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BACKGROUND: The scarring follicular disorders pose challenging therapeutic dilemmas.

OBJECTIVE: Hair removal lasers have recently been shown to be efficacious in the management of these disorders.

METHODS: We present a young, Fitzpatrick skin type VI African-American patient with recalcitrant folliculitis decalvans, whom we treated with the neodymium:yttrium aluminum garnet (Nd:YAG) laser.

RESULTS: A remission of folliculitis decalvans was successfully achieved using the Nd:YAG for laser depilation.

CONCLUSION: Based on the optical properties of light in skin, the Nd:YAG laser is the best for laser depilation in dark individuals.

(C) 2004 by the American Society for Dermatologic Surgery, Inc.