The world of aesthetic medicine is increasingly a consumer- driven market with a wide variety of home-use devices from which the consumer can choose for treating hair removal, hair loss, acne, facial rejuvenation, and other dermatologic conditions. Where these devices fit in the physician practice and consumer routine can be confusing, as scientific studies may be weak or lacking. The specifications, price, ease-of-use, maintenance, and technology can differ greatly between devices. Thus, the physician and consumer need to define expectations and goals before deciding upon an apparatus. Semin Cutan Med Surg 33:198-204 © 2014 Frontline Medical Communications