Karter Advanced Facial Plastic Surgery

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✨ 6 Months Post–Upper Blepharoplasty Transformation This patient came to us feeling that her eyes made her look tired. S...
12/19/2025

✨ 6 Months Post–Upper Blepharoplasty Transformation

This patient came to us feeling that her eyes made her look tired. She had mild lateral hooding and excess skin of the upper eyelids, and while Botox initially helped lift the area, it gradually became less effective over time.

Now, 6 months after an Upper Blepharoplasty, her eyes appear more open, refreshed, and youthful—without looking overdone. We're thrilled with her results and the patient loves that she no longer looks tired. We couldn’t be happier with how beautifully she’s healed.

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
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12/19/2025

What is a Preservation Facelift?

A preservation facelift focuses on protecting the skin’s blood supply while delivering natural, long-lasting results.

Instead of lifting only the skin, this technique emphasizes a deep plane facelift, working beneath the SMAS (the face’s support structure) while minimizing subcutaneous dissection. Why does that matter? Excessive skin undermining can compromise blood flow, leading to thinning skin, redness, visible blood vessels, or delayed healing.

By limiting skin dissection to only small, strategic areas—around the ear, neck, and under the chin—a preservation facelift helps maintain healthier skin, smoother healing, and more refined outcomes.

Natural results start with respecting anatomy.

📍Board-Certified Facial Plastic Surgeon
📩 Save & share for facelift education

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
()

This beautiful patient is now 18 months out from her  .She was bothered by the bump on her bridge as well as the way her...
12/11/2025

This beautiful patient is now 18 months out from her .

She was bothered by the bump on her bridge as well as the way her tip seemed to droop.

We were able to contour the bridge to create a subtle concavity and transition from bridge to tip. We lifted the tip into a more feminine and aesthetic position and secured it in place to last a lifetime. Finally we were able to refine the tip cartilages to ensure the tip is in harmony with the new nasal shape.

Overall, this created a nose that beautifully highlights all of her amazing features and looks like the nose she was always meant to have. We couldn't be happier for her.

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

Follow us:
Dr. Nicholas Karter, MD
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This beautiful patient is only six weeks out from her deep plane facelift and deep necklift.She was really bothered by h...
12/06/2025

This beautiful patient is only six weeks out from her deep plane facelift and deep necklift.

She was really bothered by her neck skin and the loss of definition along her jawline. We opted for an extended deep plane facelift and deep neck lift to help address these concerns.

The extended deep plane facelift allows us to completely free and restore the supporting structure (SMAS) in the midface to raise the cheeks and jowls back into their youthful position.

The deep neck lift allows us to sculpt the deep structures of the neck, in this case the deep fat pad, deep muscles, and submandibular saliva glands, to create a better overall neck line and deeper neck angle.

She has done absolutely phenomenal so far and is only in the early stages of healing. We can't wait to see her results evolve over time!

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
()

Ashley is the newest face on our team, and we’re so excited to have her. She’s a skilled nurse injector who offers Botox...
12/04/2025

Ashley is the newest face on our team, and we’re so excited to have her. She’s a skilled nurse injector who offers Botox/neurotoxins, dermal fillers, laser skin resurfacing, and medical-grade skincare. I’ve worked with her before, and she has a natural eye for facial aesthetics and a genuine, thoughtful approach to every treatment plan. We couldn’t be happier she’s here.

Ashley will be seeing patients on Tuesdays from 9am–4pm. Give us a call to book—online scheduling will be available soon.

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


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This beautiful patient is just one month out from her upper blepharoplasty.Over time, she felt her eyes becoming increas...
12/03/2025

This beautiful patient is just one month out from her upper blepharoplasty.

Over time, she felt her eyes becoming increasingly hooded and heavy. Botox had given her a subtle lift in the past, but it eventually stopped providing the improvement she was looking for. To address the excess upper eyelid skin and open up her eye area, we performed an in-office upper blepharoplasty (eyelid lift).

Most patients look surprisingly good by the one-week mark—typically with only mild residual swelling or bruising—and by two weeks they often appear completely back to normal. Around one month, the incisions usually reach their thickest and most red stage, which is the peak of the natural proliferative phase of healing. From there, they gradually soften and fade over the next 3–6 months. Full scar maturation takes about a year, but most incisions become nearly imperceptible by the six-month mark.

She’s healing beautifully and doing incredibly well so far. We’re thrilled for her and can’t wait to see her results continue to refine over time!

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
()

Today is a reminder of how thankful I am for this amazing community, the privilege of caring for you, my team and the su...
11/27/2025

Today is a reminder of how thankful I am for this amazing community, the privilege of caring for you, my team and the support of my incredible family. Wishing you a beautiful and peaceful Thanksgiving holiday.

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
( )

This beautiful patient is now six months out from her open, structural rhinoplasty.She always felt like her nose just di...
11/27/2025

This beautiful patient is now six months out from her open, structural rhinoplasty.

She always felt like her nose just didn't fit with the rest of her face. She has such beautiful features, so we really wanted to create a nose that complimented them and brought balance to her face.

We performed an open, structural rhinoplasty. We were able to reduce the dorsal hump, and straighten the dorsum from the front. We also lifted the tip and used cartilage strengthening, repositioning, and defining techniques. Lastly, she had an extremely complex deviation and shape to her septum. Using grafts we were able to straighten the septum and open her nasal airway.

She looks absolutely stunning. She is such a wonderful person, wonderful patient, and we couldn't be more happy for her!

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
(


This amazing patient is now three months out from his deep plane facelift and deep neck lift.He was most bothered by the...
11/21/2025

This amazing patient is now three months out from his deep plane facelift and deep neck lift.

He was most bothered by the changes he was seeing under his neck. He had lost a significant amount of weight relatively quickly and felt that, afterward, he developed a turkey neck. It bugged him, and he just didn’t feel like himself.

We elected to do a deep plane facelift and deep neck lift. Although his main concern was his neck, he is a beautiful example of the necessity of performing a deep plane facelift in conjunction with a deep neck lift once there has been vertical descent in the jowl area. Without repositioning that area, it is nearly impossible to improve the laxity under the chin.

He is doing great so far and still has a lot of healing to go. We couldn’t be happier for him. He looks amazing—but more importantly, he feels amazing!

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
()

This beautiful patient is now only one month out from her blepharoplasty.She was bothered by the extra skin above her ey...
11/20/2025

This beautiful patient is now only one month out from her blepharoplasty.

She was bothered by the extra skin above her eyes, and she felt like it made her look tired.

We performed an in-office upper blepharoplasty, or eyelid lift, to remove this excess skin and help open up the area around the eyes.

Most patients look pretty good at one week after surgery, with just a little residual bruising and swelling, and typically look totally normal by two weeks. At the one-month mark, the incisions usually reach their thickest and most red (this is the peak of the proliferative phase of healing) and slowly get smoother over the next 3–6 months. Full scar maturation takes one year, but the incision is usually imperceptible by the six-month mark.

She is doing amazing so far! We are so excited for her and can’t wait to continue to see her results evolve.

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
Wethersfield, CT
06033

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