For foot padding, Perlane may be better than Juvederm

Nissan Pilest, MD answers: Juvederm for more padding in the ball of the foot?

Can Juvederm be injected in the ball of the foot to give it more padding? If so, how long does it last?


Nissan Pilest, MD
2 months ago

For foot padding, Perlane may be better than Juvederm and here's why

The practice of injecting fillers into the balls of the feet has come about because of the undue pressure from high heels. The filler seems to lessen the associated "my feet are killing me" complaints by cushioning the weight bearing area and taking a little of the pressure off the nerves.

Juvederm is the softest of the hyaluronic acids and I personally think it's tops for lip augmentation. For feet? Well, you may want to consider Perlane which is somewhat hardier in formulation.

If you are on your feet all day long in high heels the length of time any filler would last -- Juvederm, Restylane or Perlane -- is debatable. The HA naturally breaks down in facial areas in 6 to 9 months (longer if you reinject at 4 to 6 months) but for an area that's under mechanical forces such as walking and weight bearing, there's no comparable longevity study. The additional wear and tear should conceivably cause the product to break down faster.

On a side note, if you have proper arch support, the balls of your feet will not take all the beating -- or all the discomfort. So look into adding an arch support if that part of your foot does not firmly make contact with the insole of your shoes.

If you have this done, I'd love to get your personal experience response and I'm sure it would be useful for the patient community too.

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