Condition: Lichen Sclerosus

Lichen Sclerosus Treatments

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What is Lichen Sclerosus?

Lichen Sclerosus is a chronic inflammatory skin condition characterized by white, patchy areas of skin that appear thinner than normal. It can affect any part of the body but is most commonly found in the genital and anal regions. It affects women more often than men, and it affects the vulva area, not the vagina. The condition can cause significant discomfort, itching, and scarring and can make sexual intercourse painful and undesirable.

While the exact cause of Lichen Sclerosus is not fully understood, it is believed to be an overactive immune response. Genetic factors, hormonal imbalances, and environmental triggers may also play a role in its development.


Common symptoms of Lichen Sclerosus include:

  • Itching, which can be severe
  • Discomfort or pain, especially during intercourse
  • Red and purple marks in the genital area
  • Smooth, white patches of skin
  • Thin, wrinkled, or tear-prone skin
  • Fissures

Dr. Hamori can make a diagnosis of Lichen Sclerosus during a clinical examination with the use of a biopsy of the affected skin.

Non-Surgical Treatments

While there is no cure for Lichen Sclerosus, various non-surgical treatments can help manage symptoms and prevent complications. These include corticosteroids, moisturizers and hormonal therapy and more.

Dr. Hamori offers several specialized advanced treatments for Lichen Sclerosus that have been proven effective in controlling symptoms:

  • Modified O-Shot with PRP - This treatment involves injecting platelet rich plasma (PRP) derived from the patient's own blood into the vulva to promote healing and tissue regeneration, and to reduce the itching and discomfort. Women see a significant improvement for up to a year.
  • Nano-fat grafting - This minimally invasive procedure uses a small amount of fat that is liposuctioned from the abdomen or lower back, processed into nano-fat that is rich with growth factors, and injected into the vulva to improve the signs and symptoms of lichen sclerosus.
  • CO2 Lift-V - This vulvar mask can be applied at home before bed to areas affected by lichen sclerosis to decrease inflammation. CO2 Lift creates an increase in oxygenation to the injured skin of the perineum and vaginal area. It is a comfortable, at-home treatment that benefits women with lichen sclerosus.

Plastic Surgery and Lichen Sclerosus

For patients with severe Lichen Sclerosus, surgical intervention may be necessary. Dr. Hamori can discuss reconstructive procedures to address scarring, structural changes, and functional impairments caused by lichen sclerosus. These procedures can improve both the appearance and function of the affected areas, enhancing the patient's quality of life.

Frequently Asked Questions (FAQs)

Can Lichen Sclerosus be cured?

There is currently no cure for Lichen Sclerosus, but treatments are available to manage symptoms and prevent further complications.

Who is at risk for developing Lichen Sclerosus?

Lichen Sclerosus can affect anyone but is more common in postmenopausal women. It can also occur in men and children.

How is Lichen Sclerosus diagnosed?

A healthcare provider can diagnose Lichen Sclerosus through a physical examination and, if necessary, a skin biopsy to confirm the diagnosis.

Can Lichen Sclerosus lead to cancer?

There is a small risk that Lichen Sclerosus can increase the likelihood of developing vulvar or penile cancer. Regular monitoring and follow-ups with a healthcare provider are important for early detection and management.

How can plastic surgery help with Lichen Sclerosus?

Plastic surgery can address scarring, structural changes, and functional impairments caused by severe Lichen Sclerosus. Reconstructive procedures can improve the appearance and function of the affected areas.

Is Lichen Sclerosus contagious?

No, Lichen Sclerosus is not contagious. It cannot be spread through physical contact or sexual intercourse.

What lifestyle changes can help manage Lichen Sclerosus?

Maintaining good hygiene, wearing loose-fitting clothing, and avoiding irritants can help manage symptoms. Regular follow-ups with a healthcare provider are essential.

More information: Click a section to expand category…

  • Before And After

    Lichen Sclerosus - Before and After

    lichen sclerosis before lichen sclerosis after

    Modified O-Shot with PRP (one treatment)

Are you considering treatment for lichen sclerosus?

Christine A. Hamori, MD

“Lichen sclerosus treatment is a personal decision and we understand you have many questions. Why not get the conversation started?”

Christine A. Hamori, MD, FACS Christine A. DiEdwardo, MD, FACS
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