Microneedle radiofrequency (RF) is a breakthrough in targeting skin laxity and rhytids that provides direct in situ delivery, impedance measurements, temperature measurements, energy delivery controls, and targeting of various skin depths to achieve desired clinical outcomes. Microneedle RF controls penetration depth and delivery to specified temperatures and impedance measurements, ensuring significantly improved efficacy in the treatment of mild-to-moderate rhytids and skin laxity of the face and neck, and cellulite and laxity on other body sites. Combining microneedle RF with dermal fillers and neuromodulators may be used to further improve clinical outcomes and achieve high patient satisfaction.