Liposana Fat Pad Restoration

A Natural Solution for Painful Fat Pad Atrophy in the Feet

If walking on hard surfaces feels like walking directly on bone, you may be experiencing fat pad atrophy— a common condition where the natural cushioning on the bottom of the foot gradually wears away.

At National Foot & Ankle, we offer Liposana® fat pad restoration, an innovative treatment designed to replace lost cushioning in the foot using natural human adipose tissue.This advanced therapy helps restore comfort, protect sensitive structures in the foot, and allow you to walk with confidence again.

What Is Fat Pad Atrophy?

The bottom of the foot contains specialized fat pads that act as the body’s natural shock absorbers. These pads protect the bones, nerves, and soft tissues during standing, walking, and daily activity.

Over time, these cushions can become thin or damaged, leading to pain and pressure.

Common causes include:

Aging and natural tissue loss
Years of standing or walking on hard surfaces
Prior foot surgery
Sports or overuse injuries
Metabolic changes
Chronic pressure points or calluses

When the fat pad thins, patients often experience:

Pain in the heel or ball of the foot
Sensation of walking on bone
Difficulty standing or walking for long periods
Persistent calluses or pressure sores
Forefoot pain (metatarsalgia)

Traditional treatments such as padding, orthotics, or shoe modifications may help temporarily, but they do not replace the lost cushioning.

What Is Liposana®?

Liposana® is a native human adipose (fat) tissue allograft designed specifically to restore lost fat pad cushioning in the foot.

Unlike synthetic fillers or temporary padding, Liposana uses biologically active human fat tissue that preserves the natural structure of adipose tissue.

This allows it to function as a biological replacement for the missing fat pad.

How Liposana Works

Biological Fat Replacement

Liposana is processed human adipose tissue that preserves the natural extracellular matrix and fat structure. It is not a synthetic filler.

Immediate Cushioning

Once placed into the foot, the graft provides instant shock absorption and pressure redistribution.

Structural Support

The natural tissue structure helps protect:

Bones
Nerves
Tendons
Soft tissue structures

Tissue Integration

Over time, the body gradually integrates the graft with your own tissue, remodeling the area and helping restore natural cushioning.

Benefits of Liposana Fat Pad Restoration

Patients often experience:

Significant reduction in foot pain
Improved comfort with walking and standing
Protection of sensitive bones and nerves
Better pressure distribution across the foot
Minimally invasive treatment performed in the office
Minimal downtime and rapid recovery

Early clinical experience suggests that results may last 18–24 months or longer, often outperforming temporary fillers or external padding.

Conditions Treated With Liposana

Liposana may be recommended for patients suffering from:

Plantar fat pad atrophy
Heel fat pad thinning
Metatarsalgia (ball of foot pain)
Painful calluses from pressure
Post-surgical soft tissue loss
Pressure-related foot pain
Early pressure ulcers in high-risk areas

By restoring the natural cushioning layer, Liposana addresses the cause of the pain, not just the symptoms.

What to Expect During Treatment

The procedure is typically performed in the office at National Foot & Ankle.

Step 1: Evaluation

Dr. Polun performs a detailed examination to determine whether fat pad atrophy is the source of your pain.

Step 2: Local Anesthesia

The treatment area is comfortably numbed.

Step 3: Precision Injection

Liposana is carefully injected into areas where cushioning has been lost.

Step 4: Immediate Support

Patients typically feel improved cushioning right away.

Most patients are able to walk out of the office the same day with minimal downtime.

Who Is a Good Candidate?

You may be a candidate if you experience:

Pain in the heel or ball of the foot
Pain when walking barefoot
Feeling like you are walking directly on bone
Persistent pressure calluses
Discomfort despite orthotics or padding

A consultation is necessary to determine if Liposana fat pad restoration is the right treatment for you.

Why Patients Choose National Foot & Ankle

At National Foot & Ankle, we focus on advanced, minimally invasive treatments that help patients return to an active and comfortable lifestyle.

Dr. Franklin Polun has extensive experience treating complex foot conditions and offers state-of-the-art solutions designed to address the root cause of pain rather than simply masking symptoms.