July 11, 2024 • 17 mins
Unlock the secrets to pain-free feet with Dr. Lauren Dabakaroff and co-host Jeremy Wolf as they dissect the groundbreaking advancements in fat pad rejuvenation on the LMD Podiatry Podcast. Ever wondered why the natural cushioning in your feet thins out with age or trauma? Get ready to uncover the reasons behind fat pad atrophy and how it affects foot comfort and functionality. We'll highlight how the revolutionary Leneva, a unique blend of fat and stem cells, stimulates your body's natural fat regeneration over a three-month period, offering lasting relief and enhanced foot performance. If you've experienced discomfort in the balls of your feet or heels, this episode is a must-listen, revealing who stands to benefit most from these innovative treatments.
Join us as Dr. Dabakaroff shares her journey from using temporary fixes like Juvederm to adopting more advanced solutions that promise long-term results. We'll compare the efficacy of straight stem cell injections, such as Restore Gel, against the potent combination of stem cells and fat found in Leneva, and discuss their specific advantages for both older adults and athletes. From standard dosages to broader applications beyond foot pain, such as other types of tissue augmentation, this episode offers a comprehensive view of cutting-edge treatments that could revolutionize the way we approach chronic foot discomfort. Tune in for an enlightening conversation that could change the way you think about foot health and pain management.
To learn more, visit: LMDpodiatry.com or contact (954) 680-7133
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
Welcome to the LMD Podiatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDeBakeroff.
Jeremy Wolf (00:15):
Hello, hello everyone, and welcome back to
another episode of the LMDPodiatry Podcast.
I'm your co-host, Jeremy Wolf,joined by, of course, your host,
Dr Lauren DeBakeroff.
Hey, everybody, Good to see youagain.
Good to see everyone back.
Dr. Lauren Dabakaroff (00:29):
Yes.
Jeremy Wolf (00:30):
So you told me before we started this today,
you wanted to talk a little bitabout fat pad rejuvenation.
Dr. Lauren Dabakaroff (00:38):
Yes.
Jeremy Wolf (00:41):
And I'd never heard that before.
So I'm excited and interestedto get into this topic.
Why don't you kick off bytalking a little bit about what
fat pad rejuvenation is, I guessspecifically for feet, because
you're a podiatrist and it kindof how it helps alleviate foot
pain, and then we'll go fromthere.
Dr. Lauren Dabakaroff (00:57):
So there's a whole new science
behind fat.
So some people call it fat padrejuvenation, some people call
it fat pad augmentation.
But basically the bottoms ofour feet they have the soles of
our feet, they have different.
We have fat pads on the tips ofour toes, like on the balls of
(01:19):
our foot and on the heel, andbasically we're born with those
fat pads to give us shockabsorption when we walk, to get
a bounce back.
Unfortunately, as we age, um,the collagen that holds all the
fat together it's tends tobecome less elastic, tends to
spread out.
And then what happens to ournice cushiony fat pads?
(01:42):
They start flattening out andmoving around and then a lot of
patients, a lot of people havepain in different, you know,
areas and joints, or toes orheels and things like that.
Jeremy Wolf (01:54):
Aside from age deterioration, are there any
other factors that cause thedeterioration in the fat pads?
Dr. Lauren Dabakaroff (02:03):
It's really.
I mean, I have I have seenyounger people without fat in
their foot, but that's usuallyfrom traumatic injuries and
things like that, like if theywere in a car accident and then
half of their foot was peeledoff, like you know.
But in like a regular, normal,healthy person around the age of
like 60, 65, healthy personaround the age of like 60, 65,
(02:25):
that's when the fat pad startsdissipating.
But there are cases, like inyounger people, when, like, if
you don't have a straight footand you have a pressure point in
your foot, that would alsocontribute to pain and the fat
pad moving around and creatingpressure and pain in that area.
Jeremy Wolf (02:46):
Who are the ideal candidates for this type of
treatment?
In your experience Like whenyou get somebody that comes in
the office and you're looking atissues with the foot, like what
are some common symptoms orstruggles that people are having
that would even lead you topursue this type of therapy for
them- so the most common thing Isee is patients with
metatarsalgia, metatarsalgia,metatarsalgia, so the long bones
(03:10):
of your foot.
Dr. Lauren Dabakaroff (03:11):
Okay, the long bones of your foot.
I think I have a foot picturehere, the no wrong one, the long
bones of the foot.
You know a lot of pressure getsput on the ball of a patient's
foot and a lot of times becauseof you know, if you're a runner
or, um, if you're not wearingthe right shoes and you pound
(03:33):
your foot a lot of times thatthat fat pad kind of moves
because you're just it's just aregular wear and tear of the
area and then what happens isthat fat it just doesn't stay
put anymore and it moves.
And then all of a sudden peoplefeel like they're walking on
the joints or the balls of theirfoot and you could actually
(03:53):
feel like I touch, I can touchtheir joint on their foot and
you could feel the joint and youdon't feel any fat anymore.
So really those areas they havethe fat pad atrophy and then
they get the pain.
Jeremy Wolf (04:08):
Makes sense.
What the walk me through?
What is this procedure looklike?
Right, how is this performed?
Like I I'm in my mind, I'mthinking like what are you doing
?
Are you going in there with aneedle injecting?
Dr. Lauren Dabakaroff (04:18):
something , or you look like so.
So I use a product calledLeneva.
I actually have like a reallycool sheet that's blurring out
here.
We're getting a little blurover there.
I gotta get rid of thebackground.
Let's see.
Let me see here.
(04:40):
None Okay.
Jeremy Wolf (04:42):
Yeah, throw that up there again.
Let me see if I can see it.
I don't know if the camera.
Okay, there you go.
Dr. Lauren Dabakaroff (04:47):
That's a little bit clearer for all the
people watching on YouTube.
So this is Leneva and basicallyI like this side, but basically
it's an injection.
So it's the fat injection thatI inject to the area that has
fat loss and it shows here overtime how it goes from no fat in
the area and then it increasesthe fat cells in the area and
(05:11):
this is 12 weeks.
Jeremy Wolf (05:12):
It takes about three months for everything to
regenerate.
Three months of treatments,somebody, one injection, it's
one injection okay, injection tothe problem area.
Dr. Lauren Dabakaroff (05:24):
And what happens is the body uses all
the it's mixed.
It's basically fat mixed withstem cells.
That's what I like to call it.
It's a fat mixed with stemcells and what that does?
It causes adipogenesis, whichis basically it makes your body
(05:44):
form more fat in the area, andit takes about six weeks sorry,
12 weeks to happen.
Usually the first two weeks thepatients need to, you know,
keep off of that foot a littlebit.
You know I usually put them ina boot or put like a pad in,
like the specific area that thatI injected to offload it.
But basically it rejuvenatesthe fat pad in the sense that it
(06:09):
makes your body create more fatonly in that area.
So Laneva is probably the mostamazing product I've seen.
I used to use other things forfat pad, you know augmentation,
like Juvederm and things likethat, all these different
products out of the market, butI found that they don't last
Patients that get this done it'slike one and done Like they get
(06:32):
it and they almost never comeback again.
Jeremy Wolf (06:35):
That was going to be the next question.
What have you seen withpatients?
They can literally come in andget one injection and it
basically produces more of themore of of this the fat in the
fat pad area and it teaches thebody.
It basically teaches the bodyto continue that so they don't
have to come back and do thisover and over again, because I
think a lot of people areconcerned that if they do
(06:57):
something like this once,they're going to have to come
see you every month or every sixmonths to kind of re-up on it
that's not the case.
Dr. Lauren Dabakaroff (07:02):
That's the thing you know, as, as
physicians, we, you know, weresearch and we advance, and
every year something new comesout.
So, like me, I used to usejuvederm for people that used to
have a lot of pain on the ballsof their foot or like the tip
of their toe or something thatwas like driving them crazy and
they didn't want to wear softershoes, you know.
(07:23):
So I used to give them thatinjection and it would last them
for like eight months, but thenyou know, the body would get
rid of it.
Okay, what this this is reallyin?
Like I've switched for the pastprobably a couple months to
this product just because I'vehad amazing results, and then
basically, what it does is itmakes your body form more fat in
(07:43):
the area that's missing fat,and the fat doesn't go anywhere.
It stays in the fat, it juststays, and my patients are
really happy.
They have no pain.
I have been doing it a lot inthe elderly population, those
people who, just like you know,they want to go to the gym with
their friends and silversneakers and all that kind of
(08:03):
stuff, and they just have thatone spot that hurts, and then I
fill up that spot with the fatand that's it as far as the
procedure goes, it's.
It is invasive in a sense thatit's an injection, but I make it
nice.
I prep the area, I numb up allthe nerves that lead to the area
(08:25):
I'm injecting.
Jeremy Wolf (08:26):
Okay, so no pain then.
Yeah, and then yeah.
Dr. Lauren Dabakaroff (08:30):
So once I do a local block, local
injection, once the whole areais numb, I go straight into the
fat pad of concern and I justfan the uh Geneva, or you know
the fat pad, uh Geneva, or youknow the fat pad.
The fat um the juice.
I like to call it the juice,the juice is loose.
(08:53):
It's really cool.
It's like a syringe of fat andstem cells.
So I inject it, uh, I fan it into all the planes of that fat
pad and it just sits in thereand does the work and within 12
weeks the magic happens.
So it works.
I like it.
A lot of people have this pain.
It's also, you know, meant forpeople who just destroy their
(09:15):
feet doing sports and they don'tyou know if orthotics aren't
cutting it, if the shoes aren'tcutting it, if they just have
that one spot.
You know, a lot of times peoplehave a limb length discrepancy,
like one leg is longer than theother and they have just one
joint that's sticking outbecause that leg is longer or
shorter.
And instead of changing theirshoes and making all these
(09:38):
orthotics and they're sick of itthey will come and get that fat
pad injection just to alleviatethe pain, so they don't have to
always come and do all thisother stuff.
Pretty much, it's interesting.
Jeremy Wolf (09:52):
I had a thought.
I've heard, obviously, of stemcell injections, but I've never
heard of mixing the stem cellswith other types of cells.
Is that something common inother treatments as well, or do
they do straight stem cellinjection, like what's the
difference between?
I'd imagine that doing the stemcells with the fat cells it's
going to take better to the areabecause it's a fatty area, but
there's also scenarios where youjust inject straight stem cells
(10:14):
into an area, like what's thedifference between those two
things?
Dr. Lauren Dabakaroff (10:16):
So I do.
I actually use another productcalled Restore Gel, and that is
a straight stem cell.
It's it's stem cell.
It's stem cells harvested fromthe umbilical cord of the baby.
They're safe, it's donated,it's great, it's legal,
wonderful.
But what the stem cell does,what those things do, is it's I
(10:38):
like to it's regenerativemedicine.
So instead of so, what it doesdoes it regenerates the area.
So if, let's say, a patient hasa sprain or a chronic
tendonitis right, or you havehere, they have a lot of scar
tissue in some area of theirfoot or their ankle or like, so
(10:59):
what the stem cell does is itregenerates the tissue.
It forces the area to kind ofrebuild itself, not kind of it
rebuilds itself.
I've actually used it for anAchilles tendon tear a couple of
times and I actually have savedpatients from surgery.
And what it does is itstimulates the healing in the
(11:20):
area so that the area can heal.
So it's regenerating tissue.
Does that make sense?
It does so.
Now, laneva, it takes that samescience and then it mixes it
with fat and then whatever theyall these components that they
mix with that fake fat or notfake, it's donated, I don't know
(11:43):
where they get it from, but itis harvested.
They harvest it from somewhereand it's safe and it's like a
legit company and I really,really like them.
So I mean they get it fromsomewhere and then all these
special factors that they mix ittogether with it, it creates
that regeneration of the tissue.
(12:04):
So, if I inject it into an anklesprain so it's going to
regenerate the ligament.
If I have, like my stem cellinjection, a patient has an
ankle sprain or like aregenerate the ligament.
If I, if I have, like my stemcell injection, I patient has an
ankle sprain or like a tear oftheir ligament, I inject it
there so it makes your bodyregenerate that ligament or that
tendon.
Okay, where Leneva comes in forthe fat pad augmentations, it
(12:26):
already it's already, it'salready pre-mixed with fat cells
and the stem cells and I put itlocally to the problem area and
it its job is to regenerate oraugment the fat in that area.
Jeremy Wolf (12:40):
How do you determine the appropriate amount
of actual injection to putCause, I gotta imagine like if
you're, if your fat pad is worndown completely, you're going to
, you're going to put more inthere, like, how is it a
standard amount across the board?
Dr. Lauren Dabakaroff (12:54):
The standard amount is one and a
half CCS, which is like half asyringe.
Okay, they so that company usesit for other things that they
need more for, like I think youheard that guy speak.
He was saying you know, for youknow, breast augmentation, to
(13:16):
give them a lift, for thoseprocedures they need a lot more.
Yeah, for people that are likefixing things in their face or
like in their breasts, um, forthe foot, you really don't need
more than a cc and a half um,it's about this much, and
because your foot's small, youdon't need that much.
And then the fat pad like Iwould say like if the heel pad,
(13:39):
the regular heel pad, isprobably six centimeters in
diameter, you know, so youreally don't need much.
And it's not pain, it's a, it'sa painless procedure, there's
no pain after you know it's notpain, it's a, it's a painless
procedure, there's no pain afteryou know, it's just, it sits in
your foot and it does the magic.
Jeremy Wolf (13:58):
Are there any tips you can give to anyone out there
?
I mean, is this something thatyou should even be concerned
about?
It sounds to me like if you hadthis condition over time you're
becoming elderly.
It's pretty simple to just comesee you and have the injection,
but is there any like tips youcan give, generally speaking, to
prevent these issues fromhappening in the first place, in
terms of, like common footwearor whatever it is?
Dr. Lauren Dabakaroff (14:16):
So the number one thing is footwear.
If you wear supportive footwear,especially in the elderly, the
ones that they're the ones thatlose the fat pad first, right.
So the only thing that helpswith their pain before they come
to me for this type ofinjection is wearing soft
insoles.
So they wear like the softinsoles in their shoes, the
(14:37):
silicone insoles, like soft foamand padding.
That helps prevent pain.
But if they were younger,before that would happen, I
would have told them to wearreally good shoes and orthotics.
And it's very important to takecare of your feet.
A lot of people neglect theirfeet.
It's you know, there are likeproducts and massages and things
(15:01):
like that that they encouragecollagen production in your foot
.
So that's also very importantfor prevention.
So, like if you're female ormale or whatever, you really
should get like a foot massageonce in a while.
You should soak your feet inEpsom salt soaks, you know, when
you have a chance, and reallyjust taking care of your feet,
(15:23):
wearing the right shoes andletting your feet rest, it's
probably the best thing you cando to prevent fat pad loss from
happening.
Jeremy Wolf (15:33):
All right.
Anything else you want to touchupon for rep, rewrap this one
up.
Dr. Lauren Dabakaroff (15:39):
Um, not really I have just.
All I want to say is you know,there's some I love science and
there are awesome products outthere and I get really excited,
you know, when I find a greatproduct that can help my
patients.
Surgery, you know, no surgery.
So this is.
You know, some of these thingsare pretty cool and and I can't
(16:01):
wait to help anyone with any ofthese issues if they need me.
Jeremy Wolf (16:05):
You hear that everyone out there, if you're
suffering from any kind of footpain or heck, even if you're not
suffering from foot pain butyou haven't gotten checked out
in a while, reach out to DrDabakaroff.
She's doing great work, justfantastic stuff.
That's all.
I'm speechless.
What can I say?
You speak first.
(16:26):
Never.
Dr. Lauren Dabakaroff (16:27):
No, no, no, no, All right Well everyone.
Jeremy Wolf (16:29):
Thank you so much for tuning in and we will catch
everyone next time on the nextepisode, the LMD podiatry
podcast.
Everyone, take care and have awonderful day.
Speaker 1 (16:45):
Thank you for listening to the LMD podiatry
podcast.
For more information, visitLMDPodiatrycom.
That's LMDPodiatrycom, or call954-680-7133.
Welcome to the LMD Podiatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDeBakeroff.
Jeremy Wolf (00:15):
Hello, hello everyone, and welcome back to
another episode of the LMDPodiatry Podcast.
I'm your co-host, Jeremy Wolf,joined by, of course, your host,
Dr Lauren DeBakeroff.
Hey, everybody, Good to see youagain.
Good to see everyone back.
Dr. Lauren Dabakaroff (00:29):
Yes.
Jeremy Wolf (00:30):
So you told me before we started this today,
you wanted to talk a little bitabout fat pad rejuvenation.
Dr. Lauren Dabakaroff (00:38):
Yes.
Jeremy Wolf (00:41):
And I'd never heard that before.
So I'm excited and interestedto get into this topic.
Why don't you kick off bytalking a little bit about what
fat pad rejuvenation is, I guessspecifically for feet, because
you're a podiatrist and it kindof how it helps alleviate foot
pain, and then we'll go fromthere.
Dr. Lauren Dabakaroff (00:57):
So there's a whole new science
behind fat.
So some people call it fat padrejuvenation, some people call
it fat pad augmentation.
But basically the bottoms ofour feet they have the soles of
our feet, they have different.
We have fat pads on the tips ofour toes, like on the balls of
(01:19):
our foot and on the heel, andbasically we're born with those
fat pads to give us shockabsorption when we walk, to get
a bounce back.
Unfortunately, as we age, um,the collagen that holds all the
fat together it's tends tobecome less elastic, tends to
spread out.
And then what happens to ournice cushiony fat pads?
(01:42):
They start flattening out andmoving around and then a lot of
patients, a lot of people havepain in different, you know,
areas and joints, or toes orheels and things like that.
Jeremy Wolf (01:54):
Aside from age deterioration, are there any
other factors that cause thedeterioration in the fat pads?
Dr. Lauren Dabakaroff (02:03):
It's really.
I mean, I have I have seenyounger people without fat in
their foot, but that's usuallyfrom traumatic injuries and
things like that, like if theywere in a car accident and then
half of their foot was peeledoff, like you know.
But in like a regular, normal,healthy person around the age of
like 60, 65, healthy personaround the age of like 60, 65,
(02:25):
that's when the fat pad startsdissipating.
But there are cases, like inyounger people, when, like, if
you don't have a straight footand you have a pressure point in
your foot, that would alsocontribute to pain and the fat
pad moving around and creatingpressure and pain in that area.
Jeremy Wolf (02:46):
Who are the ideal candidates for this type of
treatment?
In your experience Like whenyou get somebody that comes in
the office and you're looking atissues with the foot, like what
are some common symptoms orstruggles that people are having
that would even lead you topursue this type of therapy for
them- so the most common thing Isee is patients with
metatarsalgia, metatarsalgia,metatarsalgia, so the long bones
(03:10):
of your foot.
Dr. Lauren Dabakaroff (03:11):
Okay, the long bones of your foot.
I think I have a foot picturehere, the no wrong one, the long
bones of the foot.
You know a lot of pressure getsput on the ball of a patient's
foot and a lot of times becauseof you know, if you're a runner
or, um, if you're not wearingthe right shoes and you pound
(03:33):
your foot a lot of times thatthat fat pad kind of moves
because you're just it's just aregular wear and tear of the
area and then what happens isthat fat it just doesn't stay
put anymore and it moves.
And then all of a sudden peoplefeel like they're walking on
the joints or the balls of theirfoot and you could actually
(03:53):
feel like I touch, I can touchtheir joint on their foot and
you could feel the joint and youdon't feel any fat anymore.
So really those areas they havethe fat pad atrophy and then
they get the pain.
Jeremy Wolf (04:08):
Makes sense.
What the walk me through?
What is this procedure looklike?
Right, how is this performed?
Like I I'm in my mind, I'mthinking like what are you doing
?
Are you going in there with aneedle injecting?
Dr. Lauren Dabakaroff (04:18):
something , or you look like so.
So I use a product calledLeneva.
I actually have like a reallycool sheet that's blurring out
here.
We're getting a little blurover there.
I gotta get rid of thebackground.
Let's see.
Let me see here.
(04:40):
None Okay.
Jeremy Wolf (04:42):
Yeah, throw that up there again.
Let me see if I can see it.
I don't know if the camera.
Okay, there you go.
Dr. Lauren Dabakaroff (04:47):
That's a little bit clearer for all the
people watching on YouTube.
So this is Leneva and basicallyI like this side, but basically
it's an injection.
So it's the fat injection thatI inject to the area that has
fat loss and it shows here overtime how it goes from no fat in
the area and then it increasesthe fat cells in the area and
(05:11):
this is 12 weeks.
Jeremy Wolf (05:12):
It takes about three months for everything to
regenerate.
Three months of treatments,somebody, one injection, it's
one injection okay, injection tothe problem area.
Dr. Lauren Dabakaroff (05:24):
And what happens is the body uses all
the it's mixed.
It's basically fat mixed withstem cells.
That's what I like to call it.
It's a fat mixed with stemcells and what that does?
It causes adipogenesis, whichis basically it makes your body
(05:44):
form more fat in the area, andit takes about six weeks sorry,
12 weeks to happen.
Usually the first two weeks thepatients need to, you know,
keep off of that foot a littlebit.
You know I usually put them ina boot or put like a pad in,
like the specific area that thatI injected to offload it.
But basically it rejuvenatesthe fat pad in the sense that it
(06:09):
makes your body create more fatonly in that area.
So Laneva is probably the mostamazing product I've seen.
I used to use other things forfat pad, you know augmentation,
like Juvederm and things likethat, all these different
products out of the market, butI found that they don't last
Patients that get this done it'slike one and done Like they get
(06:32):
it and they almost never comeback again.
Jeremy Wolf (06:35):
That was going to be the next question.
What have you seen withpatients?
They can literally come in andget one injection and it
basically produces more of themore of of this the fat in the
fat pad area and it teaches thebody.
It basically teaches the bodyto continue that so they don't
have to come back and do thisover and over again, because I
think a lot of people areconcerned that if they do
(06:57):
something like this once,they're going to have to come
see you every month or every sixmonths to kind of re-up on it
that's not the case.
Dr. Lauren Dabakaroff (07:02):
That's the thing you know, as, as
physicians, we, you know, weresearch and we advance, and
every year something new comesout.
So, like me, I used to usejuvederm for people that used to
have a lot of pain on the ballsof their foot or like the tip
of their toe or something thatwas like driving them crazy and
they didn't want to wear softershoes, you know.
(07:23):
So I used to give them thatinjection and it would last them
for like eight months, but thenyou know, the body would get
rid of it.
Okay, what this this is reallyin?
Like I've switched for the pastprobably a couple months to
this product just because I'vehad amazing results, and then
basically, what it does is itmakes your body form more fat in
(07:43):
the area that's missing fat,and the fat doesn't go anywhere.
It stays in the fat, it juststays, and my patients are
really happy.
They have no pain.
I have been doing it a lot inthe elderly population, those
people who, just like you know,they want to go to the gym with
their friends and silversneakers and all that kind of
(08:03):
stuff, and they just have thatone spot that hurts, and then I
fill up that spot with the fatand that's it as far as the
procedure goes, it's.
It is invasive in a sense thatit's an injection, but I make it
nice.
I prep the area, I numb up allthe nerves that lead to the area
(08:25):
I'm injecting.
Jeremy Wolf (08:26):
Okay, so no pain then.
Yeah, and then yeah.
Dr. Lauren Dabakaroff (08:30):
So once I do a local block, local
injection, once the whole areais numb, I go straight into the
fat pad of concern and I justfan the uh Geneva, or you know
the fat pad, uh Geneva, or youknow the fat pad.
The fat um the juice.
I like to call it the juice,the juice is loose.
(08:53):
It's really cool.
It's like a syringe of fat andstem cells.
So I inject it, uh, I fan it into all the planes of that fat
pad and it just sits in thereand does the work and within 12
weeks the magic happens.
So it works.
I like it.
A lot of people have this pain.
It's also, you know, meant forpeople who just destroy their
(09:15):
feet doing sports and they don'tyou know if orthotics aren't
cutting it, if the shoes aren'tcutting it, if they just have
that one spot.
You know, a lot of times peoplehave a limb length discrepancy,
like one leg is longer than theother and they have just one
joint that's sticking outbecause that leg is longer or
shorter.
And instead of changing theirshoes and making all these
(09:38):
orthotics and they're sick of itthey will come and get that fat
pad injection just to alleviatethe pain, so they don't have to
always come and do all thisother stuff.
Pretty much, it's interesting.
Jeremy Wolf (09:52):
I had a thought.
I've heard, obviously, of stemcell injections, but I've never
heard of mixing the stem cellswith other types of cells.
Is that something common inother treatments as well, or do
they do straight stem cellinjection, like what's the
difference between?
I'd imagine that doing the stemcells with the fat cells it's
going to take better to the areabecause it's a fatty area, but
there's also scenarios where youjust inject straight stem cells
(10:14):
into an area, like what's thedifference between those two
things?
Dr. Lauren Dabakaroff (10:16):
So I do.
I actually use another productcalled Restore Gel, and that is
a straight stem cell.
It's it's stem cell.
It's stem cells harvested fromthe umbilical cord of the baby.
They're safe, it's donated,it's great, it's legal,
wonderful.
But what the stem cell does,what those things do, is it's I
(10:38):
like to it's regenerativemedicine.
So instead of so, what it doesdoes it regenerates the area.
So if, let's say, a patient hasa sprain or a chronic
tendonitis right, or you havehere, they have a lot of scar
tissue in some area of theirfoot or their ankle or like, so
(10:59):
what the stem cell does is itregenerates the tissue.
It forces the area to kind ofrebuild itself, not kind of it
rebuilds itself.
I've actually used it for anAchilles tendon tear a couple of
times and I actually have savedpatients from surgery.
And what it does is itstimulates the healing in the
(11:20):
area so that the area can heal.
So it's regenerating tissue.
Does that make sense?
It does so.
Now, laneva, it takes that samescience and then it mixes it
with fat and then whatever theyall these components that they
mix with that fake fat or notfake, it's donated, I don't know
(11:43):
where they get it from, but itis harvested.
They harvest it from somewhereand it's safe and it's like a
legit company and I really,really like them.
So I mean they get it fromsomewhere and then all these
special factors that they mix ittogether with it, it creates
that regeneration of the tissue.
(12:04):
So, if I inject it into an anklesprain so it's going to
regenerate the ligament.
If I have, like my stem cellinjection, a patient has an
ankle sprain or like aregenerate the ligament.
If I, if I have, like my stemcell injection, I patient has an
ankle sprain or like a tear oftheir ligament, I inject it
there so it makes your bodyregenerate that ligament or that
tendon.
Okay, where Leneva comes in forthe fat pad augmentations, it
(12:26):
already it's already, it'salready pre-mixed with fat cells
and the stem cells and I put itlocally to the problem area and
it its job is to regenerate oraugment the fat in that area.
Jeremy Wolf (12:40):
How do you determine the appropriate amount
of actual injection to putCause, I gotta imagine like if
you're, if your fat pad is worndown completely, you're going to
, you're going to put more inthere, like, how is it a
standard amount across the board?
Dr. Lauren Dabakaroff (12:54):
The standard amount is one and a
half CCS, which is like half asyringe.
Okay, they so that company usesit for other things that they
need more for, like I think youheard that guy speak.
He was saying you know, for youknow, breast augmentation, to
(13:16):
give them a lift, for thoseprocedures they need a lot more.
Yeah, for people that are likefixing things in their face or
like in their breasts, um, forthe foot, you really don't need
more than a cc and a half um,it's about this much, and
because your foot's small, youdon't need that much.
And then the fat pad like Iwould say like if the heel pad,
(13:39):
the regular heel pad, isprobably six centimeters in
diameter, you know, so youreally don't need much.
And it's not pain, it's a, it'sa painless procedure, there's
no pain after you know it's notpain, it's a, it's a painless
procedure, there's no pain afteryou know, it's just, it sits in
your foot and it does the magic.
Jeremy Wolf (13:58):
Are there any tips you can give to anyone out there
?
I mean, is this something thatyou should even be concerned
about?
It sounds to me like if you hadthis condition over time you're
becoming elderly.
It's pretty simple to just comesee you and have the injection,
but is there any like tips youcan give, generally speaking, to
prevent these issues fromhappening in the first place, in
terms of, like common footwearor whatever it is?
Dr. Lauren Dabakaroff (14:16):
So the number one thing is footwear.
If you wear supportive footwear,especially in the elderly, the
ones that they're the ones thatlose the fat pad first, right.
So the only thing that helpswith their pain before they come
to me for this type ofinjection is wearing soft
insoles.
So they wear like the softinsoles in their shoes, the
(14:37):
silicone insoles, like soft foamand padding.
That helps prevent pain.
But if they were younger,before that would happen, I
would have told them to wearreally good shoes and orthotics.
And it's very important to takecare of your feet.
A lot of people neglect theirfeet.
It's you know, there are likeproducts and massages and things
(15:01):
like that that they encouragecollagen production in your foot
.
So that's also very importantfor prevention.
So, like if you're female ormale or whatever, you really
should get like a foot massageonce in a while.
You should soak your feet inEpsom salt soaks, you know, when
you have a chance, and reallyjust taking care of your feet,
(15:23):
wearing the right shoes andletting your feet rest, it's
probably the best thing you cando to prevent fat pad loss from
happening.
Jeremy Wolf (15:33):
All right.
Anything else you want to touchupon for rep, rewrap this one
up.
Dr. Lauren Dabakaroff (15:39):
Um, not really I have just.
All I want to say is you know,there's some I love science and
there are awesome products outthere and I get really excited,
you know, when I find a greatproduct that can help my
patients.
Surgery, you know, no surgery.
So this is.
You know, some of these thingsare pretty cool and and I can't
(16:01):
wait to help anyone with any ofthese issues if they need me.
Jeremy Wolf (16:05):
You hear that everyone out there, if you're
suffering from any kind of footpain or heck, even if you're not
suffering from foot pain butyou haven't gotten checked out
in a while, reach out to DrDabakaroff.
She's doing great work, justfantastic stuff.
That's all.
I'm speechless.
What can I say?
You speak first.
(16:26):
Never.
Dr. Lauren Dabakaroff (16:27):
No, no, no, no, All right Well everyone.
Jeremy Wolf (16:29):
Thank you so much for tuning in and we will catch
everyone next time on the nextepisode, the LMD podiatry
podcast.
Everyone, take care and have awonderful day.
Speaker 1 (16:45):
Thank you for listening to the LMD podiatry
podcast.
For more information, visitLMDPodiatrycom.
That's LMDPodiatrycom, or call954-680-7133.
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
24/7 News: The Latest
The latest news in 4 minutes updated every hour, every day.