HArmonyCa® in Burnaby (CaHA + HA Dual-Action Filler)
Instant lift plus collagen support, in one treatment
HArmonyCa® combines hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) in a single injectable. The HA gives an immediate lift, while the CaHA stimulates your own collagen over the following weeks. It is placed in the midface, lateral face and jawline. At Skin Art MD in Burnaby's Metrotown, a physician plans each treatment.
- 30-45 min
- Typical Treatment Time
- Instant
- Visible Lift
- 12-18 mo
- Commonly Reported Duration (Varies)
- 30-45 min
- Typical Treatment Time
- Instant
- Visible Lift
- 12-18 mo
- Commonly Reported Duration (Varies)
How Does a Dual-Action Filler Work?
CaHA and HA together: immediate lift, then collagen support.
HArmonyCa® uses DART™ (Dual Action Rejuvenating Technology). HA diffuses through the lower dermis for an immediate, natural lift; CaHA forms a scaffold deep in the dermis that activates fibroblasts and, as the carrier gel degrades, supports a denser collagen network. A physician assessment decides whether it suits you.
Two Actions, One Injection
HA gives an immediate lift while CaHA supports collagen over the following weeks.
Natural Lift
Product is placed to support facial structure, aiming for a natural-looking lift.
Gradual Build
As your own collagen builds, results strengthen progressively over weeks.

What Is the Dual Mechanism?
HArmonyCa® is made of calcium hydroxylapatite (CaHA) microspheres and cross-linked hyaluronic acid (HA) gel, and includes a numbing ingredient for comfort.
HA Instant Lift
Hyaluronic acid diffuses through the lower dermis for immediate volume and a natural lift.
CaHA Collagen Support
CaHA microspheres form a scaffold deep in the dermis, activating fibroblasts to build new collagen.
Natural Biodegradation
CaHA microspheres are gradually metabolised and replaced by your own collagen.
Comfort Built In
The formulation includes a numbing ingredient to improve comfort during treatment.
Who Might Consider This Treatment?
Often discussed by adults with facial skin laxity who want to address more than one sign of ageing at once. A physician assessment decides suitability.
Commonly Discussed For
- +Lack of skin firmness; mild-to-moderate facial laxity
- +Midface volume loss or flattened cheeks
- +Softened jawline seeking lift and definition
- +Healthy adults who prefer a gradual, natural-looking change
Not Suitable If
- –Allergy to a component of the product or to the numbing ingredient
- –History of severe allergy or bleeding disorders
- –Pregnant or breastfeeding women
- –Active skin infection or untreated condition in the area
- –Taking blood thinners or anti-inflammatory painkillers (higher bruising risk; discuss timing with your physician)
- –An ultrasound, laser or peel treatment in the same area within the past 4 weeks
How Do We Plan Treatment?
Careful assessment, precise placement and physician oversight.
Precise Placement
Technique is chosen to place product at the right depth for a natural lift.
Treatment Planning
The product and plan are explained to you before treatment begins.
Comprehensive Assessment
Detailed facial analysis and a tailored plan, combined with an HA filler when appropriate.
Follow-Up Care
Follow-up visits to review results and plan any maintenance.
Which Areas Can Be Treated?
The product is placed in the deep dermal, sub-dermal or supra-periosteal layers of the midface, lateral face and jawline. It is not used in the glabella, around the eyes, or in the lips and perioral area.
Cheek / Midface
Restore midface volume and lift the malar area, rebuilding support.
Jawline
Define a sharper jawline and firm the lower face.
Lateral Face
Improve lateral laxity for a natural overall lift.
Nasolabial / Marionette
Support the mid-to-lower face and soften deep folds.
Overall Contour
Whole-face lift and firming for natural rejuvenation.
Combined With HA Filler
For larger volume loss, an HA filler may be placed beforehand, followed by HArmonyCa® for a fuller result.
What Happens During a Visit?
The injection typically takes about 30-45 minutes, with a numbing ingredient in the product and topical numbing if needed.
Before Treatment
Comprehensive facial analysis and photography
Medical history and current medications are discussed
Avoid makeup in the area for 12 hours before and after
Avoid blood thinners (aspirin, ibuprofen) for 1 week prior
Allow 4 weeks between ultrasound, laser or peel treatments and this injection
Discuss treatment goals and expected outcomes
The Injection
Skin Prep
Cleanse the area; topical anesthetic if needed.
Mapping & Planning
Mark planes and entry points per facial analysis (C / C+ technique).
HArmonyCa® Injection
Deliver into deep dermal, sub-dermal or supra-periosteal layers; massage for even distribution.
Assess & Massage
Evaluate the immediate lift; gently massage for a smooth contour.
Recovery & Results
Mild redness or bruising possible (peaks at 24–48h)
Ice or cold compress to reduce swelling
Avoid strenuous activity, sun and sauna for 24 hours
If nodules appear, massage the area and let us know; injected material may be palpable for a period
Makeup may resume after 12 hours. The lift is visible straight away and the collagen effect builds over the following weeks; a follow-up visit is arranged
**Individual results vary. Source: Gritti A, et al. J Cosmet Dermatol. 2025; Allergan Data on File.
Before & After
Multi-angle, multi-skin-type reference
BEFORE
AFTER
BEFORE
AFTER
BEFORE
AFTER* Illustrative simulation — not actual patient results. Individual results vary; physician assessment required.
Common Questions
How is it different from a regular HA filler?+
An HA filler mainly adds volume and contour. This is a hybrid product combining hyaluronic acid (HA) with calcium hydroxylapatite (CaHA): the HA gives an immediate lift, and the CaHA stimulates your own collagen over the following months, so part of the effect builds gradually.
How long do results last?+
Clinics commonly report results lasting about 12-18 months, and the manufacturer describes results seen for up to 18 months. The HA lift is immediate, and the collagen effect builds over the following weeks to months. Duration varies with age, skin quality and the areas treated; your physician advises on review timing.
Does the injection hurt?+
The product contains a numbing ingredient (lidocaine), and topical numbing cream and ice can be added, so most people feel pressure and brief stinging rather than sharp pain. Tenderness, swelling or bruising at the injection sites can last a day or two.
What is the downtime?+
Most people resume normal activities the same day. Site reactions usually settle within 24-48 hours and swelling within about a week; avoid strenuous activity and sun for 24 hours, and makeup for 12 hours.
Can it be combined with an HA filler?+
Yes. For larger volume loss or reduced firmness, an HA filler may be placed beforehand, then this product. Safety with other filling implants has not been evaluated, so follow your physician's plan.
What are the common side effects?+
Redness, swelling, pain, tenderness and itching are common, usually mild and settling within 24-48 hours. If nodules appear, massage the area; injected material may be palpable for a period.
Who performs the injections at Skin Art MD?+
Injections are performed by Dr. Sharon Fong, a physician, under the medical direction of Dr. Charles Jiang, Medical Director.
Which areas can be treated?+
The midface, lateral face and jawline, with nasolabial and marionette lines supported as part of a whole-face plan. It is not used in the glabella, around the eyes, or in the lips and perioral area.
Who should not have this treatment?+
People with an allergy to a product component, a history of severe allergy or bleeding disorders, an active skin infection in the area, or who are pregnant or breastfeeding.
When will I see results?+
The HA component gives a visible lift straight away, although early swelling can blur it for a few days. The collagen effect from CaHA develops gradually, so the result keeps changing over the following weeks to months. A follow-up visit is arranged once swelling has settled.
How long does the treatment take, and how many sessions are needed?+
The injection typically takes about 30-45 minutes, plus time for assessment, mapping and optional topical numbing. Many people need a single session; the number of syringes depends on your face and the areas planned, and is decided at your assessment. Maintenance is discussed at follow-up.
Where can I get this treatment in Burnaby?+
Skin Art MD is at #101 - 4378 Beresford St, Burnaby, BC, near Metrotown SkyTrain Station (Expo Line), serving Burnaby and Vancouver. Open Tuesday-Sunday 10:00-18:00, closed Monday. Phone +1 (604) 639-2581.
Ready to Talk It Through?
Book a visit at Skin Art MD Metrotown, Burnaby. A physician will assess your face and explain the plan.
Related treatments
Related articles
How it works, who it suits, and what recovery looks like:
- HArmonyCa in Burnaby: The Science of Hybrid Injectables
How HArmonyCa works at Skin Art MD in Burnaby: hyaluronic acid for immediate lift plus calcium hydroxyapatite for gradual collagen stimulation — evidence, duration, side effects and who should avoid it.

