They refer to the folds that extend from the corner of the mouth to the lower jaw. Thus, the “delimited” area of the lower lip and chin characteristically resembles the mouth piece of a puppet and thus receives its name. The sagging perioral tissue also causes the corners of the mouth to be pulled down, creating a sad facial expression. Treatment is based on the elimination of the causes of wrinkles. Therefore, it is possible that the injection of hyaluronic acid is located elsewhere on the face.