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Moles And Blemishes

Moles and other skin abnormalities play an important role in the overall skin health. They require appropriate diagnosis first in order to determine whether treatment is required. If removal is optional, the cosmetic outcome is most important. Dr. Fechner has extensive experience in treating moles, blemishes and tumors of the skin. He applies a gentle treatment approach finding the appropriate balance of efficacy and cosmetic outcome for these benign lesions. When skin cancer is a concern, ready diagnosis, appropriate treatment and reconstruction are important.

New Skin Blemishes Require Attention

Whenever new skin moles develop, evaluation by a specialist should be considered in order to ensure that an important condition such as skin cancer is not missed. And even “sores” that appear to be the result of scratches or other minor traumas should be checked if they fail to heal within a reasonable period of time.

Benign Skin Moles And Blemishes

Below is a short list of skin abnormalities that are benign. They still may cause an aesthetic concern and can be treated.

Spider Veins (a.k.a. Telangiectasia)

are small blood vessels that appear prominent through the skin. Spider veins are common on the side of the nose, the cheeks and the forehead. They can develop after skin surgery and may be present in rosacea (see below).

Liver Spots (a.k.a. Lentigos)

are brown well-demarcated spots. They can appear anywhere on the face or neck and may be the result of sun exposure. Lentigo blemishes are flat.

Skin Tags (a.k.a. Acrochordons; Fibro-epithelial Polyps)

are common brown or pale skin growths that occur frequently around the eyes, neck and other parts of the face and body. They have a narrow stalk and can be easily removed in the office.


is a chronic skin condition which is sometimes mistaken as adult acne. It most commonly effects people in their 40s and 50s and may worsen with time. Most rosacea sufferers flush easily. They have varying degrees of redness of cheeks and nose, small pimples and small spider veins.

Seborrheic Keratosis

is raised brown skin growth that appears with age. They have a rough surface and can appear anywhere in the face as sun exposure does not appear to play a role in their development. With time, they color may darken which can lead to concern although they are benign and can be treated in the office.

Cherry Angioamas (a.k.a. Cherry Hemangiomas)

are small red or purple nodules and represent an abnormal growth of blood vessels. Occurring later in life, they can be effectively treated with minimal-invasive techniques.

Actinic Keratosis (a.k.a. Solar Keratosis)

is a scaly pinkish plaque of the sun exposed skin. They are common in middle-aged people of pale skin types. Because actinic keratosis carries an approximately 15% risk of developing into skin cancer (squamous cell cancer), they should be watched and treated.


is a common nodule often with a central pit. It is usually found on sun-exposed parts of the body. Because of its appearance, it can be easily confused with squamous cell cancer. Keratoacanthomas should be removed.

Mole (a.k.a. Nevus)

is a skin lesion of light-brown to brown color. Sometimes, moles are of normal skin color or even pale. They represent a benign growth of nevus cells which are normally present in the skin. Depending on the location of these nevus cells within the various layers of the skin, nevi can be flat (macule) or raised (nodule). Development into a cancer (i.e. melanoma) is very rare.

Wen (a.k.a. Sebaceous Cyst; Epidermal Inclusion Cyst; Keratinous Cyst; Pilar Cyst)

is a cystic growth filled with a paste-like cheesy material. These skin cysts often get bigger as more of material collects inside. Sometimes, cysts become infected and inflamed which may require treatment.

Fatty tumor (a.k.a. lipoma)

is a benign growth originating from fat cells. They may appear as soft bumps in the skin of varying size. Lipomas usually grow slowly and should be removed surgically.

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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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