How is the puppet pattern formed? How to remove it?

As far as biomechanics is concerned, puppet marks are caused by factors such as shrinking soft tissue volume, loss of support, and decreased dermal elasticity. A variety of fillers can be used to reduce this kind of perioral wrinkles, but for the elderly or patients with severe solar damage and sagging skin, the peripheral edge of the injected filler area can show obvious wrinkles. If it is combined with botulinum toxin, a neurotoxic relaxant, to reduce the activities of depressor, mental muscle and orbicularis oris muscle, the effect of injection filling may be more lasting.

Extended information

Botulinum toxin can remove the puppet pattern because it can inhibit the motor nerve endings around the puppet pattern and block the information transmission between the nerve and the muscle, thus causing muscle relaxation paralysis at the puppet pattern. As a result, some developed muscles shrink, the skin becomes tight and the puppet lines disappear.

Botulinum toxin wrinkle removal is just one of many wrinkle removal operations, and it is not 1% effective for anyone. Using botulinum toxin to remove wrinkles, crow's feet, forehead wrinkles, brow wrinkles, nasolabial furrows and neck wrinkles can all be removed, but it is most suitable for early wrinkles that are not obvious and the skin is not very loose. The effective time of botulinum toxin injection is 4 months to 6 months. To be effective for a long time, it needs to be injected 3 to 4 times a year.

Baidu Encyclopedia-Botulinum Injection Wrinkle Removal

Baidu Encyclopedia-Puppet Pattern