Concerned with indentations of skin 8 hours following Vivace fractional microneedle RF, was my treatment too aggressive? (Photo)

Question

Had Vivace fractional today.The RN stated use highest setting followed by 2 more passes of less intensity. She stated it was normal to feel this painful since she "was going deep/highest of settings." Despite a pain med & numbing cream-it was very painful! My concern is I remain red and swollen 8 hours post procedure and I have noticed indentations in my face specifically on side of cheeks and jowls as pictured above. Will this go away or is this damage from being too aggressive on laser depth?

Susan Fox, DO, RPVI · Answer

Since you had higher settings, you may have more bruising and welting post procedure.  We see this with some scabbing, swelling and inflammation post procedure for a few days to weeks.Following the procedure with PRP post procedure helps the inflammation and will improve the results.  I would consider this.  You should have great results in a few weeks.

Tara Brown, MD · Answer

Hello! Most likely the surface irregularities you are seeing are due to post op swelling. Interestingly, some patients experience this and some do not, regardless of the power settings. In my experience this side effect almost always resolves within 48 hours. If you have ongoing issues, I would recommend calling your provider. Most likely, you will have a fantastic result! I hope this helps! - Dr. Brown

Carrie Houssock, MD · Answer

Congrats on your treatment!  From your photo it seems you just have a bit of excess swelling post procedure.  Usually all redness, swelling, and marks from the procedure disappear within 24-48 hrs.  If you do not have this response,  I would suggest returning to the practitioner who performed the procedure.

Concerned with indentations of skin 8 hours following Vivace fractional microneedle RF, was my treatment too aggressive? (Photo)

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Concerned with indentations of skin 8 hours following Vivace fractional microneedle RF, was my treatment too aggressive? (Photo)

Answers (3)

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Everything you need to know about Vivace

Our mission is to create a world where every investment in modern beauty is Worth It.