Head to head

Vivace Ultra vs PiX:E (2026)

Compare purchase costs, running costs and the evidence behind each device.

Read the comparison overview

Purchase cost: Catalog new-price ranges: Vivace Ultra, $60k–$90k; PiX:E, $79,995 (Rohrer-advertised price). Check the source notes and request current quotes.
Practice fit: Both are listed under RF microneedling. Check each model’s US regulatory status and labeled indications for your intended use.

Device A

RF Microneedling

View full device profile →

Device B

RF Microneedling

View full device profile →

Price comparison

Price comparison: Aesthetics Biomedical Vivace Ultra vs Rohrer Aesthetics PiX:E
Attribute	Aesthetics Biomedical Vivace Ultra	Rohrer Aesthetics PiX:E
New price range	$60k–$90kReported source: Dealer quote · Aug 12, 2026	$79,995 (Rohrer-advertised price)Reported source: Manufacturer-provided · Oct 1, 2026
Payback calculator	View ROI calculator	View ROI calculator
Next step

New price range

Aesthetics Biomedical Vivace Ultra: $60k–$90kReported source: Dealer quote · Aug 12, 2026
Rohrer Aesthetics PiX:E: $79,995 (Rohrer-advertised price)Reported source: Manufacturer-provided · Oct 1, 2026

Payback calculator

Aesthetics Biomedical Vivace Ultra: View ROI calculator
Rohrer Aesthetics PiX:E: View ROI calculator

Next step

Aesthetics Biomedical Vivace Ultra

Rohrer Aesthetics PiX:E

Supplies & running costs

Supplies & running costs: Aesthetics Biomedical Vivace Ultra vs Rohrer Aesthetics PiX:E
Attribute	Aesthetics Biomedical Vivace Ultra	Rohrer Aesthetics PiX:E
Supplies & restrictions	Supply pricing is not documented with a dated source yet. Request an itemized supply quote. View running-cost details	Supply details not yet documented. View running-cost details

Supplies & restrictions

Aesthetics Biomedical Vivace Ultra: Supply pricing is not documented with a dated source yet. Request an itemized supply quote.
View running-cost details
Rohrer Aesthetics PiX:E: Supply details not yet documented.
View running-cost details

FDA status & indications

FDA status & indications: Aesthetics Biomedical Vivace Ultra vs Rohrer Aesthetics PiX:E
Attribute	Aesthetics Biomedical Vivace Ultra	Rohrer Aesthetics PiX:E
FDA status & indication	FDA record cited — see scopeK221574 Record scope: K221574 names the LUDWIG Electrosurgical System. The FDA device listing also names Vivace Ultra RF Microneedling System under this submission. Its clearance concerns electrocoagulation and hemostasis in dermatological and general surgical procedures; it does not establish every marketed cosmetic outcome. Read FDA indication wording “The LUDWIG Electrosurgical System is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.”	FDA record cited — see scopeK233143 Record scope: FDA's device listing links the proprietary name Pix-E to K233143, cleared February 2, 2024 under the name PiXel8-Reveal. The clearance covers the combined RF and Er:YAG system, with separate indications for each handpiece. See the FDA document for the exact indications. This is not the standalone PiXel8-RF clearance K233147. Checked September 23, 2026. Read FDA indication wording “The PiXel8-Reveal contains two handpieces, each of which has its own indications for use. The PiXel8-RF handpiece is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostatis. The Er:YAG handpiece is designed specifically for superficial skin ablation resulting in skin dermabrasion, and the treatment of wrinkles. In addition this system is intended for coagulation, vaporization, ablation, or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery).”

FDA status & indication

Aesthetics Biomedical Vivace Ultra: FDA record cited — see scopeK221574
Record scope: K221574 names the LUDWIG Electrosurgical System. The FDA device listing also names Vivace Ultra RF Microneedling System under this submission. Its clearance concerns electrocoagulation and hemostasis in dermatological and general surgical procedures; it does not establish every marketed cosmetic outcome.
Read FDA indication wording
“The LUDWIG Electrosurgical System is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.”
Rohrer Aesthetics PiX:E: FDA record cited — see scopeK233143
Record scope: FDA's device listing links the proprietary name Pix-E to K233143, cleared February 2, 2024 under the name PiXel8-Reveal. The clearance covers the combined RF and Er:YAG system, with separate indications for each handpiece. See the FDA document for the exact indications. This is not the standalone PiXel8-RF clearance K233147. Checked September 23, 2026.
Read FDA indication wording
“The PiXel8-Reveal contains two handpieces, each of which has its own indications for use. The PiXel8-RF handpiece is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostatis. The Er:YAG handpiece is designed specifically for superficial skin ablation resulting in skin dermabrasion, and the treatment of wrinkles. In addition this system is intended for coagulation, vaporization, ablation, or cutting of soft tissue (skin) in dermatology, plastic surgery (including aesthetic surgery).”

Which chains run each

Which chains run each: Aesthetics Biomedical Vivace Ultra vs Rohrer Aesthetics PiX:E
Attribute	Aesthetics Biomedical Vivace Ultra	Rohrer Aesthetics PiX:E
Chain adoption	0 recorded pairings	0 recorded pairings
Chains using it	—	—
Approved reviews	0	0

Chain adoption

Aesthetics Biomedical Vivace Ultra: 0 recorded pairings
Rohrer Aesthetics PiX:E: 0 recorded pairings

Chains using it

Aesthetics Biomedical Vivace Ultra: —
Rohrer Aesthetics PiX:E: —

Approved reviews

Aesthetics Biomedical Vivace Ultra: 0
Rohrer Aesthetics PiX:E: 0

Specs and platform

Specs and platform: Aesthetics Biomedical Vivace Ultra vs Rohrer Aesthetics PiX:E
Attribute	Aesthetics Biomedical Vivace Ultra	Rohrer Aesthetics PiX:E
Manufacturer	Aesthetics Biomedical	Rohrer Aesthetics
Built by (OEM)	Aesthetics Biomedical Inc.	Rohrer Aesthetics LLC
Category	RF Microneedling	RF Microneedling
Technology	RF microneedling + ultrasound skin visualization (RF Microneedling)	RF microneedling with Er:YAG resurfacing (RF Microneedling)
Launch year	2023	—
Status	Current	Current
Manufacturing relationship evidence	No separate manufacturing-relationship record linked.	No separate manufacturing-relationship record linked.

Manufacturer

Aesthetics Biomedical Vivace Ultra: Aesthetics Biomedical
Rohrer Aesthetics PiX:E: Rohrer Aesthetics

Built by (OEM)

Aesthetics Biomedical Vivace Ultra: Aesthetics Biomedical Inc.
Rohrer Aesthetics PiX:E: Rohrer Aesthetics LLC

Current alternatives

Current catalog models in related categories. Confirm availability and configuration with the supplier.

Aesthetics Biomedical Vivace

RF Microneedling

New-equipment price reference

$35k–$55k

Source not documented

Check the profile for configuration and price details.

Benev Sylfirm X

RF Microneedling

New-equipment price reference

$149k (historical reported MSRP; Sep/Oct 2025)

Reported source: Trade press · Date not recorded

Check the profile for configuration and price details.

BTL Aesthetics Exion Fractional RF

RF Microneedling

New-equipment price not yet documented.

Candela Profound Matrix (Matrix Pro)

RF Microneedling

New-equipment price not yet documented.

Get a free recommendation Browse by goal

Device and company names are trademarks of their respective owners. The Aesthetic Index is not affiliated with or endorsed by any manufacturer, distributor or lender named here, except as disclosed. Price figures are references, not current offers. Check each device’s source notes. Not medical, legal or regulatory advice.