Energy-based devices have become an integral part of the medical aesthetic specialty. With new and improved models hitting the show floors every year and big-budget consumer campaigns telling your patients to try the latest technologies, physicians face the perilous task of staying competitive without getting buried under an avalanche of cutting-edge devices that turn out to be duds. The five and sometimes six-digit price tags of aesthetic lasers and platforms necessitate a certain level of due diligence on the part of the buyer. Still, there are times when even well thought-out purchases fail to deliver. We spoke with equipment manufacturers and experienced practice owners to find out what steps a physician can take to turn around a poorly performing device.