Dual-effect hybrid facial filler/injectable containing two active ingredients, Calcium Hydroxyapatite (CaHA) and Hyaluronic Acid (HA), to lift and improve skin architecture.

Dual Effect Hybrid Facial Fillers South Africa

  1. Home
  2. /
  3. Aesthetic Couture™
  4. /
  5. Aesthetic Couture™ Treatments
  6. /
  7. Dual Effect Hybrid Facial Filler Procedures South...

THE AGEING FACE HAS MULTIDIMENSIONAL NEEDS.

Loss of volume and poor soft-tissue structural support are common forms of facial ageing. Most single-agent approaches, such as Hyaluronic Acid (HA) or bio-stimulator injections, are unable to individually provide the combined benefits of a HA lift and lasting collagen stimulation from Calcium Hydroxyapatite (CaHA).

Wrinkles and loss of volume in the face are a natural part of the ageing process. Therefore, we are fortunate that scientists have developed a range of products to help fight and effectively delay signs of ageing.

WHAT ARE DUAL EFFECT HYBRID FACIAL FILLERS?

The new dual-effect Hybrid Injectable Facial Filler contains two active ingredients, Calcium Hydroxyapatite (CaHA) and Hyaluronic Acid (HA). It is aimed at improving the skin architecture by providing an immediate lift effect from hyaluronic acid and a sustained lifting effect from new collagen production that happens with calcium hydroxyapatite.

Find out more about our approach to hybrid fillers, or book a consultation with Dr Nerina Wilkinson + Associates.

Learn More

Frequently asked questions about Hybrid Facial Fillers

Our approach to hybrid facial filler treatments

At Dr Nerina Wilkinson + Associates we understand the importance of embracing the facial structures and skin as a whole. The goal is to achieve harmonious results using facial reshaping injectables and state-of-the-art skin rejuvenating treatments.

No area of the face exists in isolation, all are connected and often corrected indirectly through facial reshaping. Treating areas in isolation leads to exaggerated and aesthetically unattractive features.

Hybrid fillers are not just about restoring volume, it is also about the enhancement of skin quality for more holistic facial rejuvenation.

By understanding how all areas of the face are interconnected and how treating one area communicates with another facial area, we are able to use much less product and produce constant and beautifully, natural results.

Start your hybrid facial filler journey! Contact us to book a consultation.

How do Hyaluronic Acid (HA) and Calcium Hydroxyapatite (CaHA) work?

The Hyaluronic Acid particles work deep within the skin, where they help plump it up for an immediate lift effect, moreover, Calcium Hydroxyapatite particles support the body’s own collagen production, so new collagen fibres start to grow. As the gel slowly disappears over time, a firm and dense collagen network is built in its place for a gradual, long-lasting lift from Calcium Hydroxyapatite.

Who is the ideal candidate for hybrid facial filler procedures?

Once the Doctor has determined and confirmed your areas of concern by means of a detailed consultation, they will proceed. Hybrid facial fillers may be suitable for anyone with signs of ageing, who could benefit from potential improvements in skin architecture and facial soft tissue augmentation. It is ideal for the treatment of sagging skin on the lower face and for improving skin quality.

How are hybrid filler procedures performed?

The procedure is minimally invasive and performed through a series of injections using an ultra-thin needle. The new Dual Effect Hybrid Facial Filler contains 0.3% lidocaine hydrochloride, an anaesthetic, to reduce pain during treatment, making it as comfortable as other filler treatments.

What is the duration of a hybrid filler procedure?

Treatment time can vary between 30-45 minutes, depending on the area(s) treated. You will be able to go home right away, and no downtime is required. A 15-minute follow-up appointment is required 8 – 12 weeks after your treatment.

What are the benefits of hybrid facial fillers?

The new Dual Effect Hybrid Facial Filler may give you an immediate lift while stimulating your body’s own collagen production. Research shows that this hybrid filler offers a lifting effect as early as the second week after injection, and results have been demonstrated in 86% of 85 treated areas. In fact, 92% of patients treated with this hybrid filler reported an improvement in the general appearance of the facial areas that were treated.

The new Dual Effect Hybrid Facial Filler has an instant lifting effect, with results that improve for up to 3 months and can last for 1-3 years.

What areas can be treated with hybrid facial fillers?

Hybrid facial fillers can be used under the skin, in certain areas of the face, and cannot be injected around the eyes, the lips, or around the mouth. it is ideal for the treatment of lower face sagginess, accordion lines in the cheeks, jawline sculpting, skin tightening, and quality improvement in the lower face.

AREAS IT CAN TREAT: 

Not used in the midface, although its lifting effect can improve the midface Lateral face 

Lower face 

AREAS IT CAN NOT TREAT: 

Glabellar or periocular areas Lips and perioral areas

What results can I expect with hybrid facial fillers?

Hybrid facial fillers may give you an immediate lift while stimulating your body’s own collagen production. Research shows that hybrid facial fillers offer a lifting effect as early as the second week after injection, and results have been demonstrated in 86% of 85 treated areas. In fact, 92% of patients treated with hybrid fillers reported an improvement in the general appearance of the facial areas that were treated.

How long do results from hybrid facial fillers last?

Hybrid facial fillers have an instant lifting effect, with results that improve for up to 3 months and can last for 1-3 years.

What do hybrid facial fillers cost?

The cost of treatment depends on your face shape, concerns, personal goals, how much product is required, and the treatment(s) required. You will be provided with an estimate after your initial consultation with one of our Aesthetic Doctors.

We are unable to provide you with an exact cost/quotation for pre-treatment as an in-depth consultation is part of our individualised and holistic Aesthetic Couture journey to help you achieve the results you desire; we quote on the steps required to achieve this outcome, not simply on the amount of product required.

Please contact us for any more information.

How long is the recovery period for hybrid facial fillers?

After the procedure, you will be able to go home right away and no downtime is required. You may have some swelling and bruising, but you should be able to return to normal activities within a few hours. You will need to follow your aftercare instructions carefully in order to ensure optimal results and recovery.

How many treatments do you need to complete a full hybrid facial filler treatment?

Depending on your areas of concern you can be expected to have between 2 – 3 sessions spaced at 6 – 8 week or 3-month intervals, depending on advice from your Doctor.

This will be discussed and determined during your consultation or after your first session.

Are hybrid facial fillers safe?

Hybrid filler procedures are normally safe when performed by a qualified Aesthetic Doctor.

Hyaluronic Acid-based Fillers are substances that have been used for a long time to improve features and surrounding skin. In the past, harmful substances used in filler procedures could cause adverse reactions and side effects.

As a result, doctors have continuously improved on and sought out better ingredients to help them perform this procedure safely, with minimal or no adverse reactions.

Dual Effect Hybrid Facial Fillers: Before and After

The initial consultation with an Aesthetic Doctor is very important. We will need your complete medical history so check your own records ahead of time and be ready to provide this information. After your initial consultation, your doctor will decide if the Hybrid Fillers are suitable for you.

You will have a comprehensive examination that includes a VISIA Skin Analysis and Next Motion photographs which track your before and after progress. Based on the results your doctor will be able to determine the best course of treatment.

It’s important to discuss your expectations frankly with your Aesthetic Doctor and to listen to her opinion. They will discuss the variables that may affect the procedure: such as your age, medical illnesses and social habits, as well as describe the procedure in detail, explaining its risks and limitations.

Don’t hesitate to ask any questions you may have, especially those regarding your expectations and concerns about the results.

What to do before Hybrid Facial Filler procedure

PREPARING FOR YOUR TREATMENT

2 Weeks prior to your treatment, we advise you strongly to avoid:

  • Alcohol
  • Garlic
  • Lidocaine
  • Fish oil supplements
  • Aspirin or any other anti-inflammatory drugs for pain, swelling and/or fever, such as medicine containing diclofenac, mefenamic acid, indomethacin, or ibuprofen

Ask your doctor or pharmacist whether your medication includes any of these ingredients. This will reduce the risk of bruising or bleeding at the point of injection.

Because bruising and swelling are the most common side effects, especially in the lower face, schedule appointments at least 48 hours before any major event. Please let us know if you have been to the dentist / oral hygienist or if you are planning to go to the dentist/ hygienist in the next 4 weeks.

Why? When your teeth are cleaned, bacteria are released into your mouth and travel into the bloodstream. CaHA injectables of any kind are considered an implant, a foreign substance in the body, and these excess bacteria increase the risk of infection and the formation of Biofilm (bacterial infection). If this is your first visit you will need to provide us with information regarding your medical history and any medical concerns, as well as details of any allergies you have or medications you are taking.

Please contact us to find out our specific requirements before undergoing a Dual Effect Hybrid Facial Filler procedure at Dr Nerina Wilkinson + Associates. 

Day of Hybrid Filler procedure

Please note that you will have to arrive without make-up to prevent any Biofilm (bacterial infections) when doing Hybrid Facial Filler treatments.

Once the Doctor has determined and confirmed your areas of concern by means of detailed consultation, they will proceed. It’s important that you’re honest with the doctor about your medical history, medication, and expectations during this time. So that, if they’re not in line with the treatment, then another can be recommended instead.

After Hybrid Filler procedures

For 2 hours: Avoid make-up at the injection site to avoid contamination in the area.

For 4 hours: Do not lie down or do strenuous exercise and similar activities, nor should you do anything that increases the blood flow to the injected area

For 12 hours: Massage the treated areas if you feel any small bumps

For 24 hours: Avoid any high-intensity exercise or activities, exposure to sunlight, tanning beds, or extreme weather conditions

For 24 hours: Apply an ice pack or cold compressions to the treated areas as with most injectable treatments there may be some redness, swelling, and irritation.

For 1 month: Avoid dental procedures and any invasive skin treatments

For 3 months: Avoid any other injectable treatments, such as dermal fillers.

Please follow these instructions carefully to aid in achieving optimal results: Please note that no treatment can halt the ageing process completely, you will require top-up treatments if you want to maintain the effect, so please ask your doctor when she would recommend rescheduling another appointment.

Dual Effect Hybrid Facial Fillers Before & After Photos

hybrid facial filler before and after photo 3

What are the possible risks and complications associated with hybrid facial fillers?

Hybrid fillers Side Effects, Risks & Complications

As with other injectable treatments, the most common side effects after injection with hybrid fillers include:

  • Redness
  • Swelling
  • Pain
  • Tenderness and itching
  • These are often mild and typically get better within 24-48 hours, while swelling may take up to a week to completely go away.

Applying ice packs or cold compresses to the treated areas for 24 hours after treatment can help to reduce redness, swelling, and irritation. it is also possible that you may feel small bumps under the skin in the injected areas. If this happens, make sure to massage the skin in these areas. There are other, less common side effects with hybrid fillers, which your treating doctor will be able to discuss with you during your consultation.

Remember: It can only be injected in the lower face and should only be injected by an experienced aesthetic doctor.

Contraindications associated with Dual Effect Hybrid Fillers

  • Allergy/hypersensitivity to fillers or lidocaine
  • An open wound with infection localized/systemic infection (bacterial or viral) A low platelet count
  • Pregnancy and/or nursing mothers
  • Auto-immune disease Diabetes
  • Poor wound healing or Keloidosis
  • Patients on anti-coagulants
  • Active skin cancer

Are there alternative procedures to hybrid fillers?

Yes, there are alternative treatments for reducing issues associated with facial skin ageing and improving skin architecture.

Natural Lift procedures restore youth and refine the facial profile allowing light to naturally reflect from the skin, and involves the precise placement of very small volumes of hyaluronic acid filler in multiple areas of the face to build deep structural support and the shift the balance between the elevator and depressor muscles of the face.

Bio skin remodelling involves the use of stabilised Hyaluronic Acid boosters to provide noticeable improvements in the hydration, tightness and firmness of your skin.

Botulinum toxin treatments are popular non-surgical procedures that appeal to adults looking to attain a more youthful and relaxed appearance, and also to younger clients who want to prevent the formation of fine lines and wrinkles.

How do hybrid fillers differ from bio-remodellers or dermal fillers?

Bio-remodellers and Hyaluronic Acid facial fillers work differently and may not give the same results. Hybrid fillers combine Calcium Hydroxyapatite with Hyaluronic Acid, capturing the potential benefits of both in one treatment. Hybrid fillers may offer the combined action of hyaluronic acid lift and lasting collagen production from Calcium Hydroxyapatite in one injection. Hybrid Filler treatments result in an immediate improvement and are followed by sustained tightening for up to 3 years due to the presence of CaHA which stimulates the formation of new collagen.

What type of anesthesia is used when performing hybrid facial filler procedures?

Hybrid facial fillers contain 0.3% lidocaine hydrochloride, an anaesthetic, to reduce pain during treatment. It is as comfortable as other fillers.

Are hybrid facial filler treatments painful?

Hybrid facial fillers contain 0.3% lidocaine hydrochloride, an anaesthetic, to reduce pain during treatment. It is as comfortable as other fillers.

Where is a hybrid fillers performed in Cape Town?

Dr Nerina Wilkinson + Associates is a private, high-end, luxurious clinic located in the prestigious V&A Waterfront in Cape Town. Dr Wilkinson founded the House of Aesthetic Couture and Skin Science. Your treatment will be performed at this clinic.

Treatments

Similar to Hybrid Facial Fillers

Natural-Lift™

Natural-Lift combines sophisticated techniques to microscuplt the proportions of the face to restore youth and refine the facial profile, allowing light to naturally reflect from the skin.
View Treatment

Bio skin remodelling

Bio skin remodelling involves the use of stabilised hyaluronic acid boosters to provide noticeable improvements in the hydration, tightness and firmness of your skin.
View Treatment

Botulinum Toxin Treatments

Popular non-surgical procedures that appeal to adults looking to attain a more youthful and relaxed appearance, and also to younger clients who want to prevent the formation of fine lines and wrinkles.
View Treatment

Meet

The Aesthetic Couture Team

Dr Narina Wilkinson and team

About Dr Nerina Wilkinson + Associates

We pride ourselves on affording our patients the best service through their journey with us. Whether you are having a skin treatment with one of our skin care experts, aesthetic medical treatments or having cosmetic surgery, the team at Dr Nerina Wilkinson and Associates will be there for you, every step of the way.

Skin Science & Aesthetic Couture

Our team has pioneered highly effective, science-driven techniques. Integrating the most cutting-edge technologies, state-of-the-art equipment and sound scientific research. We design game-changing protocols that redefine skin care, aesthetic medicine, and plastic surgery.

patient looking in the mirror
Our Patients'

Testimonials

This is a 5-star experience, end to end. Every single member of the team at Dr Nerina Wilkinson & Associates provides the perfect combination of great skill, experience and care. Beautiful space, excellent after-care…this is why it’s my first stop whenever I’m in Cape Town.

 

Debbie G

Elegant aesthetics experience with doctors who are specialists in aging gracefully! Thank you so much for looking after me!

Nicola N

It is like walking into your own private haven – everybody is professional, friendly, and discreet. Coming here is like a day at the spa, the setting is serene, the smells, the atmosphere. Highly recommend.

Adri E

I went for my first Visia and wow; I wish I was taught how to take care of skin as a teenager. As a man we don’t often use anything more than shampoo. From the results of the scan I was encouraged that a 3d MD PRP would do my skin wonders. Yes I didn’t know until both the doctor and skin specialist ran me through exactly what was going to be done and that made me excited. From start to finish everyone is so helpful and friendly. This really is a state of the art facility and I would say I recommend it not just give it a good review. Gentlemen you need to make going here a priority if you don’t want to look and feel like a rasin by 50.

Emile R

During my extended stay in Cape Town, I (Black American female), visited Dr. Nerina Wilkinson + Associates to maintain my skincare regimen while abroad. I was fortunate to work with their skin team to develop a tailored skincare treatment. Not only did I receive great service, but she also provided detailed insight into the current state of my skin and offered additional recommendations for overall skin health. My therapist was excellent, demonstrating both kindness and informative expertise, and the facility was beautiful…

Chinyere O

I recently had the Erbium treatment and my skin has never looked better! I’ve always struggled with Acne scarring, PIH and breakouts and this treatment improved all 3 of my concerns ten fold! Thank you so much to Dr Nerina Wilkinson + Associates for giving me skin confidence again!

Jerne L

Firstly when I arrived there, everyone was very friendly and treated me very well 😊 as well with my treatment 😀 I genuinely love how everyone is good with everything they do, thank you once again, especially to Claire

Blessing F

Embarking on any medical, cosmetic, or aesthetic journey can feel daunting, and that’s exactly how I felt heading into my first VISIA Skin Analysis session. However, from the moment I stepped into Dr Nerina Wilkinson + Associates, the calming atmosphere and welcoming staff immediately put me at ease.

A special mention goes to Claire Roux, the Skin Specialist who guided me through my session. Her deep knowledge, patience, and warmth made all the difference to my experience. Claire took the time to thoroughly explain every aspect of my skin analysis and simplify any scientific or technical detail so that I could fully understand the results of the scan. Her professional yet compassionate approach reassured me and helped me see my skin’s unique needs in a whole new way. With her clear, practical recommendations, I now feel confident and excited about my skin journey ahead, knowing I’m in safe and capable hands – thank you Claire!

 

Megan C

My experience with Claire Roux at Dr Nerina Wilkinson, has been nothing but pure joy.
From stepping into this beautiful tranquil space, to the wonderful care I receive from Claire is just exceptional. Claire is so passionate about skincare. I have had Erbium, IPL and I-Peel-L, as well as fruit acid Peels. Claire explains the treatment so well and and my comfort is of top priority to her. She is empathetic and target driven. I am so impressed with my skin journey and always look forward to my next visit. It’s a pamper session extraordinaire! Thank you Claire, for this exciting experience.

Bea S

Dr Nerina Wilkinson and her brilliant team offer the best experience in the latest cosmetic treatments! From assessment to completion of my treatment I could not be happier and also the way in which I was looked after too, especially as I was many miles from home! Nathalie who assisted me in my journey was incredible in looking after me with her beautiful, peaceful cottage as well as her expert caring she cooks like a dream all organic healthy food! I cannot rate this experience more highly and would have no hesitation in recommending to anybody contemplating a 4D stem cell facelift it was painless – but the results are mind blowing I feel rejuvenated and refreshed and most of all supported at every level! Thank You!

Wendy S

I cannot express how impressed I am with this beautiful clinic! I have visited the practice twice now, and both times I was blown away by the warmth and friendliness I received from the moment I stepped through the doors. The dermal aesthetician that addressed my concerns was Claire, who is truly one of a kind! Her level of professionalism and knowledge is unlike anything I’ve experienced within the aesthetic industry. She performed both a VISIA skin analysis and Erbium laser treatment on me, keeping me calm and informing me of everything as she was doing it to put my mind at ease. I cannot recommend Dr Nerina’s practice enough.

Megan M

Having attended a VISIA skin analysis and three aesthetic treatments with Claire this year, I am super impressed by her knowledge and professionalism. She always creates a warm and welcoming space where she is able to answer all my questions about my skin concerns, whilst always making me feel comfortable despite sometimes experiences some more intensive treatments. I’m looking forward to continuing with my skin care journey with Claire at Dr Nerina Wilkinson.

Charne M

A truly EXCEPTIONAL experience. From the moment that you walk in through the doors to the moment you leave it is an experience second to none. The front of house staff are warm and welcoming, offering you a coffee while you wait and are always willing to answer any questions you might have. I look forward to a long journey with this company. This is how an aesthetic company should be run. What you see on pictures is, for once, what you get in person with this company. Very well done to all involved!

Renato S

10/10 would recommend. I was fed up with trying so many methods to get my skin where it needed to be. Dr Heyns has helped me along my journey and Bianca does all my treatments. Bianca is gentle, thorough and knowledgeable when it comes to my treatments. Overall fantastic experience!

R Kopel

My experience at Dr Nerina Wilkinson has been nothing but significant! I feel that for the first time, I understand my skin. Thanks to the lovely Louné, that has created a specific skin plan and routine for me. I am 39 years old and struggle with Pigmentation and Skin ageing. Our goal is to make my skin look as fresh, natural and glowing as possible. I have the utmost confidence in Louné to reach my goal. I started my journey with them in January 2023 and my results after doing a Meline Peel are already proofs that I am on the best plan. I am excited and confident to reach my goal and cannot wait for my next appointment! I would definitely recommend their professional opinions.

T Strauss

Book Your Treatment Experience