The demand for noninvasive and minimally invasive skin-tightening procedures is rising within the aesthetic world. Although these treatments will not replace surgery, a growing patient population is seeking results through low-risk procedures with associated minimal downtime. The technology within this realm is changing due to an increased ability to safely deliver energy to deeper tissue planes. Within the last year alone, research has led to the introduction of a subdermal radiofrequency device, advancements in minimally invasive lasers, and the use of microfocused ultrasound targeting the facial tissue. Through research studies, protocols are being optimized and clinical results are becoming more reliable. Semin Cutan Med Surg 33:182-187 © 2014 Frontline Medical Communications