All of the media articles about anal Botox have focused on how it could be used to relax some of the muscles “down there,” thereby facilitating receptive anal sex. I did some searching to see if there was anything to back this up in the medical literature and, believe it or not, there are actually a ton of hits that come up if you search for “anal Botox.” In fact, there are articles dealing with this subject dating back nearly 20 years! The vast majority of them are about the use of Botox as a successful treatment for anal fissures—small tears in the internal lining of the anus. Botox can promote healing by preventing spasms. Anal Botox has also been used as a successful treatment for certain types of constipation.

As far as I can tell, no research has specifically addressed anal Botox solely for reasons of comfort or pleasure during anal sex, so we don’t have any data that can speak to how well it works for that purpose or whether there are any potential side effects. So, while it does appear that at least a few doctors are offering this procedure, just remember that there’s no data, so buyer beware.

As for that supposed $25,000 price tag, that’s the truly unbelievable part of these headlines. As a reference point, Botox usually costs $10-20 per unit. To treat, say, forehead wrinkles (one of the most common cosmetic uses of Botox) would probably require about 20 units, translating to $200-400. Likewise, in the studies where Botox has been used to treat anal fissures, 20 units is about how much was used there as well, so we’d be talking about a similar cost for that. I’m not sure how much Botox doctors are using if the goal is to promote comfort during anal sex, but they sure as heck aren’t injecting $25,000 worth of Botox up there! For reference, $25,000 would be enough to treat 62.5 foreheads, assuming the cost is $20/unit. Let’s just say that you wouldn’t want to have THAT much Botox injected anywhere in your body.

So, yes, anal Botox is indeed a thing—and it turns out that Botox has a surprising number of potential applications for the booty and beyond. However, don’t believe the sensational headlines about the cost. There may be some people who are spending that much money for anal treatments, but if they are, odds are that they’re getting far more than just a little Botox (indeed, some are getting the full “anal rejuvenation” suite—but that’s a story for another day).

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Image Source: 123RF/Piotr Marcinski

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