Hello, There are two different hand pieces and three treatment levels for the Clear + Brilliant (low, medium, and high). The original hand piece is best for textural issues, and the permea hand piece is great for pigmentation issues.The Clear + Brilliant and Fraxel are both fractional lasers and do similar things BUT the C+B is much more mild, with virtually no downtime. One Fraxel is equivalent to approximately four C+B treatments, with about 5-7 days downtime which can include swelling, redness, darkening of pigmentation and peeling/flaking. You can expect more dramatic result with the Fraxel. The C+B is great for younger clients, rejuvenation, and melasma.