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Cosmetic

Letybo

LetibotulinumtoxinA | Latest Korean botulinum toxin, FDA-approved 2024

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

About This Treatment

Letybo (Hugel, South Korea) is LetibotulinumtoxinA newly FDA-approved for cosmetic use in 2024. Developed by Korean biotech company Hugel. Multiple trials suggest efficacy equivalent to or exceeding Botox Cosmetic.

Established safety/efficacy with ~3 years South Korean market experience. Faster onset (some report mild effects 1-2 days post-injection). High patient satisfaction. Expected to expand globally.

Mechanism of Action

LetibotulinumtoxinA is a subtype of BoNT-A that cleaves SNAP-25 similarly. Subtle amino acid sequence differences may alter cell penetration speed or nerve terminal binding affinity. Clinically shows slightly faster onset, though detailed mechanism not fully elucidated.

Indications

Wrinkles / fine linesGeneral indication (see detailed description)Lip / mouth contour

Expected Results

Fast onset—some patients report mild effects at 1-2 days. Peak at 2-4 weeks. Duration 3-4 months equivalent to Botox. Korean clinical data show very high patient satisfaction.

Clinical Evidence

Lee YE, Sung SY, Lee SY, et al. (2024)
Phase III, Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Letybo® (LetibotulinumtoxinA) for Aesthetic Facial Lines. Aesthet Surg J
Clinical improvement was reported in this study (see original paper for details).
Korean FDA & Hugel (2024)
Letybo® (LetibotulinumtoxinA) FDA Approval Summary—Safety and Efficacy for Treatment of Glabellar Lines and Crow's Feet. FDA Orange Book
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Injection pain/swelling/bruising. Brow ptosis and dry eye risk presumed equivalent to Botox Cosmetic. Limited large-scale long-term data on antibody formation (newly approved 2024). Conservative dosing recommended for first treatment.

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