New York:(332) 205-6400
New Jersey:(973) 264-0032
Miami:(786) 304-1308

Botox for Scrotum New York City and New Jersey


What is Scrotox?

Scrotox is the term for non-surgical cosmetic relaxation of the scrotum with BOTOX treatment.


Why Scrotox (Scrotal relaxation with BOTOX)?

Because some male patients prefer a lower hanging and more relaxed scrotum for cosmetic reasons.

BOTOX (Botulinum toxin A -Botox™) when injected in the scrotal areal causes relaxation of both the cremasteric muscle (that regulates the height of the testicles) and the Dartos muscle (think muscle underneath the skin of the scrotum that regulates it size). When BOTOX is injected in these muscles, they paralyze, thus resulting in significant descend both the scrotum and testicles.


What are the indications of Scrotox (Scrotal relaxation with BOTOX)?

  • Cosmetic (Aesthetic) enhancement
  • Hyperdynamic / hyperactive scrotum
  • Painful contraction of the scrotum


What are the contraindications of Scrotox (Scrotal relaxation with BOTOX)?

  • Blood thinners (aspirin, Coumadin, Plavix)
  • Hypersensitivity (allergy) or Botulinum toxin
  • Infection in the scrotal area
  • Recent trauma in the scrotal area
  • Scrotal scars ( patients with scars in the scrotum may not respond to the treatment)


How will the scrotum look after Scrotox (Scrotal relaxation with BOTOX)?

The clinical pictures bellow shows the clinical results that can be achieved with Scrotox. Results may vary among patients.


Botox for Scrotum

How is Scrotox (Scrotal relaxation with BOTOX) performed by Dr. Mesa?

Dr. Mesa usually performs Scrotox (Scrotal relaxation) under local anesthesia without sedation in the office setting as an outpatient. The scrotal area is first cleaned with an alcohol pad. Then a layer of topical anesthetic is placed over the entire surface of the scrotum. Once the area is anesthetized (about 15-25 minutes after) the scrotal area is injected with BOTOX with minimal discomfort or pain. The procedure usually take about 45 minutes. Dr. Mesa performs Scrotox at wither one of his offices in New York City or New Jersey

This VICE media Facebook video explains how the Scrotox procedure is performed by Dr. Mesa:


Reviews about Dr. Mesa’s Scrotox (Scrotal relaxation with BOTOX) on RealSelf:

Scrotal Relaxation – (Scrotox)
“As one of those “high and tight” guys I had researched and discovered a procedure for scrotal relaxation: Botox is injected into the cremaster muscle of the scrotum to relax and loosen up the scrotum. I emailed Dr. Mesa’s office and asked if he was familiar with this procedure and, if so, comfortable performing it. His nurse Christina got back to me quickly, confirmed that he was willing and able to perform the procedure on me, and booked my appointment. Dr. Mesa was very professional, understanding, and genuinely wanted to help me with this issue. While the results were not as satisfying as I had wished, the procedure did help a lot and may work better over time, so I will continue treatments until I get the result I am looking for.”

youngblood1961 / RealSelf

A++ Scrotox Experience
“My Scrotox experience with Dr. Mesa could not have been better! …. When he returned to inject the Botox, he explained everything he was doing and I didn’t feel a thing. I chose to get 75 units injected. I drove home and everything was still numb for the remained of the day. Five days later, I found myself exiting the steamroom of my gym and could not believe how low and smooth my balls were. I highly recommend Scrotox by Dr. Mesa to anyone interested in this type of procedure. I’ve tried ball weights, ball stretching, and many devices for years just to learn that Scrotox is the ultimate solution. I now feel sexier in the men’s locker room and get a ton of compliments from sexual partners. Thank you Dr. Mesa and team!”

ScrotoxEnthusiast / RealSelf

How many units of Botox are required for Scrotox (Scrotal relaxation with BOTOX) treatment?

The amount of units of Botox required to achieve a clinical significant result vary among patients. In general patients could achieve a clinically significant result with an average of 75 to 100 units of Botox. Patient with thicker scrotum (thicker darts muscle) may require higher doses to achieve clinical result.

What is the duration of Scrotox (Scrotal relaxation with BOTOX)?

In average, Scrotox ( scrotal relaxation with BOTOX ) last between 3 to 4 months. Results may vary among patients.

What is the cost of Scrotox (Scrotal relaxation with BOTOX) treatment?

The cost of Scrotox treatment with Dr. Mesa depends on the office location (New York City vs. New Jersey). Please call our office to get an estimate of the cost of Scrotox treatment.

New York City: (332) 205-6400
New Jersey: (973) 264-0032

Does the effect of Scrotox (Scrotal relaxation with BOTOX) varies depending on the weather / seasons?

Yes, the effects of Scrotox (Scrotal relaxation with BOTOX) vary according the weather temperature / season. Since the scrotum contracts and relaxes to regulate the temperature of the testicles, it will contract more in cold weather (fall and winter season) and will relax more in warm weather (specially in winter). Therefore the clinical effects of Scrotox may be decreased during cold weather season since the overall scrotum tends to be more contracted. Therefore, patients interested in having a “summer-time” like Scrotox effect during cold weather season may require higher dose BOTOX.

SCROTOX (Scrotal relaxation with BOTOX) by Dr. Mesa in the Media:

These are some of the published articles about the Sctotox procedure by Dr. Mesa:


I Got Botox in My Scrotum and My Sex Life Has Never Been Better


Men Are Now Injecting Botox Into Their Scrotums, For Some Reason


I Botoxed My Balls to Make Them Look Nicer


Scrotox: Yes, men are actually Botoxing their testicles

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