508-754-4000 Menu

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.

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 facial fat grafting.

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.

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.

Schedule Consultation

Contact Us

Who Is a Good Candidate for a Lip Lift Procedure?

Patients of all ages can benefit from lip lift surgery performed by one of the best facial plastic surgeons in Boston. Dr. Fechner has performed hundreds of lip lifts for men and women. An excessively long upper lip develops with aging in some people, while others are born with this cosmetic flaw.

You may be a good candidate for a lip lift if:

  • Your lips are not as full as you would like them to be.
  • You have a long space between your upper lip and the base of the nose.
  • Your teeth do not show enough when you open your mouth.
  • Lip fillers give you “duck lips” as the upper lip lacks room to expand vertically.

How Is Lip Lift Surgery Performed?

Dr. Fechner performs lip lift procedures in Worcester on an outpatient basis with local anesthesia with or without sedation. After the treatment area is numbed, he makes a small incision directly under the nose into the natural groove and removes a small strip of tissue and skin. As he places tiny sutures, this elevates the position of the lip and increases volume in the pink portion of the upper lip.

In a corner lip lift procedure, Dr. Fechner uses a wedge excision technique in which the edges of the mouth corners are slightly lifted with tiny sutures. This procedure is also known as “smile surgery.”

What Are the Benefits of a Lip Lift?

An older looking mouth can add years to the appearance of the entire face. A lip lift procedure can shorten the upper lip for a poutier, more youthful appearance, elevate the mouth corners, and reduce the amount of skin in the nasolabial (nose and upper lip) area.

Frank Fechner, M.D. is a plastic surgeon in Boston and Worcester who is board-certified in both facial plastic and reconstructive surgery and head and neck surgery (otolaryngology). He has extensive training and experience and focuses his practice on cosmetic plastic surgery procedures of the face. Dr. Fechner performs lip lift surgery with artistry and skill to produce stunning, natural-looking results with minimal scarring.


Dr. Frank Fechner

428 Shrewsbury Street,Worcester, MA 01604

Fax: (508) 754-4222 Tel: 508-754-4000

428 Shrewsbury Street, Worcester, MA 01604