What are dermal fillers and how do they work?
 Dermal fillers are an injectable implant. They are mainly comprised of a sugar called Hyaluronic Acid which naturally occurs in the body. This sugar is found all over our body including in our skin and in our joints.
Hyaluronic acid works by attracting water to an area and causing it to “plump” up. When we inject this (in a dermal filler) it causes water to be drawn to the area which “plumps” up the skin and provides cushioning.

What can dermal fillers be used for on my feet?
 There are several ways dermal fillers can be used within Podiatry. The most common ways are to provide cushioning (usually under the ball of the foot) and to ease discomfort/formation of corns.

How can dermal fillers help my corns?
 Corns are plugs of hard skin caused by pressure. If this pressure if not removed then the corn will always return. Sometimes this pressure is caused by footwear, the way you walk, a lack of fatty padding or bony changes in the foot.

Dermal fillers can be injected underneath the corn in under to provide cushioning to ease discomfort. By providing padding underneath the corn it can also take away the pressure causing it and help to stop the corn returning.

Does it hurt?
 A local anaesthetic is injected before hand so the procedure is painless.

How long do dermal fillers last?
 Dermal fillers usually last anywhere from 2-12 months however currently studies show dermal fillers lasting 6-12 months. In order to maintain the desired effects, top up treatments are usually advised.

How much does it cost?
 The cost is £250 for one lesion or £350 for multiple. The cost includes the local anaesthetic and the dermal filler.

 

Are there any possible complications?
As hyaluronic acid is a naturally occurring sugar there are very few side effects which are all quite rare.

  • Extreme pain maybe felt within 48hrs
  • Infection
  • Painful on ground contact
  • Redness / Small lumps or bumps
  • Post operative discomfort
  • Pain and swelling at injection site
  • Reaction to local anesthetic

Some patients may experience an uncomfortable feeling that can last up to 30 days or more but this is very rare.

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How do dermal fillers work for cushioning my foot?

Metatarsalgia (ball of foot pain) can be caused by several factors. One of these may be inappropriate footwear that is causing you to bear more weight on the ball of your feet.

Our Podiatrists usually recommend a heel of ideally no more than one inch in height to combat this problem. Dermal fillers can be injected into the balls of the foot in order to provide cushioning and to ease dis- comfort. People often describe that it feels like “walking on a pillow” after the treatment.

Another cause of metatarsalgia may be a loss of fatty padding. As part of the ageing process you lose your body’s natural fatty padding (underneath the balls of our feet and under our heels) and it can become very uncomfortable to walk. When this is lost it is irreversible. Sometimes, this can affect the integrity of the skin and can cause more pressure under the area. This pressure can then lead to painful calluses or corns and sometimes ulcerations.

Dermal fillers can help by providing cushioning where it has been lost and in doing so can help improve the skin’s texture.