--- title: Attiva Skin Tightening | St. Johns Aesthetics St. Augustine FL description: Explore Attiva treatments for minimally invasive skin tightening, facial contouring, and collagen stimulation at St. Johns Aesthetics in St. Augustine, Florida. --- [Skip to main content](https://sjawc.com/attiva#main-content) [![St Johns Aesthetics and Wellness Center](https://sjawc.com/hs-fs/hubfs/SJAWC%20logo%20(1).png?width=44&height=44&name=SJAWC%20logo%20(1).png) **St Johns** Aesthetics & Wellness Center](https://sjawc.com/?hsLang=en) - [Services](https://sjawc.com/services?hsLang=en) - [Injectables](https://sjawc.com/injectables?hsLang=en) - [Laser Resurfacing](https://sjawc.com/laser-resurfacing?hsLang=en) - [Laser Hair Removal](https://sjawc.com/laser-hair-removal?hsLang=en) - [Chemical Peels](https://sjawc.com/chemical-peels?hsLang=en) - [Attiva](https://sjawc.com/attiva?hsLang=en) - [Hair Restoration](https://sjawc.com/hair-restoration?hsLang=en) - [Micro-Needling](https://sjawc.com/micro-needling?hsLang=en) - [The O-Shot](https://sjawc.com/the-o-shot?hsLang=en) - [Skin Care](https://sjawc.com/skin-care?hsLang=en) - [PDO Threads](https://sjawc.com/pdo-threads?hsLang=en) - [Weight Management](https://sjawc.com/weight-management?hsLang=en) - [Before & After](https://sjawc.com/before-and-after?hsLang=en) - [Packages](https://sjawc.com/beauty-packages?hsLang=en) - [Beauty Packages](https://sjawc.com/beauty-packages?hsLang=en) - [Financing](https://sjawc.com/financing?hsLang=en) - [Blog](https://sjawc.com/blog?hsLang=en) - [About Us](https://sjawc.com/about-us?hsLang=en) - [Contact Us](https://sjawc.com/contact-us?hsLang=en) - [Patient Portal](https://blvd.app/@sjawc/login) - [Book Now](https://www.joinblvd.com/b/sjawc/widget#/visit-type) ✕ - [Home](https://sjawc.com/?hsLang=en) - [Services](https://sjawc.com/services?hsLang=en) - [Injectables](https://sjawc.com/injectables?hsLang=en) - [Laser Resurfacing](https://sjawc.com/laser-resurfacing?hsLang=en) - [Laser Hair Removal](https://sjawc.com/laser-hair-removal?hsLang=en) - [Chemical Peels](https://sjawc.com/chemical-peels?hsLang=en) - [Attiva](https://sjawc.com/attiva?hsLang=en) - [Hair Restoration](https://sjawc.com/hair-restoration?hsLang=en) - [Micro-Needling](https://sjawc.com/micro-needling?hsLang=en) - [The O-Shot](https://sjawc.com/the-o-shot?hsLang=en) - [Skin Care](https://sjawc.com/skin-care?hsLang=en) - [PDO Threads](https://sjawc.com/pdo-threads?hsLang=en) - [Weight Management](https://sjawc.com/weight-management?hsLang=en) - [Before & After](https://sjawc.com/before-and-after?hsLang=en) - [Beauty Packages](https://sjawc.com/beauty-packages?hsLang=en) - [Financing](https://sjawc.com/financing?hsLang=en) - [Blog](https://sjawc.com/blog?hsLang=en) - [About Us](https://sjawc.com/about-us?hsLang=en) - [Contact Us](https://sjawc.com/contact-us?hsLang=en) - [Patient Portal](https://blvd.app/@sjawc/login) - [Book Now](https://www.joinblvd.com/b/sjawc/widget#/visit-type) Attiva® RF · St. Johns, Florida # Tighter contours. *Without traditional surgery.* A minimally invasive radiofrequency treatment designed for appropriate candidates seeking improvement in skin laxity and contour with a personalized, medically guided plan. [Schedule a Consultation](https://www.joinblvd.com/b/sjawc/widget#/visit-type)[Explore Treatment](https://sjawc.com/attiva#treatments) **15+**Years in Aesthetics **Nearly 30**Years of Medical Experience **Personal**Consultation First ![Attiva RF treatment at St. Johns Aesthetics](https://sjawc.com/hs-fs/hubfs/Website/Attiva/attiva-rf-skin-rejuvenation.jpg?width=1200&height=900&name=attiva-rf-skin-rejuvenation.jpg) Treatment begins with a consultation**Clear guidance. Realistic expectations.**Your plan is built around candidacy, goals, and safety. What brings you here? **Laxity**Loose or crepey skin **Contour**Jawline, lower face, and selected body areas **Collagen**Progressive remodeling after treatment Our Approach ## Energy-based tightening requires careful candidate selection and precise treatment. Attiva delivers controlled radiofrequency energy beneath the skin. Consultation is essential to discuss anatomy, goals, alternatives, anesthesia, recovery, and whether a minimally invasive procedure is appropriate. **Consultation first** Appropriateness and alternatives are assessed before treatment. **Individualized settings** Technique and intensity are selected for your anatomy and goals. **Clear expectations** Benefits, limitations, recovery, and risks are discussed directly. **Long-term thinking** Your plan can be staged and adjusted as your needs evolve. Treatment Planning ## Options shaped around *your goals.* Each option addresses a different concern. Consultation determines candidacy, sequencing, and whether another approach is more appropriate. 01 / ATTIVA RF ### Lower Face & Jawline Treatment planning may address mild-to-moderate laxity and contour through the lower face. - Jawline - Jowls - Lower face - Submental area 02 / ATTIVA RF ### Neck & Décolleté Selected candidates may seek improvement in laxity or crepey texture in the neck region. - Neck laxity - Texture - Contour - Collagen remodeling 03 / ATTIVA RF ### Selected Body Areas Consultation determines whether a body concern is appropriate for treatment and what result is realistic. - Localized laxity - Contour - Skin quality - Candidate selection ![Attiva RF consultation and treatment planning](https://sjawc.com/hs-fs/hubfs/Website/Attiva/attiva-rf-skin-rejuvenation.jpg?width=1200&height=900&name=attiva-rf-skin-rejuvenation.jpg) Personalized Assessment ## A plan built from the *right questions.* Your concern, health history, prior treatment, timeline, and tolerance for recovery all affect the recommendation. 01 **Lower face** Jawline definition and mild-to-moderate laxity. 02 **Neck** Crepey texture and laxity in appropriate candidates. 03 **Body** Selected concerns after an in-person evaluation. [Discuss Your Goals](https://www.joinblvd.com/b/sjawc/widget#/visit-type) Treatment Perspective ## Personalized care. *Realistic outcomes.* Photography and consultation help establish a useful baseline. Individual outcomes vary and no specific result can be guaranteed. ![Contour Planning](https://sjawc.com/hs-fs/hubfs/shutterstock_712586230.jpg?width=900&height=700&name=shutterstock_712586230.jpg) **Contour Planning** Treatment is mapped around anatomy and the desired degree of change. ![Candidate Assessment](https://sjawc.com/hs-fs/hubfs/Website/Office/lorie-cosultation-1a.jpg?width=900&height=700&name=lorie-cosultation-1a.jpg) **Candidate Assessment** Alternatives, risks, recovery, and expectations are reviewed. ![Medical Oversight](https://sjawc.com/hs-fs/hubfs/lorie-carter-optimized.jpg?width=900&height=700&name=lorie-carter-optimized.jpg) **Medical Oversight** Minimally invasive RF treatment requires trained, experienced care. Individual results vary. Images and descriptions are educational and do not guarantee an outcome. What to Expect ## A clear path from *consultation to follow-up.* 01 **Consultation** Review goals, anatomy, health history, medications, alternatives, and whether treatment is appropriate. 02 **Preparation** Receive individualized procedural and medication instructions. Do not stop prescribed medication without medical guidance. 03 **Procedure** Treatment involves controlled energy beneath the skin and may require local anesthesia or other comfort measures. 04 **Recovery & remodeling** Swelling, bruising, tenderness, and temporary sensory changes can occur. Collagen remodeling develops over time. ![Lorie Carter, APRN](https://sjawc.com/hs-fs/hubfs/lorie-carter-optimized.jpg?width=800&height=1000&name=lorie-carter-optimized.jpg) **15+**Years in Aesthetics Meet Your Provider ## Experience matters. *So does judgment.* Lorie Carter, APRN, brings nearly 30 years of medical experience and more than 15 years of aesthetic specialization to every treatment plan. Her approach is direct, educational, and centered on whether a treatment is appropriate rather than focused on selling a procedure. Advanced Practice Registered Nurse Nearly 30 years of medical experience 15+ years of aesthetic specialization Personalized treatment planning [Learn More About Lorie](https://sjawc.com/about-us?hsLang=en) Frequently Asked Questions ## Know before you *book.* Is Attiva non-invasive?+ No. Attiva is generally described as minimally invasive because energy is delivered beneath the skin. Consultation should cover the procedural steps, anesthesia, recovery, and risks. Is it a replacement for a facelift?+ It is not equivalent to surgery. It may be considered for selected patients with mild-to-moderate concerns who understand the limits of a minimally invasive treatment. When are results visible?+ Some contour change may be noticed earlier, while collagen remodeling evolves over the following months. Results vary. What is the downtime?+ Recovery varies by area and treatment extent. Swelling, bruising, tenderness, and activity restrictions may occur. Who is not a candidate?+ Suitability depends on health history, anatomy, medications, expectations, and other factors that require an in-person medical assessment. Related Services ## Continue exploring. [**PDO Threads**View service →](https://sjawc.com/pdo-threads?hsLang=en)[**Laser Resurfacing**View service →](https://sjawc.com/laser-resurfacing?hsLang=en)[**Microneedling**View service →](https://sjawc.com/micro-needling?hsLang=en) ## Ready for a personalized *attiva rf consultation?* Schedule with Lorie Carter, APRN, at St. Johns Aesthetics and Wellness Center. [Book a Consultation](https://www.joinblvd.com/b/sjawc/widget#/visit-type)[(904) 710-0453](tel:9047100453) [![](https://sjawc.com/hs-fs/hubfs/SJAWC%20logo%20(1).png?width=48&height=48&name=SJAWC%20logo%20(1).png) **St Johns**Aesthetics & Wellness Center](https://sjawc.com/?hsLang=en) Personalized, non-surgical aesthetic and wellness care in St. Johns County, Florida. [(904) 710-0453](tel:9047100453) ## Services [Injectables](https://sjawc.com/injectables?hsLang=en)[Laser Resurfacing](https://sjawc.com/laser-resurfacing?hsLang=en)[Laser Hair Removal](https://sjawc.com/laser-hair-removal?hsLang=en)[Microneedling](https://sjawc.com/micro-needling?hsLang=en)[Skin Care](https://sjawc.com/skin-care?hsLang=en) ## Explore [About Us](https://sjawc.com/about-us?hsLang=en)[Before & After](https://sjawc.com/before-and-after?hsLang=en)[Journal](https://sjawc.com/blog?hsLang=en)[Financing](https://sjawc.com/financing?hsLang=en)[Contact](https://sjawc.com/contact-us?hsLang=en) ## Visit 206 Ashourian Ave Unit 114 St. Augustine, FL 32092 [Book Online](https://www.joinblvd.com/b/sjawc/widget#/visit-type)[Patient Portal](https://blvd.app/@sjawc/login) © 2026 St. Johns Aesthetics & Wellness Center[Privacy Policy](https://sjawc.com/privacy-policy?hsLang=en) ```json { "@context" : "https://schema.org", "@type" : "MedicalBusiness", "address" : { "@type" : "PostalAddress", "addressCountry" : "US", "addressLocality" : "St. Augustine", "addressRegion" : "FL", "postalCode" : "32092", "streetAddress" : "206 Ashourian Ave, Unit 114" }, "medicalSpecialty" : "Aesthetic Medicine", "name" : "St. Johns Aesthetics and Wellness Center", "telephone" : "+1-904-710-0453", "url" : "https://sjawc.com/blog/the-ultimate-guide-to-attiva-rf-skin-treatments" } ``` ```json { "@context" : "https://schema.org", "@type" : "FAQPage", "mainEntity" : [ { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "No. Attiva is generally described as minimally invasive because energy is delivered beneath the skin. 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