the doseClinic

Services

One service, done well.

We currently offer Botox, Xeomin, and Letybo injections. Additional services to follow.

Neuromodulators

Botox® · Xeomin® · Letybo®

Smoothing for forehead lines, frown lines (the “11s”), and crow’s feet. All injections by Janyll Birmingham, RN.

All three relax the small muscles that pull skin into expression lines. You still look like yourself, just less tense.

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Common questions

Things to know.

A few answers to the questions we hear most often. Anything we have not covered, we will talk through at your appointment.

What's the difference between Botox, Xeomin, and Letybo?

All three are FDA-approved neuromodulators that relax the small muscles producing expression lines. The visible effect is essentially the same.

Botox (onabotulinumtoxinA) was FDA-approved in 2002 and includes accessory proteins. Xeomin (incobotulinumtoxinA) was approved in 2010 and is a pure formulation without those accessory proteins. Letybo (letibotulinumtoxinA) was approved in 2024 and uses a standard formulation.

Botox®

Active
onabotulinumtoxinA
Approval
Approved 2002
Formulation
With accessory proteins

Xeomin®

Active
incobotulinumtoxinA
Approval
Approved 2010
Formulation
No accessory proteins

Letybo®

Active
letibotulinumtoxinA
Approval
Approved 2024
Formulation
Standard formulation

We'll talk through which one fits at your appointment.

Does it hurt?

The injections are small. You may feel a quick pinch, sometimes nothing at all. The visit itself is short, usually under fifteen minutes once we've talked through the plan.

How long does it last?

Most people see effects last around three to four months. After several rounds, some find the interval between appointments lengthens.

When will I see results?

Softening usually begins five to seven days after the appointment. Most of the change has settled in by about two weeks.

Is there any downtime?

No real downtime. You can return to your day. We ask you to avoid lying flat or vigorous exercise for the rest of the afternoon, and to skip facial massage for twenty-four hours.

Will I look frozen?

Not with conservative dosing. The goal is for you to look like yourself, just less tense around the eyes and brow.

Ready when you are

Come in for an appointment.

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