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Dermal Fillers

As we age, naturally we lose volume in the face, causing its shape and texture to change. Thankfully, dermal fillers can help to improve that. We can inject safe, FDA approved fillers such as Restylane, Bellafill, and Sculptra, right under the skin’s surface to replace that lost volume. This helps to redefine bone structure and plump up desired areas such as lips, cheeks, and jawline. Using filler alongside other treatments can help you achieve your most desired look and show off your best features. There is minimal downtime with these injections, and mild swelling and bruising can be expected that will resolve in a matter of days. Depending on your needs, there are filler options available that last anywhere from 9 months to 5 years! We can customize a plan for you to refresh your look!

We have all heard of Botox or Dysport, but what are they? As neuromodulators, these products are able to temporarily improve the appearance of lines and wrinkles by immobilizing the muscles that cause them. And they are FDA approved! Lines and wrinkles set over time due to facial expression. But don’t stop smiling! Neuromodulators are the perfect way to reverse this damage! Commonly treated areas include the frown lines between the brows, crows feet around the eyes, and forehead grooves. For some patients, Dr. Fechner will also use these products to alleviate wrinkles in the lips and on the nose, and improve dimpling on the chin! This is a quick office procedure with no downtime and it is virtually painless. There is no better way to kick wrinkles to the curb! Lines and wrinkles are not the only thing we can treat, though. Ask your injector about using neuromodulators for chronic migraines, TMJ, eyebrow arch shaping, lower eyelid lines, hyperhidrosis (excessive sweating), platysmal lines (neck bands), correcting a gummy smile and jaw recontouring. Now that’s a lot of improvement! With results that last 3-4 months on average, we recommend coming in for regular treatments.

BOTOX temporarily limits muscle contractions at the injection sites to smooth wrinkles and lines. Dr. Fechner typically uses Botox to reduce the appearance of frown lines between the eyebrows, crow’s feet and forehead grooves. In some of his patients, Dr. Fechner uses Botox to help lip wrinkles, chin dimples and wrinkles on the nose. When injected correctly but conservatively, Botox will produce a smoother, younger look that appears natural.

A muscle relaxer rather than a dermal filler, Dysport is a very effective temporary non-surgical treatment that functions similarly to BOTOX. It can be used to diminish lines and wrinkles on the forehead, neck, and around the eyes. Dr. Fechner uses Dysport to shape the jawline, improve lip and chin appearance and to address some specific asymmetries of the face. He will discuss your personalized treatment plan in detail with you and explain how Dysport treatments may play a role for your facial enhancement.

An unattractive double chin can be reduced with Kybella. Synthetic deoxycholic acid is used to aid in the breakdown of fat cells. When injected into fatty under-chin areas, the fat cells are destroyed and in the following weeks, naturally flushed from the body.

Juvèderm is a gel-like injectable filler made from hyaluronic acid. The naturally-occurring compound found in our skin can be used to fill in deep wrinkles and creases such as laugh lines, Marionette lines, and nasal furrows for a more youthful, smooth appearance.

Restylane is a hyaluronic acid filler commonly used by Dr. Fechner for wrinkle reduction, lip enhancement and volume restoration of the face. There are a few different concentrations of the Restylane formula, allowing Dr. Fechner to provide a higher degree of customization for his patients. The hyaluronic acid in Restylane is absorbed more slowly than many dermal filler products, allowing for longevity in results.

Dr. Fechner prefers Bellafill for patients who are looking for the most durable injectable soft tissue filler. The collagen gel base in Bellafill provides near-instant softening of acne scars and smile lines. The microspheres inside the filler inspire the growth of your body’s own collagen and tissue for longer-lasting results. Dr. Fechner commonly uses Bellafill for long-lasting jawline contouring and cheek enhancement.

Dr. Fechner considers Sculptra a facial volumizer. Sculptra is used to fill in loss of volume in the cheeks, temples, or other regions of the face. Creases such as nasolabial folds can be softened, and plumpness restored for youthful results that last one-and-a-half years or even longer.

The face and hands are two areas that age quickly due to the thin quality of the skin in those areas. Dr. Fechner prefers Radiesse for its ability to rejuvenate the back of the hands by providing softness in areas where tendons and vein show prominently.

Related to Juvèderm, Voluma is a gel-like formula that can correct the deep tissues of the cheeks and age-related loss of volume. The filler restores a youthful plumpness, and is an incredible anti-aging treatment when administered correctly.

Dr. Fechner loves to provide an instant improvement for his patients utilizing injectables and other skin rejuvenation treatments, often in combination. This customized non-surgical rejuvenation procedure (Q-Lift) can provide facelift-like results. Dr. Fechner stresses that he uses the effective Q-lift also to delay the need for a surgical facelift, or to maintain the results of a previous procedure.

We offer an array of injectables with similar purposes, but small distinctions set them apart. Visit this page for an explanation of different types of wrinkles and creases, and the unique differences between formulas, and the intended uses for each dermal filler.

Lip fillers augment, hydrate, and contour the lips without requiring a surgery, incisions, implants, or a downtime period for recovery.

A lip flip uses BOTOX to produce a gentle parting of the lips and creating a more feminine, youthful look.

Tear trough fillers at Fechner Plastic Surgery & Medspa can help to lessen sunken, hollow-looking contours beneath the eyes and give you the look you have always wanted.


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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