Prejowl Sulcus Contouring

The prejowl sulcus is a hollowing of an area on either side of the chin that is accentuated by the formation of jowls.  This condition occurs in many individuals due to skeletal volume loss and facial atrophy, as part of the aging process.  Jowls form as facial features begin to sag.  Dermal fillers are used in a non surgical procedure by healthcare professionals in a couple ways to help with the prejowl sulcus. 

The first method utilized by medical practitioners is to fill the sunken prejowl sulcus area with advanced dermal fillers or liquid face lift products, such as Radiesse®, Perlane® or Juvederm® Ultra Plus.  The fillers are typically placed in the deep dermis below the skin in the recessed area between the jowl and the chin.  If done properly, this procedure can restore a natural contour from cheek to chin in many individuals. 

The second way to alleviate this condition is to lift the jowls with dermal fillers placed in the cheeks or along the jaw line.  This may be done with advanced liquid face lift products such as Sculptra®, Juvederm® or Radiesse®.  In some instances, physicians will use a combination of these products to optimize contouring and longevity of the results.  With both of these techniques, the liquid facelift products are placed under the skin, primarily in the deep dermis.     

In addition to the techniques mentioned above, some physicians will place BOTOX® in an area that is a little below and to the outside of the oral commissure lines (in the depressor anguli oris muscle) or along the jaw line, to help lift the corners of the mouth, which in turn can help with the prejowl sulcus.