
Condition Overview
Lichen sclerosus is a chronic inflammatory skin condition that most often affects the vulvar and perianal area, causing itching, thin white patches, discomfort and, over time, scarring. It is under‑diagnosed and can significantly affect quality of life and intimacy.
Reston Aesthetics is led by Dr. George Iskander, an OB/GYN, which means this condition is treated as the medical issue it is. Alongside standard medical management, gentle fractional CO2 with MonaLisa Touch® can improve tissue quality, elasticity and comfort for many patients.
Understanding Lichen Sclerosus
Lichen sclerosus is thought to be autoimmune in origin and is more common after menopause, though it can occur at any age. Signs include:
- Persistent itching and soreness of the vulva
- Thin, white, wrinkled or shiny patches of skin
- Tearing, bruising or bleeding with friction
- Pain with intercourse
- Gradual scarring and changes to the architecture of the tissue
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Relieves itching and discomfort
Improves tissue elasticity and resilience
Reduces tearing and pain with intimacy
Non‑hormonal and non‑surgical
Managed by an OB/GYN, not just a spa
How We Treat Lichen Sclerosus
Our step by step process
- 1
Step 1: Physician examination and diagnosis
Dr. Iskander examines the area and confirms the diagnosis, referring for biopsy where appropriate.
- 2
Step 2: Medical management
Standard therapy, typically topical steroid treatment, is prescribed and monitored.
- 3
Step 3: MonaLisa Touch® external and internal laser
Gentle fractional CO2 stimulates healthy collagen and improves the elasticity and comfort of affected tissue over a series of three sessions.
- 4
Step 4: Ongoing follow‑up
Lichen sclerosus is chronic. Regular reviews keep symptoms controlled and monitor for changes.
Vulva and perineum
- Improves comfort, elasticity and skin quality
Who is a good candidate for Lichen Sclerosus treatment?
Women with diagnosed or suspected lichen sclerosus who want a physician‑led plan and are interested in non‑hormonal laser therapy alongside medical treatment.
Consultation
Let's create a treatment plan that's right for you
Your consultation is complimentary. Book online or call weekdays 9 to 5.
- Call (703) 435‑0901
- Visit 13890 Braddock Rd, Suite 201, Centreville, VA 20121
- Hours Mon–Fri 9 am – 5 pm · Sat by appointment
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Send us a message
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Flexible financing for treatment plans, with promotional periods on qualifying purchases.






