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What is the plantar fat pad?

Plantar means bottom of the foot, and the plantar fat pad is referring to the literal fat on the soles of the feet. Over time, the fat pad may dissipate leaving no padding on the soles creating severe pain to the ball of the foot or heel. Certain structural deformities like flat foot or hammertoes may predispose the feet to an accelerated loss of the fat pad.


Symptoms of fat pad atrophy include:

  • Prominent bones on the balls of feet or heels
  • Significant aching when walking
  • Pain in the ball of foot or heel when walking barefoot. It often feels like you are walking on a stone bruise
  • Burning, tingling or numbness can also occur due to pressure on the nerves

How does fat pad restoration work?

It was previously thought that once the padding on your feet had worn off, it was gone forever. Good news! Times have changed. If you want to wear your high heels to Keeneland or out for an evening without pain, you’re a perfect candidate for this simple in-office procedure.

We use an injectable gel filler (such as women do in their face or lips) called Juvaderm. It is derived from Hyaluronic Acid Gel which is a naturally-occurring substance in the skin that contributes to volume and hydration.

This procedure is done in office, under local anesthesia, in our private surgical suite.

The procedure itself is quick with very minimal down time afterwards.

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