The pre-jowl sulcus is a term applied to the hollowing of an area on either side of the chin that is accentuated by the formation of jowls. Its cause is multifactorial, however, it is generally accepted that a decrease or remodelling of the underlying supporting structures results in this appearance.

The prejowl sulcus can be treated in isolation by the use of dermal fillers to restore the natural contours or can be treated as part of an eight point lift.

The dermal fillers in this area can also be extended to just below the oral commissure to upturn this area which results in a more ‘happier’ appearance at rest. The procedure can be combined with Botox targeting the depressors of the lower lip, which when relaxed result in a slight upturning of the commissure and, therefore, reducing the appearance of the pre-jowl sulcus.

Several dermal volumisers can be used including Restylane, Juvederm, Radiesse and Perlane, the choice made is dependent on the level of correction and rejuvenation needed.


It is the use of dermal fillers such as Restylane, Perlane, Juvederm or Radiesse to restore the natural contour around the lateral chin area . It can also correct asymmetry and produces a result that has a lifting effect on other areas of the face including the lips. There are several other uses in this region from creating a youthful angle of the posterior lower face, to adding youthful contour of the mentum. These will all be discussed with you at your consultation.

Young or Old Patients who have a hollowing of an area on either side of the chin, which may also appear as a bulge in relation to the hollow. In the more aged patient the border of the chin may have an uneven contour termed the ‘jowling effect’ which may be corrected. The corners of the lower lip may also appear downturned either in the younger or older candidate and this gives the appearance of a sadder expression at rest. Candidates can achieve a safe and aesthetically pleasing result using some of the most advanced dermal fillers, with no bruising and no downtime using innovative techniques.

You are encouraged to book in a thorough consultation with Dr Bharat Patel. He will undergo a full face analysis, followed by a detailed treatment plan which takes into account your goals. The various parts of the lower face are analysed to determine anatomically where a loss of support has occurred. Procedures can be undertaken at the same visit as the consultation or on another day. Topical anaesthetic is applied to the skin and left to take effect for approximately 30 min. For those that may need, a simple dental block can be very effective. The regions to be treated are then precisely marked, followed by careful administration of the dermal filler. Gradual administration allows for the results to be continually checked and adapted ensuring the final result is perfect. Depending on the site, various administrative techniques are employed which are at the forefront of modern facial aesthetics.

There will be a noticeable improvement immediately and most individuals are delighted at this visit, however improvement in contour continues for about 2 weeks after. A review appointment is arranged to take post- procedure photos which are confidential. Should you require a touch up or wish to have further areas treated this can be undertaken at the review appointment.

Pre-Jowl Sulcus correction can be undertaken from £299. Depending on the underlying structure and aims, a greater amount of dermal filler may be needed to produce the desired result. This will be discussed with you before treatment at your consultation visit.