Anything connected to an untrusted network should have a firewall, doesn’t matter if it’s IPv4 or IPv6.
There’s functionally no difference between NAT on IPv4 or directly allowing ports on IPv6, they both are deny by default and require explicit forwarding. Subnetting is also still a thing on IPv6.
If anything, IPv6 is more secure because it’s impossible to do a full network scan. My ISP assigned 4,722,366,482,869,645,213,696 addresses just to me. Good luck finding the used ones.
With IPv4 if you spin up a new service on a common port it usually gets detected within 24h nowadays.