Abstract
It has been generally accepted that LASER therapy is not suitable for patients with pigmented nevus, due to the existence of the nest formation. We considered that the epidermal ablation prior to the LASER therapy might be effective in these cases. We ablated epidermal layer using normal mode ruby LASER (20J), thereafter applied Q-switched ruby LASER (7J), sequentially. This combined method lead to satisfactory results without unfavorable complications.