Botox and dermal fillers used together – often called a “liquid facelift” – can gently lift, smooth and refresh your face without surgery, with minimal downtime. At Alcove Aesthetics by Dr Goziem, a doctor-led facial aesthetics clinic on Pall Mall near Mayfair in Central London, this combined approach is tailored to soften lines, restore lost volume and subtly rebalance your features while keeping you recognisably you.
By strategically relaxing overactive muscles with Botox and restoring structure with hyaluronic acid fillers, we can address forehead lines, frown lines, crow’s feet, nose-to-mouth folds, downturned corners of the mouth, thinning lips and early jowling in one carefully planned treatment. Results are typically visible immediately for fillers, with Botox settling over 7 to 14 days, and can last from 3 to 18 months depending on the area and product used.
The key is not looking “done”. Under the care of Dr Goziem Onuchukwu – BDS, MSc (Aesthetic Medicine), GDC registered dentist, multi-award-winning anti-ageing practitioner and Mayfair aesthetic clinic owner – every liquid facelift is bespoke, measured and rooted in facial anatomy, not trends.
Introduction: Why more women are choosing the liquid facelift
Many of our patients in Mayfair, Westminster and the surrounding Central London areas come to Alcove Aesthetics because they feel their face no longer reflects how energetic or confident they feel. They notice fine lines, deeper folds around the mouth, hollowing under the eyes and a general “tired” look in photos and video calls.
At the same time, they are often wary of anything that looks obvious. They want fresher skin, not a different face. They want to avoid the downtime, cost and commitment of surgery, and they value subtle, medically led treatments they can gradually build over time.
A combined Botox and filler “liquid facelift” offers exactly that: a nuanced, non-surgical approach that refreshes the whole face in harmony, using precise micro-adjustments rather than dramatic changes.
What It Is & How It Works
A liquid facelift is a non-surgical rejuvenation technique that uses wrinkle-relaxing injections (Botox) in combination with dermal fillers to lift, contour and smooth the face. Instead of cutting and tightening skin, we work with the underlying muscles, fat pads and bone structure to restore balance.
Botox: calming overactive muscles
Botox (botulinum toxin type A) is a purified protein that temporarily reduces muscle movement in targeted areas. At Alcove Aesthetics, Botox is used to:
- Soften horizontal forehead lines
- Reduce frown lines (the “11s” between the brows)
- Smooth crow’s feet around the eyes
- Gently lift the tail of the brows
- Relax a downturned mouth or “gummy” smile
- Refine an orange-peel chin
By calming specific muscles while leaving others active, Botox allows the overlying skin to relax and appear smoother, while maintaining natural expression.
Dermal fillers: restoring lost structure and volume
Dermal fillers are gel-like substances, most commonly made from hyaluronic acid, a molecule naturally found in the skin. They are used to:
- Rebuild cheekbones and mid-face volume
- Soften nose-to-mouth folds (nasolabial folds)
- Improve marionette lines and early jowls
- Define the jawline and chin
- Refresh under-eye hollows (tear troughs)
- Subtly enhance and support the lips
Think of fillers as a way of replacing the supportive “scaffolding” that is lost with age, weight change and hormonal shifts. Used properly, they should blend seamlessly into your facial anatomy rather than sit on top of it.
Why Botox and filler together work so well
Ageing is never just about one feature. Bone remodels, fat pads descend, muscles overcompensate and skin becomes thinner and duller. Treating only one element can sometimes look unbalanced.
Combining Botox and fillers allows us to:
- Use less volume of filler by relaxing overactive muscles first
- Create gentle lifting vectors from cheek to jawline
- Balance the upper, mid and lower face for a fresher overall look
- Tackle both static lines (present at rest) and dynamic lines (only on movement)
At Alcove Aesthetics, your liquid facelift is planned during a detailed facial analysis. We map how your face moves when you speak, smile and frown, and design a sequence of injections that work together rather than as isolated treatments.
Benefits & Results
Key benefits of a Botox and filler liquid facelift at Alcove Aesthetics, Central London
- Comprehensive yet subtle facial rejuvenation
- Immediate visible improvement from fillers, with Botox settling in 7 to 14 days
- No general anaesthetic, incisions or surgical scars
- Minimal downtime – most patients return to work the same or next day
- Custom dosing to avoid an overfilled or frozen look
- Tailored to women 30+ who want to look fresher, not different
- Doctor-led planning and injection technique for enhanced safety
- Can be combined with skin-focused treatments such as Skin Boosters for improved glow and hydration
Typical results last 3 to 6 months for Botox and 9 to 18 months for many filler areas, with maintenance planned around your lifestyle and ageing pattern.
Why Choose Alcove Aesthetics
Choosing who performs your liquid facelift is as important as the treatment itself.
Alcove Aesthetics by Dr Goziem is a doctor-led facial aesthetics clinic in the heart of Central London, just moments from Mayfair and St James’s. All injectable treatments are performed exclusively by Dr Goziem Onuchukwu – BDS, MSc (Aesthetic Medicine), a GDC registered dentist with more than 7 years of experience and over 1,000 patients treated.
Dr Goziem has been recognised as:
- Best Anti-Ageing Practitioner (Central London 2024 & 2025)
- Skin Aesthetics Specialist of the Year (2025)
Every treatment begins with a medical consultation, full facial assessment and discussion of your concerns, photographs and lifestyle. The focus is firmly on natural, elegant results – softening what bothers you while preserving the character that makes your face uniquely yours.
Our clinic at 120 Pall Mall is designed to feel calm and discreet, with flexible weekday and evening appointments serving Mayfair, Westminster, Knightsbridge, Belgravia, Soho, Marylebone, Fitzrovia and Chelsea.
Treatment Journey: From consultation to follow-up
1. In-depth consultation
Your journey starts with a one-to-one consultation with Dr Goziem. This includes:
- Medical history and suitability assessment
- Detailed facial analysis at rest and in motion
- Discussion of your priorities (for example, under-eye tiredness vs jawline definition)
- Review of realistic outcomes, longevity and maintenance
- A personalised treatment plan and quotation
For patients whose main concern is skin quality rather than volume loss, we may discuss alternatives or add-ons such as Microneedling or bio-stimulatory injectables.
2. Treatment day
On the day of your liquid facelift:
- Consent is confirmed and pre-treatment photos are taken
- The skin is cleansed and numbing cream applied where appropriate
- Precise injection points are marked to guide placement
- Botox is administered first in targeted facial muscles
- Dermal fillers are then used to lift, contour and soften chosen areas
- You will be given a mirror to review progress and provide feedback during the process where appropriate
Most liquid facelift sessions take 45 to 90 minutes depending on the complexity of your plan. Comfort is a priority – modern fillers often contain anaesthetic, and we use fine needles or cannulas to minimise discomfort and bruising.
3. Follow-up and refinement
All patients at Alcove Aesthetics are offered follow-up appointments. These are an opportunity to:
- Review before-and-after photos
- Assess how your face has settled once any initial swelling has subsided
- Make minor refinements where needed
- Plan future maintenance or staged treatments
Our aftercare philosophy is conservative – we prefer to build subtly over time rather than doing too much in one session.
Recovery & Aftercare
Most people can return to desk-based work and social activities within 24 hours of a liquid facelift, often sooner. You may notice:
- Mild redness or swelling at injection sites
- Occasional pinpoint bruising
- A feeling of “tightness” where fillers have been placed
These usually settle within a few days. You will receive personalised aftercare instructions, which typically include:
- Avoiding strenuous exercise, saunas and steam rooms for 24 to 48 hours
- Sleeping on your back the first night if possible
- Not rubbing or massaging treated areas unless specifically advised
- Avoiding alcohol that evening to reduce the risk of bruising
Fillers look good straight away, with refinement over 1 to 2 weeks. Botox results gradually appear over 3 to 14 days, with peak effect at around 2 weeks.
Cost & Transparency
At Alcove Aesthetics, pricing is transparent and discussed in full before any treatment. Your exact fee depends on the number of areas treated with Botox and the volume and type of filler required for your face.
To give a guide, our dermal filler packages range from Precision 2 ml at £650 to Elevate 5 ml at £1,500. Our Signature Transformation package, which combines 4 ml of filler, Botox and skin hydrating treatments, is £1,750. A £50 booking fee is taken to secure your appointment, which is redeemable against treatment, with a 48-hour reschedule policy.
A bespoke quotation is always provided after a full medical consultation so you can make an informed decision without pressure.
FAQ: Botox and Filler Liquid Facelift in Mayfair
Is a liquid facelift safe?
When performed by an experienced medical injector using licensed products in a clinical setting, a liquid facelift is considered a low-risk procedure. However, all injectable treatments carry potential side effects such as bruising, swelling and, rarely, vascular complications with fillers. At Alcove Aesthetics, all procedures are doctor-administered by Dr Goziem, who is trained in complication recognition and management, and thorough safety protocols are followed.
Will I look fake or overdone?
Not if it is done correctly. Our ethos is “you, on your best day”. We work conservatively, respecting your natural anatomy and proportions, and we avoid chasing trends that do not suit your face. Many of our Mayfair and Central London patients are professionals who cannot afford to look obviously treated. The aim is that you look well-rested and refreshed, not “filled”.
Does the treatment hurt?
Most patients describe the sensation as mildly uncomfortable rather than painful. We use numbing cream where needed, ultra-fine needles and, in some cases, a soft-tipped cannula to reduce discomfort. Many modern fillers also contain a local anaesthetic. Treatment is usually well tolerated, and you can pause at any time.
How long do results last?
Botox typically lasts around 3 to 4 months, depending on your metabolism, muscle strength and lifestyle. Filler longevity varies by area and product, but cheeks, jawline and chin can last 12 to 18 months, while lips and under-eye areas may require maintenance sooner. We will design a maintenance plan that suits your goals and diary, often with smaller, less frequent top-ups.
Am I a good candidate for a liquid facelift?
You may be suitable if you are generally healthy, over 21, and concerned about volume loss, sagging, or lines but are not ready for surgery. A liquid facelift is especially popular with women in their 30s to 50s who want an early intervention to slow the signs of ageing. A full Skin Consultation with Dr Goziem is essential to assess medical suitability, expectations and whether this is the right option for you or if alternatives such as Dermal Fillers alone, energy-based devices or collagen-stimulating treatments might be more appropriate.
To explore whether a Botox and filler liquid facelift is right for you and to receive a tailored treatment plan, you are welcome to visit Alcove Aesthetics on Pall Mall, serving Mayfair and the wider Central London area. To book your personalised consultation with Dr Goziem Onuchukwu at Alcove Aesthetics, Pall Mall, London, call 07856962248 or book online at alcoveaesthetics.com/appointments.
