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Home » RF Skin Resurfacing (Viva)
Rf Skin Resurfacing involves a clinical assessment and individualised treatment plan. A consultation is required to confirm suitability, discuss options, and explain risks, recovery, and expected variability in outcomes. Individual results vary.
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*It is important to note that individual results vary depending on factors such as anatomy, skin quality, surgical approach and healing response. The images shown are not intended to guarantee or predict the outcome of any procedure.
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The most appropriate approach is individual and depends on your anatomy, goals, and medical history. Your clinician will discuss realistic expectations, limitations, and the evidence base for each option during consultation. Outcomes vary and no result can be guaranteed.








RF skin resurfacing may address acne scarring, texture, pores, and fine lines. Individual outcomes vary and multiple sessions may be required.
The ideal candidate for RF Skin Resurfacing (Viva) is an adult seeking to address specific textural skin concerns such as acne scarring, enlarged pores, or fine lines using an energy-based device. Candidates should possess a clear understanding of the procedure’s mechanical capabilities, maintain realistic expectations regarding the outcomes, and understand that multiple sessions may be required. Full suitability for this procedure is carefully assessed during an in-person clinical consultation at COSMEX Clinic.
You may be a suitable candidate for this treatment if you:
You have specific concerns you would like assessed by a qualified clinician
You can follow aftercare instructions including sun protection where advised
You can follow aftercare instructions including sun protection where advised
You are not currently taking photosensitising medications
You have disclosed any history of keloid scarring or implantable devices to your clinician
Technique selection is individual and based on your anatomy and goals
After skin preparation, the Viva handpiece is applied to the treatment area. Fractional radiofrequency energy is delivered via micro-needles at a depth and intensity customised to your skin concerns.
Options will be discussed during consultation
Your clinician will discuss the expected downtime, the recommended number of sessions, and that skin texture improvements develop gradually as new collagen is produced.
Your clinician will explain the recommended approach and expected trade-offs
Your clinician will discuss how fractional RF energy interacts with skin tissue, the expected healing process, and any individual factors that may influence your outcomes.
Individual results will be discussed transparently
Your clinician will discuss that individual healing responses vary and that the degree of texture improvement depends on skin type, age, and the nature of the scarring or textural concerns.
To manage patient discomfort during the delivery of micro-needles and RF thermal energy, a topical anesthetic cream is typically applied to the treatment area before the procedure commences. This numbing agent helps to reduce sensory feedback from the surface of the skin, making the application process more tolerable.
Your medical practitioner will explain:
Your surgeon will explain recommended incision placement, expected scarring, and the trade-offs of each approach during consultation.
All energy-based treatments carry risks. Outcomes vary and depend on skin type, treatment parameters, and individual healing. A consultation is required to assess suitability and discuss risks.
Potential risks and complications may include:
Temporary redness, swelling or warmth; Pigmentation changes (hyperpigmentation or hypopigmentation); Blistering or burns (uncommon); Infection (uncommon); Scarring (rare)
Preparation typically includes:
Avoid direct sun exposure and tanning for at least two weeks prior
Discontinue active topical skincare as directed
Arrive with clean skin free of makeup and lotions
Disclose all current medications and medical history
Fractional ablative treatment — recovery is more involved than non-ablative procedures. Immediately: significant redness, moderate swelling, visible grid-like/dot pattern of treated zones. Skin feels intensely warm (severe sunburn sensation) for 6-12h. Practitioner applies occlusive balm. Days 1-3: treated skin develops a bronzed/darkened appearance as micro-thermal zones begin healing — this is expected and confirms effective treatment. Do not wash for 12-24h; then gentle cool water + fragrance-free cleanser, pat dry. No actives for 7-10 days minimum. Do not pick, peel, or exfoliate the bronzed skin — must detach naturally. SPF 50+ once barrier begins healing. 3-7 days social downtime. Sleep with head elevated for facial treatments.
Bronzed micro-crusts begin peeling and shedding days 3-7 — may occur in sheets or patches. Fresh pink skin revealed underneath. Forcibly removing crusts risks scarring, prolonged redness, or post-inflammatory hyperpigmentation. New skin feels sensitive, tight, or slightly rough — normal, fades over subsequent weeks. Gentle cleansing + fragrance-free moisturiser. No makeup until surface fully intact (day 7-10). No actives. SPF 50+ diligently — new skin is highly sun-vulnerable. Light activities OK; visible pinkness may be a cosmetic consideration.
Skin surface fully healed, micro-crusts resolved. Pinkness gradually fades over 2-4 weeks. Tone and texture appear more even. Early collagen remodelling underway — skin may feel subtly firmer. Actives gradually reintroduced on practitioner advice from week 2-3 (gentle formulations first). SPF 50+ daily. Next session 4-6 weeks later (complete healing between sessions).
2-3 sessions done. Cumulative improvements in texture, firmness, fine lines, and overall quality increasingly apparent. Pigmentation, mild acne scarring, and skin laxity show progressive improvement. Collagen continues remodelling for months post-session. Residual pinkness fully resolved. SPF 50+ daily. Consistency with sessions matters for optimal cumulative results.
Full course (3-4 sessions). Significant sustained improvement: texture, fine lines, wrinkles, mild laxity, and more even skin tone. Collagen remodelling peaks at 3-6 months post-final session; improvements may continue up to 12 months. Results vary by age, photodamage, skin condition, treatment intensity, and healing. Does not replicate surgical results. Maintenance every 6-12 months. SPF 50+ and consistent skincare essential. Patients with advanced photodamage or deeper wrinkles may benefit from additional sessions or combination approaches.
The cost of RF Skin Resurfacing (Viva) at COSMEX Clinic depends on the size of the anatomical area being treated and the number of sessions required to adequately address your specific concerns. A precise, individualized quote outlining all associated costs and treatment phases will be provided following your initial consultation.
Disclaimer
Prices vary based on individual assessment. A personalised quote will be provided during consultation.
Starting From
Indicative pricing only
Final exact cost will be confirmed after consultation.
At COSMEX, we combine advanced surgical expertise with personalized care to deliver natural, confident results. Your safety, comfort, and satisfaction are always our priority.
Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. Each procedure is performed by qualified specialists with extensive training in cosmetic and reconstructive surgery. You are welcome to verify your surgeon's credentials via the AHPRA public register.
All surgical procedures are performed in licensed, accredited hospitals in Sydney. Our facilities meet Australian standards for theatre safety, anaesthesia, infection control, and emergency care. Your safety is the foundation of every treatment plan.
No two patients are the same. Every treatment plan at COSMEX is developed following a thorough one-on-one consultation where your anatomy, concerns, goals, and medical history are carefully assessed. You will receive a personalised recommendation — not a standardised package.
Your care continues well beyond the day of your procedure. COSMEX provides a structured aftercare program including scheduled follow-up appointments, access to your surgical team for questions during recovery, and long-term monitoring where clinically indicated.
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