Accent, Venus Viva, or Ultera for the younger ages lifting and Rejuvenation?

I have all the devices except accent.  Viva is different than the other treatments.  I often combine viva with legacy, thermage or ultherapy. I tell patients to get vivas a few times a year for texture, tone, scars, and pigment.  Thermage or ultherapy once a year for deep heating and legacy every 1-2 months for maintenance and antiaging.  These are all preventative long term treatments.  Best, Dr. Emer.

Venus Viva can improve skin wrinkles and surface texture. In my Los Angeles practice, I combine Venus Viva with Ultherapy or Exilis to rejuvenate the skin and underlying fascia. Best, Dr. KaramanoukianRealself100 Surgeon

Very few, if any, places are going to have all 3 of these technologies because they are similar in concept, so we can only base our answers on the technologies we have. Personally I have the Venus Viva, the Venus Freeze, and the Venus Legacy. I would not recommend the Viva for what you wish to achieve. The Freeze of the Legacy is what I'd recommend and the difference would be in if you have fat in any of the facial areas we would be treating. The Legacy has a suction component that is better for treating areas of fat. I have seen many presentations on Ulthera and have not chosen to bring it into my practice. Though it is effective, it is substantially painful. The Legacy and Freeze are so comfortable that many people fall asleep during the procedures (including me when I get them!) and even though it requires 6 weekly treatments, I've found the comfort level so great that's why I've not brought in other pieces of similar equipment.