Scrotal Lowering in Sydney

An in-clinic treatment that relaxes the thin muscle in the scrotal wall for about three to four months, so the scrotum hangs lower, looks fuller and smoother, and stays down in cold air and water. It uses prescription medicine prescribed off-label, so it’s discussed in a private, doctor-led consultation. It’s sometimes called scrotal relaxation.

Yes. Scrotal aesthetics, sometimes called scrotal rejuvenation, is the broader term for treatment of how the scrotum looks and feels, and scrotal lowering is the main treatment under it. Sweating, skin changes and the skin around the anus are covered on this page too.

Just under the skin sits the dartos, a thin layer of muscle that wrinkles the skin and draws the scrotum up. The treatment quietens that muscle, so the scrotum drops, the skin smooths and the whole thing hangs more freely. Nothing is added and nothing is cut.

Much less. The muscle that bunches the skin and draws the scrotum up is relaxed, so cold air and cold water have far less effect. The deeper cremaster muscle, which lifts the testicles themselves, isn’t treated, so a little lift in the cold is still normal.

It can look fuller. A scrotum that hangs lower and looser reads as fuller in underwear and swimwear, because it’s no longer held up tight against the body. The size of the testicles and the penis doesn’t change.

Yes, for as long as the effect lasts. The dartos is what wrinkles and bunches scrotal skin, so once it’s relaxed the skin sits smoother and flatter.

Often, yes. The same treatment quietens the sweat glands in the skin it’s placed in, so many men notice less scrotal sweating and chafing. For heavy sweating elsewhere, there’s more on our hyperhidrosis page.

Some men say relaxed, smoother skin is more pleasant to the touch, for them and for a partner. No trial has measured it, so we say it may, not that it will. It doesn’t change erections, orgasm or ejaculation, and it isn’t a treatment for erection problems; that’s covered on our erection enhancement page.

Some men tell us it does: in the change room, at the beach, or in bed. We can’t promise how you’ll feel. We can tell you exactly what the treatment does, and be honest about whether it’s likely to give you what you’re after.

A prescription medicine, prescribed off-label. Australian law doesn’t allow prescription-only medicines to be advertised to the public, so we can’t name it here. We’ll go through it with you during your consultation: what it is, why we’d use it, its risks, and whether it suits you.

That a medicine is prescribed for a use other than the one it’s registered for. Off-label prescribing is legal and common in medicine, when a doctor judges it appropriate and you’ve agreed to it after hearing the benefits, the risks and the alternatives. We’ll talk it through with you at your consultation.

Numbing cream first, then a small dose is placed at several points in the skin of the scrotum. It takes about 30 minutes. Most men describe brief, mild stinging rather than pain, and some tenderness or a bruise for a day or two afterwards.

The scrotum starts to relax within a few days, with the full effect at one to two weeks. It lasts about three to four months, then wears off gradually. If you want to keep it, it’s repeated.

None. You can go back to work straight away. Give it a day or two before sex, hard exercise, hot baths and saunas, and avoid rubbing the area on the day. Cyclists may prefer a few days off the saddle.

It’s a small treatment, but not risk-free. Bruising, tenderness and swelling for a few days are the most common. The scrotum can hang lower than you’d like, or less than you hoped, or slightly unevenly, until the effect wears off. Infection is rare. Every risk is explained before you decide.

The treatment is placed in the skin of the scrotum, not in the testicles. There’s no evidence that it affects sperm, testosterone or fertility, but it hasn’t been formally studied for that either. If you’re trying for a baby, tell us and we’ll talk it through before anything is planned.

No. It does the opposite: it lets the scrotum hang lower. If yours hangs lower than you’d like, a lasting change means surgery, a scrotal lift, and we’ll refer you to a plastic surgeon or urologist if that’s what you want.

Often, yes. If the examination is clear, you’ve heard the risks and you’re sure, it can be done in the same visit, and the $100 consultation fee comes off it. If you’d rather think it over, it’s booked for a later appointment instead.

A face-to-face consultation at Male by Cleon is $100, which comes off your treatment if it’s done on the day, and a private video call is free. Because the treatment uses prescription medicine prescribed off-label, it’s priced in consultation, and you’ll know the full cost before anything starts. Cosmetic treatments aren’t covered by Medicare or private health insurance.

Yes. In most men one testicle, usually the left, sits lower, and one is often a little larger. That’s normal. A new change in one testicle, such as a lump, swelling, heaviness or an ache, isn’t, and should be checked promptly.

Once a month, after a warm shower, roll each testicle gently between your thumb and fingers and feel for a lump, swelling, hardness or a change in size. It’s normal for one to be slightly larger or lower, and to feel a soft tube at the back. See a doctor promptly about any change.

Yes, with your consent. An examination of the testes and skin is part of every scrotal consultation, because a few things need ruling out before anything cosmetic.

Yes. We assess them, treat many of them in clinic, and refer to a colorectal surgeon when a procedure or a specialist opinion is needed. For a fissure that hasn’t healed, relaxing the sphincter in clinic is one option; there’s more on our anal sphincter relaxation page. Bleeding from the bottom should always be checked.

Male by Cleon consultations run in their own appointment times, with space either side, and there’s no shared waiting area. Clinical records are kept under full medical confidentiality, and nothing is shared outside the clinical relationship without your consent.

Male by Cleon is at Ground 02, 46a Macleay Street, Potts Point, a short walk from Kings Cross station and close to Elizabeth Bay, Darlinghurst, Rushcutters Bay, Woolloomooloo and the CBD. If you’re further away, start with a free video call.