Puppet wrinkles are those wrinkles located from the corners of the mouth down to the chin area and are quite unsightly because they give an aged, sad and tired look to the face.

The main causes that lead to the formation of puppet wrinkles are related to the aging process, namely the loss of bone structure, changes in the fat compartments, laxity of the ligaments in the face and a decrease in the number of collagen fibers in the skin.

Other causes that lead to these wrinkles are: smoking, prolonged sun exposure, lifestyle, stress, skin care routine.

During the consultation, the specialist will examine the patient and provide all the information related to this procedure and then the treatment plan will be established.

Fine puppet wrinkles can be blurred by various procedures such as:

chemical peels

microneedlig medical Dermapen 4

mesotherapy

botulinum toxin

In the case of deeper wrinkles, hyaluronic acid is generally used, which is injected into the puppet lines with the needle or atraumatic cannula to restore the lost volume and fill in the wrinkles. The hyaluronic acid injection procedure is performed with local anesthesia with anesthetic cream so that the patient will feel only minimal discomfort at the time of the procedure.

The main side effects that may occur after the procedure are:

erythema (redness) at the injection site

itching (itching)

bruising at the injection site (bruising)

inflammation of the injected area

All these reactions resolve spontaneously a few days after the injection. In case of persistence of these reactions for more than a week or the appearance of new symptoms, the patient will address the doctor !!

This treatment is not recommended in the following situations:

infection in the area to be treated

pregnant or lactating patients

diseases such as amyotrophic sclerosis or myasthenia gravis

severe illness or infection

avoid exposure to solarium, sun, sauna and intense cold about a week after injection

avoid intense physical exertion for one week after the procedure

avoid alcohol and smoking for 72 hours

no makeup will be applied to the injected area for 24 hours

no other cosmetic or dental procedures will be performed in the next two weeks