Microneedling & Vivace

Microneedling is a treatment that drastically improves collagen production, elasticity, and overall skin tone. It decreases fine lines and wrinkles, melasma and acne scaring. The skin progresses through three phases: inflammation, proliferation, and remodeling. In order for the skin to heal from the treatment, the body produces a large amount of collagen that plumps and evens the skin. We recommend three treatments over the course of 4-6 weeks for optimal results. Results can last up to a year.

The Vivace treatment is the highest standard of microneedling. There are many benefits to the Vivace treatment, but what seems to be most important to our clients is the minimal pain during the procedure and no downtime!

Vivace is a minimally-invasive, radio frequency treatment that stimulates the natural production of collagen, and it is effective in alleviating facial wrinkles and reducing fine lines. The radio frequency in the Vivace treatment tightens and tones the face, neck, hands, and body. The results The Vivace is FDA cleared for your safety.

Platelet-rich plasma (PRP) Facial Injections include reducing the prominence of scars, wrinkles, sun damage, and dark circles


Avoid natural sun exposure and tanning beds for 2 weeks prior to treatment

Avoid self tanner, spray tan or any lotions that contain gradual tanners for 2 weeks prior to treatment

To decrease the risk of bruising, we recommend avoiding the following for 3 days prior to your treatment (unless medically contraindicated):

Alcoholic beverages
NSAIDs (advil/ibuprofen/aspirin)
Herbal supplements: Vitamin E, St. John’s Wort, Garlic, Ginkgo, Ginseng
Any supplements or medication that increases the chances of blood thinning

If you have a history of cold sores should plan to pre-treat with anti-viral (Valtrex) prior to your Vivace procedure

Discontinue the use of Retin A, Retinols, Vitamin A topical products and any chemical exfoliating products for 7 days

Arrive to the office with the treatment area clean and free of makeup, lotions, creams or products prior to treatment.


Use a mild cleanser for 3-5 days (Cetaphil or product recommended by your provider) and a plain moisturizer (Cereve or ZO Hydrating Cream)

Do not apply sunscreen for the rest of the day but plan to wear sunscreen daily while healing (3-5 days)

Do not touch or apply make-up immediately following treatment (preferably until the next day).

Avoid vigorous exercise, heat, saunas, hot tubs, swimming pools and sweaty activities for 48 hours

Avoid natural sun exposure and tanning beds for 2 weeks post treatment

Normal skin care regimen can resume in 3 days.

Avoid exfoliating agents (retinoic acid, tretinoin,
retinol, benzoyl peroxide, glycolic acid, salicylic acid, etc) for 7 days.


This treatment takes 1 hour and 15 minutes

What is PRP and do I need it?

PRP (platelet rich plasma) is a concentration of a patient’s own platelets to accelerate the healing process, rejuvenate skin and reinvigorate cellular turnover. One of the main benefits of PRP is its high concentration of growth factors, which has the unique ability to rev up collagen and elastin production.

PRP begins with whole blood that is obtained through a blood draw then spun in a centrifuge, which separates the plasma out. PRP can then be applied topically on the skin or injected during the microneedling treatment. PRP can be injected to reduce the appearance of acne scarring, wrinkles and dark circles (it is also used in our hair restoration treatments). By combining Vivace with PRP, you’ll see more visible results in less time.

Yes, the contraindications for Microneedling include:

Pregnancy or breastfeeding

Recent sun exposure (in the last 2 weeks) or use of self tanners

Patients that have metal implants, a pacemaker or defibrillator

Patients that have used retinol or chemical exfoliating products in the last 7 days

Patients who have used isotretinoin (Accutane) within the last 6-12 months

Patients with a history of skin cancer, especially malignant melanoma

Patients with a history of autoimmune disease (HIV, hepatitis or Lupus)

Patients with a history of Epilepsy or seizures

Patients who have medical conditions that may affect wound healing

Neurotoxin injections in the treatment area in the last 2 weeks

Dermal fillers in treatment area in the last 30 days

Patients that have experienced a previous adverse reaction to a microneedling or Vivace treatment.

Post treatment you can expect the following:

Little to no downtime (unless advanced settings are used)

Mild redness immediately after that should resolve in a few hours

Acne-prone patients may experience acne breakouts post treatment

While some results may be almost immediate, your best results usually won’t be visible until four to six weeks after the procedure as it takes this long for new collagen to generate. Results can last up to a year.

The number of treatments will depend on your skin and your desired results. Your provider will discuss and customize a treatment for your individual needs. We recommend 3 treatments (and offer a package of three treatments) for optimal results. Sessions are spaced 4-6 weeks apart for 3 treatments.

Complications, though rare, can occur and should be discussed and understood. The patient must understand the importance of the post care instructions, and that failure to comply may increase the potential for complications.

Scarring, though rare, can occur following collagen induction therapy

Hypopigmentation (lightening of the skin) or hyperpigmentation (darkening of the skin)

Skin infection

Contact our office immediately if you notice these symptoms at 617-658-3421. For a true aesthetic emergency after office hours, contact Ashley Hilmes at 509-714-6889 or for a medical emergency, please call 911.

Consultations at Vega Vitality are complimentary and always encouraged! This gives you an opportunity to meet with one of our aesthetic providers and discuss one on one your aesthetic goals and desired outcomes. Our providers will listen to your concerns, answer questions, explain options and together, develop a treatment plan that meets your needs.

Yes! Vega Vitality uses multiple rewards programs for botox and dermal fillers through our pharmaceutical companies. Get the most out of your visit by signing up ahead of time or asking your provider for details at your next appointment.

Allergan’s program: Brilliant Distinctions (can be found in the App store).

Galderma’s program: Aspire.

Revanesse’s program: Prollenium.

Unfortunately, there is no rewards or loyalty program for collagen induction therapy but we do offer
discounted packages.

Meredith Gizmunt

Master Aesthetician

Meredith has 14 years of experience in the medical aesthetic field. She has worked with both plastic surgeons and dermatologists which has allowed her formulate a holistic and therapeutic approach. Meredith’s goal is to educate the patient about their best skin practices, for their individual needs. Each treatment is customized, and is focused on treating specific skin concerns. 

She understands that her patient’s skin types are different, and tailors each session to treating individual needs. Meredith appreciates that her patients are making an investment in their skincare by visiting her. She ensures her facials deliver effective results and works to build lasting relationships. Her signature “Party Peel” gave her a cult following, reviewed and recommended by Goop.

Marwa Osman

Brand and marketing director

Marwa Osman is a branding specialist with over 8 years of experience in the lifestyle industry. She graduated with a Bachelor of Arts degree in Graphic Design with a minor in Marketing from University of Massachusetts, Dartmouth. After graduating, Marwa quickly realized she not only loved shaping the messaging of a brand, but she enjoyed being invested in the journey of the small business. She is passionate about being involved in Vega Vitality’s growth. Marwa is an integral part of our team, and she is responsible for creating our newsletters, designing the website and managing our Instagram presence, etc. She loves the camaraderie of working alongside Vega Vitality’s team of intelligent and supportive women, and she enjoys getting to know Vega Vitality’s wonderful patients.


VICE PRESIDENT of Operations

At Vega Vitality, we believe that wellness and beauty go hand in hand. For example, we not only offer a skin peel that can improve acne, but we also have a functional nutritionist available to assist with dietary changes that may address the root cause of the problem. The more we can improve our lifestyle through mindful eating, movement, and mediation, the better our skin and body will be.

For a decade, prior to starting at Vega Vitality, Abby was employed in grueling and intense roles in corporate America. After suffering from crippling ocular migraines, she decided that her health was too important to continue down that path. She left her job and took a year off to focus on her health and well-being. While on this journey she found Vega Vitality. She accepted an offer to join the team in 2017.

At Vega Vitality, Abby is responsible for day-to-day business operations, regulatory and legal compliance, and the financial and human relations aspects of the practice. She oversees short and long-term strategies, executes systems implementation, and consistently works to improve organizational behavior and operational efficiencies within the practice. Abby has supported CEO’s for over a decade, and she now works closely with Vega Vitality’s Founder, Ashley Hilmes, to ensure the practice runs seamlessly. She is grateful to be a part of team comprised of such intelligent and kind women.

Abby graduated summa cum laude from Boston College with a MS in Leadership & Administration and cum laude from Regis College with a BA in Communication. She holds a certificate in The Science of Well-Being from Yale University. Before joining the Vega team, Abby worked at Morgan Stanley, Fidelity Investments, athena health, Trinity, and Reebok International. Abby loves to travel, learn, read, volunteer, and spend time with her friends, family, and dog, Doodles.