Lasers such as Fraxel are superior to microneedling
Fraxel laser is the gold standard for wrinkles and acne scars. Redness is best treated with the V-Beam laser. Microneedling will have no effect on eliminating redness and only work superficially on scars. For the best cosmetic result please consult a board certified dermatologist with experience in Fraxel laser.
No, Needling is helpful but no even close to being as good as laser resurfacing for wrinkles.
Needling is very helpful if it is performed correctly and aggressively. Lasers are much better in skilled hands to remove wrinkles, redness, unwanted pigment, sun damaged skin, acne scars and benign and sometime malignant skin lessons.
Skin needling vs Fractional lasers
Skin needling is simply a series of rolling needles inserted shallowly into the skin, and your skin repairs the needle marks by creating collagen in that spot. Fractional lasers have needles, but energy (radio frequency) comes through the needles into the skin. This allows for more collagen production at deeper depths, more tightening, and better results in general. Overall, fractional lasers are simply better for everything because they do more.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
Fraxel is better than needling for wrinkles
Needling is good for very mild corrections of wrinkles, scars, texture, and pores. Neither Fraxel or needles will help with redness. Infini, fractional microneedling RF will be at least as good as Fraxel for wrinkles. Please see before and after photos I have on infini. I'm the largest user of Infini in the country.
Needling alternative to Fraxel laser
Neither micro needling or Fraxel® treat redness. Both do help resurface enlarged pores and superficial lines, treatment for treatment, Fraxel® is a little more effective than micro needling in addressing these issues.