Evidence map›Paper›PMID 41081304›Full record

ArticleJournal of cosmetic dermatology2025

Exploring the Rheology and Clinical Potential of Calcium Hydroxylapatite-Hyaluronic Acid Hybrids.

Ewelina Kaczuba, Nabil Fakih-Gomez, Jonathan Kadouch, Rolf Bartsch, Carla Pecora, Yana A Yutskovskaya, Nadine Hagedorn, Radia El-Banna, Sarah Backfisch, Alec D McCarthy

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ewelina KaczubaFiller and Medical Device Development, Merz Aesthetics GmbH, Frankfurt, Germany.
Nabil Fakih-GomezDepartment of Facial Plastic & Cranio-Maxillo-Facial Surgery, Fakih Hospital, Khaizaran, Lebanon.
Jonathan KadouchPractice for Aesthetic Dermatology, ReSculpt Clinic, Amsterdam, the Netherlands.
Rolf BartschPlastic Surgery, TheAesthetics, Vienna, Austria.
Carla PecoraPrivate Practice, Clínica Dermatologie, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0711-281X
Yana A YutskovskayaDermatovenerology and Cosmetology Department, Pacific State Medical University of Health, Moscow, Russia.
Nadine HagedornFiller and Medical Device Development, Merz Aesthetics GmbH, Frankfurt, Germany.
Radia El-BannaFiller and Medical Device Development, Merz Aesthetics GmbH, Frankfurt, Germany.
Sarah BackfischFiller and Medical Device Development, Merz Aesthetics GmbH, Frankfurt, Germany.
Alec D McCarthyGlobal Medical Affairs, Merz Aesthetics, Raleigh, North Carolina, USA.ORCID https://orcid.org/0000-0002-5063-5413

Funding

Merz Aesthetics
6 · The paper itself

Abstract

backgroundCombining calcium hydroxylapatite-carboxymethylcellulose (CaHA-CMC) with hyaluronic acid (HA) products using Cohesive Polydensified Matrix (CPM) technology leverages the volumizing and hydrating effects of HA and draws upon the regenerative properties of CaHA-CMC, providing a potentially synergistic approach in aesthetic filling treatments. Despite this potential, the rheological and physical properties of these hybrid fillers remain unreported.

objectiveTo characterize the rheological properties of CaHA-CMC blended with various CPM-HA products and identify factors influencing their physical and clinical behavior.

methodsHybrid fillers were prepared by mixing CaHA-CMC with different CPM-HA products at varying ratios (1:1 to 1:4 syringe CaHA:syringe CPM). Rheological properties, including storage modulus (G'), loss modulus (G″), complex shear modulus (G*), tan delta (tan δ), and complex viscosity (η*), were measured using an oscillatory rheometer. Extrusion force, cohesivity, stability, and axial strain (ε

resultsThe rheological properties of the hybrid fillers varied with the type of HA, mixing ratio, and crosslinking degree. Higher HA concentrations increased G', G″, and η*, enhancing gel stiffness and resistance to deformation, while increased HA dilution and lower crosslinking favored spread and injectability. The addition of CaHA-CMC to CPM-HA products always increased the G' in a volume-dependent manner. These properties were closely correlated with the fillers' performance in different tissue planes.

conclusionsThe properties of CaHA-CMC and CPM-HA hybrids influence their injection behavior and clinical outcomes. Understanding these factors can guide filler selection and application techniques to maximize safety, efficacy, and patient satisfaction in aesthetic treatments.

Indexed as

Carboxymethylcellulose SodiumCosmetic TechniquesDermal FillersDurapatiteHyaluronic AcidHumansMaterials TestingRheologyViscosityCarboxymethylcellulose SodiumDermal FillersDurapatiteHyaluronic AcidBeloteroCaHACaHA‐CMCcalcium hydroxylapatiteCPMhybrid fillerrheology

Identifiers

PMID41081304
PMCPMC12516938

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.