Don't put too much emphasis on the technology. Evaluate the operator.

Dr. Graham makes periodic contributions to online patient information websites. RealSelf.com is one such site where many people write questions for panels of cosmetic physicians.

One of the most frequently misunderstood topics concerns patients choosing the right laser or other device for a skin condition such as wrinkles. "Should I chose Brand X or Brand Z for my laser treatments?"

Our humorous response to this question for a long time has been, "you need to consider more carefully the witch or the warlock, than which brand of wand they use." You will obtain the best results with the best diagnosis and proper treatment(s) regardless of the brand of laser your surgeon uses. It matters how the device is used and the selection of the appropriate devices. Of course, sometimes the answer from an experienced surgeon may be that lasers won't give you the results you expect, but that facelift or other surgery is your best answer.