high heel tox

What is Heel Tox?

One of those lesser-known, niche uses of Botulinum Toxin that’s been trending more recently, especially in the beauty and fashion world. It’s designed to help people wear high heels for longer with less pain. Botulinum toxin injections in the feet can help high-heel wearers by reducing pain and muscle fatigue. Injected into specific foot muscles, it minimises cramping and discomfort, allowing wearers to comfortably wear heels for extended periods. This treatment relaxes muscles, offering temporary relief but doesn’t address long-term structural strain from high-heel use.

FAQ’s

What is “High Heel Tox” or “Stiletto Tox”?

It’s a Botox procedure where Botox is injected into the foot (typically the ball of the foot or calf muscles) to relieve pain or discomfort associated with wearing high heels for extended periods.

  • Botox relaxes the muscles in the calves or feet, reducing strain.

  • It can also reduce pressure or inflammation in areas that bear weight in heels.

  • Some people get it in the calf for aesthetics (to slim the look of the lower leg), and others in the foot pad to make walking more comfortable.

The toxin is injected into the balls of the feet, the outer edge of the foot called the Outer Longitudinal Arch and the heels of the foot.

Heel tox is considered an off-label use of Botulinum Toxin, which means it’s not to be sold for treatment for foot pain but is performed by some cosmetic specialists who are trained to do so.

  • Reduced foot pain when wearing high heels

  • May allow longer wear time

Potential side effects include:

  • Muscle weakness in the feet

  • Numbness or imbalance

  • Temporary difficulty pushing off when walking

  • In rare cases, altered gait or posture changes

Overall your appointment will last for around 30-45 minutes. This is taking into consideration the discussion of the treatment and marking the foot for injections. The injection time is about 15–20 minutes overall.

The results last typically around 3 to 4 months.

Minimal. You can usually go back to regular activity right away, but you are advised to avoid high heels for a day or two to let the Botox settle. Comfortable shoes are recommended for the first 24 hours.

  • Frequent high heel wearers (models, performers, professionals)

  • People who feel pain in the ball of their foot when wearing heels

  • Athletes or people who rely on strong calf function

  • Those with nerve disorders, circulation problems, or foot drop

  • Anyone uncomfortable with off-label procedures

Not always. It can reduce discomfort, but it won’t fix ill-fitting shoes or underlying structural foot problems.

No — it’s more of a temporary, luxury fix. Think of it like a seasonal treatment for someone who wants to wear heels for a wedding, fashion week, or big event.

Risks and Considerations

While botulinum toxin injections are generally considered safe, there are some risks and side effects:

  • Temporary Muscle Weakness: Some individuals may experience unintended muscle weakness near the injection site.
  • Bruising and Swelling: Mild bruising, swelling, or redness at the injection site can occur.
  • Flu-like Symptoms: Some people may experience flu-like symptoms, such as fatigue, headache, or mild nausea, after the injection.
  • Allergic Reactions: Rarely, individuals may experience an allergic reaction, which could include itching, rash, or trouble breathing.
  • Temporary Speech or Swallowing Issues: In rare cases, botulinum toxin injections around the neck or jaw muscles can cause temporary difficulty swallowing or speaking.