This dramatic result suggests the Q-switched 650-nm wavelength may have use in a variety of hyperpigmented lesions in the brown-rust-yellow spectrum. Hemosiderin, sometimes along with melanin, is present in many types of pigmented lesions including stasis dermatitis, pigmented purpuras, purpura after trauma or laser procedures, and postsclerotherapy hyperpigmentation. Test areas and potential treatments with the Q-switched 650-nm wavelength may be a new, effective approach for dramatically reducing the pigmentation in these disorders, many of which respond sparsely, if at all, to other Q-switched lasers. We recommend using the method described for our patient and would alter the treatment intensity as needed to achieve the end point of diffuse cloudy whitening of the skin. This may vary depending on the site being treated. Off-face areas may require a less-intense beam, which may be achieved by increasing the distance from the hand piece to the skin to approximately 3 cm.