HArmonyCa hybrid filler treatment at Berkshire Aesthetics

HarmonyCa hybrid filler treatment in Maidenhead

HarmonyCa is a hybrid injectable filler that combines hyaluronic acid (HA) with calcium hydroxyapatite (CaHA) microspheres to deliver immediate volume restoration and long-term collagen stimulation. At Berkshire Aesthetics in Maidenhead, suitability is assessed clinically and we focus on natural, balanced outcomes.

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Clinically reviewed by

Dr Selena LangdonMedical Director, MBBS

GMC 6159259

Last reviewed:

Information is general and not a substitute for a medical consultation. Suitability is confirmed during assessment.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

All bookings are subject to our Booking Conditions.

Doctor-led approach

Clinical overview

HarmonyCa is a dual-action injectable that provides immediate structural support from the hyaluronic acid component, while the calcium hydroxyapatite microspheres stimulate your own collagen production over the following weeks and months. In clinic, we use HarmonyCa selectively for patients who want both instant improvement and progressive, longer-lasting results. It is particularly suited to areas such as the cheeks, jawline, nasolabial folds, marionette lines and the neck/décolletage where both volume and skin quality are concerns. HarmonyCa is not appropriate for every patient or every area. Suitability is confirmed during consultation, where we assess your facial anatomy, skin quality, medical history, expectations, and whether HarmonyCa (or an alternative approach) is the safest and most effective choice for your goals.

Key Benefits

  • Dual action: immediate volume from hyaluronic acid plus long-term collagen stimulation from CaHA
  • Longer-lasting results compared to standard HA fillers — often up to 18 months
  • Natural-looking improvement in facial contour and skin quality
  • Suitable for multiple areas including cheeks, jawline and mid-face
  • Gradual collagen remodelling continues to improve skin quality after the initial volume effect

Suitable For

  • Moderate volume loss in the cheeks, jawline or mid-face where both structure and skin quality are concerns
  • Nasolabial folds or marionette lines where a longer-lasting solution is preferred
  • Patients who want immediate visible improvement with progressive collagen stimulation
  • Those seeking a treatment that addresses both volume and skin quality in a single session
  • Neck or décolletage skin laxity where collagen stimulation is beneficial

Not Suitable For

  • Very fine, superficial lines where a softer product is more appropriate (e.g. lip lines)
  • Lip augmentation — HarmonyCa is not suitable for use in the lips
  • Active infection or inflammation in the area to be treated (treatment should be delayed)
  • Pregnancy or breastfeeding
  • Patients with a known hypersensitivity to any of the product components

Final suitability is confirmed during a medical consultation and assessment.

When we don't recommend it

  • If the concern is purely superficial fine lines — HarmonyCa is a volumising and stimulating product and a lighter-weight treatment may be more appropriate.
  • If lip augmentation is the primary goal — HarmonyCa is not formulated for the lips and a standard HA filler would be recommended instead.
  • If there is active infection or inflammation in the treatment area — treatment should be delayed until the skin is settled.
  • If your expectations are for dramatic overnight transformation — results are immediate but continue to develop, and we will set realistic expectations during consultation.
  • If a different product or combination plan would deliver a safer or more effective result for your specific anatomy and goals.

What Happens During Treatment

  1. 1Clinical consultation and suitability assessment, including facial anatomy analysis, medical history and your goals
  2. 2Discussion of expected outcomes, limitations, risks and alternatives (including when we may recommend something else)
  3. 3Topical anaesthetic is applied to ensure comfort during the procedure
  4. 4HarmonyCa is injected into targeted areas using a cannula or needle, depending on the treatment area and your anatomy
  5. 5Post-treatment checks and clear aftercare instructions, including what to expect in the days and weeks following treatment

Downtime & Aftercare

  • Mild swelling, tenderness or bruising at injection sites is common and typically settles within a few days
  • Avoid heavy exercise, saunas/steam rooms and alcohol for 24–48 hours
  • Avoid touching or massaging the treated area unless specifically instructed
  • Sleep with your head slightly elevated for the first night if facial areas were treated
  • If you have unexpected or worsening symptoms, contact the clinic for advice

Results Timeline

  • Immediate volume improvement is visible from the hyaluronic acid component.
  • Collagen stimulation from the CaHA microspheres develops gradually over 4–12 weeks.
  • We review outcomes and discuss whether a second session or complementary treatments would enhance your result.

How Long Results May Last

  • Results can last up to 18 months, though this varies by individual, treatment area and lifestyle.
  • The collagen-stimulating effect provides ongoing improvement even as the product is naturally absorbed.
  • Maintenance sessions can be discussed at your review appointment.

Individual results vary. View our results and photography standards

Risks & Side Effects

Common, Usually Temporary

  • Swelling, redness or tenderness at injection sites (typically settles within a few days)
  • Bruising (risk varies by individual, area treated and medications/supplements)
  • Temporary firmness or lumpiness in the treated area as the product settles

Rare but Serious

  • Prolonged or increasing swelling, significant pain, or an inflammatory reaction (requires clinical review)
  • Signs of infection such as increasing redness, heat, tenderness, discharge, or fever
  • Vascular occlusion — extremely rare but serious; recognised and managed immediately in our clinic
  • Any unexpected or worsening symptoms that concern you should be assessed promptly

When to Contact Us Urgently

  • Rapidly increasing swelling, severe pain, or skin colour changes (blanching, dusky discolouration) after treatment
  • Spreading redness, heat, discharge, or feeling unwell/feverish
  • Any symptoms that are worsening rather than settling over the first few days

Frequently Asked Questions

HarmonyCa combines two active components: hyaluronic acid for immediate volume and calcium hydroxyapatite microspheres for long-term collagen stimulation. This dual action can provide both instant improvement and progressive skin-quality benefits that standard HA fillers do not offer.
Results can last up to 18 months, though this varies by individual, treatment area and lifestyle factors. The collagen-stimulating effect continues to develop even after the HA component is naturally absorbed.
Most patients find the treatment comfortable. Topical anaesthetic is applied before treatment, and HarmonyCa contains lidocaine to further reduce discomfort during injection.
No. HarmonyCa is not suitable for lip augmentation. If lip enhancement is your goal, we will recommend an appropriate hyaluronic acid filler designed for that area.
Most patients achieve their desired result with one or two sessions. Your treatment plan is tailored during consultation based on your anatomy, concerns and goals.
Most patients experience mild swelling and possible bruising for a few days. You can usually return to normal social activities within 24–48 hours, though we advise avoiding heavy exercise and alcohol during that time.
Yes. HarmonyCa can be part of a broader treatment plan, potentially combined with skin-quality treatments such as Profhilo or collagen-stimulating options. We recommend combinations only where they are clinically appropriate for your goals.
We provide transparent pricing at consultation, tailored to your treatment plan. Costs vary based on the areas treated and the amount of product required for your goals.
We assess your facial anatomy, skin quality and medical history. We discuss realistic outcomes, explain the dual-action mechanism, risks and aftercare, and agree a plan tailored to your goals.
Most patients return to work within 24–48 hours. Some swelling and bruising is possible in the first few days. We advise avoiding heavy exercise and alcohol for 24–48 hours after treatment.
There is no fixed age requirement. HarmonyCa is typically suited to patients experiencing volume loss and skin quality changes. Suitability is assessed individually during your consultation.

Quick Facts

Treatment Time

30–45 minutes

Downtime

Mild swelling/bruising for a few days; minimal social downtime

Results Visible

Immediate volume with progressive collagen stimulation over weeks

Sessions

1–2 sessions typically (individualised)

Guide Price

From £550

Per session; hybrid filler

Final price confirmed at consultation

Delivered by

Dr Selena Langdon — Medical Director

MBBS, Injectable Trainer, JCCP Ambassador

Why Berkshire Aesthetics

  • Doctor-led clinic — all treatments clinically overseen by Dr Selena Langdon (MBBS)
  • CQC registered — view our registration
  • Consultation-first approach — we assess suitability before recommending treatment
  • Clear complaints process — we take patient feedback seriously

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: 2026-02-10

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: 2026-02-10

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

Further Reading & Clinical References

The following external resources provide independent clinical and regulatory information.

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