Hyaluronic acid

Hyaluronic acid is found naturally in your skin and other tissues. Hyaluronic acid also plays an important role giving volume to the skin, shape to the eyes and elasticity to the joints. Hyaluronic acid is found naturally in your skin and other tissues. The resilience and youthful contours of your skin owe much to hyaluronic acid. Hyaluronic acid has a chemical structure similar in some ways to sugar, and is identical in all species and in all tissue types Hyaluronic acid can be used to smooth wrinkles and folds and give lips a fuller look.

Facial lines may be softened or erased by injecting a substance into the skin to ‘plump’ out the line, scar or fold Wrinkles, scars and even heavier expression lines can be improved with these filling agents. Lines of expression include frown lines, ‘crow’s feet’, ‘smile lines’, and ‘smoker’s lines’, and these are commonly treated. Cosmetic improvements such as the ‘Paris Lip’ are also popular. Injectable fillers provide temporary correction; as yet none offers a permanent solution to facial lines or augmentation.

Recently, a revolution in this type of treatment has seen its use extended enormously. Volume changes of the ageing face are now treated, as are textural problems both there and in other areas such as the hands, neck and décolletage: areas that have been very hard to treat in the past.

Natural polysaccharides are found in all tissues in the body and one of these is used in many dermal fillers. Because of its tissue-friendliness, it is currently used in many pharmaceutical products, and around 27 million people have been treated with the substance in its many forms. The product has a greatly decreased risk of allergic reaction and is an exciting development.

When this substance is injected into the dermis, it smoothes out facial wrinkles and can create larger, more accentuated lips. It can also be used to fill out scars where the scar is nor more than 4mm deep, and can be manually stretched to the point that it is at least 75% eliminated.

The following are some of the advantages of natural polysaccharides:

  • Being a non-animal substance, allergic reactions are very unlikely. This means that skin testing is not necessary, thus eliminating the delay before a patient may have the treatment. It is also a suitable filler for those patients who are allergic to animal-derived fillers.
  • It has a relatively long duration compared to other fillers. Overseas studies show it lasts around 8 months, 80% of the time. For this reason, it may be more economical than collagen replacement therapy.

Various natural polysaccharide products are available, each fulfilling a different function. These fillers can be used to:

  • soften fine superficial lines around the eyes and mouth;
  • help achieve smoother lifting of fine superficial lines;
  • temporarily soften the naso-labial area (the lines running from the nose to the corners of the mouth) and glabellar frown lines (the vertical lines running between the eyebrows) for medium depth lines and wrinkles. It  is also used to give the outer lip more definition;
  • plump up the lips;
  • to eradicate deep folds, augment lips and/or adjust their contours.


Product Summary

Calcium Hydroxylapatite has been safely used in the human body for over 25 years in several indications. calcium hydroxylapatite is made up of synthetic Calcium Hydroxylapatite (CaHA) microspheres suspended in a gel carrier, which is an aqueous gel that contains sodiumcarboxymethylcellulose, glycerin and high purity water.

The CaHA spheres are composed of calcium and phosphate ions which occur naturally in human tissue. It does not contain any animal or human derived components. calcium hydroxylapatite is not a permanent filler. It is a long lasting, resorbable filler – with the effect claimed to last approximately 2 years depending on the patient and the area treated.

Once injected into your skin, the smooth and spherical CaHA particles form a ‘scaffold’ which your own tissue grows new collagen cells between. The gel carrier dissolves within a few months and over time, the CaHA particles gradually break down and are completely metabolised by the body, leaving only the new collagen structure.

Treatment Indications
Calcium hydroxylapatite can be used for the treatment of:

  • Nasolabial Folds: between the nose and mouth
  • Marionette lines: The so-called “smile lines” in corners of mouth
  • Radial lip lines: lines above the upper lip
  • Depressions and blemishes: like acne scars
  • Shallow cheeks: caused by fat atrophy
  • Nose and Chin: correcting indentations, tips, bumps and unevenness.
  • Jaw: Improving the contours of this area
  • Hand: To reduce the appearance of veins and bones in aged hands

Not to be used in
Pregnancy or lactation and people with pre-existing infections.

If you’re taking aspirin or other medications, please consult your physician.

Calcium Hydroxylapatite should not be injected over permanent injectable implants. If you have other implants or filler materials still in place, please notify and consult your physician.

When injected in soft tissue, fibrous encapsulation of the microspheres creates volume in the treatment area.

calcium hydroxylapatite appears to provide a longer term result than pure Hyaluronic acid, it is gradually replaced by the body’s own tissue, and slowly dissolves away over a 18 month or longer period.

Reported side effects

There are few reported side effects from clinical trials and actual usage data. However, some common injection-related reactions may occur, such as swelling, pain, itching, discoloration and tenderness at the injection site.

Some lumpiness at the injection site can occur, which is often due to incorrect placement of the product. The company claims that more serious granulomatous reactions have not yet been reported with the product.