|Exhibit 31.1

Rule 13a-14(a)/15d-14(a) Certification

I, Joseph P. Caruso, President and Chief Executive Officer of Palomar Medical Technologies, Inc. certify that:
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|1. | I have reviewed this annual report on Form 10-K of Palomar Medical Technologies, Inc.;
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|2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a
         material fact necessary to make the statements made, in light of the circumstances under which such
         statements were made, not misleading with respect to the period covered by this report;
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|3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly
         present in all material respects the financial condition, results of operations and cash flows of the
         registrant as of, and for, the periods presented in this report;
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|4. | The registrants other certifying officer and I are responsible for establishing and maintaining disclosure
controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over
financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
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|(a) |  | Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to
                  be designed under our supervision, to ensure that material information relating to the
                  registrant, including its consolidated subsidiaries, is made known to us by others within those
                  entities, particularly during the period in which this report is being prepared;
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|(b) |  | Designed such internal control over financial reporting, or caused such internal control over financial
                  reporting to be designed under our supervision, to provide reasonable assurance regarding the
                  reliability of financial reporting and the preparation of financial statements for external
                  purposes in accordance with generally accepted accounting principles;
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|(c) |  | Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this
                  report our conclusions about the effectiveness of the disclosure controls and procedures, as of
                  the end of the period covered by this report based on such evaluation; and
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|(d) |  | Disclosed in this report any change in the registrant's internal control over financial reporting that
                  occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal
                  quarter in the case of an annual report) that has materially affected, or is reasonably likely
                  to materially affect, the registrant's internal control over financial reporting; and
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|5. | Registrants other certifying officer and I have disclosed, based on our most recent evaluation of internal
         control over financial reporting, to the registrant's auditors and the audit committee of the
         registrant's board of directors (or persons performing the equivalent functions):
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|(a) |  | All significant deficiencies and material weaknesses in the design or operation of internal control over
financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process,
summarize and report financial information; and
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|(b) |  | Any fraud, whether or not material, that involves management or other employees who have a significant
                  role in the registrant's internal control over financial reporting.
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|Date: March 7, 2007 |                                      
|                    | /s/Joseph P. Caruso                  
|                    | Joseph P. Caruso                     
|                    | President and Chief Executive Officer

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