Patient receiving Letybo injection at Pura Vida Med Spa in Fulton, Maryland

Fulton and Marriottsville, MD

Letybo in Fulton and Marriottsville, MD

Treatment Time10 to 20 minutes

Results Duration3 to 4 months

DowntimeNone, resume daily activities

Onset of Results2 to 3 days

Discover Letybo, the Latest in Smooth, Refreshed Skin

Letybo at Pura Vida Med Spa is the newest FDA-approved neuromodulator - a letibotulinumtoxinA injectable from Galderma, cleared in 2024 - that temporarily softens moderate to severe glabellar (frown) lines while preserving natural facial expression. As the latest addition to the Galderma neurotoxin family and the first botulinum toxin approved by the FDA in over a decade, Letybo offers an evidence-backed option for adults in Fulton and Marriottsville, MD seeking smooth results without a frozen appearance. If the vertical creases between your brows are giving you a stern or worried look that does not match how you feel, Letybo can clear those lines within days without surgery or any recovery time.

At Pura Vida Med Spa, our Fulton and Marriottsville injectors are trained on the Galderma Letybo platform and bring the same precise, anatomy-first approach to neuromodulator care that has made our practice a trusted destination across Howard County. Treatments are delivered at our 8110 Maple Lawn Blvd office and our 2470 Longstone Ln. suite, where our team customizes unit count, placement, and follow-up timing to your glabellar muscle dynamics and goals.

01 About
02 The Science
03 What We Treat
04 Benefits
05 Why Us
06 Compare

07 Treatment
08 Safety
09 Pricing
10 FAQs
11 References

Soften Frown Lines Naturally with Letybo

Smoother skin, expressive features

Frown lines, the vertical creases between the brows, often appear earlier than expected. They can make a face look tired, tense, or older than you feel, even when you are perfectly rested. Years of facial expressions, sun exposure, and natural collagen loss cause the muscles between the brows to contract repeatedly, etching lines into the skin. Many patients tell our team they look stern or worried in photos, despite feeling calm and confident. They want a smoother appearance without sacrificing the expressions that make them, them.

Letybo, the newest neurotoxin from Galderma, offers a precise solution. As an FDA-approved letibotulinumtoxinA, it temporarily relaxes the targeted glabellar muscles to soften vertical frown lines while preserving natural facial movement. Our injectors at Pura Vida Med Spa place each unit with careful attention to your unique anatomy, so you look refreshed and rested, never frozen. Results emerge within days and continue to refine for several weeks, revealing skin that mirrors how you feel inside.

What Is Letybo?

Letybo (letibotulinumtoxinA-wlbg) is a purified botulinum toxin type A from Hugel, distributed in the U.S. by Galderma. In February 2024 the U.S. Food and Drug Administration approved it for moderate to severe glabellar lines (the frown lines between the eyebrows) in adults.

It works by temporarily blocking the signal between nerves and the small muscles of the glabellar region; when the corrugator and procerus muscles cannot fully contract, the overlying skin smooths and etched frown lines soften. Because Letybo is highly purified and dosed in standardized units, your injector can place precise amounts to relax only the targeted muscles, leaving the rest of your expression intact.

Treatment Timeline:

Treatment Time:

10 to 20 minutes

First Signs:

2 to 3 days after injection

Full Effect:

2 to 4 weeks (peak smoothing)

Duration:

3 to 4 months on average

What Letybo Treats at Pura Vida

Letybo is FDA-approved for smoothing frown lines and is also used to soften other expression lines, offering a natural-looking way to relax dynamic wrinkles across the upper face

Glabellar Frown Lines

FDA-approved use: softens vertical creases between the eyebrows.

Tired or Stern Appearance

Relaxes the 11s so the upper face looks rested and approachable.

Early Expression Lines

Preventive smoothing for patients seeing the first signs of etching.

Combination Refresh

Pairs with filler or skin treatments for full-face rejuvenation plans.

Crow's Feet

Softens the fine lines that fan out from the corners of the eyes.

Forehead Lines

Smooths horizontal creases across the forehead while keeping movement natural.

FDA-Approved

Approved in 2024 with clinical data

Fast Onset

Patients see softening within 2-3 days

Natural Movement

Preserves expressive features

Lasting Results

Smoothing lasts 3 to 4 months

Quick Visit

Treatment takes 10-20 minutes with no downtime

Treatment	Active Ingredient	Onset	Full Results	Duration	Downtime	Best For
Letybo	letibotulinumtoxinA	2 to 3 days	2 to 4 weeks	3 to 4 months	None	Newest FDA-approved option, natural-looking frown line smoothing
Dysport	abobotulinumtoxinA	2 to 3 days	1 to 2 weeks	3 to 4 months	None	Fast onset, broader spread for larger treatment zones
Daxxify	daxibotulinumtoxinA	1 to 2 days	2 to 4 weeks	6 to 9 months	None	Longest duration, fewer visits per year

Who Is a Good Candidate for Letybo?

Letybo is FDA-approved for adults seeking smoother moderate to severe frown lines and a refreshed, well-rested look.

Ideal Candidates for Letybo

Adults bothered by moderate to severe frown lines between the brows
Patients seeking natural-looking smoothing with preserved expression
Those in generally good health with realistic expectations
Patients considering preventive neurotoxin treatment with early signs of etching

Who Should Wait or Avoid Letybo

Pregnancy or breastfeeding
Active skin infection at the planned injection sites
Known allergy to botulinum toxin or any Letybo ingredient (including human albumin)
Neuromuscular disorders such as myasthenia gravis, Lambert-Eaton syndrome, or ALS

Talk to Us First If…

You've had a different neurotoxin brand and want to compare or switch
You have an important event soon and need to time treatment for peak results
You take muscle relaxants or aminoglycoside antibiotics
You take muscle relaxants or aminoglycoside antibiotics

Our team always reviews your medications and medical history before treatment to confirm Letybo is safe for you.

Consultation

Our injector reviews your goals, medical history, and maps the glabellar muscles.

Preparation

The treatment area is cleansed and, if preferred, ice or topical numbing is applied for comfort.

Injection

A series of precise micro-injections of Letybo are placed into the targeted glabellar muscles.

Aftercare

You receive simple post-care instructions and may return to most daily activities immediately.

Letybo Side Effects and Safety

Letybo has been studied in large clinical trials and shares the well-established safety profile of botulinum toxin type A neuromodulators. Most side effects are mild, localized, and temporary.

According to the prescribing information and reporting from the U.S. FDA, the most common side effect reported in clinical studies was headache, which typically resolves within 24 to 48 hours. Other possible side effects include temporary injection-site reactions such as redness, swelling, bruising, tenderness, or small bumps that usually fade within hours to a few days.

Less commonly, patients may experience eyelid drooping (ptosis), brow asymmetry, dry eye, or flu-like symptoms. Choosing an experienced, medically supervised injector significantly reduces the risk of placement-related side effects.

Rare but serious risks associated with botulinum toxin products, as described in the FDA boxed warning, include the spread of toxin effects beyond the injection site. Symptoms can include muscle weakness, vision changes, trouble swallowing, or breathing difficulty. Call your provider immediately if these occur. Letybo should only be administered by qualified, trained injectors in a medical setting.

Letybo Cost in Fulton and Marriottsville

Transparent, per-unit pricing

Letybo is priced per unit at Pura Vida Med Spa, so the total cost of your treatment depends on how many units are needed to achieve your goals. For glabellar frown lines, the FDA-approved dose is typically around 20 units, though your personalized plan may vary based on muscle strength and treatment goals. Your injector will provide a clear price quote before any treatment begins - no surprises and no hidden fees.

Pricing Snapshot

Letybo, per unit: quoted at consultation
Typical glabellar treatment: about 20 units
Touch-ups: available 2 weeks after initial treatment if needed

Financing Options

Pura Vida Med Spa accepts CareCredit and Cherry Financing to help make your aesthetic plan more comfortable. Loyalty programs such as Allé and ASPIRE Rewards may offer additional savings.

To confirm your personalized Letybo investment, call (301) 604-8432 or book a consultation online.

Physician-Founded Practice

Built and led by Dr. Leslie Apgar, MD with a clinical safety standard

Expert Injectors

Aesthetic team trained in advanced neurotoxin placement and facial mapping

Two Maryland Locations

Convenient Letybo appointments in Fulton (Maple Lawn) and Marriottsville

Tailored, Natural Results

Doses customized to your anatomy so you look refreshed, never frozen

Full Neurotoxin Menu

We offer Letybo alongside Dysport, Daxxify, and other neurotoxins

Consistent, Documented Care

Detailed records of your doses and placement so every visit builds on the last

Dysport

Fast-Acting Wrinkle Treatment for Forehead, Crow's Feet and More

Adults with moderate to severe glabellar lines, forehead lines, or crow's feet
Patients seeking faster onset than traditional botulinum toxin options
Those in good general health with realistic expectations

Daxxify

The Longest-Lasting Neurotoxin for Up to Six Months of Smooth Results

Adults 18 and older with moderate to severe glabellar, forehead, or crow's feet lines
Patients who want longer-lasting results between neurotoxin treatments
Established neurotoxin patients ready to extend the time between touch-ups

RHA Filler

Dynamic Hyaluronic Acid That Moves Naturally with Your Face

Adults with moderate to severe dynamic facial wrinkles or folds
Patients seeking lip enhancement with natural movement
People in good general health and not pregnant or breastfeeding

01 Is Letybo FDA-approved?

Yes. Letybo (letibotulinumtoxinA) received FDA approval in February 2024 for the temporary improvement of moderate to severe glabellar (frown) lines in adults.

02 How is Letybo different from Botox, Dysport, and Daxxify?

All four are botulinum toxin type A neuromodulators, but they differ in formulation, onset, and how long results last. Letybo is the newest FDA-approved option and is known for a quick onset and natural-looking results.

03 When will I see Letybo results?

Most patients notice softer frown lines within 2 to 3 days, with full smoothing appearing over the following 2 to 4 weeks.

04 How long does Letybo last?

Most patients enjoy results for about 3 to 4 months. Maintenance treatments help keep the area smooth over time.

05 Does Letybo hurt?

Most patients describe a quick pinch with each injection. Topical numbing or ice can be used to keep you comfortable throughout the short visit.

06 Is there any downtime after Letybo?

There is no required downtime. You can return to most daily activities immediately, with simple aftercare such as avoiding heavy exercise for a few hours.

07 Can Letybo be combined with filler or other treatments?

Yes. Letybo pairs beautifully with dermal fillers and skin treatments. Your injector will design a customized plan during your consultation.

Fulton8110 Maple Lawn Blvd, Suite 145
Fulton, MD, 20759(301) 604-8432

Marriottsville2470 Longstone Ln., Suite C
Marriottsville, MD, 21104(410) 816-5173

Schedule Your Letybo Consultation

References

Kim JH, et al. Efficacy and safety of letibotulinumtoxinA in the treatment of glabellar lines: a randomized, double-blind, multicenter trial (Dermatologic Surgery 2022). PubMed (PMID: 35877182).
Won CH, et al. Comparative trial of the efficacy and safety of letibotulinumtoxinA versus onabotulinumtoxinA in the treatment of glabellar lines (Dermatologic Surgery 2015). PubMed (PMID: 26111344).
Rzany B, et al. Botulinum toxin in aesthetics: review of clinical use and emerging products (Journal of Drugs in Dermatology 2020). PubMed (PMID: 32129963).
Carruthers J, Carruthers A. Botulinum toxin type A for the treatment of glabellar rhytides: long-term outcomes (Dermatologic Surgery 2010). PubMed (PMID: 20384754).
Brin MF, et al. Safety of botulinum toxin type A in cosmetic applications: a comprehensive review (Aesthetic Surgery Journal 2014). PubMed (PMID: 25535094).