Sometimes it isn’t a particular wrinkle that makes a face look different. The cheeks seem less defined, the jawline looks softer, or the face appears tired even after a good night’s sleep. Treating each line separately may miss what has changed.
A liquid facelift takes a broader approach, using injectable fillers to address selected areas of volume loss and improve facial contours. For Dr Ivy, the Harley Street aesthetics doctor behind Dr Ivy London, the starting point is understanding the whole face.
With more than 25 years in aesthetic medicine, Dr Ivy has developed her FaceDesign approach around facial anatomy, proportion and individual expression. That experience informs what she treats, where she places product and when she recommends a different approach. The aim is a refreshed appearance that still feels like you.
What is a liquid facelift?

A liquid facelift is a non-surgical treatment that uses dermal fillers to restore volume in selected areas and refine facial contours. Despite its name, it works differently from a surgical facelift: it adds volume rather than surgically repositioning tissue or removing excess skin.
That distinction helps explain who it may suit. If volume loss is contributing to a less defined appearance, fillers may help. More pronounced skin laxity may need a different approach.
“Rather than chasing individual wrinkles, the focus is on underlying skeletal support and facial vectors.”
In everyday terms, this means looking at the shape of the face and how its features relate to each other, rather than assuming every visible crease needs filling.
Why facial assessment comes first
“Evaluating a patient begins long before a single product is touched. Every face tells a unique story shaped by bone structure, volume distribution and dynamic movement.”
Before recommending treatment, Dr Ivy looks at your bone structure, the distribution of facial volume and how your features move. She considers these alongside the changes you have noticed and the result you want, rather than starting with a standard set of injection points.
Dr Ivy’s assessment includes skeletal proportions and the relationships between the teeth, bones and soft tissues – known as cephalometric analysis. She also considers established ideas about facial proportion, including the golden ratio.
For Dr Ivy, these measurements help guide the assessment without defining a single ideal face. Natural asymmetry, expression and the features that make you recognisable remain part of the treatment plan.
How carefully placed filler can refresh facial contours

Changes in volume and support can affect several areas at once. A softer cheek contour, for example, may be better assessed as part of the whole face than treated as an isolated concern.
“By strategically supporting key structural areas around the zygoma, temporal fossa, pyriform aperture and jawline, it is possible to influence the position and contour of the overlying soft tissues.”
These anatomical terms refer to areas around the cheekbones, temples, the bony opening around the nose and the jawline. Depending on the assessment, selected areas may be treated to improve balance and definition.
This is where Dr Ivy’s judgement matters as much as her technique. She considers how a change in one area will affect the face as a whole. Adding volume everywhere can create heaviness, so her plan focuses on selected areas, with the aim of refreshing contours while preserving natural expression.
How Dr Ivy chooses the right filler for your face
Choosing a filler is part of planning the result. Dr Ivy considers the area being treated, the support it needs and how it moves when you smile or speak. Her experience in facial aesthetics helps her decide which product to use – and whether adding volume is the right approach in the first place.
For this work, she selects hyaluronic acid fillers from Austrian manufacturer Croma-Pharma. The choice is guided by what she wants to achieve in each area: more definition, subtle support or a softer correction. A product that suits the cheek may not be the best choice elsewhere.
Her assessment brings these decisions together. The product, its placement and the amount used all need to suit your anatomy, with the aim of creating a balanced result that looks natural when your face is moving as well as at rest.
What makes the FaceDesign approach individual?

FaceDesign is Dr Ivy’s own approach to bringing anatomy and aesthetic judgement together. She plans treatment around the relationship between your features, rather than treating each concern separately. Placement at different tissue depths may be considered, depending on the area and the intended result.
Dr Ivy’s approach includes needles or blunt-tip micro-cannulas where appropriate. A cannula does not eliminate risk, and the choice of instrument is only one part of safe treatment.
Fillers are a medical procedure. Temporary bruising, swelling and tenderness can occur; less common but serious complications include blocked blood vessels, tissue damage and vision loss. Your consultation should cover the risks, alternatives and aftercare, as well as what treatment may achieve. The FDA’s patient information on dermal fillers explains these risks in more detail.
Can a liquid facelift delay surgery?
For someone with suitable volume-related concerns, fillers may offer enough improvement to feel happy continuing with non-surgical care. That is an individual decision, rather than a guaranteed way to postpone a facelift.
A liquid facelift does not stop ageing or produce the same result as surgery. Where excess skin or more significant tissue descent is the main concern, a surgical consultation may be more helpful. Choosing the right approach starts with an honest assessment of what is likely to work for you.
Your liquid facelift questions, answered
Will I still look like myself?
The aim is a fresher, more balanced appearance that preserves your recognisable features. Discuss what “natural” means to you at your consultation, including any changes you want to avoid.
Does every area of the face need treatment?
Your plan should reflect your face and your priorities. Some people may benefit from treating a few selected areas; others may be better suited to a different option.
How do I find out whether it is right for me?
Start with a consultation to discuss your concerns, medical history and previous treatments. Explore FaceDesign treatment with Dr Ivy to learn more about an individual assessment.


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