← All comparisons
Dermapedia / CompareProcedures

Botulax vs Botox

Botulax is a botulinum toxin made in South Korea, where it is the best-selling brand. The same toxin is sold in the United States under a different name, Letybo, so a vial labelled Botulax is not the version approved for use here. Botox is the original brand and the one most American clinics stock. No trial has compared the two directly, and the honest summary is that they are close relatives with different labels.

At a glance

The differenceBotulaxBotox
What it isA botulinum toxin type A from KoreaThe longest-established botulinum toxin
What it is used forLines that appear when you moveLines that appear when you move
How long until it worksTwo to four days to startThree to four days to start
CostCheaper per vial outside the USPriced per unit or per area

Botulax

A botulinum toxin type A from Korea Made by Hugel. It has been the leading toxin brand in South Korea for years and is exported widely.

Botox

Botox

Side by side

The differences that matter

12 comparison points

What it is

Botulax

A botulinum toxin type A from Korea

Made by Hugel. It has been the leading toxin brand in South Korea for years and is exported widely.

Botox

The longest-established botulinum toxin

The version most of the published research used, and the one most US clinics keep on the shelf.

The name question

Botulax

Sold as Letybo in the United States

Same maker, same active ingredient, different brand name for the American market. A vial labelled Botulax is meant for other countries.

Botox

One name in every market

Botox is Botox wherever you have it, which removes this particular confusion.

What it is used for

Botulax

Lines that appear when you move

Frown lines between the brows, forehead lines, crow's feet.

Botox

Lines that appear when you move

Approved in the US for specific movement lines; other areas are treated off-label.

How long until it works

Botulax

Two to four days to start

Full effect at about two weeks, as with the others.

Botox

Three to four days to start

Judge the result at two weeks, not on day three.

How long it lasts

Botulax

About three to four months

The reported range is the same. Nothing has been published showing it outlasts Botox.

Botox

About three to four months

Movement returns before the line does.

Are the units the same

Botulax

No

Its units are its own. A dose written for one brand cannot be copied across to another.

Botox

No

Same point in reverse. The injector has to know which product is in the syringe.

The downside

Botulax

Vials sold online cannot be traced

Nobody can confirm how a vial bought online was stored, or that the contents match the label. Counterfeits of popular Korean brands are a known problem.

Botox

The usual toxin trade-offs

Bruising and headache for a few days are common. If the toxin spreads slightly past the target, a brow or eyelid can droop for weeks until it wears off.

Cost

Botulax

Cheaper per vial outside the US

Price is the reason most people ask about it in the first place.

Botox

Priced per unit or per area

Ask which way your clinic charges before you agree to treatment.

The at-home or drugstore version

Botulax

There is none

It is an injected prescription drug, and there is no topical form of it.

Botox

Peptide serums borrow the name

"Botox in a bottle" creams sit on the surface of the skin. The muscle is several millimetres down, and a cream cannot reach it.

Who each suits

Botulax

  • Best for — Someone treated in a country where Botulax is approved and supplied through a clinic.
  • The mindset — A different label on a close relative, not a different class of treatment.

Botox

  • Best for — Anyone who wants the brand with the longest record and the widest availability.
  • The mindset — Predictable, well documented, and easy to compare between clinics.

Same toxin, two labels

Botulax

Botulax and Letybo are the same product sold under different names. One name is for the Korean and export markets, the other for the United States.

It also explains why a Botulax vial in a US clinic is a red flag. The approved route into the country carries the other name on the box.

Before you book

Common questions

Questions Patients Ask

Is Botulax the same as Botox?

No. Both are botulinum toxin type A, but they come from different makers and have their own unit strengths. Botulax is made in South Korea by Hugel.

Is Botulax available in the US?

Not under that name. The same toxin from the same maker is sold in the United States as Letybo, so a vial labelled Botulax is not the version approved for use here.

Does Botulax last as long as Botox?

The reported duration is the same, about three to four months. No trial has compared them directly, so any claim that one lasts longer is not backed by a study.

Are Botulax units the same as Botox units?

No. Each brand has its own unit strength, so a dose written for one cannot simply be copied across to the other. The injector has to know which product is in the syringe.

Why is Botulax cheaper?

It is priced for markets outside the United States, and vials bought online skip the licensed supply chain. That is where most of the price gap comes from.

How can I tell if a Botulax vial is genuine?

If it was bought online, you generally cannot. Counterfeit versions of the popular Korean brands circulate, and there is no way to confirm how a vial was stored on its way to you.