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Relfydess (Ready-to-Use Liquid Toxin)

World's first ready-to-use liquid botulinum toxin lasting 6 months

Duration
10-20 min
Downtime
0 days
Sessions
6 monthsevery (2x/year)

About This Treatment

Relfydess (RelabotulinumtoxinA) by Galderma is the world's first ready-to-use liquid botulinum toxin A. PEARL Technology™ (Precipitation, Extraction, Activity-preserving Refined Liquid) stabilizes the toxin in liquid form without reconstitution.

Phase 3 READY-1/READY-2 trials achieved >98% responder rate for glabellar lines, with 24-27 week duration (~1.5x longer than traditional Botox). Approved in 20+ countries; FDA BLA accepted in 2026.

Mechanism of Action

PEARL Technology™ maintains botulinum toxin A molecular structure and bioactivity in liquid state. Cleaves SNAP-25 at neuromuscular junction for sustained 6-month acetylcholine suppression. Extended duration attributed to molecular stability in liquid form and uniform diffusion pattern.

Indications

Wrinkles / fine linesSagging / contour

Expected Results

Rapid onset at 48-72 hours. >98% responder rate for glabellar lines. Duration 24-27 weeks (~6 months), requiring only 2 treatments per year. Very high patient satisfaction.

Clinical Evidence

Galderma Phase 3 Data (2026)
READY-1 and READY-2: Phase 3 Trials of RelabotulinumtoxinA for Glabellar Lines. Presented at TOXINS 2026
Clinical improvement was reported in this study (see original paper for details).
Carruthers A, Solish N, et al. (2025)
Efficacy and Safety of Ready-to-Use Liquid Botulinum Toxin. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).
Galderma Regulatory Filing (2026)
Relfydess BLA Submission to FDA. FDA
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Headache (most common), transient injection site reactions. Ptosis risk comparable to conventional toxins. Requires refrigeration (2-8°C). Not yet approved in Japan.

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