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HoleTox®

What is HoleTox® for?

Aesthetic clinic patients receive HoleTox® (anal botox) to make receiving anal sex (bottoming) easier. Botox in the anus can be used for hemorrhoid prevention and anal fissures, both of which are common occurrences in the bottoming community. Whether you’re new to bottoming, seeking to improve your sexual experience, or are trying to deal with rectal pain or relieve anal pressure, our treatment provides a medically guided approach to relieving anal tension and preventing complications.

Holetox® addresses a variety of concerns that can impact everyday life. Common issues include:

Anal fissures: small tears or ulcers in the lining of the anus that can cause significant pain and discomfort.
Rectal spasms and internal cramps: involuntary contractions of the anal sphincter that create pressure or pain.
General anal discomfort: including pressure, soreness, or irritation that can make bottoming difficult.
Hemorrhoid prevention: by relaxing the internal anal muscles, tension is reduced, which can help prevent future strain.

Our patients also find that the HoleTox® can support preparation for bottoming by reducing anal pressure and easing dilation, making the experience more comfortable and enjoyable.

Whether you’re new to bottoming or looking to perfect your performance, here are some helpful guides offering practical tips and insights to help you have a safer, more comfortable, and enjoyable experience:

Anal Douching Guide
Anal Dilation Guide
Anal Lube Guide

BENEFITS OF HOLETOX


Relieves internal anal tension


Reduces fissure-related discomfort


Eases rectal spasms and pressure


Supports more comfortable dilation

Cost of HoleTox


$900

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OUR APPROACH TO ANAL BOTOX

HoleTox® works by relaxing the internal anal sphincter muscle. During treatment, Botox is strategically injected to reduce excessive contraction and pressure within the anal canal.

Dosage and injection sites are determined following a detailed assessment of muscle tone, fissure history, and patient concerns. Dosage will not exceed 148 units.

By reducing internal pressure, HoleTox® may support healing of fissures, reduce cramping, and improve overall comfort. Each procedure is performed with discretion and anatomical precision to minimize discomfort and maximize effectiveness.

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Pre-Care

Proper preparation supports safe treatment and optimal results.

Avoid alcohol consumption for 3 days before receiving anal botox.


Consult with your medical provider, and discontinue blood thinning medication such as Ibuprofen, Excedrin, Aspirin, Aleve, and Fish Oil a week before injections.

Post-Care

It is important to follow the correct after care instruction to make the most of your procedure. Here are our guidelines:

No working out for 24 hours after receiving anal Botox injections. ​


No penetrative anal sex or oral to anal stimulation for 3 days after anal botox injections.


Botox takes a full 2 weeks to be completely activated. Please allow the full 2 weeks before judging the results.

Faqs

We know it can be scary doing something new. We have the answer to all your questions about anal botox. Explore our FAQ’s or reach out via phone or email and we would be happy to help.

Most med spa patients describe anal botox injections as a quick pinch. There are typically 4 injection sites in the anal sphincter. For increased patient comfort, we provide ProNox (laughing gas).

Results from an anal botox treatment to help with preventing rectal fissures and hemorrhoids last 3-4 months. Patients seeking to maintain their results and prevent future anal pain should continue to receive men’s med spa services every 3 months for follow-up.

HoleTox can help with bottoming and bottoming prep as an effective treatment to assist with relaxation of the anal sphincter muscles. This treatment to relieve anus pressure, along with regular anal dilation with butt plugs, will make penetrative anal sex (bottoming) easier.

There are no major side effects from Botox for anal fissures. We ask that patients avoid working out for 24 hours after their treatment, and avoid penetrative sex for at least 3 days.

The entire med spa treatment itself takes about 3 minutes to perform. But first, our provider always has a consultation with the patient to discuss the benefits of Botox in the anus and what to expect regarding treatment. We provide ProNox (laughing gas) for Hotetox treatments to help the patient relax and make the experience quick and virtually pain-free.

At Lushful Aesthetics, we do not provide anal botox treatments for patients if they are experiencing any medical condition in the anal/rectal area, including active fissures, inflamed hemorrhoids, etc. We recommend seeking medical care from a Board-Certified Proctologist before considering anal botox if you have an active medical issue to assist with ongoing anal fissure treatments. Suppose you are seeking preventative care for rectal fissures or want to receive anal botox for easier bottoming or to relieve anus pressure. Lushful Aesthetics is the place for you.

No. We do not inject enough Botox to inhibit the function of the internal and external anal sphincters. Our approach is to dose the sphincters enough to relax the muscles to make anal sex (bottoming) easier and more pleasurable.

No. Botox for the anus focuses on relaxing the internal and external sphincters to help make bottoming easier. Meanwhile, anal rejuvenation is a broad term that focuses on enhancing the appearance and potentially tightening the anus via surgical intervention.

Yes, Botox is a widely researched, safe, and effective medical spa treatment. Botox for preventing anal fissures and making bottoming easier and more enjoyable carries low risk.

We recommend patients wait 3 days before engaging in anal sex or any anal play. Although the procedure is quite simple and nontraumatic to the tissue, it’s best to let the anal botox settle and allow the tissue to heal appropriately before engaging in anal activities that can cause discomfort.
No, Anal Botox is a performance-based treatment. HoleTox helps to relax the anal sphincter, but this will not cause a physical or visibly noticeable change.

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