Leneva for Ball of Foot
Dr. Bob Baravarian is proud to offer his patients Leneva — a new treatment that uses the patient’s fat cells to restore the foot’s natural cushioning. This minimally invasive injection can increase comfort and mobility and also help reduce pain. The all-natural injectable treatment consists of sterilized adipose tissue (human fat tissue) placed within a cellular matrix.
One of the most frequent complaints Dr. Bob hears from new patients is painful pressure points located on the weight-bearing surface at the ball of their forefoot. These pressure lesions can be caused by one or more of the following conditions: an abnormally positioned bone, toe deformities, or thinning of the fat pad cushioning the sole.
When injected under a pressure point, Leneva cushions the area and provides a framework your body can use to generate new fat cells. This combination of grafted fat plus your new fat cells creates a stable cushion that can provide comfort for months or even years.
What is Leneva™?
Because foot pain caused by pressure lesions affects a significant number of people, Dr. Baravarian has closely followed new research developments in this area. He has sought to offer effective, long-lasting foot care solutions to improve patients’ quality of life.
Dr. Baravarian is proud to be one of the first practices in Southern California to offer Leneva, a minimally invasive fat grafting system introduced in the United States in November 2019. This all-natural injectable product consists of sterilized human fat tissue (called adipose tissue) that’s placed within a cellular matrix.
When inserted under a pressure point, Leneva not only cushions the area but also provides a scaffolding that your body can use to populate with new fat cells. This combination of grafted fat plus your new fat cells creates a stable cushion that can provide comfort over many months to years.
What conditions does Leneva™ treat?

One of the most frequent complaints from patients is the presence of painful pressure points on the weight-bearing surface at the ball of the foot. Many problems can cause these pressure ulcers, including:
- An abnormally positioned bone
- Toe deformities
- Fat pad atrophy
An FDA-approved Leneva injection can also reduce pressure on the bottom of your feet and prevent diabetic foot ulcers, pressure sores, and tunneling wounds.
There might not be a medical condition behind your sore feet. As we age, many of our body’s fat deposits decrease, including the ones in the bottom of our feet. Thinning of the fat pad decreases your body’s natural cushioning and puts more pressure on your feet and bones.
While shoe inserts or orthotics can add extra cushioning or protection to your shoes, they only help when you’re wearing them. Leneva fat pad restoration provides a long-term, minimally invasive solution for alleviating painful feet while standing or walking.
What happens during a Leneva treatment?
Dr. Baravarian is trained in surgical and non-surgical methods of soft tissue reconstruction. Leneva is a great non-surgical option that can be administered in-office with almost no downtime.
Leneva is an injectable product. You can think of it like a dermal filler that uses natural human fat instead of artificial fillers. Local anesthesia will be administered to the injection site to keep you pain-free and comfortable during the procedure.
First, a small amount of local anesthesia is applied to numb the treatment area. Then, with his intimate knowledge of foot function and structure, Dr. Bob will strategically inject the Leneva to reduce pressure points in your foot. Once injected, Leneva encourages your body to produce more fat cells, allowing it to continue filling out your fat cushion and holding the fat in the correct area.
You’ll be sent home with after-care instructions and will need to return for a follow-up to ensure your results are as expected.
How is Leneva different from other treatments for fat pad atrophy?
What’s so revolutionary about Leneva is that the product organizes itself to fill in the fat-deficient area, decreasing the likelihood of product displacement. In short, the material remains where it is injected.
This not only provides the area with an instant fat cushion, taking the pressure off the area right away, but also inserts a scaffolding that allows your body to re-populate the area with new fat cells over time.
In fact, during clinical trials in which the product was used to treat pressure ulcers, researchers measured a decrease in peak pressure at the wound sites, resulting in reduced callus formation. Other studies showed that Leneva encouraged the formation of new blood vessels (vital for wound healing) and new fat cells (important for added cushioning).
By creating a longer-lasting natural cushion, Leneva has the potential to reduce pressure and friction, and therefore, pain. This can significantly improve the quality of life for patients experiencing foot pain.
Why trust Dr. Baravarian with your fat grafting?
You don’t have to live with foot pain. There is so much innovation in podiatric medicine today, and Dr. Bob is at the forefront. With decades of combined experience and the highest success rates in the nation, he has effectively treated over 200,000 patients.
Foot and ankle pain is not normal. And ignoring it will likely cause your condition to worsen and become harder to treat.
Dr. Baravarian is well known as one of the nation’s most technologically advanced foot and ankle specialists (including sports medicine). While other practices claim to be aware of “the latest and greatest,” he has been researching, conducting clinical trials, and employing state-of-the-art techniques for decades.
We’ve been a leader in regenerative medicine for well over 10 years. This includes platelet-rich plasma therapy, stem cell therapy, and cartilage replacement. No other foot and ankle practice has more experience or success in developing and using human regenerative medicine.
To become a new patient, please call (855) 557-5400 or make an appointment online now.
Dr. Bob Baravarian is conveniently located in Los Angeles, near Cedars-Sinai Medical Center, providing expert foot and ankle care for patients throughout Southern California.
Leneva FAQs
How long does a Leneva injection last?
The duration of the effects of a Leneva injection can vary depending on several factors, including the specific area treated, the individual’s response to the treatment, and the amount of product used. Generally, the effects of Leneva injections can last up to two years.
Is Leneva FDA-approved?
Yes, Leneva is FDA-approved.
What foot conditions can cause ball of foot pain?
Everyone’s feet change with age, often developing hammertoes, bunions, corns, calluses, plantar fasciitis, metatarsalgia, and neuromas, all of which can cause ball of foot pain.