How to Pronounce Xeomin, and Every Other Neurotoxin Name

Reviewed for medical accuracy against our Medical Review Board  ·  Last updated 5 September 2026

Xeomin is generally said ZEE-oh-min. Three syllables, hard Z at the front, stress on the first.

That is the answer most people came for. The rest of this page covers the other five, and the naming system underneath them, which turns out to be the part worth knowing because it tells you something real about the products.

1. The six brand names

How the six approved brand names are generally said. No prescribing information states an official pronunciation, so these are the forms in common use rather than a standard.
BrandGenerally said
BotoxBOH-tox
DysportDIS-port
XeominZEE-oh-min
JeuveauJOO-voh
DaxxifyDAX-ih-fy
LetyboLET-ee-boh

Xeomin is the one people ask about, and the reason is the X. In English an initial X is almost always said as Z, as in xylophone and Xerox, and Xeomin follows that. Nobody will misunderstand you if you say it with a hard X, and you will hear both in clinics.

Jeuveau is the second most misread. It is French in shape and the ending is not sounded as "voh-ay" or "voo". Two syllables.

2. The generic names, which look worse than they are

Every one of these products has an established name that looks unpronounceable and is not, because they are all the same word with a different two-syllable prefix bolted on.

Established names from the prescribing information, split at the join.
BrandEstablished namePrefix
BotoxonabotulinumtoxinAona
DysportabobotulinumtoxinAabo
XeominincobotulinumtoxinAinco
JeuveauprabotulinumtoxinA-xvfspra
DaxxifydaxibotulinumtoxinA-lanmdaxi
LetyboletibotulinumtoxinA-wlbgleti

The shared part, botulinumtoxinA, is said BOT-yoo-LIE-num TOX-in AY. Attach the prefix and you have all six. Xeomin's is IN-koh-BOT-yoo-LIE-num-TOX-in-AY.

The capital A on the end is not a typo and is not silent. It is the toxin serotype, type A, and every product approved for cosmetic use in the United States is a type A toxin.

3. The naming system, and why it exists

The prefixes are not branding. They were assigned deliberately, and the reason is a safety problem.

These products were once all called botulinum toxin type A, which made them sound like versions of one drug. They are not. Every label in the class states that its potency units are specific to that product's own assay and cannot be compared to or converted into the units of any other botulinum toxin. Sharing one name while having non-interchangeable doses is a recipe for exactly the error you would expect.

Distinct established names make that impossible to do by accident. If you can see that one product is onabotulinumtoxinA and another is abobotulinumtoxinA, you cannot mistake them for the same thing. Our unit conversion guide shows how far apart the labelled doses actually sit.

4. What the four letters on the end mean

Three of the six carry a hyphenated four-letter suffix: prabotulinumtoxinA -xvfs, daxibotulinumtoxinA -lanm, letibotulinumtoxinA -wlbg. The three older products do not.

Those suffixes are meaningless by design. They are assigned to distinguish biological products from one another without implying anything about quality, source or similarity, and they are deliberately devoid of meaning so that no manufacturer can use them as a marketing signal. You say them as letters, and in practice almost nobody does.

The practical read: a suffix marks a more recently approved biologic. It says nothing about whether the product is better, and our comparison of what the six labels claim covers what actually separates them. What each is made of is here, and which areas each is approved for is here.

Frequently asked questions

How do you pronounce Xeomin?
Generally ZEE-oh-min, three syllables with the stress on the first and the X sounded as a Z, the way it is in xylophone. No prescribing information states an official pronunciation, and you will hear a hard X in clinics too.
How do you pronounce incobotulinumtoxinA?
IN-koh-BOT-yoo-LIE-num-TOX-in-AY. It is the prefix "inco" attached to botulinumtoxinA, which every product in the class shares. The A on the end is the toxin serotype and is sounded.
How do you pronounce Jeuveau?
JOO-voh, two syllables. The ending is not sounded as "voo" or "voh-ay".
How do you pronounce Daxxify and Letybo?
DAX-ih-fy and LET-ee-boh.
Why do the generic names all end the same way?
Because they are all botulinumtoxinA with a different prefix. The prefixes were assigned deliberately: the products were once all called botulinum toxin type A despite having units that cannot be converted between them, and distinct names make that error harder to make.
What do the four letters after some of the names mean?
Nothing, by design. Suffixes like -xvfs, -lanm and -wlbg distinguish biological products from each other and are deliberately meaningless so no manufacturer can use them as a marketing signal. They mark a more recently approved product and say nothing about quality.

Sources

Every figure on this page was read from the documents below rather than from a clinic or a manufacturer's marketing. They open in a new tab so you can check any claim here against its source.

Lucas Pradella, founder of BestBotoxClinics.com

Written by

Lucas Pradella

Founder & Lead Researcher, BestBotoxClinics.com

Lucas founded BestBotoxClinics.com to bring clarity to the aesthetics industry, bringing 13+ years of experience in digital research and analysing online data for signals of quality and trust. He is not a physician, his work is research, data analysis and verifying provider credentials.

Medical accuracy: BestBotoxClinics.com maintains a Medical Review Board of licensed clinicians. This article is educational and is not medical advice.