Typical features of one patient received Er:YAG fractional ablative laser therapy. The patient received 15% ALA-PDT (633±6 nm wavelength, 126 J/cm2, 20 minutes) five times at 10-days intervals. After 1 month, he accepted another five times fractional ablative laser therapy (2,900 nm wavelength, 7×7 (49-dot) alignment, 1,600 mJ/P, long pulse, five stacks) at 1-month intervals. (A) Before treatment; (B) 1-month follow-up after treatment; (C) 3-month follow-up after treatment; (D) 6-month follow-up after treatment; (E) 12-month follow-up after treatment.