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Head to head

Vivace 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, $35k–$55k; 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.

RF Microneedling

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RF Microneedling

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Price comparison

New price range

Aesthetics Biomedical Vivace
$35k–$55kSource not documented
Rohrer Aesthetics PiX:E
$79,995 (Rohrer-advertised price)Reported source: Manufacturer-provided · Oct 1, 2026

Used price reference

Aesthetics Biomedical Vivace
$15k–$28kSource not documented
Rohrer Aesthetics PiX:E
Not published

Payback calculator

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

Next step

Aesthetics Biomedical Vivace
Rohrer Aesthetics PiX:E

Supplies & running costs

Supplies & restrictions

Aesthetics Biomedical Vivace
Read supply costs & requirements

Cartessa’s US store displayed $899 for 10 VybeRF kits on October 7, 2026, comprising 10 36-needle tips and 10 Microcurrent Dual Face Mask systems. The seller explicitly lists compatibility with the VIVACE Fractional Micro Needle RF Device and excludes VirtueRF SmartRF handpieces. Dividing the pack price by 10 gives $89.90 per included tip-and-mask set, not a standalone tip price or total session cost. Confirm the exact handpiece and applicable instructions, tax, shipping and availability.

Dealer quote · Oct 7, 2026

View running-cost details
Rohrer Aesthetics PiX:E

Supply details not yet documented.

View running-cost details

FDA status & indications

FDA status & indication

Aesthetics Biomedical Vivace
FDA ClearedK150409
Read FDA indication wording
“The VIVACE Electrosurgical System is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis, and the percutaneous treatment of facial wrinkles. This Vivace Electrosurgical System is intended for use with Skin Type I to Skin Type V.”
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

Chain adoption

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

Chains using it

Aesthetics Biomedical Vivace
—
Rohrer Aesthetics PiX:E
—

Approved reviews

Aesthetics Biomedical Vivace
0
Rohrer Aesthetics PiX:E
0

Specs and platform

Manufacturer

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

Built by (OEM)

Aesthetics Biomedical Vivace
Sung Hwan E&B Co., Ltd. (SHENB)
Rohrer Aesthetics PiX:E
Rohrer Aesthetics LLC

Category

Aesthetics Biomedical Vivace
RF Microneedling
Rohrer Aesthetics PiX:E
RF Microneedling

Technology

Aesthetics Biomedical Vivace
Robotic 36-gold-needle bipolar RF + LED (RF Microneedling)
Rohrer Aesthetics PiX:E
RF microneedling with Er:YAG resurfacing (RF Microneedling)

Launch year

Aesthetics Biomedical Vivace
2016
Rohrer Aesthetics PiX:E
—

Status

Aesthetics Biomedical Vivace
Current
Rohrer Aesthetics PiX:E
Current

Manufacturing relationship evidence

Aesthetics Biomedical Vivace
No separate manufacturing-relationship record linked.
Rohrer Aesthetics PiX:E
No separate manufacturing-relationship record linked.

Current alternatives

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

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.