Doctor-led · Harley Street since 2007
The pre-jowl sulcus is the small depression that forms in front of the jowl as the mandible loses volume. Rebuilding it is one of the most natural-looking refinements in lower-face contouring.
Pre-jowl filler places a small amount (usually 0.5–1ml per side) of dense hyaluronic acid into the pre-jowl sulcus — the indentation in front of the jowl. This rebuilds the jaw line border, reducing the visual prominence of the jowl without injecting the jowl itself. Results last 15–18 months.
Run a finger along your jaw bone from the chin towards the ear. In some people, just before the jowl, the bone dips slightly inward — that is the pre-jowl sulcus. It develops because of bony resorption of the mandible and loss of supportive fat pads with age.
Filling it restores the structural ledge that the jaw line ‘sits’ on. The eye reads this as a tighter, more continuous lower face, even though the jowl itself has not been touched.
Adding volume directly into the jowl tends to enlarge it. Adding volume around the jowl rebuilds the frame and reduces the contrast shadow that makes a jowl visible. This is one of the most important lower-face principles in our practice.
Most pre-jowl corrections use 0.5–1ml per side of a structural-grade HA filler, placed deep on periosteum. We use a fine cannula in most cases to minimise bruising. Treatment takes 20–30 minutes and most patients return to work the same day.
Pre-jowl filler is most commonly part of a full jawline treatment that also addresses the gonial angle and mandibular border. The HD Jawline Package combines all three zones for a balanced, masculine or feminine outcome.
Includes consultation, treatment and complimentary two-week review. A £50 consultation fee applies and is fully redeemed against treatment on the day.
Typically 0.5–1ml per side. Asymmetry is common, so volumes are not always equal left to right — your doctor will plan in real time.
It does not prevent ageing, but rebuilding the structural ledge slows the visual progression of jowling. Maintenance at 12–18 months keeps the result stable.
Yes — pre-jowl filler can be performed in isolation. Many patients then add full jawline filler at a later session once they’ve seen the partial result.
Discomfort is minimal. Topical anaesthetic plus lidocaine-containing filler keeps the experience tolerable for almost all patients.
Full clinical detail, doctor profiles and consultation booking are on the canonical Jawline Filler page.
Visit the Jawline Filler pageAesthetics by Cosmedocs — invisible art. All treatments performed by GMC-registered doctors at 10 Harley Street, London W1G 9PF.