Anal Botox (HoleTox) (Coming Sooon
Targeted neuromodulator treatment for muscle relaxation and comfort
Anal Botox (often called “HoleTox”) is a specialized neuromodulator treatment used to relax targeted muscles in and around the anal sphincter. In appropriate patients, relaxing muscle spasm can reduce discomfort, support healing, and improve quality of life for certain functional concerns. This is a highly individualized service and requires a medical consultation and focused exam.
Common Treatment Areas
Anal fissure support (muscle spasm and pain reduction, select candidates)
Improve comfort and relaxation for patients engaging in receptive activity when excessive muscle tone is a contributing factor.
Pelvic floor or sphincter hypertonicity (select candidates)
May help reduce the symptoms and discomfort caused by hemorrhoids
How It Works
A neuromodulator is placed into specific muscle fibers to reduce excessive contraction. When the muscle relaxes, pressure can decrease, which may improve comfort and support the body’s ability to heal. Use for certain indications may be off-label; your provider will review risks, benefits, and alternatives.
What to Expect
- Appointment time: typically 15-30 minutes
- Discomfort: brief; topical/local measures may be used when appropriate
- Onset: often within days; peak effect may take 1-2 weeks
- Duration: commonly around 3-4 months (varies by individual and dosing)
Consultation and Treatment Planning
Because symptoms can overlap with other conditions, we begin with a medical review to confirm the likely cause and whether this treatment fits. We will discuss expectations, alternative treatments, and a follow-up plan.
Pre-Treatment Recommendations
- Consultation and screening are required
- Avoid alcohol for 24 hours prior to treatment
- Avoid blood-thinning supplements (as medically appropriate) for several days prior
- Follow any prep guidance provided (including bowel/hygiene instructions)
Aftercare Guidelines
To support optimal results, we typically recommend:
- Avoid strenuous exercise for 24 hours unless otherwise directed
- Avoid activities that irritate the area for 5 to 10 days.
Contact us for increasing pain, bleeding, fever, or new concerning symptoms
Frequently Asked Questions
Common questions and helpful information about this treatment.
Is this the same as cosmetic Botox?
It uses similar neuromodulator products (Botox, Dysport, or Xeomin) but is used in a specialized way for functional comfort and muscle relaxation.
How long does it last?
Results commonly last about 3-4 months, though individual response varies.
Will it affect bowel control?
Temporary changes can occur in rare cases. We screen carefully and use conservative dosing. Your provider will discuss this risk in detail.
Is it painful?
Most patients describe brief discomfort or pressure. We prioritize comfort and clear communication throughout.
Do I need an exam?
Yes. A medical consultation is required to ensure safety, confirm candidacy, and rule out conditions that need different care.
