“Hole-Tox” and Penis Fillers: The Growing Trend in Male Cosmetic Procedures
Adult Industry Stars Lead the Charge in “Down Under” Enhancements
Adult film performer Beau Butler is openly discussing his experience with “hole-tox,” a procedure also known as anal Botox. The star documented the treatment on social media, where it garnered over 400,000 views. Butler utilizes the treatment for both his profession and personal comfort, noting that tightness can lead to complications like hemorrhoids during anal penetration.
Breaking the Stigma in Male Aesthetics
**Butler** believes that despite increasing openness, a stigma persists within the adult film industry regarding men undergoing cosmetic enhancements. He contrasts this with female performers, who often openly display procedures like BBLs, breast augmentations, and lip fillers.
“Every adult female performer has a BBL, boobs, lips, hair extensions,” explains Butler. “But with men, it’s supposed to be nothing, not even steroids. There definitely is a little bit of a stigma, although I know that everybody’s had something done.”
—Beau Butler
“Down Under” Treatments Gain Traction
West Hollywood dermatologist **Jason Emer**, who specializes in male genital enhancements, notes that social media has significantly driven demand for these procedures. Beyond anal Botox, penis enlargement is a particularly popular service at his clinic.
The Science of Penis Augmentation
**Dr. Emer** employs hyaluronic acid filler and polymethyl methacrylate, a medical-grade acrylic, to achieve enhanced penile size and fullness. A typical half-inch to inch increase requires about 20 injections to the shaft, glans, and base. To manage discomfort, **Dr. Emer** administers nerve blocks, which he states take effect almost instantly.
Costly Enhancements for Elite Clients
The number of injections can climb significantly for greater volume increases, with some patients receiving up to 120 injections over a year. The cost per syringe ranges from $750 to $1,200, making a full enhancement treatment potentially exceed $200,000. **Dr. Emer** likens the pricing to luxury goods, stating, “You want a Rolls-Royce package? It’s going to cost you Rolls-Royce dollars.”
Discreet Services for High-Profile Individuals
**Dr. Emer** serves a celebrity clientele, some of whom utilize private helicopters for discreet travel to his clinic. He described one notable client as a “very successful” Black celebrity in his late 50s, recently divorced and actively dating, who appeared significantly younger and more muscular post-treatment. The Emer Clinic emphasizes client anonymity, offering private entrances and scheduling appointments during off-hours to ensure privacy.
Recent surveys indicate a rising interest in cosmetic procedures among men, with a 2023 report showing a 10% increase in male plastic surgery procedures in the United States. This suggests a broader societal shift in how men approach self-image and personal enhancement.
The trend highlights a commonality between the wealthy and famous and the general public: underlying insecurities, amplified by the financial means to address them.
