Understanding Letybo

Letybo (letibotulinumtoxinA-wlbg) is a type A botulinum toxin injectable that temporarily reduces muscle activity in the treated area, helping lines relax and fade. Letybo can soften frown lines between the brows, prevent deep creases from becoming more etched over time, create a calmer, more rested look, and keep your expressions recognizable while reducing harshness. Internationally, Letybo has been widely used for years, with tens of millions of treatments performed worldwide prior to its U.S. arrival—one reason many patients are comfortable choosing it now that it’s FDA-cleared here. 

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Am I a Candidate?

You may be a good candidate for Letybo if you:

  • Are bothered by lines between the brows, especially at rest
  • Want a non-surgical option with minimal downtime
  • Are healthy and not pregnant or breastfeeding
  • Want a result that’s refreshed, not overdone 

During your consultation, your provider will assess your facial movement patterns and talk through your goals. If Letybo suits your needs, your dosing plan will be customized for a balanced outcome.

Letybo at Criswell & Criswell

At Criswell & Criswell Plastic Surgery, neuromodulator treatment is never a “one-size-fits-all” appointment. Dr. Kara Criswell and Dr. Bryan Criswell focus on how your brows move, where tension patterns create creases, and what kind of result looks most like you on your best day.

Your plan is tailored to your facial anatomy and muscle strength, your natural expressiveness, whether you prefer a subtle softening or a more noticeable smoothing, and the timing of your lifestyle and upcoming events. Because Letybo is dosed similarly to Botox for glabellar lines, treatment can be calibrated with familiar precision, while still providing the benefits of a newly available formulation. 

Before & After

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Benefits of Letybo

Letybo offers the same core benefits patients love about neuromodulators, with a few characteristics that make it especially appealing to some people.

You’ll experience:

  • Noticeable smoothing of frown lines
  • A natural, relaxed brow appearance
  • Fast onset for many patients (often within a few days)
  • Treatment that fits easily into a routine visit
  • Results that typically last about 3–4 months
  • A newer U.S. option with longstanding global use 

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About the Letybo Treatment

Letybo treatments are quick and straightforward. A typical visit includes:

  • A detailed facial assessment and discussion of goals
  • Cleansing and mapping the injection points
  • Small, precise injections into five standard glabellar sites
  • Post-treatment guidance to protect results 

The FDA-recommended total dose for glabellar lines is 20 units, and treatments are spaced no more frequently than every three months.

Why Charlotte, NC Patients Choose Criswell & Criswell for Letybo

Patients don’t come to Criswell & Criswell Plastic Surgery just for a wrinkle relaxer—they come for the judgment behind it. Dr. Kara Criswell brings a refined, patient-first approach to facial aesthetics, with an eye for subtlety and balance. Dr. Bryan Criswell adds deep reconstructive and cosmetic expertise, ensuring treatments are safe, thoughtful, and tailored to your structure.

Their collaborative style means your result is planned with both artistry and anatomy in mind. And because you’re supported by an experienced team of RN injectors and skin specialists, your care doesn’t end after one visit—it’s guided over time to keep results consistent, natural, and aligned with your goals.

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Recovery and Expected Results

There’s little to no downtime after Letybo. You might notice mild redness, tenderness, or small bumps at injection sites for a short time. Most patients return to normal plans immediately.

Results often begin showing in 2–3 days, settle over the first week, and reach their peak around two weeks. Expect smoother, softer frown lines and a more relaxed expression that still looks like you. Most patients enjoy results for roughly 3–4 months. 

Other Techniques and Alternatives

Variations in Technique

Although Letybo has a standard FDA-approved pattern for frown lines, the technique is highly personalized. Your injector may adjust:

  • Exact placement based on your anatomy
  • Dose per point to reduce heaviness or preserve lift
  • Symmetry corrections if one side pulls stronger

The goal is not just fewer lines, but better facial balance.

Alternative or Related Options

If Letybo isn’t quite right for your goals—or you’re comparing options—other neuromodulators include:

  • Botox®
  • Dysport®
  • Xeomin®
  • Jeuveau®
  • Daxxify®

Each has a slightly different onset, feel, and longevity, and your provider can help you choose based on your facial dynamics and preferences. 

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