HarmonyCA hybrid dermal fillers in Thames Ditton

HarmonyCA is suited to areas where facial lifting, contouring, and collagen support are the primary goals. Common treatment areas include the eyebrow and upper eye area, temple hollows, nasolabial folds, cheekbones, the jawline and jowl area, marionette lines, the chin, and the back of the hands.

Each patient's facial anatomy is assessed individually to determine which areas would benefit most and whether HarmonyCA is the most appropriate product for each specific zone. Not all filler products perform equally in all areas, and the choice of product is always part of the clinical assessment.

Traditional HA fillers work primarily by physically filling a space and attracting water to maintain volume. Their effect is immediate and predictable, but when they metabolise, the area returns broadly to its pre-treatment state.

HarmonyCA adds a biostimulatory layer that traditional HA fillers do not provide: the CaHA microspheres stimulate the patient's own fibroblasts to produce new collagen, creating a structural improvement in the skin's architecture over time. It is also placed more superficially than most volumising fillers — which reduces the risk associated with deep injection near vascular structures. Results typically last 12–18 months in most patients, subject to individual variation.

HarmonyCA and Profhilo are both injectable treatments that stimulate collagen, but they serve different purposes and are not interchangeable.

Profhilo is a pure hyaluronic acid bio-remodeller — it contains no CaHA and produces no volumising lift. Its primary effect is intense skin hydration and a bio-remodelling of the collagen and elastin network across a broad area of skin. It is well suited to patients whose main concern is skin quality, texture, laxity, and overall hydration, rather than volume loss or specific structural definition.

HarmonyCA is designed to lift, contour, and volumise specific structural areas of the face whilst simultaneously biostimulating collagen. It is chosen when the patient needs actual architectural support — restoring cheekbone projection, lifting jowls, or defining the jawline — rather than diffuse skin quality improvement. Dr Bravi may recommend both treatments as part of a complementary plan for some patients.

Most patients achieve a satisfying result after 1–3 treatment sessions, depending on the degree of volume loss and the number of areas being addressed. Some patients require only a single session for a defined outcome, while others prefer a staged approach over 2–3 appointments to build the result gradually.

Because the collagen-stimulating effect continues to develop over 3–6 months after each session, sufficient time between treatments is recommended to assess the full extent of improvement before deciding whether further treatment is beneficial.

HarmonyCA is delivered via a cannula — a blunt-tipped flexible tube rather than a sharp needle — inserted through one to three small entry points per side of the face. The use of a cannula reduces the risk of bruising and allows the product to be placed more precisely along the target area.

The product contains lidocaine, which helps to maintain comfort during the procedure. After the injections, arnica gel is applied and the area massaged to distribute the product evenly and minimise any initial swelling. The appointment typically takes 30–60 minutes including assessment and aftercare discussion.

The immediate lifting effect from the HA component begins to metabolise over several months, but because the CaHA microspheres have stimulated new collagen production, the structural improvement tends to outlast a conventional filler. Results are typically maintained for 12–18 months in most patients, subject to individual variation in metabolism, lifestyle, and the area treated.

At the 12-month mark, a review will help assess how the result is holding and whether a maintenance treatment is appropriate at that point. Dr Bravi will guide you on the most appropriate timing at your follow-up appointment.

As with all injectable treatments, mild swelling, bruising, tenderness, and redness at the injection sites are the most commonly reported effects following HarmonyCA treatment. These are generally mild and resolve within a few days to a week.

Because HarmonyCA is delivered via cannula rather than sharp needle, bruising tends to be less frequent than with needle-based filler techniques. More significant adverse events are rare but possible with any injectable — the full risk profile is discussed at your consultation and a contact route is provided if you have any concerns after treatment.

Yes — HarmonyCA fits well within a broader facial aesthetic plan. It is commonly combined with anti-wrinkle injections to address both structural volume loss and dynamic muscle activity at the same time. It can also be used alongside Profhilo — with HarmonyCA addressing specific structural areas and Profhilo treating overall skin quality and hydration.

The timing and sequencing of combination treatments matters. Dr Bravi will advise on the most logical order to maximise results and minimise any cumulative swelling from multiple injectable procedures close together.

Yes — Thames Dental & Skin is based in Thames Ditton, Surrey, and is within easy reach for patients from Kingston upon Thames, Esher, Surbiton, Walton-on-Thames, Molesey, Hinchley Wood, Long Ditton, and surrounding areas.

HarmonyCA treatments start from £750, with 0% finance options available. A consultation is the starting point — your facial anatomy, goals, and suitability for treatment are all assessed before anything is agreed.