RF microneedling is a fantastic option for improving skin texture, tightening, and addressing concerns like crepe-like skin. It utilizes the combination of microneedling and radiofrequency energy to stimulate collagen production and enhance skin elasticity. When performed by skilled professionals, RF microneedling can yield noticeable improvements in skin texture and firmness. Sculptra, on the other hand, is a dermal filler that encourages collagen production over time, helping to restore volume and smoothness to the treated area. When combined with RF microneedling, Sculptra can provide a comprehensive approach to rejuvenating the skin, enhancing both its texture and volume. However, you've raised a valid question about whether RF microneedling can still make a noticeable difference without Sculptra. The answer is yes, RF microneedling can offer significant benefits on its own, especially for concerns like crepe-like skin and mild sagging. At 33 years old with skin that has mild sagging, RF microneedling alone can stimulate collagen production, improve skin elasticity, and enhance overall skin texture. It may provide the results you're seeking in terms of skin tightening and rejuvenation. That being said, the decision to combine Sculptra with RF microneedling or to pursue each treatment separately depends on your individual goals, timeline, and preferences. While Sculptra can enhance volume and provide more comprehensive results in the long term, RF microneedling can still offer noticeable improvements without it. Before making a decision, I recommend consulting with a licensed and experienced skincare professional who can assess your specific skin condition and provide personalized recommendations. They can help you create a treatment plan tailored to your needs, whether that involves alternating treatments or focusing on one specific approach. Remember, every individual's skin is unique, and the best treatment plan considers both your current skin condition and your desired outcomes.