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HArmonyCa™

HArmonyCa™ hybrid injectable filler combines immediate volume restoration with progressive collagen stimulation for natural, long-lasting facial rejuvenation. Achieve balanced results with Dr. Spinelli's expertise in dual-action technology.

Dermal Filler Treatment

HArmonyCa™ by Allergan Aesthetics is the world's first hybrid injectable filler that uniquely combines crosslinked hyaluronic acid (HA) and calcium hydroxyapatite (CaHA) in a single syringe. This revolutionary dual-action treatment provides immediate volume enhancement while stimulating natural collagen production for sustained facial rejuvenation.

Dr. Leticia Spinelli's approach with HArmonyCa™ is refined through ongoing advanced training and years of experience as a Brazilian Board-Certified dermatologist and advanced medical injector — allowing her to deliver natural-looking results that enhance your facial structure while supporting your Positive & Healthy Aging Journey™.

What Makes HArmonyCa™ Different

Powered by DART™ (Dual Action Rejuvenating Technology), HArmonyCa™ bridges the gap between traditional dermal fillers and collagen stimulators:

  • Traditional HA fillers provide immediate volume but no collagen stimulation

  • Collagen stimulators work progressively but provide no immediate lift

  • HArmonyCa™ delivers both immediate volume AND progressive collagen building in one treatment

  • Duration: 12-18 months with continued improvement over time

Dual-Action Technology

Immediate Effects: Hyaluronic Acid (20 mg/mL)

  • Instant volumizing and lifting effects

  • HA particles diffuse between collagen fibers for immediate skin elevation

  • Draws in over 1,000 times its weight in water for instant plumping

  • Creates moldable, naturally integrated results

 

Progressive Enhancement: Calcium Hydroxyapatite (55.7%)

  • CaHA microspheres (25-45 μm) stimulate natural collagen production

  • Forms scaffolding deep within dermis to support fibroblast function

  • Builds firm, dense collagen framework for long-lasting lift

  • Clinical studies confirm increased collagen at 180 days post-treatment

Focus Areas

Dr. Leticia Spinelli's injection technique with HArmonyCa™ is refined through ongoing advanced training and years of experience in dermatology and medical aesthetics — allowing her to build volume gradually and stimulate collagen strategically for natural-looking results that are never overdone, reflecting both expertise and artistry.

Midface (cheeks and malar areas for volume restoration)

Lateral face (jawline contouring and definition)

Getting Ready for Your Visit & Beyond

FAQ

  • To minimize bruising, swelling, and optimize results, we recommend the following pre-treatment care:

    • Avoid alcohol, green tea, and high-dose omega-3 or fish oil supplements for 24-48 hours before your appointment

    • Stop using blood-thinning medications like Aspirin, Ibuprofen, or Vitamin E at least 3-5 days prior (unless prescribed — consult your doctor)

    • Avoid dental work and vaccines within 2 weeks before or after your HArmonyCa™ appointment

    • Schedule ahead of major events, allowing at least 2 weeks for any swelling to fully settle

    • Please arrive at your appointment with a clean, makeup-free face

    • Treatments should be postponed if you have any active skin or body infections

  • Your consultation will include a comprehensive facial assessment and personalized treatment plan. HArmonyCa™ is injected using precise techniques for optimal safety and natural integration. Results are visible immediately, with continued improvement as collagen production increases over the following months.

    Discomfort is minimal — HArmonyCa™ contains 0.3% lidocaine for enhanced comfort, and a vibration distraction tool may be used during injection to ease sensitivity. Most clients describe the experience as very tolerable and efficient.

    • Avoid strenuous activity and direct sun exposure for 24 hours

    • Avoid makeup for 24 hours after treatment

    • Do not massage or press the treated area for 24 hours unless instructed

    • Use cool compresses to minimize any swelling if needed

  • HArmonyCa™ is the world's first hybrid injectable combining immediate HA-based volume with progressive CaHA-based collagen stimulation. Unlike traditional fillers that only add volume or collagen stimulators that work slowly, HArmonyCa™ provides both immediate and long-term benefits in a single treatment.

  • You'll notice immediate lifting and volume enhancement from the hyaluronic acid component. Results continue to improve gradually over 3-6 months as the calcium hydroxyapatite stimulates collagen production. Results typically last 12-18 months, with sustained improvement even after the HA has been naturally metabolized.

  • No. Dr. Spinelli's approach with HArmonyCa™ is conservative, precise, and grounded in facial anatomy — prioritizing natural enhancement and facial balance. The dual-action technology allows for gradual improvement that looks naturally refreshed, never artificial.

  • Most clients return to normal activities the same day. Some mild swelling or bruising may appear and typically resolves within 24-48 hours to a few days. Treatment site reactions are generally well-tolerated with minimal downtime.

  • The hyaluronic acid component can be dissolved using hyaluronidase if needed for safety or cosmetic correction. The calcium hydroxyapatite component integrates naturally and is gradually metabolized by the body over time.

  • Discomfort is minimal. HArmonyCa™ contains 0.3% lidocaine hydrochloride anesthetic for enhanced comfort, and additional topical anesthesia can be applied if needed. Most patients find the procedure very tolerable.

  • Yes — combination treatments often provide a more complete and natural rejuvenation result. HArmonyCa™ can be strategically integrated with neuromodulators, other dermal fillers, and advanced treatments as part of your Rio Collagen Bank™ membership.

  • Yes, they can be safely combined with treatments like LaseMD Ultra or Ultraformer MPT. Dr. Spinelli will guide the timing and sequencing to ensure treatments are aligned for optimal, synergistic results as part of your Positive & Healthy Aging Journey™.

  • HArmonyCa™ represents a premium deposit in your Rio Collagen Bank™, perfectly aligning with our philosophy of strategic skin investment. This dual-action treatment provides both immediate results and long-term collagen building, supporting your comprehensive approach to positive aging across all membership tiers.

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Get Started

Discover your natural glow with expert care inspired by the beauty of Rio. We look forward to welcoming you to Rio Skin Clinic.

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