When considering non-surgical facial rejuvenation in Central London, many patients ask whether Sculptra or dermal fillers offer better long-term results. Both treatments can restore a more youthful appearance, but they work in very different ways. At Alcove Aesthetics in Mayfair, the choice is never about trends. It is about selecting the right treatment for your face, your skin and your long-term goals.
Located at 120 Pall Mall, Alcove Aesthetics by Dr Goziem is a doctor-led facial aesthetics clinic known for natural, refined outcomes. Patients from Mayfair, Westminster and across Central London trust the clinic for honest advice on collagen stimulation, volume restoration and subtle facial rejuvenation that ages well over time.
Introduction
Ageing is a gradual process that affects skin quality, collagen production and facial structure. In your 30s and 40s, early collagen loss and volume changes can lead to a tired or drawn appearance, even if skin is otherwise healthy.
Many patients want results that last and improve with time. They want to look refreshed now, but also want treatments that support their face as it continues to age. Understanding the difference between Sculptra and dermal fillers is essential when planning a long-term aesthetic strategy.
What It Is & How It Works
Sculptra and dermal fillers are both injectable treatments, but their mechanisms are fundamentally different. At Alcove Aesthetics, treatment planning begins with a detailed consultation with Dr Goziem Onuchukwu, who assesses facial anatomy, skin quality and ageing patterns before recommending either option.
Sculptra is a collagen-stimulating injectable made from poly-L-lactic acid. Rather than providing instant volume, it works gradually by encouraging your body to produce its own collagen. Over several weeks and months, skin structure improves, facial support strengthens and volume is restored naturally. This makes Sculptra particularly suitable for patients seeking long-term facial rejuvenation rather than immediate change.
Dermal fillers, usually made from hyaluronic acid, work by directly replacing lost volume and contouring specific areas of the face. Dermal Fillers can be used to enhance lips, cheeks or jawline, and to soften lines. Results are visible immediately, which can be appealing for patients wanting quicker improvement.
In some treatment plans, regenerative therapies such as Polynucleotides are also incorporated to improve skin quality alongside either Sculptra or fillers. This layered approach supports healthier, more resilient skin while addressing structural changes.
Benefits & Results
Both treatments offer benefits, but their outcomes suit different priorities.
Sculptra benefits include:
- Gradual, natural-looking volume restoration
- Long-term collagen stimulation
- Improved skin firmness and elasticity
- Results that can last up to two years
- No obvious or sudden change
Dermal filler benefits include:
- Immediate visible results
- Precise contouring and shaping
- Targeted correction of specific areas
- Temporary and adjustable outcomes
- Ideal for early or localised volume loss
Patients focused on longevity and subtle evolution often prefer Sculptra. Those seeking immediate enhancement for specific features may choose fillers. Many patients benefit from a combination approach, staged carefully over time.
Why Choose Alcove Aesthetics
Choosing between Sculptra and fillers requires medical judgement and experience. Alcove Aesthetics is fully doctor-led, with all consultations and treatments performed by Dr Goziem. This ensures each recommendation is based on anatomy, safety and long-term outcomes rather than a one-size-fits-all approach.
The clinic has been awarded Best Anti-Ageing Practitioner Central London 2024 and 2025 and Skin Aesthetics Specialist of the Year 2025, reflecting its expertise in natural facial rejuvenation. The Pall Mall location provides discretion and convenience for patients across Mayfair, Soho, Chelsea and Marylebone.
Alcove Aesthetics is known for conservative dosing, precise technique and a philosophy that prioritises ageing well over looking treated.
Treatment Journey
Your journey begins with an in-depth consultation. Facial structure, skin quality and ageing concerns are assessed, and Dr Goziem explains which treatment will deliver the most appropriate long-term benefit.
If Sculptra is recommended, treatment is usually planned as a course of sessions spaced several weeks apart. This allows collagen stimulation to occur gradually. Dermal filler treatments may be performed in a single session, with follow-up reviews to assess balance and harmony.
Follow-ups are offered for all treatments, allowing results to be monitored and refined over time. This staged approach supports natural outcomes and patient confidence.
Recovery & Aftercare
Both Sculptra and fillers involve minimal downtime. Mild swelling, tenderness or bruising can occur and usually settles within a few days.
Aftercare advice is tailored to the treatment. With Sculptra, patients are guided on massage techniques to support even collagen stimulation. Doctor-led aftercare ensures reassurance and prompt support if questions arise during recovery.
Cost & Transparency
Transparent pricing is an important part of patient trust at Alcove Aesthetics. Sculptra is priced from £350 per vial, with treatment plans tailored to individual needs. Dermal filler packages range from £350 depending on the amount required and the areas treated.
A £50 booking fee is required and is redeemable against treatment, with a 48-hour reschedule policy. A full consultation is always required to confirm suitability and provide an accurate treatment plan.
FAQs
Which lasts longer, Sculptra or fillers?
Sculptra typically lasts longer due to collagen stimulation, while fillers are temporary and gradually dissolve.
Will Sculptra make my face look overfilled?
No. Sculptra works gradually and is designed to restore structure naturally rather than add visible bulk.
Can I have both treatments?
Yes. Many patients benefit from a combination approach when planned carefully.
Is Sculptra suitable in your 30s?
Yes. Early collagen support can help maintain facial structure and slow visible ageing.
Is a consultation required?
Yes. A full medical consultation is essential to determine the safest and most effective option.
To book your personalised consultation with Dr Goziem Onuchukwu at Alcove Aesthetics, Pall Mall, London, call 07856962248 or book online at alcoveaesthetics.com/appointments.
Individual results may vary. A full consultation with Dr Goziem Onuchukwu is required to determine suitability. All treatments are doctor-administered at Alcove Aesthetics, 120 Pall Mall, London SW1Y 5EA.
