A self-contained, hand-held device for providing radiation-based dermatological treatments includes a device body configured to be handheld by a user; a laser device supported in the device body, the laser device including a laser beam source configured to emit laser radiation; an application end configured to be manually moved across the surface of the skin during a treatment session; and electronics configured to control the laser beam source to emit laser radiation toward the skin to provide a dermatological treatment; wherein the device includes no optics downstream of the laser source.