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Is There Fillers for the Top of Feet to Hide Veins?

Fillers applied to the hands or feet have been something that practitioners have begun using to mask skin thickness and fat loss common as we age. It is important to realize that this is an off-label usage of these products and has not been approved by the FDA. An alternative is fat transfer. Fat transfer for the hands has become increasingly popular in recent years. In our San Francisco Bay Area practice we perform this procedure and have noticed there has been interest in treating the feet as well. In the hands of an experienced practitioner, fat transfer to the feet should be able to produce the same results. The key is finding someone with significant experience in these techniques. Fat transfer to hands and feet has unique challenges in comparison to fat transfer to other parts of the body. A board-certified plastic surgeon is a good place to start. In addition, fat transfer to the feet has additional risks and considerations. The feet typically have poorer circulation than the hands and are more dependent (hang below the heart) which can increase the chance of infection, swelling and recovery time. Also, feet can be more difficult to allow appropriate time to heal (think at least a few days of bedrest and leg elevation for several weeks). These concerns would be similar for injectables though the recovery time would be quicker.

Clinical Context

The skin on top of the foot is thinner and moves more than skin on the hand or face, so fillers placed there may not last as long and can shift with walking or in tight shoes. Blood vessels sit close to the surface, so injection depth matters for safety. Because this use is off-label, ask your provider about their specific experience treating feet. Sclerotherapy, which closes the vein directly, is another option worth discussing for visible foot veins.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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