What procedures is best for lichen sclerosis? Vaginal rejuvenation procedure that is? Is Morpheus 8-V a choice?

Question

I am 53, healthy and 3 years into menopause. I am looking to treat the VLS but don’t want to pick the wrong treatment.

Gary J. Alter, MD · Answer

There are many treatments such as laser and now stem cell injections including nonfat. Fat has a lot of healing stem cells. With nanofat, fat is liposuctioned then liquified, which saves the stem cells. The liquid fat with stem cells is the injected into the areas of LS. This can result is significant improvement in the LS.

Gary J. Alter, M.D.

Beverly HIlls, CA - Manhattan, NY

Gary J. Alter, M.D.

Beverly HIlls, CA -  Manhattan, NY

Burcak Tok, MD · Answer

According to my treatment experience in my own clinic, the best vulvar lichen sclerosis treatment is with sessions where Monalisa laser and PRP treatment are applied together.

Sue Kafali, MD · Answer

Lichen sclerosis is a chronic skin condition without a known cure. However, there are some effective treatments available that can slow its progression and reduce symptoms, allowing individuals to continue with their daily activities more comfortably. I often recommend treatments like PRP (Platelet-Rich Plasma) therapy, CO2 laser therapy, and Morpheus 8V, can help strengthen and rejuvenate the affected skin. Additionally, the daily application of a hyaluronic acid moisturizer can also help maintain skin hydration and elasticity. The frequency of these treatments may vary based on the condition's severity and the individual's age. Estrogen therapy could also help. Hope this helps and best of luck!

Oscar A. Aguirre, MD, FPMRS · Answer

At 53 and postmenopausal for 3 years the Morpheus 8V could be used within your vagina to help with vaginal dryness/sexual discomfort, but also on the vulva affected by your Lichen Sclerosus. This is a great option for your situation. You should have a consultation with a gynecologist experienced in vulvar and vaginal rejuvenation. Unfortunately, the steroid medical treatments for Lichen only help with initial symptoms but do NOT mitigate the disease process. Bipolar radiofrequency and microneedling with Morpheus in combination with PRP actually modify the condition and hopefully reverse the morphologic changes that have occurred.
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Best of luck,

Magnus Murphy, MD · Answer

There are many studies showing that CO2 laser as well as Erbium laser give excellent results. There are no good scientific studies on Morpheus that I'm aware of regarding Lichen Sclerosis. I searched the most widely used medical scientific database (Pubmed) for LS and Morpheus and came up empty, which is usually a good indication of where the evidence lies, or is lacking. In contrast, the search for laser, yielded a ton of studies. In my clinic we've had excellent results using a combination of Erbium and NDYag laser, as well as PRP. The treatment is well tolerated and takes about an hour. An average of three sessions are necessary to start, and then maintenance is planned around 6-12 months.

Cynthia McNally, MD · Answer

I am a gynecologist and I have been doing the Mona LIsa Touch for my patients with Lichen Sclerosis for 3 years. I was hoping it would replace topical steroids (the gold standard) and it does not. However, the combination of the MLT with topical steroids seems to work better than steroids alone. I have had seen good results.

What procedures is best for lichen sclerosis? Vaginal rejuvenation procedure that is? Is Morpheus 8-V a choice?

Answers (6)

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