Treatment | Hybrid dermal filler combining hyaluronic acid (HA) and calcium hydroxyapatite (CaHA / CAHA) |
Main concerns | Facial volume loss, sagging, loss of jawline and cheek definition, deep folds |
How it works | HA gives immediate lift and volume; CaHA microspheres stimulate natural collagen over time |
Common areas | Cheeks, lateral cheeks, jawline, chin, accordion lines, deep folds |
Results | Immediate volumising effect, with progressive skin firmness over 3-6 months |
Longevity | May last up to around 2 years, depending on the individual |
Downtime | Minimal; most people resume daily activities soon after |
Performed by | Licensed doctor at Cienna Aesthetics after consultation |
CAHA filler is a dual-action injectable that combines hyaluronic acid (HA) with calcium hydroxyapatite (CaHA) to restore facial volume, lift and contour the face, and stimulate your body’s own collagen at the same time. At Cienna Aesthetics, this hybrid filler is administered by our doctor to address volume loss, skin laxity and loss of definition with results that look natural and develop over time.
CAHA filler is a hybrid injectable that brings together two well-established aesthetic ingredients in a single product. Hyaluronic acid (HA) is a naturally occurring sugar in the skin that attracts water and provides instant volume and lift. Calcium hydroxyapatite (CaHA) is a biostimulator made of calcium-based microspheres that encourages your own fibroblasts to produce new collagen over the following months.
Because it works in two ways, a CAHA filler can replace lost volume immediately while also improving skin quality and firmness gradually – something most single-agent fillers cannot achieve in one session. This makes it a popular choice for people who want both a structural lift and longer-term, natural-looking rejuvenation.
During treatment, the hybrid filler is injected into targeted areas of the face using a fine needle or cannula. The two components then act in sequence:
The result is restored facial volume, improved definition, and progressive skin tightening driven by your body’s own collagen – an outcome that develops naturally rather than appearing overdone.
CAHA filler is best suited to areas that benefit from structural support, lifting and soft-tissue augmentation, including:
You can see a visible improvement in volume and contour soon after your session, while collagen-driven improvements continue to develop.
It restores volume, refines definition and softens folds through injections, without the need for surgery.
A single product provides both immediate volume from HA and longer-term collagen stimulation from CaHA.
Results may last up to around two years depending on your metabolism and lifestyle, making it a considered, longer-term option.
Treatment is tailored to your facial anatomy and goals during consultation, so the outcome suits your features.
Most people return to their usual activities shortly after treatment.
This type of hybrid filler is not appropriate for every part of the face. It is generally avoided in delicate or highly mobile regions, including:
Your doctor will advise on the most suitable product and area for your concern during consultation.
Treatment begins with a consultation, where your doctor assesses your face at rest and in movement to plan natural results. The hybrid filler contains lidocaine, a local anaesthetic that helps reduce discomfort, and numbing cream may also be applied beforehand. The injection itself usually takes a short time depending on the number of areas treated.
Afterwards, you may notice temporary redness, swelling, tenderness or bruising at the injection sites. These reactions are usually mild and tend to settle within a few days. To support your results, it is generally advised to avoid massaging the treated area for around 2–4 weeks and to avoid strenuous exercise for 1–2 days.
Hybrid HA and CaHA fillers are widely used and generally considered safe when administered by a trained doctor. As with any injectable treatment, there are potential side effects. The most common are temporary and include redness, swelling, tenderness or bruising at the injection site. Less common risks, which your doctor will discuss with you, can include lumps, asymmetry, infection or vascular complications. A thorough consultation and proper technique help to reduce these risks.
CAHA filler may be appropriate for adults who are looking to address signs of facial ageing such as volume loss, skin laxity or reduced definition, and who would like ongoing collagen stimulation alongside immediate results. It may not be suitable for those who are pregnant or breastfeeding, have certain skin or autoimmune conditions, or have known allergies to the ingredients. A consultation with our doctor is the best way to determine whether the treatment is right for you.
Your treatment is planned and performed by a qualified, licensed doctor with an understanding of facial anatomy.
We tailor each treatment plan to your features and goals rather than applying a one-size-fits-all approach.
We use genuine, approved dermal filler products sourced through proper channels.
Our clinic follows strict hygiene and safety standards, with honest guidance on what a treatment can and cannot achieve.
Longevity varies with each person’s metabolism and lifestyle, but results are often maintained for up to around two years. Your doctor can give you a more specific estimate during consultation.
The filler contains lidocaine to reduce discomfort, and numbing cream can be applied beforehand. Most people describe the treatment as well tolerated.
Downtime is generally minimal. Most people return to normal activities soon after, although mild swelling or bruising can occur for a few days.
You will usually notice an immediate volumising effect, while skin firmness improves progressively over the following weeks as collagen is stimulated.
It means you still look like yourself when you smile, laugh or frown. We assess your face at rest and in motion to plan results that move naturally with your expressions.
It may not be suitable during pregnancy or breastfeeding, or for people with certain medical conditions or allergies. A consultation helps determine suitability.
Disclaimer: This page is intended for general information and does not constitute medical advice. Please consult our doctor at Cienna Aesthetics to find out whether a treatment is suitable for you.
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Individual results may vary. A consultation with our doctors is required to determine treatment suitability and customize your treatment plan. Cienna Medical Aesthetics is committed to providing safe, evidence-based aesthetic treatments in Singapore.
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