A 60-year-old female came to our Beverly Hills office interested in tightening her facial skin and improving her jaw contour without surgery. After a cosmetic consultation, we recommended fractionated microneedling radiofrequency treatments with our Endymed Intensif device. Endymed uses very fine gold needles to deliver heat energy to collagen bundles in deeper layers of the skin. Heat causes contraction and remodeling of the collagen, which builds and firms the skin over time. After just 3 treatments, she has already seen significant improvement in her jaw contour and facial firmness. She is continuing maintenance treatments every 6 months and will be doing a sweep with our Erbium laser to improve overall skin radiance and reduce fine lines.