Well, they are quite similar however, Lethwei allows headbuts . . .

Please see the attached

"Lethwei is similar in concept, but radically different from Muay Thai due to the allowance of head-butts. In comparison, Lethwei can be interpreted as being bolder and more extreme. The techniques are a bit slower and stronger than in the other Southeast Asian kickboxing forms, . . ."

You may be interesed to know that there is also a Kachin varant.
" . . .There is very little wasted motion or effort. Lethwei matches usually start in long range with kicks to the legs and raking punches to the face in an effort to draw blood. As the match continues, the fighters often end up in a clinch and the primary techniques used are standing grappling coupled with various takedowns and sweeps. The preferred finishing techniques are head butts, elbows, and knees. The Kachin Practitioner generally prefers to fight from the clinch and tends not to fall after missing with a long distance strike, opting instead to follow low line kicks and raking punches into close range."

http://www.absoluteastronomy.com/topics/Lethwei <- I strongly suggest reading the whole thing, it is quite interesting

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