The Venus Viva is an advanced, non-surgical, FDA cleared NanoFractional Radio Frequency device for skin resurfacing that does cause a bit of discomfort during treatment; however, we provide our patients with a topical numbing cream prior to the procedure to minimize any pain. It is possible to have local anesthetic injections for more aggressive treatments, although generally our patients do well with only the topical solution. Even though the Venus Viva involves inserting tiny pins into the skin surface to safely administer the treatment, I have found that it is more comfortable than laser and chemical peels, and the results are smoother, naturally healthy looking skin.