Advanced Science, Trusted Expertise

At The Piazza Center, we are committed to discovering innovations that improve patient outcomes. Our practice, led by board-certified plastic surgeon Dr. Rocco Piazza, is proud to introduce Letybo®, a globally trusted neuromodulator now available in the U.S. This product offers precise and natural-looking wrinkle reduction.

Our team consists of highly skilled, registered nurse injectors, each of whom is nationally certified and has received extensive training in advanced facial anatomy and injection techniques. They deliver every treatment with precision, safety, and artistry. Together, we ensure that our results reflect both scientific expertise and aesthetic harmony.

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What Is Letybo®?

Letybo® (letibotulinumtoxinA-wlbg) is an FDA-approved neuromodulator designed to temporarily smooth moderate to severe glabellar lines—the vertical “11s” between the brows. Functionally comparable to BOTOX® Cosmetic, Letybo® works by inhibiting the release of acetylcholine at the neuromuscular junction, relaxing the corrugator and procerus muscles that cause frown lines.

What sets Letybo® apart is its international pedigree. It has been the leading neurotoxin in South Korea for the past nine years—a country recognized for its leadership in aesthetic innovation and advanced skincare science. Clinical studies have demonstrated a remarkably low rate of eyelid ptosis (0.5%), underscoring its proven safety and precision. The result: smooth, natural-looking rejuvenation that preserves your authentic expression.

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Benefits of Letybo®

  • Smooths moderate to severe frown lines for a refreshed, youthful appearance
  • Natural-looking outcomes—never frozen—when performed by expert injectors
  • Quick, in-office treatment with minimal downtime
  • Clinically validated: in studies of over 1,200 patients, improvements began as early as 1 day, with peak results at 2–4 weeks and lasting effects up to 16 weeks
  • Backed by a strong international record, with more than 31 million vials used safely worldwide
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Are You a Good Candidate for Letybo®?

This treatment might be right for you if you:

  • Are an adult seeking improvement of glabellar frown lines
  • Have had unsuccessful BOTOX® or Dysport treatments in the past
  • Have good overall health and realistic expectations
  • Are not pregnant, breastfeeding, or diagnosed with certain neuromuscular conditions
  • Do not have an active skin infection or inflammation at the planned injection sites
  • Are not allergic or hypersensitive to botulinum toxin or any of Letybo’s ingredients
  • Do not have significant cardiovascular disease that could complicate treatment
  • Are not taking medications that interfere with neuromuscular transmission (such as aminoglycosides) unless cleared by your provider
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Why Choose The Piazza Center for Letybo® in Austin?

When it comes to wrinkle relaxers, the skill of your injector is just as important as the product itself. Piazza Center’s nurse injectors hold national certifications and pursue ongoing advanced training to ensure every treatment is delivered with the highest level of precision and artistry. 

Additionally, we believe in a comprehensive approach to facial rejuvenation. That means not only offering Letybo® but also designing treatment plans that may incorporate complementary services such as dermal fillers or advanced skin resurfacing. This integrated philosophy enables us to enhance your results in a balanced and natural way.

Finally, our practice is built on relationships, not transactions. We embrace a “patient-for-life” model, which means we’ll support you long after your initial visit—helping you maintain results, refine your treatment plan over time, and feel confident in your skin for years to come.

For a closer look at our injectors’ work and artistry, check out Hayley and April on Instagram.

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What to Expect Before, During & After

Consultation

  • Your consultation includes a skin assessment, facial anatomy evaluation, and a personalized treatment plan
  • We’ll also discuss pricing, which varies based on units required; most patients receive around 20 units for glabellar lines
  • Rest assured, we’ll provide a transparent quote and discuss financing options

Procedure

  1. First, we clean the treatment site and may apply topical numbing for comfort
  2. Next, we strategically place small injections into the targeted muscles
  3. Your session lasts about 10–15 minutes, then you’re free to go about the rest of your day with no downtime after treatment

Recovery & Results

  • Day 1–3: The onset of improvement may begin.
  • Week 1–2: Optimal softening of frown lines is visible.
  • Weeks 12–16: Results gradually fade; retreatment recommended every 3–4 months for maintenance.

Alternative & Related Services

  • Other wrinkle relaxers: BOTOX®, Dysport®, and Xeomin® are also offered at The Piazza Center.
  • Dermal fillers: To address volume loss or deeper folds beyond dynamic wrinkles.
  • Skin resurfacing: Options such as HALO® or BroadBand Light™ can improve texture, tone, and overall skin quality.
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Age On Your Own Terms With Letybo®

If you’re ready to smooth frown lines with a globally trusted, FDA-approved treatment, we invite you to schedule your consultation at The Piazza Center today. Call (737) 787-7338 or request your appointment online.

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FAQ

How is Letybo® different from other wrinkle relaxers?

Will I still be able to make facial expressions?

What are the risks or side effects of Letybo®?

How often should I schedule maintenance treatments?

Can men benefit from Letybo®?

Will my results look different if I switch from another wrinkle relaxer to Letybo®?

What happens if I stop getting Letybo®?

How is Letybo® different from other wrinkle relaxers?

While all botulinum toxin type A products work similarly, each is uniquely formulated. Letybo® has been trusted internationally for years and is now FDA-approved in the U.S., offering consistent results and a smooth injection experience when placed by trained providers.

Will I still be able to make facial expressions?

Absolutely. Our injectors are trained to preserve your natural range of expression. You’ll look more relaxed and refreshed—never frozen or overdone.

What are the risks or side effects of Letybo®?

The most common side effect is a mild headache. Less frequently, temporary drooping of the eyelid or brow can occur. Serious risks, though rare, include the spread of toxin effects leading to swallowing or breathing difficulties. Choosing a qualified medical injector significantly reduces these risks.

How often should I schedule maintenance treatments?

On average, patients return every 3 to 4 months. Over time, with consistent treatment, some individuals find that they can extend the intervals as their muscles become less active.

Can men benefit from Letybo®?

Yes. Letybo® is an excellent option for men who want to reduce frown lines while maintaining a strong, natural look. Our injectors are skilled in tailoring treatment to masculine facial anatomy.

Will my results look different if I switch from another wrinkle relaxer to Letybo®?

Most patients transitioning from other neuromodulators notice similar or enhanced results with Letybo®. Our providers will carefully adjust dosage and placement to ensure a seamless, natural outcome.

What happens if I stop getting Letybo®?

If you discontinue treatments, your muscles will gradually return to their natural activity, and frown lines will reappear as they did before. Stopping Letybo® will not worsen wrinkles; they simply return to their baseline.

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