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# Aesthetic & Energy-Based Devices

Lasers, RF, ultrasound, cryolipolysis, and IPL systems used for medical and cosmetic indications, body contouring, hair removal, skin tightening, vascular lesions.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 9, 2026 

## Definition

Energy-based devices (EBDs) deliver controlled laser, radiofrequency, focused ultrasound, cryogenic, or intense pulsed light energy to tissue for medical (vascular lesions, dermatology, ophthalmology) and cosmetic (hair removal, body contouring, skin tightening) indications. Most are Class II 510(k) devices, though several body-contouring categories required  [de novo](/terms/de-novo) classification. 

What the regulation says

Regulated under 21 CFR 878 (general & plastic surgery) and 21 CFR 886 (ophthalmics). FDA has taken multiple enforcement actions against off-label aesthetic claims and has classified several categories (vaginal energy-based devices, 2018) as not approved for cosmetic claims. 

## What this means in practice

The segment is heavily affected by state medical-board scope-of-practice rules and is a frequent FDA enforcement target for off-label marketing. 

Common pitfalls

-   • Marketing for vaginal rejuvenation or other indications outside the cleared label, repeat FDA warning-letter target. 
-   • Confusing CE-marked indications with FDA-cleared indications when entering the US. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Regulatory

510(k) Premarket Notification(510(k)) 

FDA submission demonstrating a device is substantially equivalent to a legally marketed predicate.





](/terms/510k)[

Regulatory

De Novo Classification Request(De Novo) 

Pathway to classify novel low- to moderate-risk devices that lack a predicate.





](/terms/de-novo)

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Implantable and external devices that monitor and treat cardiac arrhythmias, pacemakers, ICDs, CRT devices, and insertable cardiac monitors.





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Devices for diagnosing, monitoring, or treating cardiovascular disease.





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U.S. federal standards that govern clinical laboratory testing.





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Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Strategic Landscape](/ecosystems/strategic-landscape)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

FDA· 1 eCFR· 1 AdvaMed· 1 

1.  [1 
    
    FDA, Cynosure (MonaLisa Touch) Untitled Letter on Vaginal Rejuvenation Claims (July 2018)
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/files/medical%20devices/published/Cynosure--Inc.-Letter---July-24--2018.pdf)
2.  [2 
    
    21 CFR 878 General & Plastic Surgery Devices
    
    Verified 
    
    eCFR · ecfr.gov 
    
    
    
    ](https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-878)
3.  [3 
    
    AdvaMed - Industry Reports
    
    Verified 
    
    AdvaMed · advamed.org 
    
    
    
    ](https://www.advamed.org/our-work/)

Inline markers like \[1\]  jump to the matching reference above.

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On this term

Category

Market Segments

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Updated

5/9/2026

[Compare with another term](/compare?a=aesthetics-energy-devices)

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Card Lesson Quiz

Lasers, RF, ultrasound, cryolipolysis, and IPL systems used for medical and cosmetic indications, body contouring, hair removal, skin tightening, vascular lesions.

-   · The segment is heavily affected by state medical-board scope-of-practice rules and is a frequent FDA enforcement target for off-label marketing. 
-   · Most are Class II 510(k) devices, though several body-contouring categories required de novo classification. 

Remember this

Watch out: Marketing for vaginal rejuvenation or other indications outside the cleared label, repeat FDA warning-letter target.

Related terms

-   [510(k) Premarket Notification(510(k)) ](/terms/510k)
-   [De Novo Classification Request(De Novo) ](/terms/de-novo)

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