Vivace risk factors?

Question

I'm considering Vivace as a finishing treatment after other acne scar treatments (I've had decent results so far with TCA Cross and subcision). However, I'm concerned about the subset of reviews I read that report long lasting "holes," scarring and other awful side effects. However, other reviews are glowing. What factors could lead to a bad outcome - E.g. is it experience/technique of the doctor, skin type, or something else that could mean the difference between a good / bad result? Thanks!

Jason Emer, MD · Answer

Microneedling RF is very safe, factora is much better than Vivace. I suggest peels between your MNRF and proper skin care with roller at home. 
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we alreayd pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Tara Brown, MD · Answer

Hello - Vivace RF microneedling has an excellent safety profile. In the hands of a licensed physician you should have no adverse effects. Some patients may experience pink marks or tiny scabs for a week following the treatment, but depressions and scarring would be quite unusual. The Vivace is approved for all skin tones, so the difference is outcomes would most likely be due to provider. I hope this helps! - Dr. Brown

Susan Fox, DO, RPVI · Answer

Vivace is really safe and has virtually no downtime.  Certain factors like medications, skin care products being used, sun exposure, and skin type do need to be taken into consideration.  Make sure you go to an experienced provider and you should be just fine.

Vivace risk factors?

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Vivace risk factors?

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Recommended reading

Everything you need to know about Vivace

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