Boey is a new botulinum toxin from Allergan, the maker of Botox. It starts working within hours and fades in about two to three weeks. Europe approved it on July 17, 2026. Dazed called it “try before you buy” Botox.
It is not FDA approved, and the Med Spa does not offer it. Dr. Frank Agullo on what it would change.
Boey at a Glance
| Boey (trenibotulinumtoxinE) | |
|---|---|
| Type | Serotype E (Botox, Dysport and Jeuveau are type A) |
| Approved for | Frown lines between the brows, adults |
| Onset | As early as 8 hours, in the trials |
| Lasts | About two to three weeks |
| Approved | Europe, July 17, 2026 |
| United States | Not FDA approved, not offered at Southwest Plastic Surgery |
The First-Timer
Who would it suit?
Dr. Agullo: “Most people who stay away from toxin are not afraid of the needle. They are afraid of looking frozen or wrong for four months.”
The Regular
Who would it not suit?
The patient who already likes her Botox. Dr. Agullo is one of them.
“I myself get botulinum toxin in the forehead, crow’s feet, and glabella lines every three to four months, just to maintain the wrinkle free appearance with a dose that still lets me express my face without looking abnormal.”
“It really is a maintenance therapy.”
“Patients really like the results, and that’s why they keep coming back to get the botulinum toxin injections.”
A two-week toxin would mean a visit every few weeks.
How Long Botox Lasts Now
Does it last the same for everyone?
“I see very active patients, runners and high-intensity athletes, tend to come back for Botox in about two and a half to three months. At the same time, I see my more sedentary, less active patients at four months.”
A Short Toxin Still Needs a Trained Injector
What decides the result?
“Dose, dilution, injection placement, and product choice matter more than whether you are active or inactive. These are all customized depending on each patient’s consultation. For example, patients with very strong frontalis muscles, glabellar muscles, or masseters will require a higher dose than others.”
What goes wrong?
In the European trials, the most common side effects were eyelid droop, brow droop and a peaked brow. The same list Dr. Agullo sees from type A: “We see a good number of patients where the botulinum toxin is incorrectly applied resulting in eyelid droopiness, brow droopiness, and uneven smiles.”
And after the injection?
“I do ask patients not to exercise for twenty-four hours after a botulinum toxin injection, but this is not because it is going to wear off sooner. It is because I want the solution to stay exactly where I injected it, and strenuous exercise immediately after an injection could increase the risk of the product migrating, complications, and swelling.”
If Someone Offers You Boey in El Paso
It is not FDA approved, so it did not come through an approved channel. More in our post on counterfeit and unapproved toxin.
Dr. Agullo: “Some counterfeit products result in no result at all because they do not contain the botulinum toxin.”
How does the Med Spa know its toxin is real?
“We buy directly from the manufacturers, Galderma, Allergan, and Evolus. The toxin is shipped to us directly from them in temperature controlled containers. The vials are stored in a medical temperature controlled refrigerator that is monitored 24 hours a day for temperature variations.”
Who injects?
“Botulinum toxin are reconstituted and administered by registered aesthetic nurses, nurse practitioners supervised by Dr. Agullo. Dr. Agullo also administers the treatments. Patients can see the vial at any time.”
For the Nervous First-Timer, Today
Ask for a light first dose and come back at two weeks. Botox, Dysport and Jeuveau are at the Med Spa. Why a frozen forehead is a dosing problem is in our filler migration post. Dr. Agullo’s surgeon’s read is on drworldwide.com, and the exam-room version is on agulloplasticsurgery.com.
Why Choose Dr. Agullo
Dr. Agullo is certified by the American Board of Plastic Surgery and the American Board of Surgery, completed his plastic surgery fellowship at the Mayo Clinic, and serves as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. He has been a Castle Connolly Top Doctor for thirteen consecutive years. The MedSpa at Southwest Plastic Surgery is physician-led and buys every toxin direct from the manufacturer.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or contact Southwest Plastic Surgery. #StayBeautiful
Find Dr. Agullo at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
