See the results of a Foot-Tuck Fat Pad Augmentation for high-heel pain relief.
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Dr. Travis Stork: We gathered here just three weeks after the surgery along with our surgeon Dr. Ali Sadrieh. And first things first, a crazy stat, 42% of women will wear shoes even if they are painful if they look good. Dr. Ali Sadrieh: This is true, I mean the thing is professional women in the world have to wear a certain kind of shoe. Man don't experience that and they will wear them because they are required to look professional and it hurts, it's uncomfortable being in this awkward position of putting your foot in this slope of this high heel shoe. Dr. Travis Stork: And Catherine were you one of those 42%? Catherine: Yes, absolutely. I would also wear them if they look good, despite the pain, but then at a certain point couldn't take it anymore. Dr. Travis Stork: So that's where you came in. Dr. Ali Sadrieh: That's where you came in. The idea was what can I do to help these women function and we tell these women, don't wear high heel shoes, but it's not a real world explanation they leave the office and they continue wearing what they have to wear. So, the idea was let's create something that's minimally invasive and provide them with a solution. You can take a look at an X-ray from the foot and you'll see the foot put into the high heel shoe crease a significant slow putting pressure on the bottom of the metatarsals. And that's an uncomfortable place to be because natural fat pad shifts back and you're walking on the bones. So, the idea was let's augment that region with something. Now, traditionally we use dermal fillers, which are materials that you can put on the face and you put them on the foot; the promises are temporary and they cost a lot of money. So, we came up with Dr. Roger and I came up with a procedure that basically put the patients own fat in the bottom of the foot and that will last indefinite because half of that graft will take. I have a demonstration here. I can show you how this works. So, this little area here this bag represents the region of the foot there we are going to put the fat pad and basically this is not obviously real fat. We put the syringe on and just like you saw on the video, I start filling the region with fat and that's exactly the site they were putting the fat right underneath the metatarsals where all the pressure is. So the patient gets... Dr. Travis Stork: You are just creating a natural cushion. Dr. Ali Sadrieh: It's a natural cushion, the patients own body tissue is going here, 50% of it will stay, because it gets revascularize. Meaning extra blood flow comes to the area and the graft stays and the remainder of it is just absorbed and you're done. It's very simple, very comfortable, and now we have a nice cushy flat pad that the patient can walk on without anything. Dr. Travis Stork: And three weeks, you're wearing high heels. Catherine: I am. Dr. Travis Stork: How they feel? Catherine: It feels great. It's surprisingly pain free. I've worn heels a couple of times and I was able to go all day without wanting to take off my shoes. And in fact, it felt like I had an extra pad there to cushion my foot against the shoe. Dr. Travis Stork: Could you stand up for us? As you're standing, there is obviously a lot of pressure in that region where you aren't naturally designed to have a lot pressure. You've got that extra fat pad there now and no pain. Catherine: No pain. It's just this cushiony pad and maybe in time I won't feel that anymore it'll just feel like my regular foot.