Vivian offers consultations in private practice here at Nova Dermatology, and also regularly in public practice at John Hunter Department of Dermatology, where duties include outpatient clinics and teaching dermatology registrars and medical students. As the first dermatologist in Newcastle accredited for Mohs Micrographic Surgery, she has been offering this important service to residents of the Hunter since 2022.

She remains actively engaged in research and teaching – having published in peer reviewed journals and attended and presented at national and international dermatology conferences. She lectures to University of Newcastle and University of Sydney undergraduates and presents to general practitioners and GP registrars.