Objectives: Over the past decade, energy-based devices (EBDs) have become key tools in skin tightening treatments. Since 2019, the integration of a 3D camera has enhanced our ability to assess outcomes objectively and refine our approach. While modalities like monopolar RF (MRF), high-intensity focused ultrasound (HIFU), and needling RF (NRF) are all evidence-backed, patient satisfaction depends heavily on selecting the appropriate technology. NRF often outperforms in difficult areas such as the submental region and nasolabial folds by generating more visible yellow zones, indicating collagen remodeling.