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Creating Comfort and Well-Being With Butt-Tox

Whether you're seeking relief from chronic anal fissures, experiencing muscle tightness, or looking to make bottoming easier and more comfortable, Butt-Tox offers a subtle but effective solution.

What Is Butt-Tox?

Butt-Tox is a specialized application of botulinum toxin (BOTOX®) injections designed to relax the muscles around the anal sphincter. First developed for medical use in treating chronic anal fissures and functional discomfort, this treatment can achieve broader wellness and quality-of-life benefits.

Butt-Tox

Is Butt-Tox Right for Me?

Common reasons our patients at CraftMD consider this procedure include:

  • Relief from recurring anal fissures
  • Reduction in muscle spasms or tightness
  • Support during post-operative recovery
  • Enhancement of comfort and flexibility during intimate activity

At CraftMD, this treatment is always approached with clinical discretion and a focus on your individual goals and comfort.

Why Choose CraftMD?

  • Expert, respectful care – Dr. Randall O. Craft, Dr. Matthew Andersen and the CraftMD team bring professionalism, compassion, and privacy to every patient experience. We understand that this treatment is both personal and medical.
  • Functional + wellness benefits – We take a holistic approach, helping clients feel confident and comfortable in their bodies while also addressing underlying issues like discomfort or chronic fissures.
  • Tailored treatment planning – Every procedure begins with a thorough consultation and assessment to determine if Butt-Tox is right for you and what dosing will best support your needs.
  • Supportive environment – Our team fosters open, judgment-free communication. Your well-being—both physically and emotionally—is our highest priority.

What to Expect With a Butt-Tox Treatment

The Procedure

  • A local numbing agent may be applied for comfort and nitrous analgesia is offered for additional pain and anxiety relief
  • BOTOX is gently injected into the internal anal sphincter
  • The procedure typically takes 20–30 minutes
  • Most patients receive approximately 100–150 units, depending on treatment goals

Recovery

  • Mild discomfort or sensitivity may occur for a few days
  • Most patients notice improvement in symptoms within 7–10 days
  • Results typically last 3–4 months, with the option for maintenance treatments
CraftMD

Pre- and Post-Treatment Guidelines

Before Your Appointment

  • Avoid alcohol for 3 days
  • Refrain from taking blood thinners (such as aspirin, ibuprofen, or fish oil) for one week. Always consult your medical provider before you stop taking any prescribed medications

After Your Appointment

  • Rest and avoid strenuous activity for 24 hours
  • Avoid sexual activity for at least 48 hours or until cleared by our medical professionals
  • Monitor any unusual discomfort or side effects and contact our team if needed

FAQ's

Is Butt-Tox painful?

Discomfort is typically minimal. We use local numbing and gentle techniques to make the experience as comfortable as possible.

Is this treatment safe?

Yes, when performed by a qualified provider. BOTOX has a long history of use in both cosmetic and medical settings, including for chronic fissures.

Can this help with bottoming?

Some patients do experience improved comfort and flexibility during intimacy. Our goal is always to support your well-being—whatever that may look like for you.

How long do results last?

Most patients enjoy 3–4 months of relief per session. Maintenance treatments can be scheduled as needed.

Is this the same as anal rejuvenation?

No. Anal rejuvenation typically refers to procedures aimed at tightening or altering appearance. Butt-Tox focuses on muscle relaxation and function.

Will it cause incontinence?

No. When properly dosed and placed, BOTOX relaxes the muscle without compromising control.

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