According to the invention, a method is provided for disrupting the targeted lesion in skin, such as is necessary in treatment of vascular or pigmented lesions. A microplasma is generated in a target region of skin, the microplasma disrupting the skin ("plasma ablation") to enable removal of the targeted lesion. The microplasma absorbs radiation energy and expands, creating high pressure in the surrounding region which causes disruption of the targeted lesion in that region. A beam of pulsed las...