Botox for “Balls”

Scrotox: What It Is, How It Works, and More

Botox for balls, also called Scrotox, is a cosmetic procedure that involves injecting Botox (a neurotoxic protein) into the skin of the scrotum. That’s right, Botox! The same injectable you or someone you know may already use to stop the formation of wrinkles on the face. Botox + scrotum = Scrotox. Welcome to the future of male enhancement. 

By relaxing the muscles in the scrotal area, Scrotox can reduce folds and sagging skin. Some men may also experience a reduction in sweat production in the area, which can be especially helpful for those who are active or live in warm climates. Scrotox can positively impact the health, comfort, sexual pleasure, and more for men with lax scrotal skin. It’s 2023, and men are leveling up their self-care! Hop on board the Scrotox express by calling (619) 486-5005 or filling out our online form. Patients in La Mesa, CA, and the surrounding areas can schedule a consultation for Scrotox or any procedure or treatment Dr. Bidair offers.

Skin is Skin!

The skin on our body responds to aging, genetics, and environmental factors in similar yet unique ways. The skin of the testicles, also known as the scrotum, differs from other areas of the body in several ways. 

The Scrotum has Thin Skin

Be careful what you say… your scrotum is sensitive. One of the most notable differences between the skin down there and the skin elsewhere is that the scrotal skin is much thinner and more delicate than skin in other body areas; this is because the scrotum needs to be able to stretch and contract to accommodate changes in temperature and the size of the testicles.

The Testicles Have Nerves of Steel

The skin of the scrotum, like many other parts of the body, is richly innervated with sensory nerves that transmit signals of touch, temperature, and pain to the brain. However, the scrotal skin has a particularly high concentration of sensory nerves due to its unique function in regulating testicular temperature and responding to sexual stimulation. During sexual activity, the sensory nerves in the scrotum transmit signals of pleasure and arousal to the brain. 

The “Balls” Go Through It

Another important difference between scrotal skin and skin in other body areas is that the scrotum is subject to more friction and movement daily, leading to irritation, chafing, and other issues without proper care. 

The scrotal skin is also more prone to sweat and moisture, creating an environment for bacterial growth and increasing the risk of infections. All this, plus sagging skin, can make the scrotal area uncomfortable and potentially lead to health problems if not properly addressed.

To prevent skin irritation and chafing, there are a few steps you can take to relieve discomfort and chafing before your Scrotox appointment:

  • Wear loose-fitting clothing. Avoid tight underwear or pants that can rub against the skin
  • Moisture-wicking underwear can help keep the area dry and reduce the risk of bacterial growth.
  • Regular hygiene is crucial for maintaining healthy scrotal skin: wash the area daily with mild soap and warm water, and dry the skin thoroughly afterward.
  • Using talcum powder or a gentle moisturizer can also help to reduce friction and keep the skin soft and smooth.

For men experiencing discomfort or pain in the scrotal area, it’s important to speak with a healthcare provider specializing in this sensitive area. Dr. Bidair can evaluate the condition and recommend appropriate treatment options, such as Scrotox.

While some men may feel self-conscious about the appearance of their scrotal skin, it’s important to remember that there is no one “right” way for the body to look. Ultimately, the decision to undergo Scrotox or any other cosmetic procedure should be personal, made with careful consideration and the guidance of a qualified medical professional.

How Does Sagging Skin Affect the Testicles?

Sagging skin in the scrotal area can affect the testicles in several ways. As the skin loses elasticity and begins to droop, it can cause the testicles to hang lower than normal, making it difficult to find comfortable positions, especially during physical activity or when sitting for extended periods.

As we mentioned, sagging skin can increase the risk of skin irritation, chafing, and infections. The skin folds created by sagging skin can trap sweat and moisture, creating an ideal environment for bacteria to grow. This can lead to infections such as jock itch, which can cause itching, redness, and discomfort in the scrotal area. [1]

Sagging skin can also make it harder to perform self-examinations for testicular cancer. Regular self-examinations are important to maintaining male reproductive health, but sagging skin can make it harder to feel for lumps or other abnormalities in the testicles.

In severe cases of sagging skin, surgical intervention may be necessary to remove excess skin and improve comfort and hygiene in the scrotal area. This procedure, known as a Scrotoplasty, involves removing excess skin and tightening the remaining skin to create a more youthful and comfortable appearance.

The Lax Scrotum & Sex

For some men, the appearance of a sagging scrotum can cause self-consciousness and reduce confidence during sexual encounters, leading to anxiety or insecurity, which may impact sexual performance and satisfaction.

Physically, a lax scrotum can cause discomfort or pain during sexual activity, especially if the skin is stretched or pulled in uncomfortable ways; this can impact sexual pleasure and lead to decreased satisfaction or difficulty achieving orgasm.

A sagging scrotum can also impact the sensation of the testicles during sexual activity. As the testicles hang lower, they may be less sensitive to touch or stimulation, potentially reducing sexual pleasure.

The good news? Patients do not have to self-determine whether Scrotox will help relieve their concerns. Dr. Bidair is here to help. 

The Bidair Difference

Seeing a doctor specializing in the scrotum, like Dr. Bidair, can be important for several reasons.

  • A specialist has advanced knowledge and training in the anatomy, physiology, and pathologies of the scrotum and testicles. Dr. Bidair has the expertise to accurately diagnose and treat various scrotal conditions, from common issues like jock itch to more complex conditions.
  • A specialist like Dr. Bidair is familiar with the latest advancements and techniques in scrotal health and can offer patients the most up-to-date and effective treatments, leading to better outcomes and a faster recovery time.
  • Dr. Bidair can provide tailored care that meets each patient’s unique needs and goals. He takes the time to listen to the patient’s concerns and develop a personalized treatment plan that addresses their individual needs, lifestyle, and preferences.
  • Seeing a specialist like Dr. Bidair can provide peace of mind for patients experiencing discomfort, pain, or other issues in the scrotal area.

By seeking care from a specialist, patients can rest assured that they receive the best care for their scrotal health. Schedule your consultation to experience The Bidair Difference for yourself. Call (619) 486-5005 today!

What are the Benefits of Botox for the “Balls”?

We’ve covered some of the amazing benefits of Scrotox, but let’s look at them again. Scrotox involves injecting botulinum toxin into the scrotal area, which can:

  • Reduce excessive sweating in the scrotal area, particularly bothersome during physical activity or in hot weather. This can help improve comfort and reduce the risk of skin irritation and chafing risk.
  • Smooth skin can give the area a more youthful and rejuvenated appearance. This can increase self-confidence and improve overall aesthetic appeal.
  • Reduce discomfort caused by the pulling and tugging the scrotal skin during physical activity or sexual intercourse.
  • Enhance sexual pleasure and potentially increase sensitivity in the scrotal area.

Scrotox typically lasts for several months before additional injections are needed. Patients should remember that this cosmetic procedure does not treat underlying medical conditions or improve fertility.

How Does Scrotox Work?

Here is what you can expect during your appointment. 

  1. Before the procedure, the scrotal area is cleaned and prepared for the injection. A local anesthetic may be used to numb the area and reduce discomfort.
  2. Once the area is prepped, a small amount of botulinum toxin is injected into the skin of the scrotum. The injections are typically done in a grid pattern across the scrotal skin to distribute the product evenly.

Botulinum toxin works by temporarily blocking the nerve signals that cause muscle contractions. [2] When injected into the scrotal skin, it can relax the underlying muscles. Botox can also block the sweat glands in the scrotal skin, reducing excessive sweating in the area. [3]

Before you know it, your appointment is complete, and you can start experiencing the benefits of Scrotox for yourself.

What Will Life Be Like After Scrotox?

After Scrotox, there are some changes that you may notice in your scrotal area, and our patients can attest to the life-changing effect it has.

Sweat Less Down There

One of the most significant changes many people notice after Scrotox is reduced excessive sweating in the scrotal area. The skin on the scrotum can sweat differently than elsewhere on the body. The scrotum is covered with specialized skin that is designed to help regulate temperature and protect the testicles, which are responsible for producing sperm and hormones. This skin is thin, highly vascular, and contains numerous sweat glands and hair follicles. The sweat glands on the scrotal skin produce a specialized type of sweat known as apocrine sweat, which differs from the sweat produced by other sweat glands. Apocrine sweat is thicker and contains more fatty acids and proteins, which can create a favorable environment for bacterial growth and contribute to body odor. Need we say more? Reducing unpleasant odors and making the area feel more comfortable is a win-win for every patient who needs help.

Look Younger With Your Pants Off

Scrotox can also help to smooth out wrinkles and fine lines in the scrotal skin, giving the area a more youthful appearance. Who doesn’t want to look younger? Take that renewed confidence into the bedroom and enjoy yourself!

Move With Freedom

No more chafing, rubbing, and discomfort when you walk around. Patients love to tell us how much their health has improved after Scrotox since they can exercise more regularly and with less discomfort. More sex and better health? What are you waiting for?

Schedule a Consultation in La Mesa, CA

Life after Scrotox will vary depending on the individual’s goals for the procedure and the outcomes achieved, but you’ll never know if you never go. So call (619) 486-5005 today, and Dr. Bidair will work with you to determine the best solution for your concerns.

We can’t wait to meet you!


  1. Michael B. Brodin (1980) Jock Itch, The Physician and Sportsmedicine, 8:2, 102-108, DOI: 10.1080/00913847.1980.11948565
  2. Nigam P, Nigam A. Botulinum toxin. Indian Journal of Dermatology. 2010;55(1):8.
  3. Schlessinger J, Gilbert E, Cohen JL, Kaufman J. New Uses of AbobotulinumtoxinA in Aesthetics. Aesthetic Surgery Journal. 2017;37(suppl_1):S45-S58.
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