Skin tightening is a key goal and indicator in facial rejuvenation and anti-aging. However, certain facts are often misinterpreted, and myths continue to confuse both professionals and the public. In this presentation, we will re-evaluate skin tightening through case analysis using 3D imaging with popular energy-based devices. Our aim is to achieve more accurate and predictable outcomes for patients, enhancing both understanding and treatment efficacy in aesthetic practice.