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RF Microneedling · Fleming Island, FL

RF Microneedling with Vivace: needles plus radiofrequency

RF microneedling with the Vivace pairs controlled microneedles with radiofrequency heat, reaching further than needles alone for facial texture, pores, tone, acne scars, and early laxity. Delivered by a clinical provider in Fleming Island, with an honest picture of downtime and timeline.

See Your Results First

Written by the Well Labs+ editorial team · Last updated July 2026

Treatment Overview

What RF microneedling does

RF microneedling with the Vivace from Cartessa pairs controlled microneedles with radiofrequency heat. The needles create channels while the radiofrequency delivers gentle heat into the skin, and together they prompt more collagen remodeling than needles alone. As that collagen rebuilds over the following months, facial texture smooths, pores read more refined, tone evens, acne scars soften, and the earliest laxity firms.

Two distinctions matter here. This is not the same as classic, non-RF microneedling, which uses micro-channels with no heat. The Vivace adds radiofrequency and reaches further. And it is not Morpheus8: the Vivace works at a facial, superficial-to-mid depth for texture and tone, while Morpheus8 drives radiofrequency into the deeper subdermal layer for structural tightening and treats the body too. Which one suits you is a decision we make together, and we will tell you honestly which fits your goal.

Common Concerns

Where RF microneedling helps most

Radiofrequency microneedling does its clearest work on facial texture and tone at a superficial-to-mid depth. Each area is treated to the degree it needs, and the result develops gradually as new collagen forms.

Acne scars & textural scarring

Acne scarring and other textural scars that sit in the skin. Microneedles paired with radiofrequency heat prompt deeper collagen remodeling than needles alone, so the scarring softens and the surface smooths over a series.

Enlarged pores & rough texture

Enlarged pores and rough, uneven texture across the face. The combination of controlled channels and radiofrequency firms the surrounding skin, helping pores read tighter and the surface read smoother.

Early laxity & tone

The first signs of slackening and uneven tone on the face. The radiofrequency adds gentle heat that helps firm early laxity, going further than classic microneedling while staying at a facial, superficial-to-mid depth.

RF microneedling is often planned alongside other skin treatments for an integrated program, which your provider can walk through at your consultation.

Fleming Island · Northeast Florida

Why Fleming Island trusts us with RF microneedling

Facial texture, acne scarring, and the first signs of laxity are among the concerns our Fleming Island patients ask about most. RF microneedling with the Vivace is the tool we reach for when needles alone are not quite enough, delivered by a clinical team that will tell you honestly when it fits and when a gentler or deeper treatment serves you better.

Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.

The practice Fleming Island trusts for advanced skin care. We’ve been voted the area’s best medspa six years running, a Lumenis Center of Excellence, cared for from our Medical Spa on Island Lane.

Serving

  • Fleming Island
  • Orange Park
  • Middleburg
  • Green Cove Springs
  • Jacksonville
  • Clay County
A Pura Vida nurse practitioner performing an RF microneedling treatment with the Vivace in Fleming Island, FL

The Pura Vida Approach

Deeper reach, honestly set expectations

Every RF microneedling treatment at Pura Vida is delivered by a nurse practitioner who assesses your skin first, sets the device to suit it, and treats conservatively. We are candid about the downtime and the timeline, because collagen takes months to remodel and no honest provider can shortcut that.

That is the difference between chasing a device and getting care from a team that treats RF microneedling as one part of a plan, part of our full lasers and devices program built around your skin.

Is This For You?

Am I a Candidate?

A Good Fit If…

  • you want to soften acne scars or textural scarring on the face
  • you have enlarged pores or rough texture you would like to smooth and refine
  • you are seeing early laxity or uneven tone and want more reach than classic microneedling
  • you can plan a series and understand the result builds gradually over months

Let’s Talk First If…

  • you have deeper laxity or want the body treated, where Morpheus8 goes further
  • your concern is milder and you prefer the least downtime, where classic microneedling may be enough
  • you are pregnant or breastfeeding, so we will ask you to wait
  • you have an active skin infection or certain implanted electronic devices, so let us talk first

If RF microneedling is not the right tool for your goal, we will tell you honestly and point you toward what is, whether that is classic microneedling, Morpheus8, another device, or a referral. Declining a treatment that would not serve you is part of how we work.

Ready to Start?

Sounds like you? Let’s map your RF microneedling plan.

Request an appointment and a clinical provider assesses your texture and scarring, here in Fleming Island.

Our Process

What to expect at your visit

First, a consultation

Every plan begins with an unhurried consult here in Fleming Island. We look at your skin, talk through what RF microneedling can and cannot do, and assess whether the Vivace is right for you. If classic microneedling or a deeper option like Morpheus8 suits your goal better, we'll let you know.

A plan mapped to your skin

Because RF microneedling works at a facial, superficial-to-mid depth, your provider maps the areas worth treating and sets a realistic number of sessions. If a gentler or a deeper device suits you better, we will say so rather than default to any one machine.

Microneedling plus radiofrequency

The Vivace delivers controlled microneedles that carry radiofrequency energy into the skin. We numb the area first and keep you comfortable throughout. The added heat is what sets it apart from classic microneedling and lets it do more for texture and early laxity.

Collagen builds over months

RF microneedling works by prompting your own collagen to remodel, which the body cannot do overnight. Firming and smoothing develop over the following months, usually across a series, so we photograph your progress and follow up to track the change.

What Our Patients Are Saying

What Fleming Island patients say

4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"I’ve had both a chemical peel and microneedle done by Kara and she has went above and beyond to make sure I was comfortable and healing properly. After each procedure, she checked in multiple times and answered every question I had throughout the healing process."
Kay S.
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
Anna G.
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
Mandee L.

Prefer to Talk First?

Questions before you book? Call us.

Talk through whether RF microneedling is right for your skin with our Fleming Island team before you schedule.

Proven Excellence

The most-reviewed medspa in Clay County

RF microneedling with the Vivace is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.

1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.

Meet Your Care Team

Experienced providers who know your skin

Nurse practitioners and medical aestheticians who deliver clinical treatments like RF microneedling, led by Brittany Smith. The same expert care team you can count on, visit after visit.

Andrea Boze, Medical Aesthetician

Andrea Boze

Medical Aesthetician

Fleming Island

A medical aesthetician with more than 18 years of experience leading advanced facials and skin-rejuvenation treatments.

Sherrida Ayabarreno, Medical Aesthetician

Sherrida Ayabarreno

Medical Aesthetician

Fleming Island

A medical aesthetician with years of experience guiding skin-health and rejuvenation treatments tailored to your skin.

Brittany Smith, MSN, APRN, FNP-C

Brittany Smith

MSN, APRN, FNP-C

Fleming Island

A certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.

Kara Wilfong, Doctorate Prepared Advanced Registered Nurse Practitioner

Kara Wilfong

Doctorate Prepared Advanced Registered Nurse Practitioner

Fleming Island

A doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.

Scroll to meet the full team

Frequently Asked Questions

RF Microneedling Questions, Answered

What's the difference between microneedling and RF microneedling with Vivace?

RF microneedling with the Vivace adds radiofrequency heat to the microneedling channels, so it reaches further into the skin and prompts more collagen remodeling than classic, non-RF microneedling. Classic microneedling relies on the micro-channels alone to trigger that response; the Vivace carries controlled RF energy through those same channels, which is why it does more for acne scarring, rough texture, and early laxity. If you want the gentlest option with no heat and the least downtime, our classic microneedling page is the one to read. If you want the extra reach radiofrequency gives, RF microneedling with the Vivace is that treatment.

How is RF microneedling with the Vivace different from Morpheus8?

RF microneedling with the Vivace treats the face at a superficial-to-mid depth for texture, pores, tone, acne scars, and early laxity, while Morpheus8 drives radiofrequency into the deeper subdermal layer for structural tightening and treats the body as well as the face. They are two different devices built for two different jobs, not interchangeable versions of the same treatment. If your concern is deeper laxity or you want the body treated, Morpheus8 is the better path. If your concern is milder facial texture, classic microneedling may be enough. At your consultation we will tell you honestly which one fits your skin and your goal.

What's the downside of RF microneedling with Vivace?

The main downside of RF microneedling with the Vivace is a day or two of redness and mild swelling right after treatment, plus the fact that results depend on a series of sessions rather than one visit. Because the microneedles carry radiofrequency into the skin, most patients plan a quiet day around each session while the treated area settles. Results are also not permanent since skin keeps aging, so expect an ongoing maintenance rhythm rather than a one-time fix. We would rather tell you this upfront than let it surprise you.

How many sessions of RF microneedling will I need, and how long do results last?

Most patients need a series of RF microneedling sessions spaced a few weeks apart, with facial texture and firmness continuing to improve for months afterward as new collagen builds. Your provider sets the exact number for your skin and goal at your consultation, since a deeper concern or thicker skin calls for a different plan than mild texture does. The Jacksonville area also sees an Extreme UV Index for much of the year, and UV exposure is responsible for up to about 80% of visible facial aging, so most patients here plan on a maintenance rhythm rather than a single series to keep pace with new sun-driven collagen loss. Results are not permanent, so we talk through that rhythm honestly rather than promising a lifetime fix.

Who performs RF microneedling, and who oversees it?

RF microneedling with the Vivace is performed by one of our nurse practitioners, since it combines microneedles with radiofrequency energy and calls for clinical training to use safely. Brittany Smith, FNP-C, leads this treatment at Pura Vida, supported by our medical aesthetic team. Health content on this page is medically reviewed by our Medical Director.

Where can I get RF microneedling with Vivace near Fleming Island, FL?

RF microneedling with the Vivace is available at Pura Vida's Medical Spa on Island Lane in Fleming Island, FL, serving patients from Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville. We've been voted the area's best medspa six years running and are women-owned, which is part of why Fleming Island and Clay County patients choose us for advanced skin treatments like RF microneedling. Request a consultation and we'll map a plan to your skin.

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Ready When You Are

Let’s build a plan around your skin

Request an appointment and we’ll assess your texture, scarring, and tone, explain honestly what RF microneedling can do and how it differs from classic microneedling and Morpheus8, and build a plan around the result you actually want.

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