment for overall rejuvenation, brightening, texture and some tightening! Best, Dr. Grant Stevens

Seeing bleeding with either the Vivace or other microneedling devices is not an indication of how effective the treatment is. I have found that any instances of pinpoint bleeding from Vivace treatments in my patients has been minimal. The Vivace has options for needle depth that range from 0.5mm – 3.5mm. Depending on the area being treated, different needle depths are recommended. For example, on a more bony area like the forehead, a more shallow needle depth would be recommended than on an area like the cheek. This care in choosing precise needle depth and customizing it for each patient is one of the reasons I strongly discourage the use of at-home dermarollers or microneedling devices. In my opinion, these treatments are best performed by trained professionals to achieve optimal patient outcomes and ensure patient safety.