A Game-Changer in Men’s Sexual Wellness.
BoCox™ is a cutting-edge treatment that uses botulinum toxin (commonly known as Botox) to improve blood flow and function in men experiencing erectile difficulties. This non-surgical option is safe, discreet, and may help enhance firmness, sensitivity, and performance.
Benefits of BoCox™ for ED
BoCox™ offers a modern, non-surgical solution for men experiencing erectile challenges — helping improve sexual performance naturally.
✓ Increases penile blood flow for firmer erections
✓ Enhances sensitivity and responsiveness
✓ May improve performance and duration
✓ Safe, quick, and virtually painless
✓ No downtime — return to normal activity the same day
✓ Can be combined with Acoustic Wave Therapy (Shockwave)
✓ Ideal for men with mild to moderate ED or performance concerns
✓ May support recovery from prostate procedures or age-related decline

Why Choose Vanity Medical Spa for BoCox™?
At Vanity Medical Spa, your care is led by Dr. Robert Berberian, MD, a trusted expert in male sexual wellness and enhancement. Dr. Berberian was one of the first in the tri-state area to offer advanced treatments like the P-Shot®, Acoustic Wave Therapy, and male hormone optimization. Now, he brings BoCox™ to men seeking a discreet, science-backed option for stronger, more reliable erections.
We combine BoCox™ with other synergistic treatments (like shockwave therapy or Thrombo) for enhanced results — all in a professional, respectful environment focused on your goals.
What to Expect:
Dr. Berberian will review your medical history, discuss your goals, and determine if BoCox™ is right for you.
The treatment takes approximately 20–30 minutes and is performed with topical numbing to ensure comfort.
Most patients return to normal activities the same day.
Gradual Results: While some men may notice improved sensitivity or function within days, optimal results typically develop over 1–2 weeks.
Ideal Candidates Include Men Who:
Feel self-conscious about performance or sensitivity
Want to improve erectile firmness or response
Desire enhanced sexual confidence and satisfaction
Prefer a non-surgical treatment with minimal downtime
Value discretion, privacy, and natural-looking results
Treatment Overview
Procedure Time: 15–20 minutes
Downtime: None (mild tenderness possible for a few hours)
Treatment Plan: May require a series depending on severity
Results: May begin in a few days; most noticeable in 1–2 weeks
Duration: Effects may last 3–6 months depending on individual factors
FAQs about BoCox™
Yes, Dr. Robert Berberian, MD, performs all in office at the clinic in Paramus, NJ, as it is an outpatient procedure.
Yes. BoCox™ uses botulinum toxin, which has been FDA-approved for multiple medical uses. The treatment is administered in precise amounts by an experienced medical professional.
The procedure involves tiny injections using a fine needle and numbing cream. Most patients report little to no discomfort.
Some men notice improvement within a few days. Most begin seeing firmer, longer-lasting erections within 1–2 weeks.
Absolutely. BoCox™ can be used alongside Acoustic Wave Therapy, Thrombo, or hormone optimization for more robust results.
Not necessarily. Some men use it proactively to enhance blood flow, sensitivity, and confidence — even without a formal ED diagnosis.
Injections are delivered with very fine needles so there is no downtime or pain and you can return to your normal activities immediately afterwards.
Botulinum toxin takes between 1-2 weeks to activate before you may notice improvements in your ability to achieve an erection.
In some case you may find that erections can be prolonged with or without ejaculation. Dr. Robert Berberian, MD, will review and monitor how your treatment is performing and if a change in dose is required.