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With the aging process, the skin loses its vital supply of compounds such as hyaluronic acid, collagen, and elastin, leaving behind depleted contours, shadows, and hollow-looking areas. This is especially true in the tear troughs, the regions just below the eyes and above the cheeks. Dr. Fechner in Boston and Worcester treats the tear troughs using dermal fillers, restoring a well-rested, attractive countenance without discomfort or downtime.

What are tear trough fillers?

Tear trough fillers are injectables that can help to mitigate sunken, hollow-looking contours beneath the eyes. Many tear trough fillers are made with hyaluronic acid, a compound found naturally in youthful complexions. HA binds to water, giving the skin a supple, hydrated glow that is exquisite. As we age, our bodies’ supply of hyaluronic acid dwindles, necessitating the need for a cosmetic intervention.

What are the advantages?

  • Safe, non-surgical, and non-invasive
  • Corrects under-eye puffiness and dark circles
  • Reverses volume loss and hollowness
  • Creates a more youthful, energized appearance
  • Brightens the smile
  • Enhances self-confidence
  • Painless, with no downtime required
  • Natural-looking outcome tailored to your needs
Lip Flip Boston

Who is a good candidate?

Ideal candidates for tear trough fillers are unhappy with their under-eye appearance and have exhausted over-the-counter solutions such as lotions, creams, and serums. Treatment is non-invasive, so it is appropriate for almost any patient, provided they are healthy, and they have realistic expectations for their outcome.

Dr. Fechner performs tear trough filler treatments himself, so he will meet with you in private for a detailed consultation, examining your skin and discussing your goals for improvement.

Who is not a good candidate for tear trough fillers?

Patients who are pregnant or nursing should not undergo treatment with dermal fillers. Those who are allergic to hyaluronic acid or lidocaine should also avoid this procedure. Heavy drinkers may want to stop their alcohol intake prior to receiving their injections, as alcoholic beverages in one’s system can increase the risk of bruising.

What happens after my treatment?

Recovery times vary from person to person. In general, tear trough fillers come with no downtime, so patients can return quickly to their normal routines within a day or so. Many clients come into the office over their lunch break and leave feeling excited about the improvements Dr. Fechner is able to achieve. If a client undergoes blepharoplasty at the same time as their filler injections, then naturally, the recovery time will be extended.

Dr. Fechner and his team will follow up with you after your session to ensure you are happy with your results and you are free from side effects. While it is common to have some minor bruising, swelling, or tenderness at the injection sites, these symptoms typically fade within a matter of hours or by the next day.

How long do tear trough fillers last?

While the results of your tear trough filler session are temporary – usually 6-18 months – some clients can extend the longevity of their outcome through the careful avoidance of prolonged sun exposure and adherence to a healthy diet and exercise regimen. Factors that can influence the length of your tear trough filler results include:

  • Your age
  • Your lifestyle (whether you smoke and/or drink alcohol)
  • Your skin type
  • Facial muscle activity

Why choose Dr. Fechner?

Dr. Fechner is a board-certified Facial Plastic Surgeon who oversees all non-surgical treatments, including lip flip with BOTOX. His consummate artistry, prestigious training background, and focus on precision ensure that your final outcome is nuanced and natural-looking, never artificial or forced. Boston and Worcester area patients enjoy Dr. Fechner’s immaculate, state-of-the-art practice setting and access to advanced technology and cutting-edge treatments.

After attending the University of Freiburg Medical School in Germany, Dr. Fechner received an elite scholarship from the University of Massachusetts Medical School in Worcester to continue his training. He then completed a surgical internship at Massachusetts General Hospital (MGH) and a four-year residency at the Harvard training institution, the Massachusetts Eye and Ear Infirmary in Boston.


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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