When it comes to refreshed, rejuvenated skin, two treatments often stand out: CO₂ laser resurfacing and RF microneedling (such as Morpheus8 or Vivace). Both are powerful, collagen-stimulating treatments that can improve texture, tone, and visible signs of aging, but they work in very different ways. At Be You Medical, we believe in guiding you through a personalized approach, helping you choose the treatment that fits your unique goals, skin type, and lifestyle.
Patients often compare Morpheus8 vs CO2 laser when deciding between collagen-building and deeper resurfacing options. In this post, we break down how each treatment works, when one may be a better choice than the other, and why having expert support makes all the difference.
Why These Two Treatments Are So Often Compared
CO₂ laser and RF microneedling are both effective tools for rejuvenation, yet their methods and results are distinct.
- CO₂ laser resurfacing delivers deep skin renewal through controlled removal of damaged surface layers. Results can be dramatic and long-lasting, but it requires more downtime.
- RF microneedling (Morpheus8, Vivace) creates tiny punctures in the skin combined with gentle heat to stimulate collagen deeper below the surface. It offers noticeable improvement with minimal downtime and is gentle enough for most skin types.
Both deliver excellentl results—but choosing the right one can mean the difference between subtle glow and full resurfacing.
What Is CO₂ Laser Resurfacing?
The CO₂ Laser is an ablative laser that physically removes damaged layers of skin. It’s a heavy-hitter in the world of skin resurfacing. ‘Ablative’ treatments remove the outer layers of skin to trigger collagen production and reveal smoother, healthier skin underneath.
- It’s best for deep wrinkles, scarring, sun damage, and irregular texture.
- You’ll need to plan for downtime—usually 5 to 10 days—as your skin peels, renews, and heals.
- While it’s incredibly effective, it’s not ideal for every skin type, particularly darker tones that are more prone to post-treatment pigmentation.
It’s no surprise that CO₂ laser resurfacing has earned a following among celebrities, too. Stars like Jennifer Aniston, Kim Kardashian, and Chelsea Handler have all spoken publicly about their experiences with fractional CO₂ treatments to smooth fine lines and improve skin texture. While results vary for each person, the treatment’s reputation for delivering real, noticeable change in just one or two sessions is part of why it’s so popular—on and off the red carpet.
If you’ve tried other treatments and still feel like you’re chasing results, CO₂ laser may be the “reset button” your skin needs. Learn more about our CO2 Laser.
What Is RF Microneedling (Morpheus8/Vivace)?
RF microneedling combines the benefits of traditional microneedling with radiofrequency (RF) energy to stimulate collagen production at deeper levels of the skin. Instead of removing the surface layers like a laser, it uses tiny needles to create micro-injuries while delivering controlled heat below the surface. This stimulates natural healing and long-term skin remodeling.
Patients love it because it delivers visible firming and texture improvements with little to no downtime. Most people feel mild redness for a day or two after treatment, and results build over time.
RF microneedling is also a go-to treatment for the neck, especially if you’re dealing with crepey skin or mild laxity. The neck tends to be more delicate and less forgiving than the face when it comes to aggressive lasers. RF microneedling allows us to tighten and smooth the neck area without damaging the surface or requiring long recovery time. It’s a great option for patients who want visible improvement but aren’t ready for surgery or extended downtime.
This treatment is safe for all skin tones, which makes it a more inclusive option than some laser devices. At Be You Medical, we use RF microneedling to address early signs of aging, mild to moderate acne scarring, large pores, dullness, and skin laxity—all while helping patients stay in their normal routines.
Which Concerns Are Best Treated with Each?
CO₂ Laser Works Best For:
- Deep lines and wrinkles
- Significant sun damage or skin discoloration
- Pitted acne scars or rough texture
- Uneven skin tone that hasn’t responded to milder treatments
RF Microneedling Works Best For:
- Mild to moderate acne scarring
- Early signs of aging
- Large pores or surface dullness
- Mild skin laxity or collagen loss
One quick way to think about it: If you’re trying to rewind the clock by a decade or more, CO₂ laser might be your answer. If you’re looking to maintain or gradually improve your skin’s youthfulness, RF microneedling offers an effective, low-downtime route.
When One Might Be Better Than the Other
Still unsure whether to choose CO₂ laser vs RF microneedling? Here’s a simple breakdown:
Choose CO₂ Laser If:
- You want dramatic resurfacing in just one or two sessions
- You’re dealing with deep-set wrinkles or significant skin texture
- You’re comfortable with a week or more of downtime
- Your skin tone is in the fair-to-medium range
Choose RF Microneedling If:
- You want collagen stimulation and tightening without major peeling or flaking
- Your schedule doesn’t allow for extended healing
- You have darker skin or a history of post-inflammatory pigmentation
- You prefer a gradual, buildable approach
What About Pain and Recovery?
Both treatments are tolerable with proper care. At Be You Medical, we use strong topical numbing agents and check in frequently during treatments.
- RF microneedling is usually described as a “warm scratchy feeling.” You’ll be red and slightly swollen, but most clients feel back to normal in 1–2 days.
- CO₂ laser can cause more discomfort during and after treatment. Expect tightness, sensitivity, and some peeling. We’ll walk you through a recovery plan to keep you comfortable, including skin-soothing products and optional pain relievers.
Recovery support also matters. You’ll want to avoid sun, heat, and exercise for a few days after either treatment. Our team provides detailed aftercare instructions and check-ins to make sure you’re healing safely.
Why Patients at Be You Medical Trust Both Options
At Be You Medical, we don’t sell treatments, we build relationships. Our goal is for you to feel confident, comfortable, and excited to refer your friends. Every consultation starts with a clear conversation about your skin goals, tolerance for recovery, and long-term plan.
Dr. Selene Castrejon and our medically trained team have extensive experience with advanced laser and RF technologies. We customize every plan based on your skin tone, history, and needs, so you get real results without unnecessary risk.
Explore our full range of Skin Laser Treatments in Rocklin and Alamo, CA
Conclusion: Two Powerful Options, One Personalized Choice
CO2 laser and RF microneedling aren’t in competition—they’re part of a broader toolkit for skin rejuvenation. Whether you’re tackling deep wrinkles, stubborn scars, or early signs of aging, the right treatment depends on your skin and your comfort level with downtime.
Book a consultation with Be You Medical today. We’ll guide you through your options with honesty, warmth, and medical expertise—so you can feel confident in your next step toward radiant skin. Learn more about our medical spas in Sacramento, Rocklin, Alamo, and Grass Valley.
FAQ: CO2 Laser vs. RF Microneedling
Does CO2 laser help with crepey skin on the neck?
CO2 laser can improve skin texture and firmness, but it’s often too aggressive for the neck. RF microneedling is a safer and more effective option for tightening crepey skin in that area.
Is one treatment more painful than the other?
Both treatments involve some discomfort. CO2 laser typically requires topical numbing and may cause a sunburn-like sensation during recovery. RF microneedling is better tolerated, especially with numbing cream.
How many sessions will I need?
CO2 laser can produce noticeable results in just one session, though some patients benefit from two. RF microneedling usually works best in a series of three to four treatments, spaced a few weeks apart.
Are results permanent?
Both treatments improve the skin long term, but maintenance is key. Aging continues, so touch-ups or combination treatments may be needed over time to preserve results.
What kind of support will I need during recovery?
After CO2 laser, you’ll need to avoid sun exposure, keep skin moisturized, and follow a strict aftercare plan. You may want to take time off work or social events. RF microneedling has minimal recovery, but sunscreen and gentle skincare are still essential.
Will either of these work for hyperpigmentation?
Yes. CO2 laser helps resurface pigmented areas, while RF microneedling improves tone gradually. For pigment-specific concerns, we may also recommend Frax Pro Laser or Gentle Max Pro Laser treatments, depending on your skin tone.
Sources
Allure. I Tried Fractional CO2 Laser Treatment, and I’m Amazed by the Results. https://www.allure.com/story/i-tried-fractional-c02-laser-review-photos
Healthline. All About Radio Frequency Microneedling. https://www.healthline.com/health/radiofrequency-microneedling
Meghe, S., Saoji, V., Madke, B., & Singh, A. (2024). Efficacy of Microneedling and CO2 Laser for Acne Scar Remodelling: A Comprehensive Review. Cureus, 16(2), e55092. https://doi.org/10.7759/cureus.55092
