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Nose reconstruction surgery can be performed to restore both form and function after an injury, trauma, or illness. The procedure can correct cosmetic concerns such as asymmetry and depressions while simultaneously improving breathing and sinus issues.

As a sought-after double board-certified surgeon, Dr. Fechner has the skill, artistry, and expertise to deliver a balanced, personalized outcome that fulfills your goals and elevates your overall quality of life. He goes above and beyond to provide his nose reconstruction patients with increased self-confidence and a positive self-image that is aligned with their inner vision for their appearance.

How Is Nose Reconstruction Performed?

Dr. Fechner has multiple state-of-the-art techniques to choose from, and he will select the best approach for your individual anatomy, goals, and aesthetic sensibilities. Most reconstruction surgeries are performed under general anesthesia, but in certain cases, IV sedation may be an option.

Dr. Fechner may use skin taken from another area to conceal nasal defects (skin grafting.) He may also create tissue flaps that can help achieve a more natural nasal appearance. Bone and cartilage grafting are often performed to bolster structural support and create a secure scaffolding for the nose. Dr. Fechner performs all of these techniques with ease and acumen, providing a superior outcome along with a seamless, stress-free patient experience.

What are the Benefits?

  • Corrects breathing issues
  • Restores nasal function and comfort
  • Addresses cosmetic imperfections
  • Elevates quality of life
  • Enhances self-confidence
  • Long-lasting outcome
  • Natural-looking results
Rhinoplasty Boston

Who Is A Good Candidate For Nasal Reconstruction Surgery?

Reconstructive surgery can be performed for healthy, non-smoking patients who are free from any uncontrolled medical concerns and who are realistic in their expectations. Nose reconstruction can be performed to address any of the following:

  • Skin cancer — Basal cell carcinoma and squamous cell carcinoma can form on the nose requiring excision, after which nose reconstruction can help correct remaining defects

  • Trauma — Injuries related to sports or accidents can compromise the look and function of the nose. Nose reconstruction helps irrigate the wounds and seal lacerations. The nasal bridge, tip, and nostrils are sculpted and refined.

  • Congenital defects — Patients born with nasal deformities can benefit from nose reconstruction, as can those suffering from nasal dermoid cysts.

What Can I Expect From Recovery?

The type of techniques used and the extent of the work performed will determine the length of your recovery. For the first few weeks, patients can expect mild swelling, bruising, tenderness, and bleeding to occur. Dr. Fechner will provide prescription pain medications along with antibiotics. Sutures, if not dissolvable, are removed after one week, along with any splints that were placed.

For some patients, reconstruction will be staged and may require multiple appointments, with breathing difficulties occurring between treatments. For all patients, scarring will slowly heal over time and should not be judged as final until one year post-op. Around 3 months after their procedure, patients can begin considering scar revision.

What Are The Risks And Complications Of Nose Reconstruction?

Dr. Fechner’s impeccable techniques and conservative approach help to greatly minimize the risk of complications. However, some degree of risk is always present. These risks may include bleeding, infection, poor scarring, poor cosmetic outcome, breathing problems, asymmetry, nasal valve collapse, and others. Dr. Fechner will go over the risks and benefits of nose reconstruction in more detail during your private consultation.

How Much Does Nose Reconstruction Cost?

It is common for insurance companies to cover reconstructive procedures that help the patient to breathe better and that relieve discomfort and pain. We will provide you with a personalized quote for services at the time of your initial consultation.

Why choose Dr. Fechner?

Dr. Fechner is a double board-certified Facial Plastic Surgeon who is committed to the highest standards of safety, integrity, and excellence. His artistic vision guides his reconstructive endeavors, allowing him to deliver elegant, natural, and personalized results that elevate his patients’ quality of life and well-being.

Dr. Fechner studied at the University of Freiburg Medical School before receiving a prestigious scholarship from the University of Massachusetts Medical School in Worcester. Dr. Fechner then completed a demanding surgical internship at Massachusetts General Hospital (MGH) in Boston and a four-year Harvard residency training program at the Massachusetts Eye & Ear Infirmary.


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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