The studied area is situated in northwestern Greece and corresponds to the northern end of the Pre-Apulian Zone, in contact with the Apulian platform to the west and the Ionian Basin to the east. The proposed model is based on fieldwork, measured deformation structures, and age determination of the studied deposits. Until now, the known Pre-Apulian platform or Pre-Apulian zone represents the margins of the Apulian platform to the Ionian Basin and was formed due to the normal faults’ activity during the Mesozoic to Cenozoic Eras. Soft sediment deformation (SSD) structures are widespread within the upper Paleocene to lower Miocene limestones/marly limestones that are exposed in both Paxoi and Anti-Paxoi Islands, mostly along their eastern coasts, across sections of 2–3 km long and up to 60 m high. SSD structures, with a vertical thickness up to 10 m, have been observed in limestones and were formed during or immediately after deposition, during the first stage of sediment consolidation. SSD structures are cross-cut by normal faults, indicating their development during the rift stage. There are at least five different SSD horizons, and most of them present either an eastward or a westward progradation. These SSD structures are classified into four (4) different types of deformations: (1) thick synclines and anticlines, formed due to strong synsedimentary deformation; (2) strong and thick SSD structures that produced erosional contacts both with the underlying and the overlying undeformed horizons; (3) thin slumps, having sharp contacts with the underlying undeformed horizons and erosional contacts with the overlying undeformed horizons; and (4) thin slump horizons passing laterally to undeformed deposits in the same horizon. The studied SSD structures and their age of development introduce active margins between the Apulian platform and the Ionian Basin that have been influenced by normal fault activity. These normal faults have been active since the Ionian Basin changed gradually to a foreland basin, and after the tectonic regime changed from extension to compression, during the early to middle Eocene. It seems that compression in the studied Apulian platform margins arrived later and after the lower Miocene, and after the development of the SSD structures. The confinement of the lower Miocene deposits, both northwards and southwards (in Anti-Paxoi Island), indicates the presence of active transfer faults, with flower structure geometry, that were formed during sedimentation, producing highs and troughs. The present open anticline geometry of Paxoi Island indicates that the Island represents the forebulge area of the middle Miocene Ionian Foreland due to Ionian Thrust activity.