Hyaluronic acid with calcium hydroxyapatite

This is a modern injectable product that combines two mechanisms of action in a single product: cross-linked hyaluronic acid (HA) and microparticles of calcium hydroxyapatite (CaHA). Thanks to this it simultaneously deeply hydrates the skin and stimulates it to produce its own collagen.

Hyaluronic acid is a natural component of the skin with strong water-binding properties — it is responsible for hydration, firmness and elasticity. Calcium hydroxyapatite, in turn, is a biocompatible material with documented biostimulating action: it stimulates fibroblasts and promotes neocollagenesis, that is the formation of new collagen in the skin.

The combination of both components means the product works on two fronts — it gives a quickly perceptible improvement in hydration and skin quality, while at the same time triggering a longer biostimulation process that improves skin firmness and density in the following weeks. The collagen-renewal properties of calcium hydroxyapatite have been described in scientific publications.

At the Dr Kuschill MEDESTETIS clinics in Krakow and Warsaw the treatment is preceded by a consultation and medical qualification. It is the doctor who assesses the indications, selects the area and depth of administration and plans any series.

A product combining hyaluronic acid with calcium hydroxyapatite is used when the goal is simultaneous hydration and improvement of the skin's quality and firmness. Indications include:

• dry, dehydrated and gray skin
• loss of firmness, tone and elasticity
• fine wrinkles and general signs of aging on the face, neck and décolletage
• tired skin lacking radiance and density
• a desire to improve skin quality with a simultaneous biostimulation effect
• prevention and maintenance of mature skin condition

The treatment begins with a consultation, skin assessment and qualification. We cleanse and disinfect the skin and, if needed, apply a numbing cream.

The product is administered intradermally with a fine needle or cannula — point by point or linearly, depending on the area. The treatment usually lasts 30–45 minutes.

Depending on the skin's condition, the doctor may recommend one treatment or a short series (usually 1–2 treatments) to achieve and maintain the effect. The treatment plan is set individually.

The effect is two-stage: the hydration and improved skin quality thanks to hyaluronic acid is visible relatively quickly, while the biostimulation effect — improved firmness, density and tone thanks to new collagen — builds over the following weeks.

Results usually last several to a dozen or so months and are individual in nature; they require periodic maintenance. Effects cannot be guaranteed — they depend, among other things, on the skin's starting condition, the area and lifestyle.

After the treatment it is worth being gentle with the skin for a few days. You will receive detailed recommendations in writing; they usually include:

• gentle cleansing and avoiding vigorous rubbing of the injection sites
• avoiding makeup on the day of the treatment (usually about 12–24 h)
• refraining from the sauna, pool, intense exertion and hot baths for a few days
• sun protection (SPF) and avoiding the solarium
• avoiding alcohol and blood-thinning medication in the treatment area (as recommended by the doctor)

The treatment is performed by a doctor after qualification. Contraindications include:

• pregnancy and breastfeeding
• active infection or inflammation at the treatment site
• a tendency toward keloids
• active autoimmune diseases
• blood clotting disorders
• hypersensitivity to the product's components
• cancer during treatment

The final qualification and exclusion of contraindications is carried out by the doctor during the consultation.