Posted June 10, 2020 in JUVÉDERM® and Restylane®

If, like me, you’re over the age of 40 and look in the mirror, you will probably notice greater fullness of the jowls than you would like. As gravity and time take their course, the facial tissues begin to fall and in, creating a bulge in the corners of the jawline and an apparent volume deficit between the corner of the jawline and the chin (which is called the pre-jowl sulcus).

Face of a young patient and face of an older patient with jowling

How can we improve this situation?

There are two possibilities:

  1. Reduce the convexity. Unfortunately, this requires a facelift.
  2. Reduce the concavity. This requires injectable fillers to the pre-jowl sulcus.

Although a facelift will generally yield better results than fillers (especially in people in their 60s and 70s), most patients are much more enthusiastic about fillers for pretty obvious reasons.

The technique is straightforward. I carefully mark and photograph the areas of concavity, apply an effective numbing ointment (and add laughing gas, if desired), and inject the pre-jowl sulcus with injectable fillers (usually Restylane®). And yes, I personally perform every injection on every patient. The results are immediately visible and usually last 6 months or longer. The cost is $590 for a syringe of Restylane® (a single syringe is generally sufficient).

Patient 1:


Patient before receiving Restylane® injectable filler


Patient's face after receiving Restylane® injectable filler

Patient 2:


Patient before receiving Restylane facial filler


Patient after receiving Restylane facial filler

Click here for more information about facial filler injections by Dr. Friedman.