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Neurotoxin Showdown: Xeomin vs. Botox vs. Dysport vs. Letybo

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If you’re thinking about wrinkle relaxers, it’s easy to get overwhelmed by the options. Here’s a straightforward breakdown of the four most popular neurotoxins — Xeomin, Botox, Dysport, and Letybo — and where they work best.

Botox

Active Ingredient: Botulinum toxin type A (onabotulinumtoxinA)

Onset Time: 3–5 days

Duration: ~3–4 months

Diffusion: Medium — offers precise targeting with controlled spread

FDA Approval: Approved in the U.S. since 2002

Best For: Glabella (frown lines), crow’s feet, forehead lines

Dysport

Active Ingredient: Botulinum toxin type A (abobotulinumtoxinA)

Onset Time: 1–3 days (fastest onset)

Duration: ~3–4 months

Diffusion: High — spreads more easily, which is helpful in larger areas

FDA Approval: Approved in the U.S. since 2009

Best For: Forehead, glabella, and other broader treatment zones

Xeomin

Active Ingredient: Botulinum toxin type A (incobotulinumtoxinA)

Onset Time: 3–4 days

Duration: ~3–4 months

Diffusion: Low — highly targeted for precision

Purity: “Naked” toxin – no accessory proteins (less risk of resistance)

FDA Approval: Approved in the U.S. since 2011

Best For: Glabella, crow’s feet, smaller or high-precision areas

Letybo

Active Ingredient: Botulinum toxin type A (developed in Korea)

Onset Time: 3–4 days

Duration: ~3–4 months (ongoing clinical data)

Diffusion: Medium — smooth, even spread

Purity: Highly purified formulation

FDA Approval: Approved in South Korea (2022), expanding globally

Best For: Forehead, crow’s feet, glabella — ideal for soft, natural-looking results

Key Takeaways:

Botox is the classic go-to for most facial areas, offering predictable, long-lasting results.

Dysport kicks in fast and spreads more easily, making it ideal for broader zones like the forehead.


Xeomin delivers precise, clean results and is preferred when minimizing the risk of resistance is important.

Letybo is the emerging favorite for a smooth, K-beauty inspired finish, especially in high-movement areas like the forehead and eyes.

Want help choosing the right one for you? Book a consultation and we’ll guide you based on your features, preferences, and beauty goals 💉✨

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