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Vivace Ultra: The Future of Radiofrequency Microneedling Is Here

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Discover the latest innovation in radiofrequency microneedling, featuring Vivace Ultra’s advanced ultrasound technology. 

When it comes to skin rejuvenation, microneedling has earned its place as a go-to treatment. Add in radiofrequency (RF) energy, and you’ve got a powerful, collagen-boosting duo that can visibly transform skin tone, texture, and firmness. Yes, radiofrequency microneedling is one of the most innovative skin rejuvenation treatments, but what if you could take those results one step further – with real-time imaging, precision targeting, and an even more personalized experience?

Enter: Vivace Ultra.

This next-generation skin treatment merges advanced microneedling and RF technology with ultrasound imaging for one of the most customizable and effective skin solutions on the market. Whether you’re already a fan of traditional Vivace or exploring skin treatments for the first time, Vivace Ultra offers a high-tech upgrade designed to treat your skin with the exact care it needs.

Let’s dive into how it works, what makes it different, and what kind of results you can expect with Houston-based Aesthetician, Mindy Goecke. 

What Is Vivace Ultra?

Vivace Ultra is the first RF microneedling system to combine radiofrequency energy, microneedling, and ultrasound imaging into one treatment platform. That means greater precision, enhanced customization, and better outcomes.

Radiofrequency microneedling already offers a powerhouse combo: tiny needles create controlled micro-injuries to stimulate collagen and elastin production, while RF energy delivers heat below the surface to tighten skin and improve texture. Vivace Ultra builds on this foundation by using ultrasound technology to visualize the skin’s structure in real time, so the provider can deliver energy exactly where it’s needed—no guesswork.

“The thing I like most about the Vivace Ultra is that the treatment is tailored to each individual based on their skin,” shares Goecke, “With the use of ultrasound imaging, we are able to see each client’s skin thickness to know exactly where to place the energy. This allows us to give more precise and better results.” 

This means:

  • More precise depth targeting
  • Tailored energy delivery based on your skin type and thickness
  • Optimized treatment plans for each individual

Whether you’re treating fine lines, acne scars, laxity, or enlarged pores, Vivace Ultra takes customization and comfort to the next level.

Vivace ultra radiofrequency microneedling DermaTouch RN Houston San Antonio blog

What Can Vivace Ultra Treat?

Vivace Ultra is designed to address a wide range of skin concerns for most skin types. It’s safe for use on the face, neck, and body, delivering impressive results without surgery and with little to no downtime.

Common concerns treated with Vivace Ultra include:

  • Fine lines and wrinkles
  • Uneven skin tone or texture
  • Acne and acne scars
  • Large or visible pores
  • Mild to moderate skin laxity
  • Crepey skin on the neck or décolleté
  • Stretch marks
  • Early signs of aging

It’s also a great option for clients who want to be proactive about maintaining youthful skin without invasive procedures.

Treatment Insights & Tips: Check out radiofrequency microneedling Before & After Photos to see the level of results achieved!

Vivace vs. Vivace Ultra: What’s the Difference?

If you’re already familiar with the original Vivace, you might be wondering: what’s so different about Vivace Ultra?

Both the legacy Vivace and Vivace Ultra use radiofrequency microneedling with proven results. Both treatments also come with minimal downtime and are ideal for all skin types. 

Goecke shares that the key differences between the legacy Vivace and the Vivace Ultra are: 

  • The Ultra comes with ultrasound imaging, so the provider can determine where the energy needs to be directed or placed. 
  • The Ultra offers different-sized treatment tips to treat the whole body or small, focused areas, such as the under eyes.
  • The Ultra has a better energy delivery system that makes the treatment more comfortable without jeopardizing the results, which also means less downtime.

Why the additional ultrasound technology matters: Vivace Ultra’s imaging technology takes the guesswork out of skin rejuvenation. Traditional RF microneedling relies on standardized settings based on skin type, tone, and thickness—but Vivace Ultra actually sees below the surface. This allows the provider to adjust depth and energy in real time, enhancing both safety and results.

In short, Vivace Ultra offers:

  • Smarter, faster treatments
  • Increased consistency
  • Improved results for challenging or sensitive areas (like under the eyes or around the mouth)

How Many Treatments Do You Need?

While some people see noticeable improvements after just one treatment, many clients benefit most from a series of 3 to 4 sessions spaced about 4 to 6 weeks apart. Your provider will work with you to develop a testament plan to meet your needs and desired results.

Because Vivace Ultra stimulates your body’s natural collagen production, results improve over time. You’ll likely start to see subtle skin tightening and smoothing within a few weeks, with more dramatic improvements unfolding over the next 3 to 6 months.

For long-term skin health and maintenance, annual or semi-annual touch-ups are recommended.

Who Is a Good Candidate for Vivace Ultra?

Vivace Ultra is safe for a broad range of skin types, tones, and ages. It’s especially ideal for:

  • Those noticing early signs of aging or skin laxity
  • Anyone dealing with acne scarring or uneven texture
  • People who want a preventive approach to aging
  • Clients who want minimal downtime and no surgery

It’s also a great fit for those who may not be ready for lasers or more invasive procedures, or for those looking to extend the results of other aesthetic treatments.

Is There Any Downtime?

One of the biggest perks of Vivace Ultra is the minimal downtime. Most people return to normal activities the same day or the next.

After treatment, you may experience:

  • Mild redness for a few hours
  • Slight warmth or tightness
  • Occasional pinpoint marks that fade quickly

Your provider will give you post-care instructions to maximize your results and minimize irritation. Most people say their skin feels tighter, smoother, and more radiant even just a few days post-treatment.

The Vivace Ultra Experience: What to Expect

While everyone’s experience may vary slightly, here’s what a typical Vivace Ultra appointment looks like:

Consultation & Skin Analysis
Using ultrasound imaging, your provider evaluates your skin depth and structure. This helps determine the exact settings needed for your unique skin composition – no cookie-cutter treatment plans here.

Microneedling + RF Delivery
Once your skin is prepped – which often includes numbing cream, the Vivace Ultra handpiece uses tiny, gold-tipped needles to create microchannels in the skin while delivering RF energy deep into the dermis. Because the energy is customized to your skin’s exact needs, results are optimized—and discomfort is minimal.

Post-Treatment Care
There’s little to no downtime. Most clients experience mild redness (like a sunburn) for a few hours. Post-procedure serums and a gentle skincare routine help soothe the skin and lock in results.

Final Thoughts: Is Vivace Ultra Worth It?

If you’re looking for a smarter, more advanced way to treat signs of aging, scarring, or uneven skin tone, Vivace Ultra is a powerful new option. It offers the best of radiofrequency microneedling technology with the added intelligence of real-time imaging—making your treatment more precise, more personalized, and ultimately more effective.

Whether you’re new to aesthetic treatments or looking to level up your results, Vivace Ultra brings the latest in science and skincare together in one beautifully efficient treatment.

Ready to learn more?


If you’re curious about what Vivace Ultra can do for your skin, schedule a consultation with one or our trained providers to get personalized recommendations based on your skin goals.

Book online with DermaTouch RN today!!

Mindy Goecke, Aesthetician

Aesthetician

Mindy is a Houston-based Aesthetician with over a decade of experience helping patients utilize the best skin care products and treatments to meet their skin care goals and needs. She is continually striving to provide the best care to her patients and educate them on skin care and treatments. She is continually learning, seeking and applying the best state-of-the-art treatments and latest trends, so she can apply what she learns to support clients in achieving their desired results for the short- and long-term. Learn more about Mindy and the team of professionals she works with.

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DermaTouch RN offers minimally invasive and non-invasive treatments for men and women in Houston, San Antonio, Spring and Cypress, as well as the surrounding areas of Texas. We are the largest aesthetic practice in the Houston area, and all of our medical spa treatments are performed by a team of nurse practitioners, registered nurses, and aestheticians who receive continuing education to remain abreast of emerging treatments that benefit our patients. We invite you to learn more about our office before your consultation.