Penile Botox (BroCox)
for Erectile Function in Fort Worth
Confidence shows up in many parts of life: work, relationships and even intimacy. But when sexual performance becomes unpredictable, that confidence can start to shift.
An erection that doesn’t feel quite as firm as it used to. Difficulty maintaining it. Moments that once felt effortless suddenly feel uncertain. These changes are extremely common, yet many men never talk about them openly.
At Skin Deep Laser MD, penile botulinum toxin treatment—BroCox—is designed to support erectile function by improving blood flow and relaxing targeted muscles. The treatment requires no surgery and no downtime.
All injections are performed personally by Dr. Laura Riehm, a board-certified anesthesiologist with over a decade of experience in injectables and tissue physiology, so your care is precise, physician-led, and completely discreet.
What is BroCox?
BroCox is the use of botulinum toxin injections to support erectile function. Botulinum toxin has been used safely for decades in both cosmetic and medical treatments, including:
Wrinkle reduction
Migraine treatment
Muscle spasm disorders
TMJ and Bruxism (jaw clenching)
Excessive sweating
Incontinence due to Bladder spasms
Chronic pain conditions
Researchers have recently begun exploring how the same medication may help improve blood flow and muscle relaxation within penile tissue.
While this treatment is considered off-label, early clinical studies suggest it may help certain men improve erectile function and performance. During your consultation, Dr. Riehm will review whether this option is appropriate for your health.
How BroCox Works
Erections depend on healthy blood flow and proper muscle relaxation.
When the muscles and vascular structures within the penis are relaxed, blood can flow in more easily and remain there during an erection.
Botulinum toxin works by temporarily blocking nerve signals to targeted muscles, allowing them to relax.
This may allow:
Increased blood flow into erectile tissue
Improved ability to maintain erections
A more relaxed resting position of penile tissue
Improved visible length and girth during erection
For many patients, the most meaningful outcome isn’t simply physical.
It’s regaining confidence and predictability in intimate situations.
What BroCox May Help Improve
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Erectile Function
For some men, erectile dysfunction occurs when blood flow into the penis is restricted or when smooth muscle tone prevents proper blood retention. Relaxing these muscles may help support stronger erections.
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Erection Maintenance
Some men can achieve an erection but struggle to maintain it. Improving blood flow may help erections feel more stable and last longer.
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Confidence in Intimacy
Sexual health is closely connected to how many men feel about themselves. When function improves, confidence often follows.
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Pellevé® & TempSure® for Skin Tightening
Diminished collagen production as you age leads to smile lines, loose skin, and wrinkling. Our Pellev& TempSure treatments use gentle radiofrequency heat to stimulate your body's natural production of collagen to enhance skin firmness and strength.
Who Is a Candidate for BroCox?
You may be a candidate if you:
Have difficulty achieving or maintaining erections
Notice reduced firmness or duration
Experience penile retraction
Want a non-surgical option
Are looking for physician-guided care
The best way to know is through a private consultation. Every patient’s situation is different, and treatment recommendations are always personalized.
What to Expect During BroCox Treatment
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Confidential Consultation
We begin with a private conversation about your health history, medications, and goals. This discussion helps determine whether BroCox is an appropriate option for you.
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Physician Evaluation
Dr. Riehm reviews the latest research, evaluates your condition, and determines whether treatment is medically appropriate.
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Treatment
The procedure itself is straightforward. Topical anesthetic is applied, and small injections are placed in targeted areas. The appointment typically takes 15–30 minutes. All injections are performed personally by Dr. Riehm.
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Recovery
One of the advantages of this treatment is no downtime. Patients can return to normal activities immediately. You may notice mild swelling or soreness for a few days.
When Will I See Results?
Some men begin noticing improvement within a few days, with full results developing over one to two weeks. Results vary depending on individual health factors.
How Long Do Results Last?
Like other botulinum toxin treatments, results are temporary. Many patients experience improvement lasting approximately 8–9 months. Maintenance treatments may be recommended to sustain results. Lifestyle changes, like regular exercises and balanced nutrition, may prolong your outcome.
Safety and Medical Oversight
This treatment is considered off-label for erectile dysfunction. That’s why proper medical evaluation is essential.
At Skin Deep Laser MD:
All injections are performed by Dr. Laura Riehm
Treatments are guided by medical training in anatomy, physiology, and injectable medicine
Patient safety and appropriate candidate selection always come first
If this treatment is not appropriate for you, we will tell you honestly.
A Private, Physician-Led Approach
Men often delay addressing erectile concerns because the conversation feels uncomfortable. Our goal is to provide a professional, respectful environment where you can discuss these concerns openly and receive clear medical guidance. No pressure. No embarrassment. Just thoughtful care.
BroCox Frequently Asked Questions
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Not yet. Currently Penile Botox is considered an off-label treatment. While Botox is FDA-approved for many medical uses, research is ongoing regarding its role in improving erectile function.
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Results vary, but many patients experience improvements lasting approximately 8–9 months.
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Most patients describe the injections as brief and tolerable. Topical numbing is used to improve comfort.
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Men experiencing erectile dysfunction, reduced firmness, or penile retraction who prefer a non-surgical option may be candidates.
Schedule a Confidential Consultation in Fort Worth
If you’re curious whether BroCox may help improve erectile function or performance, schedule a consultation. We’ll review your health history, discuss available options, and help you decide whether treatment makes sense for you. Call (817) 263-7546 or schedule an appointment online.