Methodology
Device user rating
We organize the facts. Owners and operators share their experience. You decide.
Device user rating = the mean of the 1–5 overall scores from published reviews by owners, operators and clinical directors (Verified or Attested). Founder-distributed devices follow the same rating rules, with the distribution relationship disclosed. It appears from the first published, scored review and is labeled Small sample below 10 scored reviews.
Only the overall 1–5 score and whether you would buy the device again are required. The four supporting ratings — results, reliability, service and support, and training — can be marked “not applicable”, and anything marked that way is left out of every average rather than guessed.
The Device user rating is the mean of the overall 1–5 score each owner or operator gave the device, Attested and Verified reviews alike, and it always renders with the number of reviews behind it. The four supporting ratings — results, reliability, service & support, and training — publish as their own averages beside it and never feed the headline figure. We add no opinion of our own to it, and no grade, badge or rank of ours exists anywhere else on the site.
This page explains how the rating is calculated, how we verify the data behind it, and how we make money.
Ratings start with the first scored review
A device shows its Device user rating from the first published, scored owner or operator review, labeled “Small sample” below 10 scored reviews. The number of scored reviews always appears beside the rating. With no scored reviews, no average is shown. These same rules apply to devices distributed by our founder’s company, with the distribution relationship disclosed — see our ownership & conflicts policy. The rating reflects the reviewers’ scores, not an editorial endorsement.
What owners rate
The Device user rating is the mean of one number: the overall 1–5 rating each eligible owner gave the device. Eligible means a verified or attested owner, operator or clinical director. Nothing else goes into it — no composite, no weighting, no input of ours. The sub-ratings below are published as their own separate means, side by side with the overall rating, and “would buy again” is published as a percentage of the owners who answered it, not averaged into any score. Recurring consumable costs, FDA records and used asking prices are published on the profile as data, dated and sourced, and are never folded into the rating.
Results
Whether the device delivered the outcomes the owner expected on their own patients.
Reliability
Uptime in daily clinic use: faults, downtime and how the unit held up.
Service & support
Manufacturer or distributor service and day-to-day support: response times, parts and repair experience, protocol help and reachability.
Training
Initial and ongoing training for the owner and their staff.
Would buy again
Whether the owner would buy the same device again today.
Where the data comes from
- Regulatory: public FDA 510(k) records and device registration listings — see our FDA guide.
- Owner and operator data: structured surveys submitted by owners, operators and clinical directors through our review form, moderated before they publish. Every published review counts, whether it carries the Attested badge or the Verified badge.
- Pricing and resale: broker listings, used-market transactions and operator-reported quotes, expressed as ranges rather than single figures.
- Clinical evidence: peer-reviewed literature specific to the platform, shown as evidence and kept out of the rating.
What the score is not
It is not a clinical efficacy claim, not medical advice, and not for sale. Our founder also owns a North American distributor of certain devices we cover; those conflicts and the affected products are set out in our ownership & conflicts policy, and those devices are ineligible for paid placement. Editorial content, ratings and FDA data are never influenced by manufacturer relationships, and sponsored placements are always labeled. Price records may contain list prices, reported quotes, asking prices or estimates. Check the source and date; an asking price is not a completed-sale value.
Data on file
We previously showed small letter grades for running costs, FDA documentation and used-market values. We removed them. A letter is our judgement dressed as a measurement, and this site publishes no judgement of its own about any device. Every profile now carries a “Data on file” panel instead, with three factual rows:
- Recurring consumables
- The per-treatment figure exactly as documented, with its unit, the type of source it came from and the date it was checked. Where a consumable is published as a range, charts use the midpoint. A figure with no dated source behind it is not published.
- FDA
- The regulatory status wording used everywhere else on the site, with each 510(k) or De Novo number linked to FDA’s own record so you can read it yourself.
- Used asking prices
- How many used listings we have observed and the date of the most recent one. Asking prices are what sellers ask, not what units sell for.
- “Not verified”
- Where a row has no dated source on file it reads “Not verified”, in the same neutral styling as every other value. That is a statement about our records, not a mark against the device, and it applies to every manufacturer equally.
How we verify
Three separate data pipelines feed this site — regulatory status, chain fleet intelligence and owner and operator reviews. Each is verified differently, and we label the difference. Every badge names the reviewer's role — owner, operator or clinical director — alongside the verification tier. All roles count toward the Device user rating and the individual ratings; ownership-economics medians count owner-role responses only, since purchase price, financing, ROI and maintenance contracts are asked of owners only. Our verified owner review program is new and now recruiting founding reviewers — the full rules live in our review policy.
FDA verification
510(k) citations are verified against the FDA clearance and PMA databases: 382 of 485 devices currently carry a verified citation, and the rest are working through our audit queue. Where a clearance is evidenced, we record the clearance number and publish it on the device profile alongside the plain-English indication the device was cleared for — not the marketing claim. Where no US clearance exists, we say so explicitly rather than leaving the field blank.
Devices show one of these states: FDA Cleared — a clearance we have evidenced with a 510(k) number; Registered — no device clearance identified; General wellness product — not reviewed by FDA; and No US 510(k) located. We only publish "FDA Cleared" with a clearance number and a link to the public FDA record; a clearance we cannot evidence stays in our internal audit queue rather than on the profile. "Cleared" is not "approved" — see our FDA guide. Each profile also carries a "Last verified" date so you can see how fresh the check is.
How profiles are produced
Device profiles are drafted with automated research assistance, then verified against primary sources — the FDA 510(k) database, manufacturer documentation and operator websites — and reviewed by a person before publication. Automated checks re-validate FDA citations on an ongoing basis and flag any record whose clearance evidence no longer holds; flagged records move back into the audit queue and the citation stops displaying until it is confirmed again. Where a fact cannot be traced to a primary source, the field is left empty rather than estimated.
Chain data confidence
Chain fleet pairings on the Chains pages carry a confidence level, because equipment lists are rarely published in full:
- Confirmed
- The chain names the device in its own materials — service menu, press release, franchise disclosure document or a manufacturer partnership announcement.
- Reported
- Multiple credible secondary sources — trade press, operator interviews or location staff — place the device in the fleet, but the chain has not published it centrally.
- Inferred
- The chain advertises a branded treatment that only this platform delivers, so the device is almost certainly present. Treat it as a strong signal, not a fact.
The verification badges
A Verified Manufacturer has claimed and confirmed their profile. Every owner and operator review publishes in one of two tiers: “Verified owner”, when we have accepted documentary proof of ownership — an invoice, serial-plate photo, financing statement or service record — and “Attested”, when the reviewer signed a legal certification instead, which is what former owners who no longer hold the paperwork use. The Verified tier is proof of ownership, so it stays with owners; every badge also names the reviewer's role, so an operator's review publishes as “Attested operator”. Both tiers require a signed certification and a recorded signal that the reviewer is a real person, both publish only after a person approves them, and both count toward the Device user rating; we never publish a review labeled unverified. Badges are not endorsements, ratings, or paid placements, and are not for sale.
Review moderation
Every submitted review is screened by a human before it appears. We check for manufacturer-planted content, competitor attacks, and claims that identify patients. The two publication tiers are explained under the verification badges above.
We never edit the substance of a review. We will remove personally identifying details or decline to publish, but we do not soften criticism, and manufacturers cannot have negative reviews removed. Full detail is in our review policy.
Consumables and operating economics
Consumable, lock-in and per-treatment figures come from dealer parts catalogs, manufacturer stores, FDA summaries and named trade-press interviews. AI-aggregator sites are excluded. Where a per-treatment figure is arithmetic from two published numbers on the same page, we label it derived. Currencies are published as found and never converted, and we state a gap rather than estimate a number.
Annual service contracts are the worst-documented field in this industry: none of Candela, Cynosure, Solta, InMode, BTL, Cutera or Sciton publishes a service price. Where we show a service figure it comes from a dealer or distributor, not the manufacturer. Where we show nothing, nothing has been published.
What we publish about legal and safety matters
We publish a legal or safety matter on a public page only when all five of these are true:
- A regulator or a court has taken a final, documented action — a recall, a warning letter, a safety communication, a judgment or a consent order. Filed complaints, allegations and a company’s own account of its lawsuits are none of these.
- The action is on a primary public record we can link to, so you can read the original rather than our summary.
- The action names the device or the company on the page — not a sibling product, a former owner or a similarly named business.
- It changes something a buyer can act on: the FDA record, the safety of a unit in service, or whether parts, consumables or service remain available.
- We can state it in the regulator’s or court’s own terms, with dates, and without characterising fault beyond that record.
Anything that fails any one of those five stays off the public pages, whichever company it concerns, and that includes the two brands the founder’s company distributes. We removed the trademark, manufacturing-lineage and litigation narratives we previously carried, because they were allegations rather than findings. Every manufacturer named in a safety action gets a right of reply through /claim, published alongside the record, and corrections go through the same channel as all our data.
On timing: a verified regulatory or safety record — a recall, a warning letter, a safety communication — publishes as soon as we have checked it against the primary record, with a reply link for the company on the same page. Ordinary factual updates, such as a price range, a consumable figure or a warranty term, may be sent to a claimed company for clarification first, but no update is ever held for a company’s approval, and no company sees a page before it publishes.
How we work (and how we make money)
We research equipment for buyers, and we tell you exactly how the lights stay on. If a placement is paid, it is labeled. If it affects our editorial judgment, it doesn't exist.
The line
FDA data, review scores and listing positions are never for sale — at any price, to any manufacturer, under any contract — and we publish no editorial verdict of our own.
What manufacturers can pay for
- Labeled placement. Sponsored slots in category listings and on relevant pages. Every one carries a visible "Sponsored" label and is excluded from ranking logic.
- Premium profiles. A claimed profile with brand assets, spec sheets, financing details and a direct contact route for buyers. The editorial sections of that profile stay ours.
- Qualified buyer introductions. When an operator asks to be connected to a vendor, we pass that request along. Operators always opt in.
Pricing and tiers are on the for manufacturers page.
What manufacturers cannot pay for
- A higher position in any ranking, comparison table or category listing.
- Removal, suppression or softening of a negative owner review.
- Changes to FDA status, clearance numbers or indication language.
- Changes to our pricing ranges, consumable cost estimates or resale assessments.
- The Device user rating, or any text on a device record.
A paying manufacturer and a non-paying manufacturer are treated identically by our data pipeline.
How the payback calculator works
Estimate how long it could take to recover the purchase price from your treatment revenue after the costs you enter. This is a planning model, not a forecast or guarantee.
The calculation
- Per-treatment contribution = treatment price minus supplies and labor.
- Monthly contribution = per-treatment contribution × treatments per month, minus your monthly service reserve.
- Payback months = purchase price ÷ monthly contribution. A zero or negative contribution cannot recover the purchase price.
Where starting values come from
- Equipment price: the displayed range midpoint or a labeled configuration price.
- Treatment price: a recorded price with source information, or a median from at least three eligible published reviewer price reports.
- Planning examples: some devices offer separately labeled distributor estimates. These are editable examples, not verified owner averages or recommended fees.
- Supply costs: a sourced per-treatment figure, a labeled planning estimate, or your own allowance. Missing data never means $0. Enter zero only when you have confirmed it applies.
Before you rely on the result
- Review every starting value. Default treatment volume is illustrative; the low and high scenarios vary your volume by 25%.
- Blank labor and service fields count as zero in the calculation and can make payback look faster. Contribution figures stay hidden until you edit labor or enter a positive service reserve.
- Financing, marketing, taxes and other overhead are excluded. Account for these separately when budgeting.
Input limits
- Purchase price: $2,000,000; treatments per month: 2,000.
- Treatment price: $50,000; supplies per treatment: $10,000.
- Labor per treatment: $5,000; monthly service reserve: $5,000.
Values above these limits are capped. Negative and invalid entries are cleared when you leave the field.
How we decide a device is “FDA-cleared for” a goal
A device is only tagged as cleared for a goal when FDA’s own verbatim indications text for a cited record contains one of the phrases below and that phrase is not sitting only inside an excluded phrase. Where we hold no verbatim text, no goal tag is printed at all — the card states the FDA status and links the record instead. Generic surgical wording (“incision”, “excision”, “ablation, vaporization”, “coagulation of soft tissue”, “coagulation and hemostasis”, “electrocoagulation and hemostasis”, “dermatologic and general surgical procedures”) never satisfies a goal on its own.
| Goal | Phrases that satisfy it | Phrases that do not count |
|---|---|---|
| Muscle toning / building | “muscle conditioning”, “stimulate healthy muscles to improve or facilitate muscle performance”, “strengthening”, “toning”, “firming”, “improvement of abdominal tone”, “firmer abdomen” | “relief of minor muscle aches”, “muscle spasm”, “muscle re-education”, “disuse atrophy”, “range of motion”, “increasing local blood circulation” |
| Fat reduction / body contouring (non-invasive) | “non-invasive lipolysis”, “cold-assisted lipolysis”, “non-invasive fat reduction”, “reduction in circumference”, “reduction of circumference”, “disruption of adipocyte cells”, “reduction of waist circumference”, “abdominal circumference” | “suction lipoplasty”, “laser-assisted lipolysis”, “laser assisted lipolysis”, “fragmentation and emulsification” |
| Surgical body contouring | “suction lipoplasty”, “laser-assisted lipolysis”, “laser assisted lipolysis”, “fragmentation and emulsification” | — |
| Cellulite | “appearance of cellulite” | — |
| Skin tightening / laxity | “skin laxity”, “lax tissue”, “lax submental”, “lift the eyebrow”, “lift lax” | “incision”, “excision”, “ablation, vaporization”, “coagulation of soft tissue”, “coagulation and hemostasis”, “electrocoagulation and hemostasis”, “dermatologic and general surgical procedures” |
| Wrinkles / fine lines | “wrinkles”, “rhytids”, “rhytides”, “fine lines”, “furrows” | — |
| Acne scars | “acne scar”, “acne scars” | — |
| Active acne | “acne vulgaris”, “inflammatory acne” | — |
| Hair removal | “hair removal”, “hair reduction”, “removal of unwanted hair”, “pseudofolliculitis” | — |
| Tattoo removal | “tattoo” | — |
| Pigmentation / sun damage | “pigmented lesions”, “pigmented epidermal lesions”, “lentigines”, “lentigos”, “dyschromia”, “melasma”, “hyperpigmentation”, “ephelides”, “age spots”, “sun spots” | — |
| Redness / vascular | “vascular lesions”, “telangiectasia”, “rosacea”, “port wine”, “port-wine”, “leg veins”, “spider veins”, “hemangioma”, “angioma” | — |
| Skin resurfacing / texture | “skin resurfacing”, “resurfacing” | — |
| Pain relief / recovery / circulation | “relief of minor muscle aches”, “muscle spasm”, “local blood circulation”, “relaxation of muscles”, “minor arthritis pain” | — |
| Lymphatic | “lymphedema”, “lymphatic” | — |
Corrections
We publish material corrections in the device history timeline on each profile, with a date and a reason. If you believe something on this site is wrong, tell us and we will check it against source documents.