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Facial Fat Grafting, Fat Injection

Facial fat grafting in Boston plays an important role in Dr. Fechner’s facial rejuvenation program. As a minimally-invasive procedure, facial fat grafting can dramatically improve one’s facial appearance. For fat transfer to enhance the face, a comprehensive understanding of facial esthetics and age-related changes are paramount. In the past, an aging face was typically resolved with a facelift.

While facelift procedures continues to be extremely valuable for most patients concerned with significant aging changes, it is rare to have a facelift as a stand-alone procedure. Modern aesthetic technology combines both surgical and non-surgical procedures to achieve a younger, fresher facial appearance – including implementing natural fat transfer to maximize results.

Customized Facial Rejuvenation from a Leading Plastic Surgeon

Your facial structure and skin quality is unique to you. If you are considering cosmetic treatments for facial enhancement, it is important that you have access to the latest generation of treatments, including procedures such as facial fat facial in Worcester.

Dr. Fechner, as a double-board certified facial plastic surgeon, has dedicated his professional life to assisting his patients to restore a more attractive appearance through the latest developments in aesthetic technology. His delicate approach, surgical expertise, and compassionate manner have made him one of the most sought-after plastic surgeons serving the Boston area.

Sculpting Your Face for A Healthy Appearance

The goal of the successful facial rejuvenation is a refreshed, healthy and attractive appearance avoiding the unusual. Volume sculpting requires a highly-customized approach paired with genuine artistic vision. Because effective facial volume restoration does not change your facial characteristics, it creates a subtle but important enhancement. Frequently, friends and even family members may not be able to tell what has changed, and why you now look more vibrant and youthful. This natural and subtle improvement is the goal of our facial fat grafting in Boston.

In addition to an increase in laxity and droopiness, the face can suffer a significant volume loss over the years. In fact, this facial ‘deflation’ is often the first age-related change observed by young women and men in their 30s and 40s. Achieving a youthful and natural look commonly requires repositioning of the saggy tissues (i.e. facelift, neck lift, Finesse Lift®) and filling deflated regions with a fat transfer procedure.

Which Areas of The Face Are Treated by Fat Transfer?

Most patients benefit from treatments of the mid-facial cheek region. As the cheeks represent a rather large anatomic area, it is helpful to subdivide this region into sub-units: high cheek (a.k.a. malar eminence), low cheek (sub-malar region), central cheek and posterior cheek (towards the ears). Depending on the very specific desires and anatomy of the face, these regions can be enhanced separately or in one treatment.

Fat Transfer for the Mouth Area

The mouth area can benefit from enhancement with our facial fat grafting in Worcester. Early jowls can be softened by grafting fat into a region just in front of the jowl (called pre-jowl sulcus). If prominent nasolabial (smile lines) and marionette lines are making your face look older, these facial areas can benefit from softening with natural fat injections. Thinning lips can also be enhanced with fat injections.

Fat Transfer for the Eye Region

The region under the eyes may appear sunken, or have dark circles and hollowness, a condition called, in medical terms, “tear-trough deformity” or “naso-jugal grooves.” While advanced lower blepharoplasty (eyelid lift) surgery is commonly used by Dr. Fechner to correct these problems, fat transfer may be appropriate for some patients.

Some patients have developed deep upper eyelid sockets leaving the eyes appearing sunken. Although proper eyelid definition is desirable, hollowness can produce an unhealthy, tired appearance. Careful injection of fat may be the appropriate method by which to improve a sunken appearance in the eye area.

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Fat Transfer for the Temples, Chin, Brows, Earlobes, and Facial Scars

Youthful temples are soft and convex. As their fat padding vanishes, the temples become hollow leading to a gaunt, older appearance. Fat injections can subtly soften temple volume loss. Additional areas that have been successfully treated by Dr. Fechner include the chin, glabella (area between the eyebrows) and eyebrows. Even the earlobes can be treated if they look saggy and have lost a plump, youthful firmness. Depressed scars can greatly benefit from fat grafting for many patients.

How and where is the fat harvested?

The most common regions from which to harvest fat are thighs, hips or belly. The fat is harvested with a small liposuction cannula through minor skin punctures created with a tiny needle. Different from liposuction for body sculpting, rather small amounts of fat are necessary for facial treatments. When liposuction is performed for removal of unwanted fat, amounts beyond a quantity of 1000 cc are commonly removed by the plastic surgeon using a more powerful suction machine. In contrast, Dr. Fechner rarely removes more than 40 cc for fat grafting procedures.

These small amounts are carefully harvested using rather delicate extraction pressures to protect the fat cells from damage. The pinhole skin openings require stitches (sutures) and will vanish within a few weeks.

How will the fat be injected into the face?

After harvest, the fat is purified by removing excess fluids in a sterile process. Using a special needle, the fat is then deposited in tiny amounts in the previously determined and numbed facial areas. Using this micro-droplet technique is important for maximal fat survival as the fat cells require sufficient blood supply to become viable. Simply injecting large amounts of fat in one area will lead to virtually complete absorption, and is not a workable process.

How long will the fat transfer last?

The question of longevity is one of the most important questions to discuss prior to undergoing fat transfer. In general, the viable fat cells in place after three months will probably remain and flourish for the long term. First, it is important for every patient considering fat grafting to understand that not all the fat injected will result in volume enhancement.

For instance, when Dr. Fechner places 10 cc of fat into each cheek, this will not lead to a volume enhancement of 10 cc. (By the way, 10 cc of additional cheek volume would be too much for virtually every patient.) Dr. Fechner’s experience is that about 25 to 50 percent of long-term enhancement can be expected.

The loss of fat cells is taken in consideration in planning a custom fat transfer treatment. Placing more fat later is relatively easy; removing too much is far more difficult.

Recent studies using 3-D imaging show that in average about 30 percent of fat survives in the cheek area. In addition, Dr. Fechner’s observation has been that certain facial regions retain a higher percentage of the fat (i.e. the upper and lower eyelid area) than others (i.e. nasolabial creases or lips). This knowledge is considered when planning a custom fat transfer procedure.

After Fat Grafting

The overall volume after fat grafting is rather dynamic. Initially, of course, you may see puffiness beyond the desired level of enhancement. After about 10 days, patients feel comfortable easing back into their regular social and professional lives. Further healing leads to further subtle decrease in the overall volume increase.

In some cases, the optimal enhancement will require additional treatment (or treatments). A low point in volume correction is usually reached at about three to four months. The final visible result, which is long-lasting, is achieved after about six months in most cases.

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Dr. Frank Fechner

428 Shrewsbury Street,Worcester, MA 01604

Fax: (508) 754-4222 Tel: 508-306-8363
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428 Shrewsbury Street, Worcester, MA 01604

Practice Policy Update Regarding COVID-19

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WE ARE EXCITED TO WELCOME YOU BACK TO FECHNER MD!

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.

 

WHAT ARE WE DOING TO KEEP YOU AND OUR STAFF SAFE?

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.

 

WHEN WILL FECHNER MD PLASTIC SURGERY & MEDICAL SPA OPEN?

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).

 

WHAT CAN I EXPECT WHEN I BOOK AN APPOINTMENT AT FECHNER MD?

  • 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.

 

WHAT CAN I EXPECT WHEN I ARRIVE FOR MY APPOINTMENT?

  • 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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