The invention relates to a laser handpiece system, comprising a fiber tip fluid output device (14) accommodating a fiber optic tip (51a), wherein the laser handpiece system is configured to place an engineered and controllable atomized distribution of fluid particles into an interaction for absorption of electromagnetic radiation from the fiber optic tip (51a) and for subsequent expansion to impart mechanical cutting forces onto a target or treatment surface, and wherein the fiber optic tip (51a) is configured as a shaped fiber optic tip comprising a side-firing output end, with the shaped fiber optic tip (51a) comprising a symmetric, conical side-firing output end or a truncated-cone or truncated-bevel distal end that provide end-firing components.
