The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.
We’re seeing a rise in patients returning from overseas hair clinics with botched results and overharvested donor areas. These “all-inclusive” packages may promise thousands of grafts and a quick fix but often come at the cost of safety and long-term success.
Don't risk your outcome, choose us as your trusted care at home.



What Is Letybo?
Letybo is a newly FDA-approved neurotoxin that works similarly to other botulinum toxins, like Botox, but has been specifically developed to address signs of aging seen through your frown lines. It targets the glabellar lines or muscles that cause wrinkles between the eyebrows, and temporarily relaxes them to reduce the appearance of frown lines. This treatment is minimally invasive, with no downtime, and provides subtle yet noticeable results. Letybo has been proven to offer both safety and effectiveness, making it an excellent option for individuals looking for a non-surgical solution to combat the visible signs of aging.
Ideal Candidates For Letybo
Letybo is an excellent option for adults seeking a non-invasive way to reduce the appearance of wrinkles and achieve a more youthful look. Ideal candidates are:
- Adults of any gender
- Those looking to reduce frown lines, particularly around the forehead, eyes, and between the brows
- Individuals who prefer a non-surgical approach to reversing the signs of aging
- People who have not achieved satisfactory results with topical anti-aging treatments
- Those in good overall health
Contraindications:
- Pregnant or breastfeeding individuals
- Those with certain neuromuscular disorders
- People allergic to any ingredients in Letybo
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Why Choose Dallas Men's Health For Your Botox Treatment?
Dallas Men's Health, led by Dr. Michael Wierschem, a board-certified urologist with over 25 years of experience, offers expert care in a safe and professional environment. Dr. Wierschem and his team are dedicated to addressing men's performance issues with leading-edge technology and innovative procedures. Serving patients from Dallas, Plano, Frisco, Garland, and Irving, our practice ensures personalized and effective treatment plans for each patient.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.





Complimentary Aesthetic
Service with Each Package!
Aesthetic Services are available for men and woman, and are easily transferrable.

Why We Use Letybo for Anti-Aging
Here are some key reasons why we recommend Letybo for reducing frown lines and reversing the visible signs of aging:
Proven Efficacy
Letybo is a newly FDA-approved neurotoxin, demonstrating exceptional effectiveness in targeting moderate to severe frown lines. Clinical studies have shown that it temporarily relaxes the muscles between the eyebrows, reducing the appearance of wrinkles and leaving you with smoother, younger-looking skin.
Letybo works by blocking the signals that cause muscle contractions, giving your face a more relaxed and refreshed look.
Long-Lasting Results
The effects of Letybo typically last 3 to 6 months, giving you long-term relief from visible signs of aging. With regular maintenance treatments, you can continue to enjoy a wrinkle-free, youthful appearance.
Unlike many skincare products, Letybo’s results are clinically proven to last longer than most topical treatments, making it a time-efficient solution for individuals looking to minimize the appearance of frown lines.
Targeted Treatment
Letybo is designed to specifically address frown lines in the glabellar area (between the eyebrows). By using a precise approach, Letybo offers targeted results that relax the muscles responsible for those stubborn wrinkles.
This targeted treatment ensures a natural and rejuvenated look while minimizing the risk of side effects typically associated with broader injections.
What to Expect from Your Letybo Session
At Dallas Men's Health, your Letybo session will be tailored to your individual needs, ensuring a smooth and comfortable experience.
When you arrive for your consultation, Dr. Michael Wierschem will review your medical history and evaluate your skin to determine the most effective treatment plan for you. On the day of the treatment, the area between your eyebrows will be cleaned, and a topical anesthetic may be applied to minimize any discomfort.
Using a fine needle, Dr. Wierschem will carefully inject Letybo into the targeted muscles. The procedure takes about 10-15 minutes, with minimal downtime.
Post Treatment Care
You can resume most activities immediately after your Letybo session. However, we advise avoiding strenuous exercise and hot environments for the first 24 hours. Dr. Wierschem will provide you with specific aftercare instructions to maximize your results.
You may begin to notice a reduction in the appearance of frown lines within a few days, with the full results visible in about 1-2 weeks. The effects of Letybo typically last for several months, and follow-up treatments can help maintain your youthful appearance.
Risks And Side Effects
Letybo is considered safe, with minimal risks. However, like all treatments, there are potential side effects:
- Common Side Effects: Mild discomfort, redness, swelling at the injection site, temporary bruising or tenderness
- Less Common Side Effects: Headaches or slight facial weakness, which typically resolve within a few days
- Allergic Reactions: In rare cases, itching, rash, or difficulty breathing may occur. Seek medical attention if you experience these symptoms.
Cost Of Letybo in Texas
The cost of Letybo treatments varies depending on the number of injections required and the specific areas treated. At Dallas Men’s Health, we offer personalized treatment plans to ensure you get the best results at a competitive price. Contact us today to schedule a consultation and learn more about the cost of Letybo in Dallas, TX.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.
Letybo is ideal for adults looking to reduce frown lines and signs of aging. If you’re in good health and have realistic expectations for the treatment, Letybo may be a great option for you.
While Letybo and Botox are both neurotoxins, Letybo is specially designed for treating frown lines and is known to be highly effective with fewer side effects. It is also a newer treatment option that offers a smoother, more natural-looking result for many individuals.
Results are typically noticeable within 3-5 days after treatment, with the full effect visible within 1-2 weeks. The smooth, youthful appearance can last for 3-6 months.
Yes, many patients combine Letybo with other treatments like dermal fillers, laser treatments, or skincare regimens to enhance their results. Consult with Dr. Michael Wierschem at Dallas Men’s Health to create a customized treatment plan tailored to your needs.
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