The Botox Cowboys are back after a summer on the golf course (where Andrew allegedly “shot a million”) and they waste no time diving into the weird, wonderful, and occasionally worrying world of aesthetic medicine. This week’s episode barrels from the hidden costs that quietly bleed new clinics dry—yes, even your water bottles are a line item—into the awkward but common reality of patients fainting mid-injection. Andrew explains how to spot the warning signs, while Tyler mainly wonders if you wake up hotter or just embarrassed.

From there, things get dicey: the guys unpack the murky world of product dilution. Sometimes it’s medical strategy, sometimes it’s, well, not—and suddenly you’re paying top dollar for watered-down filler like it’s a dodgy cocktail at a dive bar. Just when you think it can’t get weirder, enter “ScroTox,” a procedure whose name alone tells you almost everything you need to know. Wrinkle-free? Maybe. Necessary? Absolutely not. Entertaining? Oh yes.

The show wraps with something both practical and fascinating: the power of masseter Botox. Whether you’re grinding your teeth into dust or just want a slimmer jawline, Andrew breaks down how this treatment works, why precision is everything, and what it’ll cost you if you clench like a stressed-out beaver. It’s an episode that manages to be educational, ridiculous, and just the right amount of uncomfortable—the Botox Cowboys way.

(00:00) - Welcome to Botox Cowboys
(01:40) - Listener Questions!
(01:58) - Startup Costs?
(06:45) - What if I pass out?
(09:28) - Diluted Product?
(15:14) - Scrotox.
(21:26) - The Friend Parade
(22:11) - Other Uses for Botox: Stop the Clench!