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Letybo (LetibotulinumtoxinA)

FDA-approved next-gen botulinum toxin with lower cost & side effects

Duration
10-20 min
Downtime
0 days
Sessions
3-4 monthsevery

About This Treatment

Letybo (LetibotulinumtoxinA-wlbg) is a next-generation botulinum toxin type A developed by Hugel (South Korea), FDA-approved in February 2024. Chemically distinct from Botox (onabotulinumtoxinA), it's indicated for moderate-to-severe glabellar lines.

Phase III trials showed eyelid ptosis rate of only 0.5% (roughly 1/3 of Botox), with no neutralizing antibodies detected. Per-unit cost is 10-20% lower than Botox, making it a cost-effective alternative.

Mechanism of Action

Botulinum toxin type A cleaves SNARE proteins at the neuromuscular junction, inhibiting acetylcholine release for temporary muscle relaxation. Letybo uses a proprietary purification process yielding a 900kDa formulation with high purity and stability.

Indications

Wrinkles / fine linesGeneral indication (see detailed description)Sagging / contour

Expected Results

Onset in 3-7 days, peak at 14 days. Duration 12-16 weeks. Ptosis risk ~1/3 of Botox (0.5%). Most common side effect: headache (2%).

Clinical Evidence

FDA Drug Trials Snapshots (2024)
Letybo (LetibotulinumtoxinA-wlbg) FDA Approval Review. FDA
Clinical improvement was reported in this study (see original paper for details).
Hugel Inc. Clinical Data (2023)
Phase III Multinational Trial of Letybo for Glabellar Lines. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).
Kim NH, Park JH, et al. (2024)
Comparative efficacy of letibotulinumtoxinA versus onabotulinumtoxinA. J Cosmet Dermatol
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Headache (2%), transient injection site reactions. Ptosis risk 0.5%. Rare brow asymmetry. Overcorrection may cause unnatural expression. Contraindicated in pregnancy/breastfeeding.

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