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Your face is your calling card and elicits a natural response in anyone you encounter. Are you unhappy with facial aging and deep laugh lines? Dr. Fechner is a visionary plastic surgeon who uses both surgical and non-surgical methods for customized facial rejuvenation. He truly enjoys the personalized treatment approach his specialty offers and demands.

Our Bellafill in Boston represents the latest generation of longest-lasting dermal fillers, and when injected carefully and correctly, can produce truly remarkable results. As with any facial procedure, you want a look that appears natural, fresh, and youthful, rather than overfilled. Dr. Fechner, as a leading authority in anti-aging procedures, uses a comprehensive approach for natural-looking facial rejuvenation.

About Facial Volume Loss

Dr. Fechner observed that over the years, our faces experience three-dimensional changes. We loose fat and collagen volume in certain parts of the face and maintain or even gain volume in others. These disproportionate changes combined with increased soft tissue laxity and loss of skin elasticity are further augmented by aging-related changes of the facial skeleton.

Summarizing all of these changes the “Enigma of Aging”, it is Dr. Fechner’s passion to find innovative solutions for non-surgical rejuvenation. Bellafill represents the most durable injectable filler used by Dr. Fechner to achieve a holistic facial enhancement without the “weird look.”

Where Do We Lose Volume in the Face?

Dr. Fechner continues to be fascinated by each person’s unique face and neck anatomy and the associated aging changes. Because no two faces equal another, not even in identical twins, successful treatments are based on Dr. Fechner’s thorough understanding of facial aesthetics and their changes.

Usually, not all of these regions are affected equally in each person. Preferring a balanced improvement for his patients, Dr. Fechner stresses the importance of harmonious enhancements of one’s unique aging constellation.

Common areas of volume loss observed in his patients include:

  • Temples
  • Nasolabial creases
  • Glabella, the area between the eyebrows
  • Lips
  • Upper eyelid socket
  • Marionette lines
  • Tear troughs, creating the dark under-eye circles
  • Jawline
  • Chin
  • Cheeks

About Smile Lines

Nasolabial folds are also known as smile lines or laugh lines. They can be described as skin folds that run from the sides of the nose to the corners of the mouth. Frank Fechner, M.D. performs Boston Bellafill injections in Boston and Worcester to smooth away nasolabial folds for a natural-looking, more youthful appearance with long-lasting results.

What Causes Laugh Lines?

Laugh lines can develop at any age, but they often deepen and become more pronounced with aging.

Factors that contribute to noticeable nasolabial folds include:

  • Weakening of facial muscles
  • Facial expressions
  • Volume loss of the face
  • Gravity
  • Sun exposure
  • Sagging skin due to decreased collagen and elastin
  • Smoking
  • Significant weight loss

What Is Bellafill and How Does It Work?

Bellafill is a smooth, dermal filler, approved by the FDA for treatment of smile lines and acne scars. It is based on microspheres made of polymethyl methacrylate (PMMA), a biocompatible material that has been in medical use for more than 65 years. These microscopic PMMA pearls are suspended in bovine collagen and lidocaine, a local anesthetic added to improve treatment comfort.

When injected into laugh lines and scars, the Bellafill provides volume for visible results immediately after treatment. In addition, it initiates collagen production by our body for a natural looking, long-lasting benefit. The Bellafill microspheres provide a supportive base that allows for more natural collagen production, leading to smoother skin with results that last.

Does It Hurt to Have Bellafill Injections?

Dr. Fechner’s delicate approach to Bellafill treatments makes all the difference in your comfort. In addition, the lidocaine contained in Bellafill helps to make the treatment more comfortable for patients. To provide additional relief for those who need it, Dr. Fechner may numb the area with a local anesthetic or apply topical numbing cream to the treatment area before performing injections.

What Is the Downtime after a Bellafill Treatment?

There is no downtime after Bellafill injections. Patients may return to their normal activities immediately after treatment. Most patients experience short-lived redness and swelling; bruising, itching, and discoloration at injections sites are rare. These symptoms typically resolve within one to seven days after treatment.

How Long Do Results Last with Bellafill?

Dr. Fechner has more than 10 years of experience with Bellafill and his patients enjoy continued benefits, even after so many years. Of course, our faces continue to change and Bellafill provides a lasting base for minimal maintenance requirements. Mirroring Dr. Fechner’s first-hand experience with Bellafill, the company that manufactures this product reports excellent long-term results. For nasolabial folds, effectiveness and patient satisfaction have been established beyond five years after treatment. For treatment of acne scars, results have been shown to last at least for 12 months.

How Long Do Results Last with Bellafill?

In Dr. Fechner experience, Bellafill has been an equally effective treatment for women and men. Over the years, he has safely treated hundreds of patients of all ages and skin types . In clinical trials, the product was shown to work equally well on a different skin varieties. Patients with allergies to bovine collagen or lidocaine would not be candidates for this treatment. To receive Bellafill injections, you must be 21 years of age or older. A skin test is also required before treatment to rule out the possibility of allergic reactions.

What Are the Benefits of Bellafill?

Unlike hyaluronic acid fillers (i.e., Restylane, Juvederm, Voluma etc.), Bellafill injections do not need to be repeated in a matter of months. Treatment immediately reduces the appearance of smile lines, and over time, the body uses the microspheres contained in the product as a scaffolding on which to build natural collagen. According to Dr. Fechner, these unique characteristics make Bellafill the go-to choice for facial fillers in discerning patients who wish best durability.

Increased collagen content forms a foundation for the skin that adds volume and reduces wrinkles. Bellafill produces soft, smooth, natural results that can last easily beyond five full years.

Bellafill is a quick, minimally-invasive, FDA-approved treatment with no downtime and minimal side effects. It produces results that are both immediate and long-lasting, without surgery.

If you are bothered by facial volume loss, deepening facial grooves and creases or acne scarring, Dr. Fechner may recommend Bellafill injections as the right treatment option for you. Schedule a consultation with Frank Fechner, M.D. in Worcester or Boston to find out if you are a good candidate. A skin test for allergies is required if you decide to undergo treatment with Bellafill for acne scars or nasolabial folds.


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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