Regarding aesthetics, I don't think AV1 synthesized grain takes into account the size of the grains in the source video, so chunky grain from an old film source, with its big silver halide crystals, will appear as fine grain in the synthesis, which looks wrong (this might be mitigated by a good film denoiser). It also doesn't model film's separate color components properly, but supposedly that doesn't matter because Netflix's video sources are often chroma subsampled to begin with: https://norkin.org/pdf/DCC_2018_AV1_film_grain.pdf
Disclaimer: I just read about this stuff casually so I could be wrong.