Alcove Aesthetics · St James’s, London
Anti-Wrinkle Injections in London
Anti-wrinkle injections relax the specific muscles that cause expression lines, softening frown lines, forehead lines and crow’s feet. At Alcove Aesthetics, 120 Pall Mall, St James’s, every anti-wrinkle treatment starts with a face-to-face consultation, where Dr Goziem Onuchukwu assesses your face and decides whether treatment is appropriate for you.
- GDC registered
- Award-winning practitioner, 2024 and 2025
- Mon to Fri, 9am to 6pm
- 120 Pall Mall, St James’s

Anti-wrinkle injections at a glance
- What it treatsFrown lines, forehead lines, crow’s feet, jaw clenching and other expression-related concerns
- How it worksTemporarily relaxes targeted muscles
- Appointment timeAbout 30 minutes, after a consultation
- DowntimeMinimal. Small marks at injection points for a few hours
- ResultsStart at 3 to 5 days, full effect at about 2 weeks
- How long it lastsUsually 3 to 4 months
- ReviewFollow-up at 2 weeks
What are anti-wrinkle injections and how do they work?
Anti-wrinkle injections use a prescription-only medicine that temporarily blocks the signal from a nerve to a muscle. When the muscle relaxes, the skin above it creases less, so lines formed by repeated expressions soften.
Because it is a prescription-only medicine, it can only be prescribed after a face-to-face consultation with a qualified prescriber. That consultation is where we decide together whether it is appropriate for you.
Which areas can be treated?
- Frown lines between the brows
- Forehead lines
- Crow’s feet around the eyes
- Jaw clenching and teeth grinding, by relaxing the masseter muscle
- Bunny lines on the nose
- Chin dimpling and downturned mouth corners
- Gummy smile and lip flip
- Neck bands


Not sure if this is right for you?
Book a consultation and we will assess your face and skin, explain your options honestly and only recommend what will help.
Who is it right for?
Often a good fit
- Lines that appear when you frown, raise your brows or smile
- Early lines that are starting to stay when your face is at rest
- Jaw tension, clenching or grinding, often alongside advice from your dentist
When we would not treat, or would wait
- Pregnancy or breastfeeding
- Certain neuromuscular conditions and some medications, which we check at consultation
- Infection or inflammation in the area
- Lines caused mainly by volume loss or sun damage, where other treatments work better
What happens at your appointment
- Consultation. We take your medical history, look at how your face moves and discuss what you would like to change.
- Plan and consent. If treatment is appropriate, we explain the plan, the risks and the aftercare.
- Treatment. Small, precise injections with a very fine needle. It takes only a few minutes.
- Review. We see you again at about two weeks to check the result.
Aftercare
- Stay upright for four hours
- Avoid rubbing or massaging the area that day
- Avoid strenuous exercise, saunas and alcohol for 24 hours
- Make-up can usually be applied the next day
Risks, side effects and limits
Common effects are small bumps, redness, mild headache and occasional bruising. Less commonly, the medicine can affect a nearby muscle, causing a temporarily heavy brow or eyelid. This wears off as the treatment does. Careful dosing and placement reduce the risk.
Anti-wrinkle injections soften movement lines. They do not replace lost volume or treat deep static folds on their own. Results vary between people, and suitability is always confirmed at consultation.
What patients say
★★★★★
“The results are always natural, never overdone. What I appreciate most is that they never push anything on you.”
B.A.S. · Google review
★★★★★
“She took the time to thoroughly explain the treatment process, answer all my questions, and recommend the best options for my skin concerns.”
Taf T. · Google review
★★★★★
“I would highly recommend Dr Goziem for expertise in natural results that enhance.”
Margaret Q. · Google review

Why patients choose Alcove Aesthetics for anti-wrinkle injections
“Every treatment starts with a proper consultation. I will always tell you honestly if a treatment is not right for you.”Dr Goziem Onuchukwu, founder
Dr Goziem Onuchukwu, BDS, MSc Aesthetic Medicine, is a Dental Surgeon with a special interest in aesthetic medicine and the founder of Alcove Aesthetics. She has practised facial aesthetics since 2019. Dr Goziem’s dental and oral surgery training gives her a detailed understanding of the facial and jaw muscles, which is particularly relevant for jaw clenching and teeth grinding. We aim for a natural result where you can still move your face.
- GDC registered
- GHP Global Excellence Awards: Best Anti-Ageing Aesthetics Practitioner, Central London 2024 and 2025
- GHP Global Excellence Awards: Best Holistic Facial Aesthetics Clinic, London 2026
- Every treatment starts with a consultation, and we will tell you if a treatment is not right for you
Anti-wrinkle injections FAQs
How long do anti-wrinkle injections last?
Usually three to four months. The jaw muscles can need more frequent treatment at first. Regular treatment sometimes means results last a little longer over time.
Will I look frozen?
Not if the dose is right. We aim to soften lines while keeping natural expression, and we would rather review and add a little than overtreat.
When will I see the result?
You will start to notice a change at three to five days, with the full effect at about two weeks.
Can it help with teeth grinding?
Relaxing the masseter muscle can reduce clenching and grinding and the tension that comes with it. It works best alongside advice from your dentist, such as a night guard.
How much does it cost?
The cost depends on the areas treated and is discussed at your consultation. A skin consultation is £50. See the price list for consultation fees.
Can anti-wrinkle injections be combined with filler?
Yes, often in the same appointment. Anti-wrinkle injections treat movement, filler treats volume, so they work on different causes of ageing.
Book your anti-wrinkle consultation
Alcove Aesthetics, 120 Pall Mall, St James’s, London SW1Y 5EA. A few minutes’ walk from Piccadilly Circus and Green Park. Open Monday to Friday, 9am to 6pm.
Consultations are £50. Prefer to talk first? Message us on WhatsApp and we will get back to you.
