Scrotox in Chicago: XPand Smooth Scrotal Relaxation

The dartos muscle sits just under the skin of the scrotum. It is a smooth muscle, which means it contracts on its own without you controlling it. That is why the scrotum tightens in the cold or pulls up under stress. For some men, that muscle stays tense more often than it relaxes, which leads to a tight, wrinkled appearance and ongoing discomfort.

Botulinum toxin temporarily blocks the nerve signals that tell the dartos muscle to contract. With those signals reduced, the muscle relaxes. The scrotum then rests in a smoother, more relaxed, more even state. The effect is local to where the injections are placed and wears off gradually as the body clears the neuromodulator.

Nothing is cut, removed, or permanently altered. Because the change is muscular and temporary, the tissue returns to its baseline once the treatment wears off. That reversibility over time is a core part of why the treatment is low-commitment compared to surgical options.

Individual results may vary based on your anatomy, your baseline muscle tone, and how your body responds to the neuromodulator.

XPand Smooth is performed in a controlled medical setting by a board-certified surgeon using botulinum toxin, a neuromodulator that has been used in medical and aesthetic treatment for decades.

Dr. Marc Adajar, MD, FACS, performs every XPand Smooth treatment at XPand MD™. He is a board-certified surgeon with over 20 years of experience who specializes exclusively in men. His practice covers the full scope of male body contouring, sexual wellness, and performance optimization, including surgical procedures, penile enhancement, and testosterone replacement therapy. He is board-certified by the American Board of Surgery, a Fellow of the American College of Surgeons (FACS), a member of the American Academy of Cosmetic Surgery, and holds additional certification in anti-aging medicine. That means a surgeon trained and tested to operate in a hospital is doing your injection, not a technician who added it to a service menu. He has also completed specialized training and certification in male genital enhancement techniques, including penile filler injection (XPand Girth™), platelet-rich plasma therapy for penile rejuvenation (XPand Restore™), and scrotal neuromodulator therapy (XPand Smooth). He has received the Patients' Choice Award for nine consecutive years.

The treatment uses topical numbing only. There is no general anesthesia, which removes the risks that come with sedation. Treatment happens in a private office setting at our River North location, not an operating room, and typically takes under 30 minutes.

Honest risk disclosure. Common temporary side effects include mild swelling, bruising, and tenderness at the injection sites, which usually resolve within a few days. As with any botulinum toxin treatment, there is a rare possibility of the effect spreading beyond the intended muscle or producing an uneven result. Serious complications are rare when the treatment is performed by a qualified, experienced provider in a medical setting. No procedure is risk-free, and the right provider is the single biggest factor in a safe, even result.

Provider expertise matters. Scrotal injection requires accurate placement of the neuromodulator in the right muscle layer. In untrained hands, poor technique can lead to an uneven result or unintended effects. The difference between a clean result and a complication is almost always the provider. Patients should seek a board-certified surgeon who understands male anatomy and performs these treatments regularly, not a general injector who added it to a menu.

A confidential consultation with Dr. Adajar covers your specific anatomy, goals, and any medical history that may affect candidacy. Every question gets a direct answer before you commit to anything. Individual results may vary.

Onset. Most men begin to notice changes within 3 to 7 days. The full effect usually develops over 1 to 2 weeks as the dartos muscle relaxes completely. This is normal and expected, so plan around that window rather than judging the result on day one.

Duration. A first treatment typically lasts 3 to 4 months. As the neuromodulator gradually wears off, the muscle returns to its baseline tone and the scrotum returns to how it rested before treatment. The change back is gradual, not sudden.

With repeat treatments, results can last longer. Many patients who continue treatment see effects lasting 5 to 6 months over time. The muscle responds more consistently with repeated, spaced treatments.

Individual results may vary based on your anatomy, baseline muscle tone, metabolism, and how your body responds to the neuromodulator. Dr. Adajar discusses expected onset and duration based on your specific plan during your consultation.

XPand Smooth is a temporary treatment by design. Botulinum toxin relaxes the muscle for a window of time, then gradually wears off.

A first treatment typically holds for 3 to 4 months. Over that period, the muscle slowly regains its normal tone and the scrotum returns to how it rested before treatment. There is no sudden change, just a gradual return to baseline.

Maintenance treatments extend and build on the effect. Many men schedule a repeat treatment before the effect fully wears off to keep the result consistent. With repeated, spaced treatments, the muscle tends to respond more predictably, and many patients see results lasting 5 to 6 months over time.

Maintenance is optional. If you try XPand Smooth once and decide it is not for you, you simply stop, and the effect wears off on its own with no reversal procedure required. That low-commitment structure is part of what makes the treatment lower-risk than permanent options.

Individual results may vary. Dr. Adajar discusses an expected maintenance cadence based on your specific response during your consultation.

You came here for XPand Smooth. It addresses scrotal comfort and a smoother appearance. But Dr. Adajar treats the full picture, and most men who look into one XPand treatment find there is more available to them than they realized.

The XPand Protocol™ is not a sequential program. It is a modular set of treatments, each targeting a different aspect of male function, performance, and physical results. You choose what fits your goals. Some men do one treatment. Others combine two or three.

Dr. Adajar performs all of them, so your plan does not get split across multiple providers.

If you want to address function and aesthetics together, XPand Flow, XPand Restore, and XPand Smooth are available as the XPand Performance Collection, a bundled package priced below the a la carte total.

Your consultation is the right time to ask about any of these. Dr. Adajar reviews your goals and health picture and tells you directly which treatments, if any, make sense to combine with XPand Smooth. Book a confidential consultation.