Fast-acting neuromodulators can temporarily relax the muscles responsible for arterial filling of the corpora that enable erections, may make the penis appear more engorged even when flaccid, and can cause uncomfortable or embarrassing scrotal and testicular elevation.
The effects of Pickletox and Scrotox (two similar but distinct procedures) last for 3 to 4 months in most patients.
Neuromodulators are commonly used by our patients to treat frown lines, forehead lines, crow’s feet, nose scrunch wrinkles, chin wrinkles, neck bands, and more. Neuromodulators are also injected to treat muscle contractions and migraine headaches, help create a “snatched” neck contour, treat TMJ issues, slim the lower face, and treat excess sweating under the arms and on the hands and feet.
Nevada is a “single-vial, single-patient, single-use” state, so when you come to Aesthetic Revolution Las Vegas, you will receive all the units from your freshly mixed vial of neuromodulator. There are no “touch-ups” without purchasing another vial. Detailed injection maps are maintained at each visit to optimize results and economy.
All neuromodulator treatments at Aesthetic Revolution Las Vegas are performed exclusively by cosmetic surgeon Edward M. Zimmerman, MD, ensuring precise, natural-looking, balanced results.
IDEAL CANDIDATES FOR NEUROMODULATOR INJECTIONS BELOW THE BELT
Pickletox is ideal for patients who:
- Already respond to medications like Viagra and Cialis but want improved erectile function
- Prefer longer-lasting treatments compared to other similar neuromodulators
- Want to enhance the results that they achieve with P-shots, ASWT, home vacuum pumping and/or Emsella
Scrotox is ideal for patients who:
- Have testicular discomfort or embarrassment from scrotal elevation and contraction
- Prefer the aesthetic of having a relaxed, more voluminous appearing scrotum
- Want to reduce sweating in the treatment area
Pre-Procedure Guidelines
To prepare for neuromodulator injections, patients should:
- Avoid sunburns of the area prior to treatment
- Discontinue blood thinners 3 to 10 days prior to injections
- Follow all pre-treatment instructions provided during consultation
- Maintain good skin health and hygiene leading up to the procedure
- Consider trimming (not shaving) the hair in the treatment area
- Make an educated consent for this elective treatment
- Have energy treatments scheduled the same day, in the same areas, be performed PRIOR to the neuromodulator treatments
- Fillers for Girth Enhancement can be performed AFTER neuromodulator injections
- Topical anesthetic, ice packs, and tiny 32G needles make the treatments barely noticeable
What To Expect And After Care
There is minimal social downtime from neuromodulator injections
Patients should:
- Return to most activities immediately but avoid working out or vacuum pumping for several days to minimize bruising
- Sexual relations, bathing, and showering can be resumed immediately
- If you are using Redvive Red/NIR light therapy, you can restart immediately
Recovery Timeline
- No strenuous activity immediately after injections
- Return to normal activity and gym: the next day
- Tiny elevations at injection sites resolve in about 20 minutes
- Bruising, if any, resolves in 1-2 weeks
- Results are optimized within 2 weeks and fade over 3 to 6 months.
Results
Patients often notice improvement in erectile function and/or decreased contraction and elevation of the scrotum within 3 to 5 days, peaking at about 2 weeks, and gradually returning to baseline over 3 to 6 months as your body recognizes the disconnect between the nerve endings and muscles and heals, restoring previous function to the treated tissues.
Maintenance injections can be performed once your current injections start to “wear off”, usually every 3 to 6 months, and before all your pre-treatment issues return.
Consultation With Dr. Z For Pickletox And Scrotox
Neuromodulators provide highly customizable relaxation of the vessels that fill the corpora of the penis, allowing and maintaining an erection (Pickletox), and/or relaxing the muscles that elevate the scrotum and testes (Scrotox). During your consultation, Dr. Z will evaluate your medical history, concerns, and goals to determine whether neuromodulator injections (using Dysport or Letybo) are a good choice for achieving safe, natural results.
