hero image of a male butt


What is HoleTox® for?

Patients receive HoleTox, otherwise known as anal botox, to make receiving anal sex (bottoming) easier. Anal botox can be used to prevent anal fissures and hemorrhoids, both of which are common occurrences in the bottoming community.

$900 | Includes 100 units

Our Approach to Anal Botox

Anal botox allows relaxation of the internal anal sphincter muscles and the overlying skin. This relaxation can aid patients who suffer from recurring fissures and/or allow for easier dilation during penetrative anal sex (bottoming). Botox anus injections can help prevent future damage to the anal cavity and can result in a more enjoyable sexual experience. 

Pre-Care | Post-Care
  • Avoid alcohol consumption for 3 days prior to receiving anal botox. 

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


Does anal botox hurt?

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

How often should anal botox be done?

Results from an anal botox treatment last 3-4 months. Patients seeking to maintain their results will come in every 3 months for follow up treatments.

Will anal botox make bottoming easier?

Anal botox is an effective treatment to assist with relaxation of the anal sphincter muscles. This, along with regular anal dilation with butt plugs, will make penetrative anal sex (bottoming) easier.

Are there any side effects to botox injections in the anus?

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

How long does the entire anal botox procedure take? 

The entire procedure itself takes about 3 minutes to perform. But first our provider always has a consultation with the patient to discuss the benefits anal botox and what to expect in regards to treatment. We provide ProNox (laughing gas) during the botox anus injections to help the patient relax and make the experience quick and virtually pain free. 

Can I receive anal botox while I have an active anal/rectal medical condition?

At Lushful Aesthetics we do not treat patients with anal botox while 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.If you are seeking preventative care or want to receive anal botox for easier bottoming, then Lushful Aesthetics is the place for you. 

Will anal botox cause me to have fecal incontinence? 

No. We do not inject enough botox to inhibit the function of the internal sphincter. Our approach is to dose the sphincter enough to relax the muscle to make receptive anal sex (bottoming) easier and more pleasurable.

Is anal botox and anal rejuvenation the same thing? 

No. Anal botox focuses on the internal sphincter to make bottoming easier. Meanwhile, anal rejuvenation is a broad term that focuses on enhancing the appearance and potentially tightening the anus via surgical intervention. 

Is Botox for anal sex a safe treatment?

Yes, Botox is an all around safe medication. In fact, based on clinical data Botox is deemed safer than advil. Anal botox can safely be performed to make bottoming easier and more enjoyable for the receptive partner. 

How long do I need to wait before engaging in anal sex after receiving anal botox? 

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 just let the anal botox settle and have the tissue heal appropriately before engaging in anal activities that can cause discomfort. 

The information on this website is for general information purposes only, does not constitute medical advice and is not intended to be relied upon for medical diagnosis or treatment. If you are experiencing an emergency, contact 911 or contact a medical provider immediately. Consistent with Lushful Aesthetics' website privacy policy, Lushful Aesthetics is not responsible for the privacy practices or the content found at links to other websites.

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