This 61-year-old gentleman had definite improvement in his neck tightness and jawline contour after 4 treatments with radiofrequency pelleve tightening but wished for even more neck definition when viewed in profile. We discussed additional options, including neck liposuction, a surgical neck lift, and ThermiTight, a procedure that uses radiofrequency heat. Because he wished to try the least invasive approach, he underwent ThermiTight that uses a radiofrequency wand injected beneath the skin. Heat is precisely delivered to deeper tissues, which stimulates collagen production and destroys fat permanently. After a single treatment with ThermiTight, this patient is thrilled by his better defined neck contour and visible adam’s apple!