The Growing Demand for Neuromodulators in Aesthetic Medicine
Neuromodulators like Botox® have revolutionized aesthetic medicine by offering effective, non-invasive solutions to reduce fine lines and wrinkles. In recent years, however, there has been growing interest in alternatives to Botox that promise similar or even improved results with unique features. One such newcomer is Letybo (LetibotulinumtoxinA), which has recently received FDA approval for the treatment of glabellar lines (the lines between the eyebrows).
As a healthcare professional in the aesthetic field, you may be wondering how Letybo compares to Botox. Is it just another botulinum toxin product, or does it bring something new to the table? In this article, we’ll take a closer look at Letybo vs. Botox, exploring their similarities, differences, and how Letybo could potentially fit into your aesthetic practice.
What is Letybo (LetibotulinumtoxinA)?
Letybo is a botulinum toxin type A product developed by Hugel Inc., and it was FDA-approved in 2023 for the treatment of glabellar lines (the frown lines that form between the eyebrows). Like Botox, Letybo works by temporarily blocking the signals from the nerves to the muscles, causing those muscles to relax and thus reducing wrinkles and lines.
The product entered the U.S. market as a competitive alternative to Botox, offering a new option for practitioners and patients seeking effective, non-surgical treatments for dynamic wrinkles.
How Does Letybo Compare to Botox?
1. Treatment Area and Efficacy
Both Letybo and Botox are primarily used to treat dynamic wrinkles caused by muscle contractions. The most common use for both is the treatment of glabellar lines, although Botox is also widely used for other areas like the crow’s feet and forehead lines.
Letybo, currently FDA-approved for glabellar lines, has been shown to provide results similar to those of Botox, with a comparable onset time of about 3-4 days. However, clinical studies suggest that Letybo may offer a more consistent and longer-lasting effect compared to Botox in some patients. For example, a phase 3 clinical trial found that 82.1% of patients treated with Letybo reported significant improvement in their glabellar lines, with high satisfaction rates that were comparable to those seen in Botox-treated patients (PubMed, 2021).
Botox, on the other hand, has a longer track record and is used for a broader range of indications, including crow’s feet, forehead lines, bunny lines, and chin dimples. Botox is FDA-approved for five indications in aesthetic medicine, while Letybo’s approval is currently limited to glabellar lines (FDA Package Insert, 2024).
2. Dosage and Injection Protocol
Letybo and Botox differ in their recommended dosages for glabellar lines. The recommended dose of Letybo for glabellar lines is 20 units, divided into five injections (FDA Package Insert, 2024). This is the same dose of Botox used for the treatment of glabellar lines, with five injection sites (two injections in each corrugator supercilia muscle and one in the procerus muscle). This dosage for both products is designed to relax the muscles responsible for the formation of frown lines, but the composition of the products is slightly different, which may influence patient outcomes.
Botox has established safety and efficacy with a standard dosing range for other indications beyond glabellar lines, with higher dosages for areas like the forehead or crow’s feet.
While the dosing for glabellar lines is relatively similar, Letybo’s molecular formulation has been shown to deliver more consistent results, possibly due to its enhanced stability compared to Botox’s slightly more variable composition (Croma Pharma, 2024).
3. Duration and Results
Both Letybo and Botox provide temporary results—with improvements lasting between 3-4 months for most patients. However, recent studies indicate that Letybo’s results may extend slightly longer in some patients. Long-term data from clinical trials show that Letybo’s results last between 3 and 4 months, which is comparable to Botox, but some users reported more stable results, particularly in the glabellar region (PubMed, 2021).
It is important to note that individual patient characteristics (such as skin condition, age, and metabolic rate) may influence the duration of effects for both Letybo and Botox.
4. Safety and Side Effects
Both Letybo and Botox are FDA-approved and generally well-tolerated. The most common side effects of both treatments include pain or swelling at the injection site, headache, and temporary ptosis (drooping eyelids). However, a study published in the Journal of Clinical and Aesthetic Dermatology (2021) found that the incidence of adverse effects for Letybo was comparable to Botox, with no serious adverse events reported during clinical trials.
However, there were some reports of mild transient side effects such as redness, swelling, and slight bruising, which are common with all botulinum toxin products.
5. Cost and Accessibility
While Botox remains the most widely recognized brand in aesthetic medicine, Letybo offers a cost-effective alternative. Since Letybo is newer to the market, it may be priced more competitively to attract providers looking for a reliable neuromodulator without the premium cost associated with Botox. Pricing for Letybo is still being finalized by some clinics, but it is expected to be slightly more affordable for patients when compared to Botox, which may make it a viable option for both practitioners and patients.
Additionally, Letybo’s entry into the market gives practitioners more choices, allowing them to offer a range of options to patients and potentially increase patient satisfaction due to cost variability.
Which One Should You Choose for Your Practice?
1. Letybo: Advantages
- New and Innovative Option: Letybo represents a newer product on the market, offering enhanced consistency and efficacy for the treatment of glabellar lines.
- Effective Results: Clinical trials have shown that Letybo produces similar or superior results in certain patients, with longer-lasting effects than Botox.
- Competitive Pricing: Letybo may offer a more affordable alternative for patients seeking a highly effective neuromodulator without the premium price of Botox.
2. Botox: Advantages
- Established Reputation: Botox has been the gold standard in neuromodulators for years, with well-documented safety and efficacy for a wide range of indications.
- Broad Indications: Botox is FDA-approved for a broader range of conditions, such as crow’s feet, forehead lines, and chin dimples, giving it a clear advantage for providers offering multiple aesthetic treatments.
- Proven Safety Profile: Botox has been extensively tested and is used by millions of patients worldwide, providing a proven track record for safety and results.
How to Incorporate Letybo into Your Practice
As a healthcare provider, incorporating Letybo into your practice involves staying updated on best practices for its use, including proper injection technique, patient consultation, and follow-up care. Training and certification in Botox and neuromodulator use are key to offering the best possible results and building patient trust.
If you’re looking to expand your services with Letybo or improve your proficiency in neuromodulator injections, Cosmetic Medical Training offers comprehensive certification courses designed to teach you everything from injection techniques to patient communication, ensuring your success in aesthetic medicine.
Conclusion
Both Letybo and Botox are effective neuromodulators for the treatment of glabellar lines, but each product brings its own unique set of benefits to the table. Letybo may offer some advantages in terms of longer-lasting results and more affordable pricing, while Botox continues to be the gold standard with its broad range of indications and well-established reputation.
Ultimately, the choice between Letybo and Botox comes down to your practice needs, patient preferences, and cost considerations. By offering both products, you can provide your patients with more options, ensuring their satisfaction and helping your practice grow in the competitive field of aesthetic medicine.
Are you ready to expand your aesthetic practice and offer your patients the latest neuromodulator options? Join Cosmetic Medical Training and take your Botox training certification and Letybo Training today!