Botox and Filler Together: The Liquid Facelift in Mayfair

If you are starting to notice sagging, dullness, or deeper lines, but you are not ready for surgery, combining Botox and dermal filler can offer a subtle, lifted, “liquid facelift” effect. At Alcove Aesthetics by Dr Goziem in Mayfair and Central London, this approach is carefully planned to soften lines, restore lost volume and refresh tired features without making you look “done”.

Instead of pulling or cutting the skin, a liquid facelift uses precise injections to relax overactive muscles and replace volume where it has been lost over time. The result is a fresher, more rested version of you, typically with minimal downtime.

From her doctor-led facial aesthetics clinic in London at 120 Pall Mall, GDC registered dentist and aesthetic medicine specialist Dr Goziem Onuchukwu designs bespoke treatment plans combining Botox and Dermal Fillers to suit your individual features, skin quality and lifestyle. The focus is always on natural, elegant results that still look like you – just better rested, smoother and subtly lifted.

Introduction: For Women Who Want To Look Rested, Not “Done”

Many women in their 30s, 40s and 50s come to our Mayfair aesthetic clinic saying the same thing: “I look tired, even when I am not.” You may notice heaviness around the mouth, deeper nose-to-mouth lines, hollowing under the eyes, or that makeup sits differently on the skin.

You might also be worried about looking frozen, overfilled, or not like yourself. The liquid facelift is designed precisely for people with these concerns. By combining anti-wrinkle injections and fillers in a measured, doctor-led way, we can address several signs of ageing at once while keeping your expressions soft, your smile natural and your individuality intact.

What It Is & How It Works

A liquid facelift is a non-surgical approach that uses a blend of Botox and dermal fillers, sometimes alongside skin quality treatments, to mimic some of the lifting and rejuvenating effects of a facelift – without surgery, general anaesthetic or long downtime.

At Alcove Aesthetics, every plan begins with facial analysis by Dr Goziem, a GDC registered dentist with an MSc in Aesthetic Medicine, over 7 years of experience and more than 1,000 patients treated. The aim is to understand how your facial muscles move, where volume has been lost, and how light falls on your features.

How Botox works

Botox (botulinum toxin) is a prescription medicine that relaxes specific muscles. In a liquid facelift, it is used to:

• Soften frown lines, forehead lines and crow’s feet
• Gently lift the brows by relaxing downward-pulling muscles
• Reduce “bunny lines” on the nose
• Refine a downward mouth corner pull, helping you look less sad or tired

By reducing repeated muscle contraction, Botox helps prevent lines from deepening while preserving your natural expressions when placed precisely.

How dermal fillers work

Dermal fillers, usually made from hyaluronic acid, replace lost volume and reshape the face from within. In a liquid facelift, they may be used to:

• Restore mid-face volume and cheek contour
• Support the under-eye area (tear troughs)
• Soften nose-to-mouth lines (nasolabial folds)
• Reduce marionette lines and shadows around the chin and jaw
• Refine lip shape and structure if appropriate

Fillers act like an internal support, gently lifting and contouring when placed on bone or in deeper tissue planes. They can also attract and hold water, giving a subtle, hydrated plumpness.

Combined, they do what each alone cannot

Used together strategically:

• Botox reduces the “pull” of overactive muscles
• Filler replaces the “push” of lost structural volume

This balanced approach gives a more harmonious, lifted and rested result than either treatment alone, especially for mid-face heaviness, jowls beginning to form, or a generally tired look.

In some cases, Dr Goziem may recommend complementing this with skin quality treatments such as Skin Boosters or regenerative options like Sculptra or Polynucleotides for long-term collagen support. All recommendations are tailored to your age, skin, and goals.

Benefits & Results

A well-planned liquid facelift offers multiple aesthetic and practical benefits:

• Natural looking lift to the mid-face and jawline
• Softer, less obvious nose-to-mouth and marionette lines
• Brighter, less hollow under-eye area
• Smoother forehead and relaxed frown lines
• More rested, less “angry” or “sad” resting expression
• Improved facial balance and profile, especially in the cheeks and chin
• Little to no downtime for most patients
• Gradual, discreet changes rather than a dramatic overnight shift

Typical outcome profile

| Concern | How a liquid facelift can help |
|———————————|———————————————————-|
| Tired, dull mid-face | Restores cheek contour and subtly lifts the lower face |
| Heavier lower face / early jowls | Supports jawline and reduces downward pull |
| Deep expression lines | Softens movement while keeping expressions natural |
| Hollow under eyes | Carefully restores volume and brightness |
| Loss of definition | Refines cheeks, chin, or lips for a more youthful shape |

Results from dermal fillers are usually visible immediately, while Botox settles over 7-14 days. Together, they create a refreshed, smooth yet animated look that can last several months.

Why Choose Alcove Aesthetics

Choosing who treats your face is just as important as which treatments you have. At Alcove Aesthetics by Dr Goziem, you are in the hands of a medically qualified, award-winning aesthetics practitioner.

• Doctor-led care only
  All injectable treatments are personally carried out by Dr Goziem Onuchukwu – BDS, MSc (Aesthetic Medicine), GDC registered dentist.

• Recognised expertise

• Best Anti-Ageing Practitioner (Central London 2024 & 2025)

• Skin Aesthetics Specialist of the Year (2025)

• Precision, not a “one size fits all” approach
  Every liquid facelift is bespoke, based on facial anatomy, muscle dynamics and your comfort with change. The goal is always an elegant, age-appropriate result.

• Central London convenience
  The clinic is based at 120 Pall Mall, on the doorstep of Mayfair, St James’s, Westminster, Knightsbridge, Belgravia, Soho, Marylebone, Fitzrovia and Chelsea – ideal if you work or live in Central London.

• Thorough aftercare
  All treatments include follow-up, so your plan can be refined and adjusted once everything has settled.

Treatment Journey

From first enquiry to final review, your liquid facelift is structured and carefully monitored.

1. Consultation and assessment

Your journey begins with a detailed consultation with Dr Goziem. This includes:

• Full medical history and lifestyle review
• Discussion of your concerns, priorities and timelines
• Assessment of skin quality, facial proportions and muscle movement
• Photographs for treatment planning and comparison

You will have the chance to ask questions about all available options, including Botox and filler, as well as alternatives such as PRP, Microneedling or Sculptra. A clear, stepwise plan is then proposed, including what to do now and what to phase for later.

2. Your bespoke liquid facelift

On the treatment day:

• Your face is cleansed and mapped for precise injection sites
• Topical numbing cream is applied where needed
• Botox is usually placed first, targeting frown, forehead and crow’s feet, and sometimes lower face muscles
• Dermal filler is then carefully layered into cheeks, under-eye, chin, jawline or lips as agreed

Most patients describe the feeling as mildly uncomfortable rather than painful, thanks to fine needles, cannulas when indicated, and filler containing local anaesthetic. Treatment typically takes 45-90 minutes, depending on complexity.

3. Review and refinement

A review appointment is usually scheduled 2-4 weeks later to:

• Assess how Botox has settled
• Check symmetry and projection of filler
• Refine with small top-ups if clinically appropriate
• Plan future maintenance or complementary treatments, for example Chemical Peel or skin boosters for texture and glow

This staged approach allows for natural, controlled change rather than overcorrection.

Recovery & Aftercare

Most people can return to work and social activities straight after a liquid facelift. However, it is normal to experience:

• Mild redness or swelling at injection points for 24-72 hours
• Occasional small bruises, which can be concealed with makeup after 24 hours
• A feeling of “fullness” or tightness where filler has been placed for a few days

General advice includes:

• Avoid strenuous exercise, saunas and alcohol for 24 hours
• Sleep with your head slightly elevated the first night
• Avoid massaging treated areas unless specifically instructed

Botox results emerge over 7-14 days. Filler results are immediate but continue to soften and integrate over 1-2 weeks. Alcove Aesthetics offers follow-up to ensure you feel supported at every stage.

Cost & Transparency

At Alcove Aesthetics, pricing is transparent and tailored to your treatment plan.

• Dermal filler packages

• Precision 2 ml – £650

• Refine 3 ml – £950

• Enhance 4 ml – £1,250

• Elevate 5 ml – £1,500

• Signature Transformation package – £1,750

• 4 ml dermal filler

• Botox

• Skin boosters

Your exact liquid facelift cost will depend on the number of areas treated, the amount of product required and whether we include additional skin treatments such as Exosomes (plant-derived, delivered via microneedling) or PRP. A £50 booking fee is taken to secure your appointment, redeemable against treatment, with a 48-hour reschedule policy.

FAQ: Botox and Filler Liquid Facelift in Mayfair

Is a liquid facelift safe?
When performed by a medically qualified and experienced practitioner, a liquid facelift is generally very safe. At Alcove Aesthetics, all treatments are doctor-administered, with full medical history, consent and suitability checks. As with any medical procedure, there are risks such as bruising, swelling and, rarely, vascular complications – these are discussed in detail at your consultation, and safety protocols are in place.

Will I look fake or overdone?
No, the aim is the opposite. Dr Goziem specialises in subtle, natural results. By using conservative doses, layering treatments over time and respecting your unique facial anatomy, the outcome is designed to be “you on your best day”, not an obvious change.

Does a liquid facelift hurt?
Most patients report mild discomfort rather than pain. Fine needles, cannulas where appropriate, topical numbing and built-in anaesthetic in many fillers help to keep treatment comfortable. You may feel brief stings or pressure, which settle quickly.

How long do results last?
Botox typically lasts 3-4 months, while dermal filler can last from 9-18 months depending on the area treated, the product used and your metabolism. Many patients choose to maintain results with periodic top-ups and supportive treatments such as Skin Boosters for ongoing hydration and glow.

Who is not suitable for a liquid facelift?
You may not be suitable if you are pregnant or breastfeeding, have certain neurological conditions, active skin infections, or significant allergies to any components used. A full consultation is essential to determine whether a liquid facelift is the safest and most effective approach for you, or if alternatives such as PRP or Sculptra would be better suited.

To explore whether a bespoke liquid facelift with Botox and filler is right for you, and to receive a tailored plan from an experienced, award-winning aesthetic doctor in Central London, you are welcome to arrange a private consultation at our Pall Mall clinic.

To book your personalised consultation with Dr Goziem Onuchukwu at Alcove Aesthetics, Pall Mall, London, call 07856962248 or book online at alcoveaesthetics.com/appointments.