Karter Advanced Facial Plastic Surgery

Karter Advanced Facial Plastic Surgery Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Karter Advanced Facial Plastic Surgery, Plastic surgeon, 120 Hebron Avenue Suite 2A, Glastonbury, CT.

The face and neck age as a unit. Treating them separately almost always shows.Swipe to see the result of a combined exte...
04/27/2026

The face and neck age as a unit. Treating them separately almost always shows.

Swipe to see the result of a combined extended deep plane facelift and deep necklift — at six months post-op.

Here's the technical rationale for addressing both in a single procedure.

The SMAS — the structural layer beneath the facial skin — continues into the neck as the platysma muscle. They are anatomically continuous. When you lift the face without addressing the platysma, the face may look refreshed while the neck remains unchanged. When you address the neck without addressing the facial SMAS, you create a different mismatch.

The deep plane facelift addresses the midface and lower face by releasing and repositioning the SMAS complex, including the cheek fat pad and the structures along the nasolabial fold. The deep necklift addresses the platysmal bands — the muscular cords in the neck — directly, as well as the submental fat and the deep cervical structures when indicated.

Done together, the result is a face and neck that have been restored as a unit — with a jawline that flows naturally into a neck with definition, and a chin-to-neck angle that reflects the anatomy of twenty years earlier.

Done separately or incompletely, the mismatch between a treated face and an untreated neck is one of the most recognizable signs of surgery. It's also one of the most common.

If you have concerns about both the face and the neck — which the majority of patients who come in for a consultation do — this is exactly the approach that produces results that look cohesive.

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
()

Twelve months post-op. The swelling is completely resolved. This is what the result actually looks like.Rhinoplasty resu...
04/24/2026

Twelve months post-op. The swelling is completely resolved. This is what the result actually looks like.

Rhinoplasty results are often photographed at six to eight weeks — when the dramatic change is visible but the nose is still partially swollen. That’s a compelling image. It’s also not fully accurate.

The tip of the nose can retain swelling for up to twelve months, particularly in patients with thicker skin. The final result — the one that represents what you’ll look like permanently — is a nine-to-twelve-month photograph.

Swipe through the front view, three-quarter angle, and profile at twelve months.

What this patient’s result shows: the dorsal convexity she was bothered with has been addressed. The profile is smooth and balanced. The tip has appropriate definition without appearing pinched or operated-upon. The front view shows facial harmony — the nose no longer leads the face.

Critically: you cannot identify this as a surgical result from any angle. Which is the entire technical goal. Her skin texture, her facial character, the proportional relationship between her features — all of that is intact. What changed is the one specific thing that had created friction for her for a decade or so.

If you’re in the research phase and trying to understand what a realistic result looks like — this is it at one year. Not the dramatic six-week photo. The settled, permanent result that will remain for the rest of her life.

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
()

What I actually look at in a rhinoplasty consultation — and why I ask about the specific thing, not the whole nose.Most ...
04/24/2026

What I actually look at in a rhinoplasty consultation — and why I ask about the specific thing, not the whole nose.

Most rhinoplasty patients arrive at a consultation already knowing exactly what bothers them. They’ve thought about it for years. They’ve described it to themselves a thousand times.

The first thing I want to do is hear that specific description — not offer my own assessment.

Here’s why. Rhinoplasty is not a procedure where I apply a general aesthetic standard to your face. It’s a procedure where I address the particular thing that’s been creating friction in your life, while leaving intact everything that gives your face and your nose their character.

If I lead with my observations, I risk describing things that don’t bother you — which raises anxiety without purpose. The goal of the consultation is to understand your specific dissatisfaction, confirm whether it’s surgically addressable, explain exactly what the procedure would involve, and give you an honest picture of what to expect.

What I look at specifically:
-The dorsal profile — the bridge line from forehead to tip. Whether it’s straight, convex, or has a specific irregularity.
-The tip — its projection, rotation, definition, and symmetry.
-The base width relative to the intercanthal distance.
-The relationship between the nose and the chin.
-The skin thickness and quality, which significantly affects how refined a result is achievable.
-And critically — the specific thing you’ve been thinking about, and whether it corresponds to what I’m seeing.

The consultation ends with an honest conversation: what can be done well, what the realistic limitations are, and whether the surgical risk-benefit ratio is appropriate for your situation.

There is no pressure. There is no standard result I’m trying to achieve. There is only your face, your specific concern, and a candid discussion about what’s possible.

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

This is a night I've been looking forward to since the day we opened our doors.On May 20th, we're officially celebrating...
04/22/2026

This is a night I've been looking forward to since the day we opened our doors.

On May 20th, we're officially celebrating the Grand Opening of Karter Advanced Facial Plastic Surgery in Glastonbury — and I want you to be there.

Since November, we've been quietly building something I'm incredibly proud of. A practice designed around one standard: the highest level of facial plastic surgery and patient care available in Connecticut. This evening is our opportunity to celebrate that milestone with the people who matter most — our patients, our community and the people who have supported us from the beginning.

You're formally invited.
📅 Wednesday, May 20, 2026 🕔 5:00PM — 7:00PM
📍 120 Hebron Avenue, Suite 2A — Glastonbury, CT 06033
🥂 Champagne welcome
✂️ Ribbon-cutting ceremony
👥 Meet Dr. Karter, our providers and the full team
🏢 Tour of our space
💉 Insights into our treatments and services
🎁 Raffle prizes and special guest appearances
🍽️ Complimentary food and drinks

This is more than an open house. It's the beginning of something we've worked very hard to build — and we'd be honored to celebrate it with you.

📲 RSVP at the link in bio.

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

There's a threshold where adding volume no longer solves the problem. Past it, the result reads as 'done' — not refreshe...
04/22/2026

There's a threshold where adding volume no longer solves the problem. Past it, the result reads as 'done' — not refreshed.

This isn't a criticism of injectables. Botox and fillers are excellent tools at the right stage. I use them as part of a comprehensive approach. But they have a ceiling.

Here are five signs you may have reached it. Swipe through. 👆

Sign 1 — Jowling filler can't lift.
Jowling is a structural descent of the SMAS and fat compartments. Filler adds volume — it cannot reposition tissue.

Sign 2 — Platysmal banding in the neck.
The vertical cords that form in the neck are a muscular change. Neuromodulators can soften them slightly. Surgery is the only true correction.

Sign 3 — Lateral brow descent with forehead heaviness.
When the lateral brow drops significantly, neurotoxin alone cannot reverse it. This is where a structural approach becomes relevant.

Sign 4 — The overfilled appearance.
If the face looks full but not lifted — heavy but not refreshed — the volume approach has been exhausted. More filler makes this worse.

Sign 5 — Loss of jaw angle and chin definition.
When the jaw softens and the chin loses definition relative to the neck, you are looking at structural descent that requires structural correction.

If several of these resonate — a consultation isn't a commitment to surgery. It's an honest conversation about what's still possible with injectables, and what isn't.

📲 Link in bio to book.

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
( )

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
()


Address

120 Hebron Avenue Suite 2A
Glastonbury, CT
06033

Telephone

+18607755595

Website

Alerts

Be the first to know and let us send you an email when Karter Advanced Facial Plastic Surgery posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category