Absence of the labia minora as a result of lichen sclerosus
Absence of the prepuce for the same reason.
Note faint areas of hyperpigmentation where the left labium minus used to be.

This 45 year old woman’s lichen sclerosus has cause loss of normal anatomical features: labia minora and frenulum. The clitoris is partially exposed and there is whitening in the vestibule and post inflammatory hyperpigmentation in spotty areas around the vulva.