Skip to main content

HArmonyCa™: Two Mechanisms of Action – One Result

HArmonyCa™: hybrid filler of hyaluronic acid and calcium hydroxylapatite – immediate volume build-up plus long-term collagen regeneration. PRECIOUS Wiesbaden.

Scroll
Back to overview
Aesthetics
Published on: 2026-06-26 7 min read Updated: 2026-07-05

Key Takeaways

  • HArmonyCa™ is a hybrid filler: immediate volume build-up through hyaluronic acid plus long-term collagen stimulation through calcium hydroxylapatite (CaHA).
  • A deliberately reduced CaHA proportion with high-viscosity hyaluronic acid – for better tissue integration and a lower risk of granulomas.
  • The collagen effect starts from day 60, peaks between day 90 and 180 and is clinically proven to last over 12 months.
  • Studies (Urdiales-Gálvez et al. 2023, Proietti et al. 2024): significant increase in volume and skin tension, 100 % improvement over 9 months.
  • Combines well with Botox, lasers and microneedling.

Immediate volume build-up through hyaluronic acid. Long-term collagen regeneration through calcium hydroxylapatite. HArmonyCa™ combines both in a single syringe – and is one of my personal favourites in regenerative aesthetics.

Why one product is enough where two were previously needed

Until now, aesthetic medicine faced a choice: hyaluronic acid fillers for an immediate volume effect, or calcium hydroxylapatite (CaHA) for long-term collagen stimulation – but not both at once in a single product. Because when the two substances were mixed, their rheological properties changed and the risk increased.

HArmonyCa™ solves this dilemma: it is a ready-to-use hybrid filler in which 20 mg/ml hyaluronic acid and 55.7 % CaHA microspheres (25–45 µm) are combined in standardised, clinically tested ratios – including lidocaine for more comfort during the treatment.

How HArmonyCa™ works: the dual strategy

Immediately: hyaluronic acid provides volume

The high-viscosity hyaluronic acid provides a visible lift and volume effect immediately after the injection. Sunken areas are built up, contours are defined, the face looks fresher.

Gradually: CaHA stimulates the body's own collagen

In parallel, the CaHA microspheres form a scaffold within the tissue. They activate fibroblasts, which – from about day 60 after treatment – begin to form new collagen fibres. This effect reaches its peak between day 90 and 180 and is clinically proven to last over 12 months.

What distinguishes HArmonyCa™ from classic CaHA products

A common misconception: the more CaHA, the better. That is not correct. A high CaHA proportion increases the risk of granulomas and uneven tissue integration. HArmonyCa™ deliberately relies on a reduced CaHA proportion combined with high-viscosity hyaluronic acid – resulting in better tissue integration, a lower risk of granulomas and a more natural result.

From my personal clinical experience, this is precisely why I value HArmonyCa™ so highly: it delivers impressive results, without the risks of classic CaHA products.

Who is HArmonyCa™ suitable for?

I particularly recommend HArmonyCa™ for:

  • pronounced volume loss due to weight loss, illness or age-related tissue atrophy
  • patients who want natural volume build-up and long-term skin improvement
  • improving skin quality, elasticity and moisture in addition to the volume effect
  • combination with other aesthetic treatments – HArmonyCa™ is well tolerated with Botox, lasers and microneedling
  • patients who want to be treated as rarely as possible: one appointment, long-term effect

What do clinical studies show?

In a prospective study (Urdiales-Gálvez et al. 2023, J Cosmet Dermatol) with ultrasound and elastography evaluation, an average volume increase of 2.1 ml per side and a significant rise in tissue tension were demonstrated after 180 days. 91.6 % of patients reported an improvement in facial aesthetics. No serious side effects were observed.

A long-term evaluation of 129 patients over 9 months (Proietti et al. 2024) confirmed: 100 % of patients showed an improvement, 61 % were rated as "significantly improved". HArmonyCa™ also proved to be a dynamic filler – the improvement was visible even during facial movements.

The treatment at PRECIOUS

After a thorough analysis of your face and your wishes, I inject HArmonyCa™ with a cannula into the desired treatment areas – whether cheeks, jawline, pre-auricular region or several zones combined. The treatment quantity depends on your individual findings (1.25–5 ml).

You see the result immediately – and it continues to improve over the following months.

Interested in HArmonyCa™?

I advise you personally and individually – arrange your appointment at PRECIOUS Wiesbaden now.

Contact

Questions or Appointment?

If you have questions or would like to schedule an appointment, we are happy to assist.

via Doctolib & WhatsApp