When to Call a Doctor

Please seek immediate medical care if you experience:

• Persistent pain in your feet or ankles.
• Red, hot, swollen joints in the foot with severe pain and limping.
• Pain, redness or other noticeable change to your toenails.
• Pain, redness or other skin condition including severe cracking, scaling, or peeling.
• Blisters and/or sores on the feet or ankles.
• Signs of bacterial infection including: increased pain, redness, heat, red streaks extending from the affected area, discharge of pus.
• Fever of 100°F (37.78°C) or higher with no other cause.
• Symptoms that do not improve after two weeks of treatment with a non-prescription product.

Any of the above AND you are diabetic, have poor circulation, are taking Coumadin (or other anticoagulants) or have any other systemic condition that places you at increased risk for lower extremity complications.

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Foot Feminization Surgery by Dr. Vladimir Zeetser

Dr. Zeetser is considered the premiere foot and ankle surgeon in the United States performing his renowned FootFem Foot Feminization Procedures for those individuals seeking a more feminine and beautiful foot and ankle.

His Aesthetic & Functional Foot Surgery provides patients with all areas of improvement, including:

• Aesthetic Toe Shortening or Lengthening
• Bunion Correction - FastForward Bunion Correction System
• Foot Narrowing Procedure
• Fat Pad Augmentation
• Foot Deformity Correction
• Corn & Callus Removal
• Nail Fungus & Ingrown Nail Correction
• Sclerotherapy for Varicose and Spider Veins

Before/After

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Before

After

These procedures were performed by Dr. Vladimir Zeetser.

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Botox injections for excessive foot sweating

Excessive sweating (hyperhidrosis) of the plantar aspect of the feet is a common problem affected many people. Besides being an uncomfortable hygienic condition, contributing to fungal infection and Athlete's foot, it can be an equally embarrassing problem creating social and psychological concerns. Botox injections for the bottom of the feet is a relatively new concept, but conforms well to the general increased awareness for aesthetic and hygienic concerns affecting daily life. Previously used safely in the foot for the treatment of spastic muscular conditions, such as in the Achilles tendon for spastic Cerebral palsy, Botox (botulinum toxin type A) has been used by plastic and aesthetic physicians for many years. In 2004, the FDA approved Botox for the treatment of excessive sweating. When topical antiperspirants and other drying agents are ineffective, Botox has been used as a safe and effective method for the treatment of excessive sweating in the bottom of the feet. Its mechanism of action is to temporarily block the secretion of the chemical responsible for activating sweat glands and thus interrupts sweating at the area where is has been injected.

Dr. Zeetser can administer these injections in the office following a local anesthetic injection to numb the bottom of the foot. Many other physicians performing this procedure rely on topical creams or ice to numb the area, which is not sufficiently effective on the foot. The procedure is relatively quick and painless once anesthesia has been achieved. After the procedure, there is no significant restriction to activities. Mild temporary bruising and tenderness can occur. Nothing can completely cure hyperhidrosis and this procedure is designed to control the condition. Sweating may return gradually on average within 6 months. Further injections may be required to maintain the desired effect at intervals varying between 7-16 months, depending on the individual patient.

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Diabetic Foot Wounds Treatment

There are over than 21 million known people with diabetes in the United States, and this staggering figure continues to grow by almost one-half million annually. It has been estimated that an equal number of persons with diabetes remain undiagnosed. A person develops diabetes when their body is unable to maintain a normal level of sugar in the blood. Insulin, the hormone that regulates the level of sugar, is either not used properly by the body or it is produced in inadequate amounts. When this occurs, diabetes is the result.

Diabetes wreaks havoc with many major organ systems in the human body. Among others, it tends to create some of the worst and life altering complications in the feet. Over one half of diabetic hospital admissions are foot related. This is typically due to the disease process' effect on the nerves and blood vessels. As a result, the main complications include neuropathy (altered sensations which can eventually lead to numbness), peripheral arterial disease, increased risk of infection, decrease in tissue integrity and compromised healing capacity.

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Minimally Invasive Fat Injection Treatment for Foot Pad Tissue Augmentation

Foot pad atrophy, the thinning or loss of the natural fat padding under the feet, can cause significant discomfort and pain, especially when standing or walking. As we age or due to specific conditions, the natural cushioning in the foot deteriorates, leaving the bones and soft tissues exposed to increased pressure and stress. This condition can make walking or even standing for long periods unbearable, often leading to further issues such as calluses, blisters, and joint pain.

Dr. Vladimir Zeetser utilizes novel and effective fat injections treatment with Leneva and Sculptra, offering a minimally invasive solution to restore lost cushioning and relieve foot pain.

What Are Fat Injections?

Fat injections for foot pad augmentation involve the injection of a specialized fat-based or fat- stimulating product into the bottom of the foot. These injections are designed to restore the natural padding that has been lost over time, offering relief from pain and discomfort caused by foot pad atrophy.

The two most commonly used options for foot pad augmentation that Dr. Zeetser uses are:

• Leneva: A human-derived allograft adipose matrix, Leneva is a form of fat tissue that promotes the regeneration of your body's natural fat in the foot. When injected into areas of the foot where fat has been lost, Leneva acts as a scaffold that encourages the growth of new, healthy fat cells, which gradually rebuild the natural padding of the foot.
• Sculptra: While traditionally used as a facial filler, Sculptra is also used in foot pad augmentation. This product is a poly-L-lactic acid (PLLA) solution that stimulates collagen production, helping to thicken and rebuild the soft tissue in the feet over time.

Key Benefits of Fat Injections for Foot Pad Augmentation

1. Pain Relief and Improved Comfort The primary goal of fat injections is to alleviate pain caused by the thinning of the foot's natural padding. By restoring this lost cushioning, fat injections help to reduce the direct pressure on bones, nerves, and soft tissues, resulting in immediate and long-term pain relief. This makes it easier to walk, stand, and engage in daily activities without the constant discomfort that foot pad atrophy causes.
2. Minimally Invasive Procedure Fat injections are a minimally invasive procedure compared to surgical options. They are performed in an outpatient setting, usually with a local anesthetic. The injections take only a short time to administer, and there is minimal recovery involved. Most patients can return to their normal activities soon after the procedure, making it a convenient solution for those seeking quick and effective relief.
3. Natural and Long-Lasting Results Treatments like Leneva and Sculptra encourage the body's natural processes to restore lost tissue. Leneva works by regenerating fat cells in the areas where it is injected, effectively rebuilding the natural foot padding. Sculptra stimulates collagen production, which thickens the skin and soft tissues of the foot. Both methods offer long-lasting results, and because they work with the body's natural systems, the augmentation feels and functions like the original tissue.
4. Customized Treatment Every patient's foot anatomy and condition are unique, which means treatment needs to be tailored to each individual. Fat injections can be customized to target the specific areas where cushioning is needed, allowing for a highly personalized treatment plan. Whether you need padding in the ball of your foot, heel, or both, fat injections can be adjusted to meet your specific needs.
5. Reduced Risk of Complications Since fat injections are a non-surgical procedure and use biocompatible materials, the risk of complications is minimal. There's no need for incisions or implants, which means less risk of infection, scarring, or adverse reactions. Both Leneva and Sculptra are safe, FDA-approved products, and patients typically tolerate these treatments very well.
6. Enhanced Mobility and Quality of Life Foot pad atrophy can severely limit mobility, making it difficult to perform even basic tasks like walking or exercising. By restoring the natural cushioning in the foot, fat injections improve mobility and allow patients to be more active without pain. This enhanced mobility leads to a better quality of life, as patients can participate in activities they may have avoided due to discomfort.
7. Alternative to Surgery Many patients seek out fat injections as a less invasive alternative to foot surgery. Surgical options for foot pad augmentation often involve more extensive procedures with longer recovery times and a higher risk of complications. Fat injections, on the other hand, offer a quicker, less invasive option that can deliver significant relief without the need for surgery.

Who is a Good Candidate for Fat Injections?

Fat injections for foot pad augmentation are ideal for individuals who suffer from foot pad atrophy and experience pain or discomfort when walking or standing. It is particularly beneficial for patients who have tried other conservative treatments, such as orthotics or special shoes, without achieving sufficient relief. Additionally, people who are looking for a minimally invasive solution to avoid surgery may find fat injections to be a suitable option.

If you are experiencing pain and discomfort due to the loss of natural cushioning in your feet, fat injections treatment offered by Dr. Zeetser offer a safe, effective, and minimally invasive solution. These treatments restore the natural padding in your feet, helping to alleviate pain, improve mobility, and enhance your overall quality of life. By using the body's natural processes to regenerate lost tissue, fat injections provide long-lasting results that can help you get back on your feet and enjoy life to the fullest.

Contact our office today for an appointment or consultation with Dr. Zeetser or call: 818-907-6100

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