Cuts from headbutts are due to skin being trapped between two hard surfaces of bone colliding with too little skin in between to cushion the blow, whereas due to the layers of padding in gloves and wraps as well as give between the bones in the hands, the skin is put under less pressure in any one particular spot.
Knockouts, on the other hand, are most often due to the brain bouncing off the inside of the skull or whipping around quickly. This kind of force is incredibly difficult to generate when just using the muscles of your neck.
not to mention location.. usually head butts are on the forehead and eyebrow not the chin or side of the head.
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