Another thing I had never heard of is written up briefly in Huffpost.com today. A Manhattan doctor is doing Botox treatments to improve or change the look of a person's anus. The summary:
"Dr. Evan Goldstein spends a lot of time with assholes.
He’s the founder of Bespoke Surgical, based in Manhattan, and one of the only surgeons in the world whose practice is dedicated to treating and restoring the humble human anus. Dr. Goldstein’s work includes addressing functional problems, like hemorrhoids and anal fissures; cosmetic concerns, like making a patient’s anus look exactly how they dream about it looking; and sexual issues, like helping patients have anal sex like a porn star ― or just comfortably having anal sex, period."
To learn more, you have to listen to a podcast, but I think I have the idea. Since Botox is temporary, you have to bring your butt to the doc often! Probably more often than you are having sex these days...
https://www.huffpost.com/entry/d-for-desire-evan-goldstein-anal-surgery_n_5ef35fbec5b6c5bf7c589716