Evidence map›Paper›PMID 41566538›Full record

GuidelineJournal of cosmetic dermatology2026

Global Recommendations for Facial Rejuvenation Using a Hyaluronic Acid and Calcium Hydroxyapatite Hybrid Injectable.

Maurizio Cavallini, Andre Braz, Daniela Greiner-Krüger, Sylwia Lipko-Godlewska, Tapan Patel, Marva Safa, Sophie Shotter, Fernando Urdiales Gálvez, Graeme Kerson

Abstract readPractice GuidelineReview
In one paragraph

Guideline in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
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

9 authors.

Maurizio CavalliniDepartment of Operative Unit, Dermatology and Dermatosurgery, Centro Diagnostic Italiano Hospital, Milan, Italy.ORCID https://orcid.org/0000-0001-5838-6258
Andre BrazDermatología Láser Cosmiatria Clinic, Rio de Janeiro, Brazil.
Daniela Greiner-KrügerMedicorium, Center for Dermatology and Aesthetics, Oberursel and Friedrichsdorf, Germany.
Sylwia Lipko-GodlewskaPrivate Practice, Cracow, Poland.
Tapan PatelPHI Clinic, London, UK.
Marva SafaJouvence, Neuchâtel, Switzerland.
Sophie ShotterIlluminate Skin Clinics, Kings Hill, UK.
Fernando Urdiales GálvezAesthetic Medicine, Instituto Médico Miramar, Málaga, Spain.ORCID https://orcid.org/0000-0001-6913-5278
Graeme KersonAllergan Aesthetics, an AbbVie Company, Marlow, UK.

Funding

Allergan Aesthetics, an AbbVie Company
6 · The paper itself

Abstract

backgroundThe hybrid injectable HA-CaHA contains a formulated matrix of crosslinked hyaluronic acid (HA) gel with embedded calcium hydroxyapatite (CaHA) microspheres to increase skin elasticity and hydration as well as promote neocollagenesis, respectively. Clinical practice recommendations for use of HA-CaHA are limited.

aimsThe objective of this article was to provide global recommendations on safe and effective practices for injecting HA-CaHA. PATIENT/

methodsAn expert panel consisting of eight international consultants was invited to discuss and provide best-practice recommendations on HA-CaHA patient selection, skin laxity assessment, injection techniques, touch-up/retreatment practices, combination treatment protocols, and safety considerations.

resultsThe expert panel recommended using HA-CaHA for structural support and soft tissue repositioning in patients with skin laxity, sagginess, and mild to moderate loss of volume and contour. They also recommended defining injection entry points by referring to the line of ligaments and the zygomatic arch and keeping injections in the lateral and thus less mobile areas of the face. Experts advised using a cannula instead of a needle, retreating only if mild to moderate skin laxity recurs, and injecting in small volumes. Measures to minimize potential side effects, including injection site responses, were discussed.

conclusionsExpert clinical recommendations affirm the safe and effective use of HA-CaHA to improve soft tissue quality over time.

Indexed as

Cosmetic TechniquesDermal FillersDurapatiteHyaluronic AcidRejuvenationSkin AgingFaceHumansMicrospheresPatient SelectionDermal FillersDurapatiteHyaluronic Acidaestheticscombineddermal fillersestheticsevidence‐based medicineskin aging

Identifiers

PMID41566538
PMCPMC12824049

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.