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The Company (Details)
$ / shares in Units, $ in Thousands
12 Months Ended
Apr. 06, 2017
Dec. 31, 2017
USD ($)
Systems
Party
Agreement
Extension
Arrangement
$ / shares
shares
Dec. 31, 2016
USD ($)
shares
Mar. 31, 2017
USD ($)
Business Acquisition [Line Items]        
Intangible assets, gross   $ 15,886 $ 16,374  
Reverse stock-split ratio 0.20      
Cash and Cash Equivalents [Line Items]        
Proceeds due from credit card transactions   $ 353 60  
Revenue Recognition [Abstract]        
Number of types of arrangements | Arrangement   2    
Revenue reimbursements     1,050  
Accounts Receivable, Net [Abstract]        
Allowance for doubtful accounts   $ 172 135  
Inventories [Abstract]        
Reserves on inventory   234 257  
Accounting for the Impairment of Goodwill [Abstract]        
Goodwill impairment   0    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Fair value of debt     20,082  
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]        
Net loss   (18,831) (3,335)  
Product Warranty Accrual [Roll Forward]        
Accrual at beginning of year   115 226  
Additions charged to warranty expense   161 196  
Expiring warranties/claimed satisfied   (98) (307)  
Total   178 115  
Less: current portion   (109) (102)  
Total long-term accrued warranty costs   69 13  
Earnings Per Share [Abstract]        
Net loss     (3,335)  
Gain on the change in fair value of the warrant liability   $ (102) (5,396)  
Diluted loss     $ (8,731)  
Weighted average number of common and common equivalent shares outstanding [Abstract]        
Basic number of common shares outstanding (in shares) | shares   2,713,782 2,119,014  
Dilutive effect of warrants (in shares) | shares     196,701  
Diluted number of common and common stock equivalent shares outstanding (in shares) | shares   2,713,782 2,315,715  
Advertising Costs [Abstract]        
Advertising expense   $ 1,434 $ 3,339  
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents (in shares) | shares   10,195,281 14,081,204  
Distribution Rights [Member]        
Business Acquisition [Line Items]        
Intangible assets, gross   $ 286 $ 0  
Product Technology [Member]        
Business Acquisition [Line Items]        
Intangible assets, gross   $ 1,500 2,000  
Esthetic Education, LLC [Member]        
Business Acquisition [Line Items]        
Agreement period   3 years    
Number of extensions allowed | Extension   2    
Period of extension   1 year    
Ellipse Agreement [Member]        
Business Acquisition [Line Items]        
Monthly license fee   $ 33    
License fee for initial term   $ 1,100    
Number of parties involved in transaction | Party   3    
Ellipse New Agreement [Member]        
Business Acquisition [Line Items]        
Monthly license fee   $ 10    
License fee for initial term   $ 355    
Number of new agreements | Agreement   2    
License agreement, number of additional years automatically extended   2 years    
Ellipse New Agreement [Member] | Distribution Rights [Member]        
Business Acquisition [Line Items]        
Intangible assets, gross   $ 286   $ 900
Gain on contract termination   $ 40    
Minimum [Member]        
Finite-Lived Intangible Assets [Line Items]        
Estimated useful life   3 years    
Product Warranty Liability [Line Items]        
Standard warranty period   1 year    
Offered warranty period   3 years    
Maximum [Member]        
Cash and Cash Equivalents [Line Items]        
Credit card transaction settlement term   5 days    
Finite-Lived Intangible Assets [Line Items]        
Estimated useful life   10 years    
Product Warranty Liability [Line Items]        
Standard warranty period   2 years    
Offered warranty period   4 years    
Excimer Lasers-in-Service [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   5 years    
Computer Hardware and Software [Member] | Minimum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   3 years    
Computer Hardware and Software [Member] | Maximum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   7 years    
Furniture and Fixtures [Member] | Minimum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   3 years    
Furniture and Fixtures [Member] | Maximum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   7 years    
Machinery and Equipment [Member] | Minimum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   3 years    
Machinery and Equipment [Member] | Maximum [Member]        
Property, Plant and Equipment [Line Items]        
Property, plant and equipment, useful life   7 years    
Fair Value, Measurements, Recurring [Member]        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Warrant liability   $ 3 105  
Fair Value, Measurements, Recurring [Member] | Quoted Prices in Active Markets for Identical Assets (Level 1) [Member]        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Warrant liability   0 0  
Fair Value, Measurements, Recurring [Member] | Significant other Observable Inputs (Level 2) [Member]        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Warrant liability   0 0  
Fair Value, Measurements, Recurring [Member] | Significant Unobservable Inputs (Level 3) [Member]        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Warrant liability   3 $ 105  
Common Stock [Member]        
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]        
Net loss   $ (7,747)    
Weighted average number of shares outstanding during the period (in shares) | shares   2,713,782    
Basic and Diluted net loss per share (in dollars per share) | $ / shares   $ (2.85)    
Series C Preferred Stock [Member]        
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]        
Net loss   $ (11,084)    
Weighted average number of shares outstanding during the period (in shares) | shares   10,444    
Basic and Diluted net loss per share (in dollars per share) | $ / shares   $ (1,061.25)    
XTRAC [Member]        
Business Acquisition [Line Items]        
Number of systems placed in dermatologists offices | Systems   753    
Common Stock Equivalents of Convertible Debentures [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents (in shares) | shares   6,622,821 9,231,570  
Common Stock Purchase Warrants [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents (in shares) | shares   2,406,625 3,739,037  
Common Stock Equivalents of Convertible Preferred B Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents (in shares) | shares   289,462 496,824  
Common Stock Options [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents (in shares) | shares   876,373 613,773  
ASU 2014-09 [Member] | Plan [Member]        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Increase in accumulated deficit   $ 195