Botox, Dysport, or Letybo? Choosing the Right Neuromodulator
July 31, 2026
For decades, when people thought about treating wrinkles, they thought about Botox. Today, Dysport and Letybo have joined the conversation, leaving many patients wondering: what's the difference, which one is better, and how do you know which is right for you?
All three belong to the same family of neuromodulators, but they aren't identical. The choice depends on precision, target surface areas, and your facial dynamics. The magic isn't just in the product itself, it’s in how your injector matches these distinct formulas to your specific goals. At art&fact, a surgeon-led plastic surgery and medical aesthetics clinic in Calgary, Alberta, our experienced injectors treat a diverse patient population and recognize that every face moves differently. One product isn't necessarily better than another. It's about choosing the right one for you.
How Do Botox, Dysport, and Letybo Compare?
Botox, Dysport, and Letybo all belong to the botulinum toxin family. They all work by temporarily binding to the nerve endings that supply muscles, preventing the repetitive muscle contractions responsible for wrinkles such as frown lines, forehead lines, and crow's feet.
They all work in the same way, but they are not identical. Each product has its own formulation and characteristics. Differences can influence:
- Diffusion: how far the neuromodulator spreads from the injection site
- Onset: how quickly the product takes effect
- Dosing and longevity: the exact amount of product required and how long the results last.
These nuances dictate which product is best targeted for a particular facial area, concern, or patient. Rather than asking which product is "best," the more important question is which product is best for your face, muscle movement, and aesthetic goals. That is exactly where your injector's clinical expertise becomes essential.
How Does Your Injector Choose the Right Neuromodulator?
Your injector will always start by creating a personalized plan based on evaluating your facial anatomy, your muscle strength, treatment area, and your aesthetic goals. From there, they determine which specific neuromodulator is the best fit for you and whether it should be paired with other aesthetic treatments to maximize your results.
Treatment Area
Different areas of the face have different treatment goals. For larger treatment areas, such as the forehead, your injector may consider a neuromodulator with characteristics that allow for broader diffusion. In smaller or more precise treatment areas, a product with more localized spread may be preferred. Rather than applying the same neuromodulator everywhere, your injector considers how each product behaves within the treatment area to help achieve balanced results
Facial Anatomy
No two faces are exactly alike, not even identical twins. There will always be differences in facial proportions, facial muscle movements, muscle balance and natural asymmetry all of which influence how neuromodulators perform.
At art&fact, our experienced injectors treat a diverse patient population and recognize that treatment planning should be adapted to the individual rather than following the same injection pattern for every patient. By evaluating your unique facial anatomy, your injector can recommend the product and injection technique best suited for you.
Muscle Strength
Not everyone's facial muscles contract with the same strength or frequency. Depending on how often certain muscle groups are used, some patients naturally have stronger muscle activity, while others have more subtle facial expressions. Because neuromodulators work by temporarily relaxing targeted muscles, understanding how your muscles move is an important part of treatment planning. Your injector will assess your muscle strength to determine the appropriate product, dosing, and injection pattern needed.
Aesthetic Goals
No two patients have the same vision for their results. While some patients want to maintain natural facial movement and simply soften the appearance of wrinkles, others prefer a smoother, more refined look. During your consultation, your injector will discuss your expectations and personalize your treatment plan accordingly.
What Happens After Your Treatment?
Once your treatment plan has been created and finalized, the procedure itself is very quick, typically taking 20–30 minutes, with some variation depending on the treatment area. After your injections, you can usually return to your normal routine immediately. Your injector will provide personalized aftercare instructions and specify when it is safe to resume strenuous exercise.
Results will not appear instantly. Depending on whether Botox, Dysport, or Letybo is used, you may begin to notice changes within a few days. Full results are typically seen within 10–14 days. Most patients enjoy their results for approximately 3–4 months before muscle movement gradually begins to return. Follow-up appointments with your injector are important for assessing your results, making adjustments, and developing an ongoing treatment plan that maintains consistent results over time.
Frequently Asked Questions
Can I switch between Botox, Dysport, and Letybo?
Yes. Many patients switch between neuromodulators over time based on their treatment goals, previous results, or recommendations from their injector. During your consultation at art&fact, your injector will review your treatment history and determine whether continuing with your current neuromodulator or trying a different one is the most appropriate option.
Can neuromodulators be combined with other aesthetic treatments?
Yes. Neuromodulators are frequently combined with treatments such as dermal fillers, laser treatments, microneedling, HydraFacials, and medical-grade skincare. While neuromodulators relax the muscles responsible for wrinkles, other treatments address concerns such as volume loss, skin texture, pigmentation, and overall skin quality. Your injector will recommend a personalized treatment plan based on your goals.
Will I still be able to move my face?
A common misconception is that neuromodulators create a "frozen" appearance. When performed by an experienced injector, treatment is designed to soften unwanted muscle movement while preserving natural facial expression. The amount of movement that remains depends on your treatment goals and the personalized plan created during your consultation.
How often will I need neuromodulator treatments?
Most patients return every 3–4 months to maintain their results. The exact timing depends on your muscle activity, treatment goals, and how quickly your body metabolizes the neuromodulator. Your injector will recommend a maintenance schedule based on your individual response to treatment.
Who performs the injections at art&fact?
Neuromodulator injections at art&fact are performed by our experienced team of physicians and medical aesthetic injectors. You can meet the full team on our About Us Page.
Book a neuromodulator consultation in Calgary
If you're researching neuromodulators, the next step is a consultation with one of our medical aesthetic injectors. During your consultation, your injector will assess your anatomy, discuss your goals, and explain your options honestly so you can make an informed decision.
art&fact is located at 2403 33 Avenue SW in Calgary's Marda Loop. Call (403) 800-9157 or book a consultation through our contact page.
We look forward to meeting you!
