First, our prescription custom compounded numbing cream is applied to completely numb the treatment area. We then begin by programming the Vivace to the optimal settings based upon each individual patient’s needs. Using Vivace’s unique insulated 36 gold plated needle tip and robotic mechanism the needles are inserted into the skin at various depths. We cover every area once in an up and down motion and then complete the treatment with a second pass of coverage in a checkered pattern. The result is an even and comprehensive treatment to address the entire area. Unlike alternative devices, our radiofrequency microneedling system has 31 settings that enable us to customize the treatment and achieve the highest level of precision.