The planning of aesthetic or functional gynecological procedures can be significantly optimized through the use of ultrasound imaging. Pre-procedural visualization of anatomical planes, tissue depths, volumes, and vascular structures allows for enhanced control over clinical outcomes and reduces the risk of complications. High- and ultrahigh-frequency ultrasound is a valuable tool for real-time anatomical evaluation, particularly in the assessment of soft tissues such as the labia majora. Its application provides a reliable and precise method for ensuring both procedural safety and the accuracy of results.