Should one try microneedling or Vivace before or after dermal fillers, or does it matter? Can the one neg affect the other?

fillers can be done at the same time or different times then MNRF like vivace. I dont like that device much I find that morpheus/fractora are better especially when combined with lasers like halo or clear and brilliant.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Hello, I would recommend doing a series of vivace treatments first. Since vivace does stimulate collagen in the skin you may end up needing less filler down the road.