Karter Advanced Facial Plastic Surgery

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Nobody gives you a straight answer on this, so here it is.Post-op day 1 -7: You will look like you had surgery. Swelling...
04/16/2026

Nobody gives you a straight answer on this, so here it is.

Post-op day 1 -7: You will look like you had surgery. Swelling, bruising, and discomfort are all normal and expected. Most patients are home, comfortable, and watching television. This is not a week for mirrors or for guests.

Week 1 - 2: Bruising begins to resolve. Swelling remains significant but is localized differently. You're still not presentable for public life, but you're moving around comfortably. Most patients describe feeling better than they expected.

Week 2 - 3: The transition week. Most visible bruising is gone. Residual swelling is present but begins to look less surgical. Many patients begin to see their result emerge for the first time and describe it as encouraging. This is when patients become “socially presentable”, and begin to return to work and day to day activities.

Week 5-6: Most patients are doing quite well and look completely normal. The swelling is still present in subtle ways that you will notice and others will not. This is the window where the 'vacation' comments start — people notice something looks good but cannot identify what.

Months 3-6: The result continues to refine. Residual firmness resolves. Tissues settle into their final position.The result become undetectable.

Month 12: This is what it looks like. This is what it will look like for the next decade.
The recovery from a deep plane facelift is longer than a skin-only procedure — because a deeper operation requires deeper healing. Patients who choose this approach accept a longer timeline in exchange for a result that doesn't look surgical and doesn't require repeating.

Questions about specific recovery protocols or what to expect for your situation — that's what the consultation is for.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()

04/14/2026

If you've been afraid of looking like you've had a nose job — you've seen over-resected, over-done rhinoplasties.

The pinched tip. The scooped profile. The turned-up appearance. The nose that looks like it belongs to a different face. These results all come from the same place: too much structural tissue removed. The cartilage that gives the nose its shape was reduced past the point of natural support, and the surface shows it.

Modern rhinoplasty — done well — is a balance between reduction and preservation.
My job is to change the specific thing that's been bothering you while leaving intact everything that makes your nose yours. The cartilaginous framework, the structural support, the proportional relationship to your other features. What changes is the particular detail — the bump, the drooping tip, the width at the base —
not the fundamental character of the nose.

The result, when the technique is right, looks like nothing was done. Because structurally, only the essentials were — only the things that needed change.

If you've been thinking about this for a long time — and most rhinoplasty patients have — a consultation is a conversation, not a commitment. We're in Glastonbury, CT, accessible from across the Hartford area.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()


The camera always catches the neck. Here's what changes when you finally address it.Most people focus on the face when t...
04/13/2026

The camera always catches the neck. Here's what changes when you finally address it.

Most people focus on the face when they think about aging. The neck is where the camera lives.

Swipe through the carousel to see both profiles and three-quarter angles, and the frontal before and after.. The profile is what most patients come in dreading. It's also where the deep necklift makes the most visible difference.

What you're seeing in these results:
The platysmal bands — the vertical cords that develop in the neck — have been addressed at the muscle level, not the skin level. The jawline has been redefined. The angle between the chin and neck, which flattens significantly with age, has been restored.

This is the result of a combined extended deep plane facelift and deep necklift performed as a single procedure. The face and neck age as a unit. When you treat them together, the result reads as harmonious.

When you treat them separately — or treat only one — the result almost always shows a mismatch.

This patient is only 6 weeks post surgery and still experiencing some swelling — her results will only continue to improve over time.

The profile view at twelve months is the image that matters most. That's when the swelling is gone, the tissues have settled, and you're seeing exactly what this patient will look like for the next decade.

If the neck is the thing that bothers you most — that's one of the most common things I hear in consultations, and it's also one of the most treatable. Book a consultation if you'd like to discuss your anatomy specifically.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
( )


She never wanted a different nose. She wanted to stop noticing hers. For years, it wasn't about vanity. It was about the...
04/11/2026

She never wanted a different nose. She wanted to stop noticing hers.

For years, it wasn't about vanity. It was about the angle she avoided in photos. The way she positioned herself in group shots. The profile she'd catch in a window and feel that familiar pang — the one she'd learned to brush off, but never fully stopped feeling.

The bump on her bridge wasn't dramatic. But it was always there. In her mind, even when nobody else was looking.
She came to us for one thing: to finally stop thinking about it.
What you're seeing here is her result at just one month post-op.

Important context before you swipe: rhinoplasty swelling resolves gradually over 12 months. What you're seeing now — this early, this clean — is not the final result. It only gets better from here.

What's already visible at 1 month:
-Dorsal hump fully addressed
-A profile that feels balanced and natural — not operated
-A nose that fits her face, rather than defining it

She's not done healing. But she's already stopped counting her angles.

If you've been having a quiet conversation with yourself about this for longer than you can remember — that's worth bringing to a real one.

Call to book your free consultation with Erin. Bring your concerns, your questions, and your reference photos. That's exactly what we're there for.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()

Her coworkers thought she'd been on a really good vacation. She hadn't.That is the result of an extended deep plane face...
04/10/2026

Her coworkers thought she'd been on a really good vacation. She hadn't.

That is the result of an extended deep plane facelift and deep necklift done well — not that she looked transformed, but that she looked rested, vital, and completely like herself. Nobody could place what had changed. They just knew something had.

Swipe to see her result at six months post-op — front view and profile.

What you're seeing here is the product of addressing the face and neck as a structural unit. The deep plane technique works at the level of the SMAS — repositioning descended tissue vertically rather than pulling skin horizontally. The result moves with the face naturally. There are no visible signs of surgery because the surgery didn't create tension at the surface.

The neck, in particular, often ages faster than the face and is frequently undertreated. Addressing both in a single procedure creates a result that reads as harmonious rather than patchy — the way the face and neck were always meant to relate to each other.

If you've been thinking about this and want to understand what's realistic for your anatomy specifically, that's exactly what a consultation is for. We're located in Glastonbury, CT — a short drive from West Hartford, Simsbury, Avon, and the broader Hartford area.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
( )


04/07/2026

The first time you really saw your profile was probably on a video call. You're not imagining it.

Before 2020, most people saw themselves in mirrors — which show a controlled, front-facing reflection. Then video calls became the default, and for the first time, people were seeing their profile. Their three-quarter angle. The way they look to everyone else in the room — for hours a day.

Rhinoplasty consultations increased significantly in the years that followed. That's not a coincidence. Here's what's happening optically: smartphone and laptop cameras typically use a wide-angle lens at close range, which exaggerates depth and projection. What you see on screen is a slightly distorted version of your face — one that emphasizes the nose relative to the rest of your features.

So no — the camera isn't lying. But it also isn't the whole truth.

What I can tell you is this: if you've spent years thinking about a specific thing that bothers you, and a video call crystallized it — that's a valid reason to have a conversation. Not a commitment. Just a conversation.

Rhinoplasty, done well, is about changing the one thing that's been distracting you. Not about transforming your face into something unrecognizable. Not about achieving some abstract ideal. About your face — minus the one thing you've been thinking about.

If you're in the Connecticut area and have been considering this for a while, I'd encourage you to book a consultation. There's no pressure and no obligation — just a candid discussion about what's possible.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()


04/06/2026

People have been telling you that you look exhausted — and you're not.

You're sleeping fine. You're healthy. But something in the mirror keeps reading as fatigue, and no amount of rest changes it.

Here's what's actually happening:

In your 40s and 50s, the fat compartments in your midface begin to descend. The SMAS layer — the structural foundation beneath your skin — loses its tension. Volume doesn't just disappear. It migrates downward. The result is hollowing in the cheeks, heaviness along the jaw, and a look that reads as tired, heavy, or older than you feel.

This is not a sleep problem. It's not a stress problem. It's a structural change that happens to virtually everyone — and it's one that no cream, no filler, and no amount of rest can reverse once it reaches a certain threshold.

The extended deep plane facelift addresses this at the source. Not by pulling skin. By repositioning the structures that have descended — and restoring the facial architecture that was always there.

If you've been told you look tired and it doesn't match how you feel — this is why.
Questions about what's actually happening in your face? Drop them below, or send a DM to start a conversation.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()


Six months after upper blepharoplasty. Five angles. The result you almost can't point to — which is exactly the point.Sw...
04/03/2026

Six months after upper blepharoplasty. Five angles. The result you almost can't point to — which is exactly the point.

Swipe through.

Upper blepharoplasty is one of the most consistently misunderstood procedures in facial plastic surgery. Patients often expect a dramatic transformation. What a well-executed upper blepharoplasty actually delivers is something more precise than that: the removal of what was obscuring the eye, so the eye itself can be seen clearly again.

In this case, the concern was hooding — excess upper eyelid skin that had descended over the lid margin. It is a structural change. It is not reversible with skincare, injectables, or any topical intervention. At a certain threshold, the only solution is surgical.

What I removed was skin. What remained is hers.

At six months, this result is fully mature. The incision — placed within the natural eyelid crease — is well healed and not visible in these images. That is the standard. A scar that requires explanation is a scar that was not placed or closed with sufficient precision. This one requires none.

Look at the five angles in this carousel — left profile, left three-quarter, frontal, right three-quarter, right profile. The eye is open. The brow is not compensating. The lid platform is visible. The face reads as rested without reading as operated.

That is the outcome upper blepharoplasty is designed to produce.

If you have been noticing heaviness or hooding in the upper eyelid — in photographs, in the mirror, or in the way your eye appears at rest — a consultation is the appropriate next step. Not a commitment. An assessment.

Upper blepharoplasty consultations are available at my practice in Glastonbury, CT.

Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()

Three months post-op. Five angles. One bridge that changed the entire conversation between her features.Swipe to see wha...
04/01/2026

Three months post-op. Five angles. One bridge that changed the entire conversation between her features.

Swipe to see what a dorsal reduction looks like when it's done with proportion in mind — not a formula.

→ Slide 1 & 5: Profile. The most telling angle for bridge work. The line from forehead to tip now reads as one continuous, refined shape.
→ Slide 2 &4: Three-quarter view. Where harmony becomes visible. Nothing is disproportionate. Nothing was over-corrected.
→ Slide 3: Front. Balanced, natural, hers.

At three months, there is still some residual swelling present — full rhinoplasty results continue to refine for up to 12 months. What you're seeing here is a result that will only improve.

A bridge reduction done well doesn't announce itself. It removes what was drawing the eye and lets the rest of the face come forward.

That's the goal. Every time.

If the bridge has been something you've been looking at in photos — in profile especially — a consultation is where that conversation starts.

Book with us:
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()

03/31/2026

"There isn't enough cream in the world for this sagging." 😄

And just like that, she said everything so many of you have been thinking.

Before her facelift, we sat down with her to ask three simple questions — and her answers were nothing short of beautiful.

Did she have any questions going in?

Not one. She felt completely informed and fully prepared — and that's not by accident. Every step we take in our practice is designed so that our patients feel seen, heard, and above all, educated. When you understand what's happening and why, fear doesn't get a seat at the table.

Was she nervous about anything?

Not at all. She walked in calm, confident, and ready. That kind of peace of mind is what our process is built around — and seeing it reflected in our patients never gets old.

So why now?

Because it was time to put herself first. Her family has always told her she was beautiful — and they meant it. But this wasn't about them. This was for her. Something she'd been wanting to do for herself, and when she finally decided to move forward, her family supported her 110%.

That's the kind of decision that comes from a deeply grounded place. Not pressure. Not insecurity. Just a woman who decided she was ready.

If you've been waiting for a sign — this might be it.

�Book with us:
Karter Advanced Facial Plastic Surgery
📍 Glastonbury, CT
📞 860-775-5595
🖥️ karterplasticsurgery.com

👨🏻‍⚕️ Follow us for more facial plastic surgery transformations and education:
Dr. Nicholas Karter, MD
()

Address

120 Hebron Avenue Suite 2A
Glastonbury, CT
06033

Telephone

+18607755595

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