For years, Botox injections have been a staple for facial and underarm treatments, but a surprising new trend has emerged—applying this well-known neurotoxin to the anus.

Believe it or not, this procedure, informally known as ‘HoleTox’ or ‘Buttox,’ is gaining traction, largely propelled by social media buzz.

This intriguing treatment involves administering Botox into the internal anal sphincter, where it temporarily relaxes the muscles. The procedure claims to alleviate issues such as hemorrhoids and fissures, and occasionally, it even offers relief from constipation.

Additionally, some athletes, including cyclists and marathon runners, opt for this treatment to curb excessive sweating in the lower regions during intense physical activities.

Although the trend initially found a foothold among gay men in urban centers like New York and Los Angeles, an increasing number of women are now exploring this unconventional option.

Celebrity cosmetic nurse Alex Pike revealed to the Daily Mail that despite not offering the procedure herself, she has observed a notable rise in inquiries about it over the past half-year.

‘I’ve definitely had some patients asking me about these treatments because of what they’re seeing in the media,’ Pike said. 

‘Both men and women are curious about it and want to know if it can help them with medical issues or even with their sexual health.’ 

Anal Botox, dubbed ‘HoleTox’, is a bizarre new surgery trend that’s been gaining popularity thanks to social media

An increasing number of viral videos promoting the procedure are racking up thousands of views online, and are likely leading to this surge in requests for backdoor Botox. 

Cosmetic surgeon Dr. Edward Zimmerman, who is a male enhancement specialist, explained exactly how ‘HoleTox’ works and why it’s becoming so popular.

‘[Botox] is injected into the anal sphincter muscle to yield a “chemical sphincterotomy” to relax the anal sphincter muscle for weeks to months depending on the dose,’ Zimmerman told Daily Mail.

‘These injections have been used successfully for decades to treat conditions like chronic anal fissures, rectal muscle spasms, external hemorrhoids and chronic constipation by temporarily relaxing the muscles of the anal sphincter,’ he continued. 

‘These medical uses, like cosmetic uses, are rarely covered by insurance and not utilized by all physicians, but they generally work well and often avoid surgery for patients who are willing to pay cash.’ 

While Dr. Zimmerman says that anal Botox is generally safe and shouldn’t be painful if topical anesthetics are used properly, he did warn of some potential downsides.

‘Most commonly, botulinum toxin can be injected into the wrong muscle group or with time spread from the injection site, causing temporary paralysis of unintended nearby muscles,’ he said.

‘In the case of “HoleTox”, spread might cause issues with pelvic floor muscles that control urinary continence and ejaculation. Temporary [days to weeks] stool and/or gas incontinence are more likely issues that vary by patient, injection technique and units utilized.’

Hollywood surgeon Dr. Jason Emer (pictured) dubbed anal Botox as a ‘ten out of ten’ procedure

Dr. Edward Zimmerman told Daily Mail that some patients are starting to bundle ‘HoleTox’ with other treatments to improve their backsides, like bleaching and laser hair removal

Not everybody is a fan of the treatment, with aesthetic medicine physician Dr. Jennifer Armstrong warning prospective patients of the potential downsides of backdoor Botox

Dr. Zimmerman also said that some patients are starting to bundle HoleTox with other treatments to improve their backside. 

‘It’s sometimes bundled with laser hair removal, anal bleaching, PRP injections to improve blood flow/healing, nerve ingrowth/sensation, and other toxin injections for improved erections and scrotal relaxation,’ he said.

One major proponent of the treatment is aesthetic nurse Chris Bustamante, who has made ‘HoleTox’ one of his specialties and offers it alongside other enhancements like instant BBLs and scrotum fillers. 

Bustamante told the Daily Mail that while HoleTox has been used for decades for therapeutic reasons, it’s now starting to become popular for other, less medical reasons too.

‘Social media has facilitated rapid information sharing, allowing medical providers to discuss this innovative, though not necessarily “new” treatment that is transforming people’s sex lives,’ he explained.

‘From a functionality and proctological standpoint, HoleTox is the gold standard for preventing anal fissures, hemorrhoids, and addressing excessive anal tightness,’ he said.

‘While its popularity is primarily among gay men, recently it has been discovered by more women.’

New York-based aesthetic nurse Chris Bustamante helped make HoleTox viral by promoting the procedure on social media

Meanwhile Hollywood surgeon Dr. Jason Emer, who works with celebrities and adult stars, recently dubbed anal Botox a ‘ten out of ten’ procedure.

‘My patients love it. They get a better sex life, it prevents against hemorrhoids, fissures, and medical conditions,’ he gushed in a viral recent Instagram video.

However, not everybody is a fan of the treatment, with aesthetic medicine physician Dr. Jennifer Armstrong warning prospective patients of the potential downsides.

‘Neurotoxin was launched for the treatment of medical conditions before it was used for cosmetic purposes. We still use neurotoxin for medical conditions such as migraines and muscle spasms,’ she explained.

‘But I would be very cautious of doing anal Botox as it is not a common practice, and a lot of the physicians doing this are just trying to make a name for themselves by targeting specific communities instead of focusing on patient safety,’ she continued.

‘Practices like this could lead to fecal incontinence. Also, there’s no way to reverse neurotoxin until the effects have worn off, which typically takes three to four months.’

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