Offered at our convenient location in San Diego

Scrotox is the latest way to enhance the aesthetic appearance of your scrotum. It smooths and volumizes the skin to accentuate its overall size, helping men achieve their desired aesthetic. This simple injectable treatment using the world’s most popular neuromodulator, Botox, can help you get the look you want for your “scrotal rejuvenation.”

Millions of people across the country, and the world, get Botox injections. And, although some may question why men would want this treatment for the scrotum, there are some valid reasons to do so! After all, in today’s thriving cosmetic surgery industry, one can change almost any aspect of one’s outward appearance. Liposuction, muscle enhancement, gynecomastia treatment, and hair transplants are all socially acceptable procedures for men that can be tailored to masculine aesthetics. What’s more, there are also numerous customizable circumcision procedures available for men. We ask: why should the scrotum be treated any differently? 

In the 2020s, men are now fully able to take advantage of cosmetic treatments. It’s become far more socially acceptable to be open about any physical feature we want to change or improve. Break the taboos. Discuss Scrotox with board-certified urologist Dr. Mo Bidair to achieve the most aesthetically appealing look for your private parts. Call his office at Alvarado La Mesa Urology Center to schedule your personal consultation by calling (619) 486-5005 or by filling out a simple form on our website.

Botox for Balls?

Botox is a dilute formulation of onabotulinumtoxinA, a neurotoxic protein that disrupts nerve signals in muscles. It has been used for over 20 years, both cosmetically and medically.  Originally used to treat strabismus (crossed eyes), Botox is most well-known for its ability to smooth and soften facial wrinkles, particularly in the browline and forehead. So how do doctors use it in a Scrotox procedure?

Medical Indications for Botox

As well as being the “gold standard” in minimally-invasive beauty treatments, Botox is also used therapeutically in a number of instances. These include the following:

  • Facial Spasms
  • Neck Spasms 
  • Neurological Speech Disorders
  • Excessive Underarm Sweating
  • Excessive Salivation/Drooling
  • Gustatory sweating (Frey’s Syndrome) (1)

The Scrotum

The function of the scrotum is to protect the testes; the structures that produce sperm in a process known as spermatogenesis. The testes must be kept within a narrow temperature range to ensure these reproductive cells’ survival. If the testes were too hot, or too cold, a man’s sperm would not be viable. The testes are therefore cooler; 2 -3 °C lower than core body temperature. (2) However, depending on your genetics, age, and other factors, the way your scrotum looks could be very different from the next man. Although there is no general aesthetic standard for this area of the body, many men desire better-defined testicles. A particular issue for some men is skin laxity, which can be addressed effectively with Scrotox.

Changes in Scrotal Skin

The appearance of the scrotum changes for various reasons. A thin sheet of smooth muscle called the dartos plays an important role in scrotal thermoregulation. This fibroelastic tissue causes scrotal contraction and expansion to optimize the temperature of the testes. (3) But, as with all areas of the body, the scrotum is at the mercy of time and gravity. Over time, skin in every part of the body loses its integrity. And scrotal laxity, also known as low-hanging scrotum, sagging scrotum, or scrotomegaly, is a common experience, especially in older men.

Low-hanging scrotal skin may cause problems. These include the following.

  • Inner thigh chafing and irritation
  • Inability to wear shorter-cut swimwear and shorts
  • Pain during intercourse
  • Discomfort when playing sports or working out (4)


Lax skin in the scrotum can cause pain and discomfort. Many men opt for a scrotoplasty procedure to address these issues to regain lost freedom and confidence. However, for some men, this does not contribute to scrotal volume. Barring underlying medical conditions, the testes remain the same size throughout a man’s life, however, with Scrotox treatment the scrotal sac surrounding them can be emphasized further.

Find out more about the benefits of a scrotoplasty by reading our blog.

Why Get Scrotox?

High Riding Scrotal Sac and Testicles

Some men have a tight scrotal sac even when they are in a relaxed warm environment. The tight sac could pull the testicles closer to the body. To achieve a visually more relaxed look of the sac and the testicles inside, Scrotox is an option. Botox injections in different parts of the muscles that control the scrotal sac position as well as the muscles that hold the testicles, could relax the contracted muscles that hold the scrotum tight. Once these muscles relax, the scrotum will appear more voluminous and hang lower, will appear more relaxed and in a more natural position. The appearance could aesthetically be more appealing in the eyes of many.

Scrotal Wrinkling

Scrotox may benefit men with a condition known as scrotum rugosum, or cutis scrotum. Although for functional reasons the scrotum will always wrinkle to some extent, some men feel that their skin wrinkles excessively. In which case, Dr. Bidair can assess a patient for scrotal wrinkling. 

Although there are many scientific papers relating to penis length, girth, circumcision, and men’s general genitourinary health, there have been few studies on scrotal skin. However, though research is sparse in this area, testing indicates that the injection of Botox into the dartos muscle can result in a smoother scrotal skin surface. (4) 

Testicular Pain

Preliminary studies have indicated that Scrotox could help men with persistent testicular pain. Chronic orchialgia is when a patient experiences significantly disruptive scrotal pain for 3 months or more. The condition is the main reason for around 5% of all urological appointments, affecting 100,000 men in the United States every year. Promisingly, one 2022 study indicated that 70% of patients gained significant relief of pain following Botox injection in the area. (5)


Dr. Bidair performs Scrotox for men from all walks of life. However, as with more conventional aesthetic treatments, Botox may not be suitable for you if you:

  • Have a history of keloidal (raised, discolored) scarring
  • You are allergic to any of the ingredients in Botox
  • Have a neuromuscular disorder
  • Have unrealistic expectations
  • Have body dysmorphic disorder (5)

Personal Consultation

See if Scrotox could benefit you by speaking with Dr. Bidair about treatment to relieve scrotal skin laxity and testicular pain. Your one-on-one consultation with Dr. Bidair will be conducted in an examination room, so please feel free to be frank about the issues you are facing. There is no shame in explaining your situation to a urological specialist so that we can tailor your treatment to your needs!

If you can’t make it to our San Diego location for your initial meeting, Dr. Bidair offers phone consultations for your convenience.


Botox injections cause minimal discomfort. Dr. Bidair will target the scrotal tissues in a way that accentuates your natural form and creates a smoother, volumized appearance. In most cases your treatment will be complete in under 15 minutes! No anesthesia is needed for the procedure just as is done for facial Botox injections.

Recovery & Results

As with any injectable treatment, there may be some tenderness and bruising at the injection sites. Immediately after your procedure, you may notice your scrotal skin behaves in an unusual way. Although the injections can cause some transient laxity due to the botulinum toxins effects on the scrotal tissue, regular functionality will return quickly. Dr. Bidair advises you not lift anything heavy, strain/bear down unnecessarily, or engage in sexual intercourse until after you have recovered fully. Most patients recover in 24-48 hours. In the days that follow, you will see the lasting aesthetic benefits of Scrotox! Remember that the body metabolized Botox and repeated injections are needed to maintain the desired look.

Cost of Scrotox in La Mesa, CA

We will tailor your Scrotox treatment to your unique aesthetic or medical needs. The cost of the procedure may vary according to your treatment plan and according to the number of vials of Botox needed. For more information about Scrotox call Alvarado La Mesa Urology Center office at (619) 486-5005, or get in touch with us via our contact page.


Do men really get Botox in their Scrotum?

Yea! In fact, this treatment has been used in Europe for some time. As Botox is a neuromodulator it alters the release of acetylcholine in the treatment area. This means it can achieve reduced scrotal wrinkling and a more aesthetic appearance.

Is a Scrotox treatment painful?

procedure. After treatment, there may be some discomfort, but this usually resolves completely after 24-48 hours.

How long do the effects of Scrotox last?

Most patients can expect the results of their Scrotox treatment to last between 3-6 months.


  1. Wu YQ, Rao M, Hu SF, Ke DD, Zhu CH, Xia W. Effect of transient scrotal hyperthermia on human sperm: an iTRAQ-based proteomic analysis. Reproductive Biology and Endocrinology. 2020;18(1). doi:10.1186/s12958-020-00640-w 
  2. Khambati A, Lau S, Gordon A, Jarvi KA. OnabotulinumtoxinA (Botox) Nerve Blocks Provide Durable Pain Relief for Men with Chronic Scrotal Pain: A Pilot Open‐Label Trial. The Journal of Sexual Medicine. 2014;11(12):3072-3077. doi:10.1111/jsm.12707
  3. Gibson A, Akinrinsola A, Patel T, Ray A, Tucker J, McFadzean I. Pharmacology and thermosensitivity of the dartos muscle isolated from rat scrotum. British Journal of Pharmacology. 2002;136(8):1194-1200. doi:10.1038/sj.bjp.0704830 
  4. Cohen PR. Scrotal Rejuvenation. Cureus. Published online March 13, 2018. doi:10.7759/cureus.2316 
  5. Leslie SW, Sajjad H, Siref LE. Chronic Testicular Pain. PubMed. Published 2020.