ATTIVA Skin Tightening

ATTIVA Radiofrequency is offered at BioThrive in Seattle.

Non-surgical cosmetic procedure to stimulate collagen and elastin.

What is ATTIVA?

ATTIVA is a non-surgical, non-invasive one time radiofrequency treatment for the face and body that provides visible results with little to no downtime. The radiofrequency energy triggers an immediate contraction of relaxed collagen fibers beneath the skin and initiates a biochemical response that prompts fibroblasts to generate new collagen and elastin.


The old technology of radiofrequency consists of heating the surface of the skin long enough for the subcutaneous tissue to heat up to 43 ° Celsius. The limitation of this procedure is that applying heat to the surface of the skin increases the possibility of burns or alternatively, not getting to a therapeutic level of heat and having less than optimal results.

Attiva Subdermal Induced Heat (S.I.H) technology uses electromagnetic waves that, by passing under the middle layer of the skin, produce and generate heat, without damaging its surface.

Collagen gives the skin firmness, elasticity, and is responsible for a smooth wrinkle-free surface. As we age, collagen production declines leading to the formation of wrinkles and sagging.

Radiofrequency stimulates contraction of loose collagen fibers and fibroblasts resulting in the production of new collagen and elastin.

What areas can be treated?

When is the use of Attiva radiofrequency contraindicated?

  • skin infections
  • wounds
  • erosions
  • herpes
  • acne
  • pustules
  • patients with pacemakers
  • neoplasms
  • metal implants

Contact our office to learn if you are a good candidate for this procedure.



ATTIVA safely and effectively heats under the skin to stimulate collagen synthesis without causing damage to the surface. Other treatments can induce injury to the skin's surface, resulting in redness, scars, and prolonged downtime.
After the initial treatment, many patients notice some immediate improvement; however, the complete outcome becomes evident after 3-4 months post-treatment. This time frame is crucial as it allows the body the necessary duration to generate new elastin and collagen fibers, which contribute to the ultimate results.
Depending on your goals, one or more treatments are typically required to achieve satisfactory results. ATTIVA treatments can be repeated every 3 to 6 months.
ATTIVA treatment results can last years. Natural degradation stemming from aging, environmental factors, and lifestyle choices will persist, and retreatment can be done as needed to maintain results.
The procedure itself is painless as the treated area is under local anesthesia. You may feel mild discomfort, a gentle tugging sensation, or experience mild muscle contractions during the treatment. Afterward, most patients report mild tenderness, bruising, or swelling in the areas treated which typically subsides within 7-14 days.
Treatment times can vary based on the treatment area, but one area typically takes about 30 minutes.


Our team at BioThrive will assist you with all of the information you need for your ATTIVA procedure. The doctor will address all of your concerns ahead of time and discuss your desired results. 

Prior to your procedure it is recommended that you discontinue the use of products containing aspirin, garlic, ginseng, green tea and vitamin E or other blood thinning supplements or over-the-counter products for two weeks, as they may increase the risk of bruising. 

*Please do not discontinue any prescription medication unless the physician that prescribed it you authorizes you to do so.


One of the biggest benefits of the ATTIVA treatment is the minimal downtime. Possible bruising and swelling of treated area can occur. The treated areas may be tender but this usually resolves within 24-72 hours and normal activities can be resumed. The treated area also may feel a bit tight or sore after the procedure.

Any discomfort can be treated with over the counter Tylenol. However, if your pain is unbearable, please call our office immediately. Initial swelling and bruising can take one to two weeks to resolve, and while initial results are immediate, the final result is typically seen 3 to 4 months later due to the collagen and elastin remodeling within the skin.

  • Avoid exposing the treated area to direct sunlight or excessive heat for at least 48 hours after the procedure.
  • This includes avoiding tanning beds, hot tubs, saunas, and sunbathing.
  • Keep the treated area clean and moisturized to promote healing and prevent infection.
  • Avoid applying makeup or any other skincare products that contain harsh chemicals or exfoliating agents for at least 24 hours after the procedure.
  • Refrain from vigorous exercise or any other strenuous physical activity for at least 24 hours after the procedure.
  • Drink plenty of water to stay hydrated and aid in the recovery process.
  • Be gentle when washing or touching the treated area, and avoid rubbing or scratching the skin.

Need an appointment?

Fill out the form below or call us at 206-403-1223, and we will be in touch shortly.