Longstanding GSM secondary to natural/surgical/medical menopause from breast cancer treatments can be very debilitating. It is even worse when lichen sclerosis completely covers the clitoris and most of the vaginal opening. This patient had severe atrophy and dyspareunia along with anorgasmia secondary to a completely buried clitoris. Surgical dissection, clitoral bulb cyst excision, and repair is shown to achieve normal anatomy. PRP and HA using FemXHA, along with Carboxytherapy, enabled normal vulvar tissues to function comfortably.