A 52-year-old female wished to improve the texture and firmness of her neck skin. After 5 treatments with the Vivace microneedling radiofrequency device, she has achieved dramatic improvement in both skin texture and tightness. Vivace uses a combination of heat (radiofrequency) and very fine micro-needles to induce collagen production. As we age collagen begins to thin and degrade, creating visible laxity. The synergy between the micro-needles and radiofrequency heat help generated larger and more organized collagen bundles, which improves the skin’s firmness and overall texture.