Fat Pad Restoration

Feel like you are walking on pebbles? No foot padding to the heel or ball of your foot?

You shouldn’t always feel like you are walking on pebbles! Fat pad restoration at the Foot, Ankle and Leg Vein Center can help you walk easily again.

Fat pad restoration is a foot treatment that restores the body’s natural cushioning to the bottom of the foot. This is done in a variety of ways depending on the cause and location of the pain. Dr. Schoenhaus and Dr. Gold offer fat pad restoration in Boca Raton to help you start walking without pain.

Fat Pad Atrophy

You spend your entire life on your feet, and that pressure can wear on the cushioning that protects the bones in your feet from the ground you stand on. As you age, your body’s natural fat on the bottom of the foot is lost. This is called fat pad atrophy, and it is common in both men and women.

Fat pad atrophy can cause pain on the ball of the foot while you are walking. This is the common cause of discomfort that drives women away from wearing high heels or walking barefoot. Many people attempt to correct the issue by wearing highly cushioned insoles. However, these insoles are often not practical, as they limit footwear choices and do not eliminate the pain while barefoot.

Dr. Schoenhaus and Dr. Gold offer fat pad restoration in Boca Raton so that you can walk freely and comfortably again.

Before Fat Pad Atrophy Treatment
Before Treatment
After Fat Pad Atrophy Treatment
After Treatment

Causes of Fat Pad Atrophy

There are a number of conditions that can accelerate the breakdown of fat pads on the bottom of your feet. When these conditions develop, fat pad atrophy can occur as well. Sometimes, fat pad restoration can aid in the treatment of other foot conditions by enhancing comfort and restoring your ability to move.

Conditions that can sometimes be treated with fillers and fat pad restoration:

  • Bunions
  • Hammer toes
  • Corns
  • Calluses
  • Diabetic ulcerations
  • Neuropathy
  • Plantar fasciitis
  • Heel pad injections
  • Cortisone injections
  • Neuroma’s
  • Metatarsalgia
  • Bone Friction
  • Smoking

Fat Pad Atrophy Symptoms

  • Burning in the ball of the foot.
  • Feeling like you are walking on pebbles.
  • Bunched up sock feeling under your toes.
  • Pounding feeling.
  • Pressure sores.

Atrophy of the fat cushion on the bottom of the ball of the foot or the heel is a common condition.

In the heel, there is an atrophy of the thickness of the fat cushion and is seen with plantar fasciitis. It may be mistaken for plantar fasciitis and your podiatrist in our Boca Raton and Boynton Beach offices can tell the difference. If you have cortisone or steroid injections and the pain is not going away, consider a consultation and fat pad atrophy treatment.  There is a loss of shock absorption when you step on the heel.

In the ball of the foot, there is that pad atrophy, or the fat moves under the toes and gives a bunched-up sock feeling in shoes. This is seen in people who have a high arch foot.  This leads to pain and burning sensations. People often get calluses or corns and areas of skin irritation. The pain makes it difficult to perform activities we like to perform and wear shoes we like to wear.

Finally, on the top of the foot, you can develop loss of soft tissue, fat causing thin skin and you can see the tendons under the skin.

Fat Pad Restoration & Treatments

Fat pad restoration or enhancement of the fat on the bottom of the foot can be broken down into three categories.

  • In office fillers.
  • A surgical graft.
  • Fat transfer called Autolipotransplantation.

Injectable Fillers

Injectable fillers have been used for over 20 years. They are used in dermatology and plastic surgery and are now often used in the foot. This is performed in the office with little downtime and is a quick fix for foot pain that can keep you out of surgery. Whether you want to wear high heels or walk barefoot, this treatment is a great option performed by our podiatrist in Boca Raton and Boynton Beach. For the procedure, some of the products we use include Radiesse, Sculptra, and Juvederm Voluma. Leneva is an injectable fat graft that has helped our patients as well. Depending on the condition and the area of the foot, the correct injectable is selected. Walk in and walk out more cushioned! The injections work great on high-pressure areas causing corns and calluses.

Injectable Fillers Injectable Fillers
Injectable Fillers Injectable Fillers
Injectable Fillers Injectable Fillers
Injectable Fillers Injectable Fillers

Fat Pad Surgery

If surgery is needed for other conditions such as a bunion, we will often use a graft and place it into the foot. This is a layered cushion of tissue that is placed under the skin and provides an extra layer of padding.

Fat Pad Transfer

Fat pad transfer or Autolipotransplantation is another fat pad cushion procedure. We work with our plastic surgeons to take your own fat from the stomach or buttocks and it is placed into the foot. This procedure can be formed in the office or in an outpatient surgical suite.

There is a slightly longer recovery time with the procedure due to the liposuction site and the foot, however, you can walk with a special show immediately after the procedure. We have found this procedure lasts the longest and touch ups with stored frozen fat can be injected at a later date.

These techniques offer patients footpad pain relief and allow them improvement in comfort and shoes as well as activity and utility to even walk barefoot.

Fat Pad Transfer to the Ball of the Foot
BEFORE – Fat Pad Transfer to the Ball of the Foot
Fat Pad Transfer to the Ball of the Foot
AFTER – Fat Pad Transfer to the Ball of the Foot

For more information about fat pad restoration in Boca Raton or Boynton Beach, contact us.

Videos of Fat Pad Treatments