Can someone with lichen sclerosus on clitoris have labiaplasty?

dear patient
Lichen Sclerosis is an auto-immune disease, and during stress, it can flare up and make life uncomfortable,
depends on the reason for labiaplasty you need to have a detailed conversation with your physician and know if it is worthed in case your disease flares up and spread to another area of the vulva.

best of health and good luck

YES, labiaplasty can be performed on a patient who has lichen sclerosus.
Lichen sclerosus is a chronic autoimmune inflammatory process that most often affects the genital skin. In some cases, the effects on the skin of the vulva can lead to debilitating scarring, atrophy of the labia minora, clitoral hood phimosis, and closure of the vaginal canal. The aim of treatment is not only disease control, but prevention of scarring and maintaining adequate urinary and sexual function.
To have a successful labiaplasty procedure, proper preparation is necessary. First, all genital skin affected by lichen should be well controlled. Second, have a detailed plan of treatment if a flare should arise during the postoperative period. Lastly, spend some time finding a physician who is savvy in biologics like PRP (platelet rich plasma) or other biologics like exosomes and amniotic fluid. These biologics have growth factors, anti-inflammatory properties that assist with healing, improve collagen, elastin and new blood vessel growth which will have significant impact on the genital tissues during healing and beyond. Best of Luck! Dr Michael A Reed MD aka @thecosmeticgyn

Having genital surgery with lichen present poses a few risks but this is not a clear-cut contraindication to surgery. I manage a lot of women with this condition and also do cosmetic gyn surgery. While lichen can cause slower wound healing and may flare postoperatively, good control 3-6 months before surgery is helpful and confers a better prognosis. If it is contained for now to the clitoral area then that is also helpful and would be out of the way of the labiaplasty unless hood reduction is also being performed. Anything, such as surgery, that increases inflammation can trigger a flare which could potentially result in new areas of sclerosis but this is not very common.

Good luck with your decision!