A radio frequency (RF) treatment apparatus includes a main machine and a treatment handpiece. The treatment handpiece may comprise an RF output device, comprising a controller, an RF electrode module, an RF electrode driving circuit, and an RF generation module. The treatment handpiece may also employ a modified arrangement of the plurality of RF electrodes and/or an adjusted series-connection pattern. The treatment handpiece may also be provided with a microneedle member, which includes a plurality of microneedles, a printed circuit board (PCB), and a substrate plate, wherein the plurality of microneedles comprise a plurality of long microneedles and a plurality of short microneedles.