The value of the carbon dioxide laser as an incisional instrument has not changed greatly since its introduction in the mid 1970s. In reality, only advertising campaigns, medical economics, and patient fascination have changed this instrument's value as a cutting tool. In non–peer-reviewed journals, physicians and advertisers should be more responsible in the evaluation and presentation of the results of their laser facial resurfacing procedures. Frequently, an underexposed preoperative photograph of a grimacing patient is printed alongside an overexposed postoperative photograph of the patient wearing makeup and with a relaxed face. The postoperative photograph is usually taken in the early postoperative period, while laser-induced swelling and erythema hide residual wrinkles. To represent results more accurately, photographs should be taken with similar lighting and facial expressions, without makeup, and after all postoperative swelling has subsided. Physicians performing laser surgery should be intellectually, scientifically, and economically honest with themselves and others regarding results. Cosmetic surgery requires more, not less, accountability on the part of surgeons than other types of surgery, as complications can be far more damaging to patients and physicians.