Skin / Dermal Fillers

Dr. Vincent Giacalone

Dr. Vincent Giacalone

Podiatric Medicine & Surgery

466 Hook Rd., Suite 24D, Emerson, NJ 07630

Phone: 201-261-0500

Skin / Dermal Fillers

The average person takes approximately 10,000 steps per day, often resulting in a variety of foot problems, especially for those who wish to wear more fashionable foot wear. For many, painful lesions, such as corns or calluses persist despite wider shoes, the use of cushions or pads or the shaving of these areas by a podiatrist. Over the last decade, there has been increasing interest in non-surgical, injectable cosmetic treatments, especially for a variety of foot ailments, such as persistently painful corns and calluses. In addition, as we age there is a natural loss of protective tissue which cushions our feet over bony areas.

What is a Diabetic Foot Ulcer?

Dermal fillers such as Juvederm is an injectable filler that includes hyaluronic acid, a natural complex structure that bolsters skin elasticity, providing a smooth and supple appearance. It is biocompatible, supplementing the body’s natural hyaluronic acid, which age has depleted. Juvederm is FDA approved as an injectable filler for moderate to severe facial wrinkles and fold such as the naso-labial lines of the face.  The use of Juvederm on painful bony areas of the foot is not new but considered “off-label” when used in the cheeks, legs, hands and feet.

We now have the ability to replace this loss of protective tissue as well as adding a natural cushion oval bony areas and areas of corns and calluses to reduce pain and allow patients to wear more fashionable shoes.  The injection of soft tissue fillers is the second most frequent minimally invasive procedure performed in the USA.  Juvederm, a hyaluronic acid (HA) is the most commonly used dermal filler and is a naturally occurring substance in the skin that helps provide added volume and hydration.  This material is safe, soft and non-tender and it will lasts proximally 6-9 months.  By being “hydrophilic” or water loving, this material attracts water and cushion to the area.

How is Juvederm used?

A small amount of local anesthesia is injected and Juvederm is then injected directly over the area to be cushion.  Dr. Giacalone may choose to use a Juvederm product which already contains a local anesthesia.  The selection of the particular product depends on the location of the foot with a filler is needed.  Over the past several years this treatment has been found to be safe and effective while allowing patient to avoid surgical treatment of the foot. 

The transparent Juvederm gel is injected with a syringe into the mid to deep dermis of your skin. The dermis is the subsurface skin layer that contains connective tissue, nerve endings, sweat and oil glands, and blood vessels. After six to nine months, the biocompatible compound is naturally absorbed into the body.

One advantage to Juvederm is its pliant gel consistency, which provides a smoother, more natural-looking appearance than some of its more rigid predecessors. Another advantage is that Juvederm may last longer, maintaining the improvment for six to nine months. The benefits may last even longer if you have a follow-up treatment a few weeks after the first treatment.

Juvederm Side Effects

Side effects with Juvederm are rare, but may include redness, tenderness, or pain at the injection site. If these occur, they usually subside within three days. Rarely, discoloration may occur. Firmness, swelling, bumps and bruises are also rare side effects, and should subside within seven days.

Dr. Giacalone has been trained specifically and extensively in the diagnosis and medical and surgical treatment of foot disorders.  Dr. Giacalone has been board certified by The American Board of Podiatric Orthopedics and The American Board of Podiatric Surgery since 1993 and 1995 respectively and is a Fellow of the American College of Foot and Ankle Surgeons. Dr. Giacalone performs surgery at Hackensack University Medical Center in Hackensack, Hackensack University Medical Center @ Pascack Valley in Westwood and Surgicare Surgical Center in Oradell.