A 52-year-old female presented to our Beverly Hills clinic frustrated by her aging chest and the development of central chest lines and wrinkles. Although she had tried multiple over-the-counter “firming” creams, none of these had offered improvement. After a dermatology cosmetic consultation, we recommended a series of microneedling radiofrequency (RF) treatments with our Endymed device. Endymed helps tighten skin by using a combination of microneedles and radiofrequency heat. Microneedles are placed into the skin and heat is delivered between the needles. This combination of microscopic needle injuries and precisely controlled heat helps promote collagen and elastin synthesis as well as increases blood flow. Over a series of 3-6 treatments spaced 4-6 weeks apart, skin gradually tightens and fine lines fade. After just 3 treatments with minimal downtime, this patient is already very pleased with her firmer and tighter chest skin and is continuing treatments for maintenance twice yearly. Endymed is safe to use on multiple skin types and colors, giving it a distinct advantage over some lasers for certain patients.