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Our double board-certified Boston plastic surgeon holds impressive credentials and a breadth of experience in facial plastic surgery. As a specialist in his field, he educates plastic surgeons in training as a member of the faculty of Harvard Medical School and has garnered a stellar reputation in facial plastic surgery.
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107 Fechner MD Plastic Surgery & Medical Spa Reviews
Made me feel very comfortable
After looking for almost a year for a doctor I felt comfortable with, I called Dr. Fechner. I chose him for several reasons, most importantly to me was that he only works on the face and neck. He is professional, polite and made me feel very comfortable. A couple of bumps in the road (I did opt to have a face and neck lift, lip lift, revision rhinoplasty and buccal fat reduction at the same...
I still look like me - just better!
Dr. Fechner and his team were extremely professional and thorough in explaining my procedures (face lift, neck lift, septoplasty, rhinoplasty, and upper/lower bleph). Though my healing took a bit longer than I would hoped for or expected, the team reassured me all was normal. Dr. Fechner used a conservative approach in my rhinoplasty, and while I was initially uncertain, I am now pleased with...
One year after surgery and thrilled with the results
One year! I am so grateful to have had such an amazing experience with Dr. Fechner and his incredible staff. I am thrilled with the results and appreciate his artistry and skill as a surgeon. At 61 I had never had any type of surgery, needless to say I was very nervous with lots of questions especially post op. I so appreciate everyone's time and assurances during my recovery. Thank you so...
Recommendations were personalized
Amazing from start to finish. I did all the research, Dr. Fechner's experience is above and beyond anyone on the East coast. Having had a procedure on my face, I wasn't going to cut corners. Dr Fechner changed my life. Dr. Fechner's recommendations were personalized exactly for my features to look natural. The office is spotless, surgical center is clean and welcoming. The staff is AMAZING!...
6 days post lower facelift, neck lift & lip lift - exceptional so far
Hey y'all- I'm six days post lower facelift, neck lift and lip lift from Dr. Fechner in Worcester. So far my experience has been pretty exceptional- the end result is obviously still pending. The clinic is very posh and they have their own surgery suite, so no hospital. The support staff are instantly your BFFs- very friendly, down to earth lovely ladies. He only does faces- which was...
212 Before & After Photos
502 Q&A
A: You are asking a technical question which is commonly discussed at conferences among facelift experts.
In essence, when the surgeon dissects beneath the SMAS layer s/he is able to release ligaments which in other facelift techniques limit the confluent repositioning of the facial tissues.
Both, the deep plane and the high SMAS face lift procedures do this and are allow the surgeon to more effectively improve the overall facial contour.
A high SMAS lift requires more surgical dissection - but this is a minor difference.
Additional advantage of the deep plane facelift is that the skin maintains a robust blood supply leading to decrease in complication.
A: Great question! You say your lips are uneven, though in the photo you sent, your lips look beautiful and quite symmetric at rest. A small amount of filler can correct any asymmetries you see. What I would recommend trying first is a small amount of botox/dysport to the top lip, which can help with the "curling in" if done correctly. It's a quick, cheaper and less invasive option. Some people do find they have some initial difficulty drinking through a straw, or report that their smile looks and feels different. The good news is that these changes are self-limiting, as neurotoxins only last 3-4 months, and will start to improve as you regain some strength in the orbicularis oris muscle. It is definitely worth a shot to see if this corrects your concern!
Brittany, PA-C
Fechner MD Plastic Surgery & Medical Spa
A: Dermal fillers can be used to treat this area and often will result in a softening of deep lines. Hyaluronic acid fillers are often used in this area (Juvederm or Restylane), although there are other products on the market which may have more longevity (ie.Bellafill) and thus will not require as much maintenance. I would recommend scheduling a consultation with a Plastic surgeon to perform a full facial assessment and develop a treatment plan to help you achieve your goals.
Best,
Vanessa, NP
A: Necrosis is a rare complication of lip fillers and choosing an injector who is aware of the signs and symptoms of intravascular occlusion is very important. It is also crucial to have an injector who is knowledgeable in regards to facial anatomy as well as safety mechanisms to prevent these risks from occurring. This risk can often be identified by your provider immediately as signs of blanching of the skin (white color) occur. Other symptoms include pain, skin discoloration and finally necrosis if left untreated. If needed, the filler can be dissolved with an enzyme known as hyaluronidase which works immediately.
Best,
Vanessa, NP
A: Botox will most definitely soften the horizontal lines on your forehead, and can also be used to slim the face and decrease bruxism (teeth grinding) by injection into the masseter muscles. The slight indentations in your central cheek area would be best addressed with hyaluronic acid dermal filler. This same product can also be used to soften the smile lines. A combination treatment of both products would give a great improvement and the refreshed look you are seeking. I would recommend an evaluation with a plastic surgery office for further assessment and development of a treatment plan.
Best,
Vanessa, NP