The Ultimate Duo in Santa Barbara
A comprehensive skin rejuvenation treatment combining CoolPeel laser resurfacing with Vivace RF microneedling to address both the surface and deeper layers of your skin for transformative, natural-looking results.
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What is The Ultimate Duo?
The Ultimate Duo is a strategic pairing of two advanced skin rejuvenation technologies designed to work together for comprehensive facial renewal. By combining CoolPeel CO2 laser resurfacing with Vivace radiofrequency microneedling, this treatment addresses skin aging at multiple levels, from the outermost texture down to the deeper structural framework.
CoolPeel removes damaged surface cells and promotes collagen production in the upper layers, while Vivace delivers radiofrequency energy deeper into the dermis through precision microneedling, stimulating collagen remodeling and tissue tightening from within. Together, they create a synergistic effect that neither treatment can achieve alone.
The result is smoother texture, improved tone, reduced fine lines and wrinkles, tighter skin, and a more youthful appearance that develops naturally over time.
Am I a Good Candidate for The Ultimate Duo?
This combined treatment may be right for you if you're noticing multiple signs of skin aging that affect both texture and firmness. It's often chosen by patients who want comprehensive improvement without surgery or extensive downtime.
The best candidates tend to be in good overall health and have realistic expectations about gradual improvement over several months. The Ultimate Duo may also appeal to patients who've tried single-modality treatments like laser alone or microneedling alone and want more complete rejuvenation.
What We Can Address with The Ultimate Duo:
Fine lines and wrinkles
Sun damage, age spots, and uneven pigmentation
Loss of skin firmness and elasticity
Enlarged pores
Acne scars and textural irregularities
Dull or rough skin texture
Treatment Options and Customization
The Ultimate Duo can be tailored to address your specific skin concerns and goals:
PRP Enhancement: Adding platelet-rich plasma during the Vivace portion amplifies collagen and elastin formation by delivering your own growth factors deep into the dermis through the micro-channels created by the needles.
Targeted Treatment Areas: While most commonly performed on the face, The Ultimate Duo can be adapted for the neck, décolletage, and hands, areas that often show aging but are sometimes overlooked.
Session Intensity: Treatment parameters can be adjusted based on your skin's condition and tolerance. Some patients benefit from more aggressive settings for dramatic improvement, while others prefer a gentler approach with more sessions.
Your personalized treatment plan will be developed during your consultation based on your skin type, concerns, and aesthetic goals.
What to Expect Through Your Ultimate Duo Procedure
The Ultimate Duo is performed at Montecito Plastic Surgery with careful attention to your comfort. After a thorough consultation to develop your customized plan, each treatment session begins with skin cleansing and application of proprietary numbing cream.
The CoolPeel portion typically takes about 15 minutes for a full face, while Vivace takes approximately 45 to 60 minutes depending on treatment areas. You'll feel only mild sensations during the procedures.
If PRP is included, a small blood draw is performed beforehand and processed to create the platelet-rich serum that's applied during treatment. Most patients complete a series of three sessions for optimal results.
Explore our Skin Resurfacing Results
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Results and Recovery Process
Recovery involves manageable downtime, with most patients feeling socially comfortable within a week. Your skin will appear red and feel sensitive for the first few days, similar to a moderate sunburn. Some flakiness or peeling is normal. Keep treated areas well-hydrated and avoid sun exposure, makeup for 24 hours, and strenuous activity for several days.
What stands out about The Ultimate Duo is how results develop over time. You'll notice immediate improvements in skin plumpness and texture, followed by progressive tightening and firmness over the next few months as collagen production continues.
Why Choose The Riviera Medical Spa for Your Ultimate Duo Treatment?
The Ultimate Duo is performed at The Riviera Medical Spa, the aesthetic division of Montecito Plastic Surgery. Under Dr. Lowenstein's clinical leadership and protocols, our expert aesthetic nurses deliver advanced non-surgical treatments with the same precision and commitment to natural results that defines his surgical practice.
With over 25 years of facial aesthetics experience, Dr. Lowenstein has developed treatment protocols that understand how different modalities can be strategically combined for comprehensive rejuvenation. His training ensures our team approaches each patient with both technical expertise and artistic sensibility.
Patients choose The Riviera Medical Spa because they want the caliber of care associated with Dr. Lowenstein's surgical practice applied to their non-surgical treatments, delivered by a team that understands both the science behind skin rejuvenation and the artistry required to achieve beautiful, believable results.
How Much Does The Ultimate Duo Cost?
The cost of The Ultimate Duo depends on your treatment plan, including the number of sessions recommended and whether additional enhancements like PRP are included. Most patients complete a series of three treatments for optimal results.
A detailed cost estimate will be provided during your in-person consultation after we've assessed your skin and developed a customized treatment plan.
Frequently Asked Questions
How is this different from getting CoolPeel or Vivace alone?
Each treatment has its strengths. CoolPeel excels at surface renewal, texture improvement, and pigmentation correction. Vivace targets deeper collagen stimulation and tissue tightening. Combining them addresses multiple layers of skin aging simultaneously, producing more comprehensive rejuvenation than either treatment alone.
Can both treatments be done on the same day?
The timing between CoolPeel and Vivace is determined based on your skin's response and your treatment plan. Most patients have both procedures during the same visit, while others benefit from spacing them strategically. We'll discuss the optimal approach during your consultation.
Can this be used on all skin types?
The Vivace system uses insulated needles that protect the outer skin layers where pigment resides, making it safe for all skin types and tones. CoolPeel's controlled energy delivery also minimizes the risk of pigmentation issues. During your consultation, we'll confirm the best settings for your individual skin.
How soon will I see results?
You'll notice some immediate improvements in skin plumpness and glow, but the most significant changes develop gradually over the following months. Surface texture improves first, followed by progressive tightening and firmness as collagen production continues.
What should I avoid before and after treatment?
Before treatment, avoid sun exposure, tanning, and harsh skincare products for at least two weeks. After treatment, avoid sun exposure for at least 48 hours, skip makeup for 24 hours, and refrain from strenuous activity for the first few days. Always wear high-SPF sunscreen during recovery and beyond.
Schedule a consultation
If you're looking for a comprehensive approach to skin rejuvenation that addresses texture, tone, firmness, and overall skin quality, The Ultimate Duo might be the solution you've been searching for.
Call us at 805-969-9004 to schedule your consultation.
