A 60-year-old female came to our Beverly Hills office unsatisfied with her facial laxity and early jowls. She wished to avoid surgery but wanted to do something that improved her skin tightness globally. After a cosmetic consultation at our Beverly Hills office, we recommended a series of fractionated microneedling radiofrequency treatments with our Endymed device. Endymed uses very fine gold needles and radiofrequency heat to create micro wounds in the skin that help stimulate collagen production. Over a series of sessions, collagen builds, tightening the overlying skin. After just 3 treatments, this patient has achieved significant improvement in her jawline contour and overall facial tightness.