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Some people carry a “baby face” well into their adult lives. A “baby face” is usually marked by chubby cheeks with excess facial fatty tissue. There’s nothing wrong with having rounded cheeks, but if it makes you unhappy or self-conscious, you can opt for a simple buccal fat removal procedure to extract some of the fat tissue stored in your cheeks in order to highlight your cheekbones and facial contours.

Dr. Fechner expertly removes undesirable fatty tissue from your cheek hollows without visible scars or incision marks.

What is buccal fat removal?

Buccal fat refers to the fat tissues stored in the lower cheeks. The presence of large buccal fat deposits in the cheek hollows gives the appearance of chubby cheeks. While most people lose their buccal fat pads as they enter adulthood, some carry them well into their adult lives. Unwanted buccal fat also affects your jawline and makes your nasolabial folds (lines running from the nose to the corners of the mouth) appear prominently.

Buccal fat removal, also called cheek reduction, is a surgical procedure that removes the excess buccal fat pad. Removing excess fat tissues highlights your cheekbones and contours your facial features to provide a sharp and chiseled appearance. The procedure also provides a sharp and chiseled jawline that most people considered highly desirable. Buccal fat removal in Boston is an outpatient procedure that usually concludes within an hour, without significant side effects or downtime.

What are the benefits of buccal fat removal?

  • Permanent facial thinning and contouring
  • Safe and highly effective procedure
  • In-office procedure that can be performed under local anesthesia
  • Provides a more chiseled appearance to your lower face
  • Doesn’t leave visible scars
  • Little to no downtime required

Am I a suitable candidate for buccal fat removal?

Buccal fat removal is a safe procedure suitable for most adults with a prominent buccal fat pad. If you feel you have “chubby cheeks” or a “baby face” or would simply like to slim down your face for a more chiseled and youthful appearance, you’re likely a good candidate for buccal fat removal.

Buccal fat removal candidates should:
  • Have a sufficient prominent buccal fat pad
  • Be in generally good physical health
  • Be close to their ideal body weight
  • Have stable body weight
  • Avoid consuming tobacco products
  • Have realistic expectations with the procedure

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What happens during buccal fat removal?

Buccal fat removal is a quick and painless in-office procedure that concludes within an hour. At the start of the procedure, local anesthesia is administered to numb the treatment area. If you’re feeling anxious, an intravenous (IV) sedative may also be administered.

During the procedure, a small incision is made inside the mouth around the inner regions of each cheek. The doctor cuts the buccinator muscles in the cheeks to create space to work with the buccal fat. Next, the doctor applies external pressure from outside the cheeks to squeeze the buccal fat through the incisions. Once the buccal fat is removed, the doctor sutures the incisions.

What can I expect during the buccal fat removal recovery?

You should experience mild to moderate swelling after the procedure, which can be managed with pain medications. You should have someone drive you back home after the procedure because you’ll be under the influence of anesthesia. Most people can resume work the next day without any downtime — but only if the work isn’t excessively physically taxing. You can resume all normal activities within a week.

Why choose Dr. Fechner for buccal fat removal?

Dr. Fechner is a double board-certified facial plastic surgeon with an exceptional educational background, having trained at some of the world’s best medical schools in Harvard, Cornell Columbia Presbyterian, and NYU.

Having performed more than 10,000 facial surgeries in his career, he has developed a keen aesthetic eye and an unrivaled understanding of facial anatomy.


Dr. Frank Fechner

428 Shrewsbury Street,Worcester, MA 01604

Fax: (508) 754-4222 Tel: 508-306-8363

428 Shrewsbury Street, Worcester, MA 01604


On behalf of the entire team at Fechner MD Plastic Surgery & Medical Spa, we would like to take a moment to say thank you again for your loyalty and support during this unprecedented time. The past several months have been unlike anything we've ever experienced, and we're working hard to evolve so that we can continue to provide you with the patient experience you have come to expect from our practice.

Since the beginning of the COVID-19 worldwide pandemic, Fechner MD Plastic Surgery & Medical Spa has taken extreme precautionary measures, in addition to following the most up to date CDC recommendations and state guidelines to maximize the health and safety of our patients, staff and facility. Our surgical center and medical spa remain committed to providing the best patient care, and we are actively working to take all necessary precautions as we plan to safely re-open our practice. Please help us continue to protect the health and well-being of our patients and workplace by cooperating with all of our precautionary measures and protocols against COVID-19 at your next appointment, or as you plan for your surgery.



As a fully accredited surgical facility, Fechner MD has always observed the highest level of safety and sanitation. In fact, as a surgeon, Dr. Fechner is an expert in infection control. We want to ensure that we are doing everything possible for our patients to safely return for surgical and medical spa treatments alike.

  • Our accredited practice is exclusively reserved for our patients and staff.
  • Our facility is in a single, free standing building only occupied by our practice. This allows us to limit foot traffic to our patients and staff only.
  • Our staff work only at our facility and all travel in private transport. All of us are otherwise self-isolating at home.
  • We closely monitor our staff for symptoms and elevated temperature daily.
  • We sterilize all our instruments in house further reducing potential exposure.
  • We have PPE to meet our needs.
  • All our staff members will be using appropriate PPE including N95 masks and protective facei shields, goggles and head coverings.
  • We have purchased and installed air scrubbers throughout the facility to clean the air while the practice is open to patients.
  • We have purchased and installed ozone generators designed to sanitize the air in the facility at the end of each day.
  • We have purchased and installed touchless hand sanitizer units throughout the building.
  • We have purchased and installed plexi-glass protective shields in the reception area to provide a protective barrier for staff and patients.
  • Our staff continues to adhere to social distancing guidelines within our facility.
  • We have implemented a stringent survey and testing protocol for staff and patients.
  • We have implemented a virtual check in/ check out process for our patients.
  • We have ensured that there is minimum interaction of patients with other people while in the office.
  • We will continue to offer virtual consults and virtual follow up visits.
  • We provide you with a touchless payment system.

The upgraded work flow and safety protocols we have implemented at Fechner MD far exceed those being recommended by any government agency.



Fechner MD will adhere to all local, state, and government mandates. We expect to cautiously resume medical spa and injectable treatments during Phase 2 of the Massachusetts phased reopening. We are awaiting a definitive date from Governor Baker. Cosmetic surgery is expected to resume during Phase 3 of Governor Baker’s plan. We ask for your patience and understanding as our staff is working diligently to reschedule all surgeries and procedures affected by our closure. Please understand that in order to open and adhere to Massachusetts guidelines, we will need to limit the number of staff and patients we have in our building and extend the time between patient appointments in order to sanitize rooms. This means we will have fewer available openings for procedures. In order to maximize our provider appointments, we will continue to hold consultations virtually rather than in person, with a few exceptions (body contouring, Instalift, vein treatments).



  • We will do our best to accommodate your preferred appointment date and time, but we very much appreciate your flexibility during this unprecedented time.
  • When booking your appointment, we will ask for your payment information to be securely stored in our payment system. The card you provide will be the card used to pay for your services. This will allow for a touchless checkout.
  • Required forms and documents will be sent to you electronically two days prior to your scheduled appointment via our new patient app, Touch MD. Touch MD will allow you to receive, review and sign documents directly from your personal cell phone.
  • One hour prior to your appointment, we will send you the Covid-19 Wellness Screening document to be completed via Touch MD. This must be completed prior to entering the building.



  • When you arrive for your scheduled appointment time, we ask that you park and remain in your car. Please send us a text message or call to let us know that you have arrived for your appointment.
  • When your provider is ready for your treatment, she will call or text you to let you know you may proceed to our vestibule.
  • Please leave your coat and personal belongings in your car.
  • Please do not bring along family or friends, unless you require physical assistance. They will not be allowed entry to the building.
  • Please wear your mask prior to entering the building and throughout your appointment. Should your mask need to be removed for treatment, your provider will let you know when to safely remove it.
  • Your provider will greet you at the door and will take a no contact temperature reading. *Any patient with a temperature of 100 degrees or higher will be asked to leave the building and their appointment will be rescheduled a minimum of 14 days later.
  • You will be escorted immediately to a treatment room. Our waiting room will not be open during this time.
  • After your procedure or treatment the provider will collect payment via our secure payment system with the information you provided at booking.
  • Your provider will book a virtual follow up appointment with you, if necessary, and will escort you to the exit.


We thank you in advance for your patience throughout this time, and we look forward to seeing you here again as we begin to resume business operations. If you have any questions or concerns, please contact Fechner MD Plastic Surgery & Medical Spa at (508) 754-4000 and our team will gladly assist you. Thank you!

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