Effective nonablative skin tightening has become a reality. There are many devices that are now available.To create a concise reference material for existing and new practitioners who wish to be updated about the available technologies.The authors reviewed the literature from the points of view of efficacy and safety and availability.The increasing number of nonablative systems all seem to be effective and safe when used in the recommended manner.Radiofrequency energy can be applied to human facial, neck, and body skin to create tightening without surgical incisions and recovery time.