RF Microneedling improves textural abnormalities, lines, acne scars, and wrinkles, whereas Laser resurfacing improves both textural issues as well as pigment abnormalities. RF Microneedling is suitable for all skin types, though some lasers really arent suitable for certain skin types. We tend to use Lasers more frequently for sun damage or general skin aging, and RF microneedling more frequently for skin tightening and acne scars.