There are nonsurgical and nonexcisional alternatives for lower face and neck lifts, including traditional liposuction, laser-assisted liposuction (LAL), skin surface skin tightening technologies, and minimally invasive skin tightening (MIST). Although traditional tumescent neck liposuction is highly effective at contouring and fat removal, it fails to address the residual skin laxity left behind completely in a number of cases [1-3]. While easily facilitating lipolysis and removal, neck LAL fails to manage residual skin laxity adequately [4]. In contrast to skin surface technologies, the use of needle electrodes or fiber cannula MIST delivers the laser or radiofrequency (RF) energy immediately into the dermis or subdermal tissue, maximizing efficacy in treating lower face and neck laxity [5,6]. Noninvasive RF and lasers have been used for skin tightening and body contouring since the 1990s. An RF device (BodyTite; Invasix Ltd, Yokneam Ilit, Israel) was introduced in 2008 to contract skin and soft tissue, and treat subcutaneous adipose regions. The RF energy elicits its effects on the fibroseptal network and triggers skin tightening and soft tissue contraction [7,8]. RF energy inJin Seok Kang, Seong Eun Cho, Seung Min Nam, Eun Soo Park