Alcove Aesthetics · St James’s, London
Facial Volume Loss and Sagging: Non-Surgical Treatment in London
As we age, we lose fat, bone and collagen in the face, and the skin loosens. This shows as hollow temples, flatter cheeks, deeper folds and a softer jawline. Non-surgical treatment can restore support and firmness, within limits that we explain honestly.
- GDC registered
- Award-winning practitioner, 2024 and 2025
- Mon to Fri, 9am to 6pm
- 120 Pall Mall, St James’s

Causes and treatments at a glance
- Flatter cheeks, hollow templesCheek filler, temple filler
- Gradual, widespread volume lossSculptra or Juläine collagen stimulators
- Loss of firmness and skin qualityProfhilo, polynucleotides
- Significant loose skinMay need a surgical opinion
Watch
What changes in your skin from your early thirties
A short explainer from Dr Goziem Onuchukwu.
Structure first
When the mid-face and temples lose support, the lower face often starts to sag and folds deepen. Restoring support higher up often softens the lower face more naturally than filling each fold directly. We plan treatment across the whole face rather than area by area.
How we assess this at Alcove Aesthetics
Every plan starts with a consultation at 120 Pall Mall, St James’s. We look at your skin and face in different lights, take a history, and explain what is likely to help, what is not, and what the realistic result is. If a treatment is not right for you, we will say so.


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.
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
★★★★★
“The results are always natural, never overdone. What I appreciate most is that they never push anything on you.”
B.A.S. · Google review

Why patients choose Alcove Aesthetics
“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
Common questions
Can sagging skin be treated without surgery?
Mild to moderate sagging can often be improved with filler, collagen stimulators and skin treatments. Significant loose skin is better addressed surgically, and we will tell you if that applies.
Filler or Sculptra for volume loss?
Filler gives an immediate, targeted result. Sculptra builds collagen gradually over a wider area. Many patients benefit from a combination.
How long do results last?
Filler often lasts 12 to 18 months in structural areas. Collagen stimulators can last longer, as you build your own collagen.
Book your face 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.
