Alcove Aesthetics · St James’s, London

Nasolabial Fold Filler in London

The nasolabial folds run from the side of the nose to the corners of the mouth. Dr Goziem Onuchukwu treats them at Alcove Aesthetics, 120 Pall Mall, St James’s, by looking first at why they have deepened, because filling the fold directly is not always the best answer.

  • GDC registered
  • Award-winning practitioner, 2024 and 2025
  • Mon to Fri, 9am to 6pm
  • 120 Pall Mall, St James’s
Dr Goziem Onuchukwu, founder of Alcove Aesthetics, St James's, London

Nasolabial fold treatment at a glance

  • What it treatsDeepening smile lines between the nose and mouth
  • ApproachSupport from the cheeks first, with a small amount in the fold if needed
  • Treatment timeAbout 45 minutes
  • DowntimeSwelling and possible bruising for a few days
  • ResultsImmediate, settled by about 2 weeks
  • How long it lastsOften 9 to 12 months
  • Price£350 (see the price list)
  • ReversibleYes, hyaluronic acid filler can be dissolved

Why do nasolabial folds deepen?

Everyone has nasolabial folds, because they are where the cheek meets the lip. They deepen when the mid-face loses volume and support, so the tissue above rests more heavily on the fold. That is why filling the fold on its own can look heavy or unnatural.

In many patients, restoring support in the cheeks softens the fold more naturally. A small amount of soft filler may then be placed in the fold itself.

Who is it right for?

Often a good fit

  • Folds that have deepened with age or weight loss
  • People who want a softer, fresher lower face

When we would not treat, or would wait

  • Pregnancy or breastfeeding
  • Active infection, cold sore or inflammation in the area
  • Allergy to hyaluronic acid or lidocaine
  • Very deep folds from significant loose skin, where expectations need careful discussion

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.

How the treatment is done

  1. Assessment. We look at the cheeks, mouth and lower face together.
  2. Plan. We agree whether support, direct filling or both are needed.
  3. Treatment. Filler is placed with a needle or blunt-tipped cannula.
  4. Review. We review you at two to four weeks.

Risks, side effects and limits

Swelling, tenderness and bruising are common for a few days. Lumps or unevenness can occur and can usually be massaged, adjusted or dissolved.

The most serious risk with any filler is injection into or pressure on a blood vessel, which can affect blood supply to the skin. We plan injections around the anatomy, inject slowly and keep dissolving enzyme in clinic for emergencies. You will be told exactly which symptoms to contact us about.

The area around the nose has important blood vessels, which is why we often use a cannula here. Filler softens folds. It does not remove them entirely, and a natural fold should always remain. Results vary between people, and suitability is always confirmed at consultation.

How much does nasolabial fold filler cost?

Nasolabial fold treatment at Alcove Aesthetics is £350. A skin consultation is £50. See the full price list.

What patients say

★★★★★

“I had filler in my cheeks and chin as with age my face looked less sculpted. The results are amazing and not obvious in the slightest. My skin looks fresh, rejuvenated and my face looks naturally lifted.”

Kristina D. · Google review

★★★★★

“She has truly mastered her craft for beautifully natural yet defined aesthetics.”

Heather G. · Google review

★★★★★

“I would highly recommend Dr Goziem for expertise in natural results that enhance.”

Margaret Q. · Google review

Dr Goziem Onuchukwu at Alcove Aesthetics, 120 Pall Mall, St James's

Why patients choose Alcove Aesthetics for nasolabial folds

“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 background in dental and oral surgery means she works from a detailed understanding of facial anatomy, which shapes how she assesses and plans every treatment.

  • 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

Read more about Dr Goziem

Nasolabial fold treatment FAQs

Can nasolabial folds be removed completely?

No, and they should not be. A natural fold is part of a healthy face. The aim is to soften a fold that has deepened.

Why not just fill the fold?

Filling the fold alone can look heavy, because it does not address the loss of support above it. Treating the cheeks first often looks more natural.

How long does it last?

Often 9 to 12 months, as the area moves with talking and smiling.

Does it hurt?

Most people describe pressure. The filler contains local anaesthetic and a cannula is often used.

Can I combine it with other treatments?

Yes. It is often combined with cheek filler or skin treatments.

Book your nasolabial fold 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.

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