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The  Vivace  Fractional  Microneedling  device combines  the benefits of  microneedling with  the skin tightening effects of radiofrequency (RF) and LED light therapy. This trifecta of skin rejuvenation promotes skin tone, texture and firmness. The  Vivace restores all skin types more precisely and thoroughly. The 36-gold tipped needles are robotically controlled minimizing discomfort, eliminating downtime and creating an ideal skin canvas to administer post-treatment serums.


The Vivace is effective for diminishing wrinkles, eliminating acne scars and stretchmarks and skin tightening. While results are often immediate, there is an improvement over a three-month period as the process of collagen regeneration increases overtime. We recommend that patients undergo at least three treatments for optimal results.

Our Team


Dr. Cesar Velilla is the medical director and founder of Evolution MD, a center for plastic surgery. Dr. Velilla has over 15 years of experience in all areas of aesthetics. He is certified in Botox, Restylane, Perlane, Cosmelan, laser hair removal, laser treatments, among many others.