Karter Advanced Facial Plastic Surgery

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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
()

Two weeks post-op and already seeing HER in the mirror. 🤍Most people think rhinoplasty is about changing how you look. B...
03/28/2026

Two weeks post-op and already seeing HER in the mirror. 🤍

Most people think rhinoplasty is about changing how you look. But for our patients, they're not running away from something — they're finally arriving at who they've always been.

She didn't want a different face.
She wanted to stop being distracted by the one she had.
That's the job rhinoplasty actually does when it's done right.

✨ Two weeks out. Swelling still settling. And she's already moving through her day without a second thought about her profile.

That confidence isn't new — it was always there. We just helped it shine.

If you've been quietly researching this for months (or years), our DMs are open. We answer every one.

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

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

03/28/2026

It’s easy to see the final product— the steady hands, the confidence, the calm under pressure.

What’s harder to see are the moments that built it. The doubt. The learning curves. The days that tested everything.

But those moments matter. They shape how you show up when it counts the most.

And they don’t stay confined to one place.
They become part of you.

So no matter where I am— in the OR or outside of it— I carry the same focus, the same purpose, the same heart with me.

Because this was never just something I do.
It’s who I am.

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 1 year out from her deep plane facelift, deep necklift, and minimally invasive browlift—an...
03/26/2026

This beautiful patient is now 1 year out from her deep plane facelift, deep necklift, and minimally invasive browlift—and her results continue to shine.

Her main concerns were fullness in the neck and a heavy appearance around the eyes. Through an extended deep plane facelift, deep necklift, and browlift, we were able to restore a more refreshed, natural, and balanced look. In the neck, we carefully sculpted the deeper musculature and addressed the submandibular glands for optimal contour.

At one year, we see what these procedures are truly capable of—refined definition, softened features, and results that have fully settled. The swelling has resolved, tissues have relaxed, and her outcome reflects both precision and longevity.

She has been an absolute joy throughout this journey, and we couldn’t be happier for her.

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

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

03/25/2026

“Most people don’t want to look like someone else—they just want to look like themselves.”

What I see with my patients is this: they feel younger and more vibrant on the inside than they appear on the outside. Whether it’s surgical or non-surgical, my goal is always natural results that let people match how they feel inside with how they look outside.

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 deep plane facelift and deep necklift.She is a wonderful example o...
03/23/2026

This beautiful patient is now six months out from her deep plane facelift and deep necklift.

She is a wonderful example of the impact of early intervention in facial rejuvenation. While her signs of aging were subtle, she was concerned about fullness under the chin, loose neck skin, and early loss of jawline definition. Rather than pursuing temporary, non-surgical treatments, she chose a more definitive and long-lasting surgical solution.

For her necklift, we contoured the deeper fat compartments and addressed the underlying musculature, including restoring the platysma to improve central neck definition and smoothness.

For her deep plane facelift, we performed an extended SMAS release to reposition the facial tissues to a more youthful, natural position. This technique is especially powerful for improving the jawline, nasolabial folds, and early jowling.

At six months post-op, she continues to heal beautifully and looks incredibly natural, refreshed, and refined. We are thrilled with her results.

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 awesome patient is now 6 months out from his upper and lower blepharoplasty with fat grafting.He came to us bothere...
03/18/2026

This awesome patient is now 6 months out from his upper and lower blepharoplasty with fat grafting.

He came to us bothered by the hooding of his upper lids and the bags he was seeing under his eyes. He felt like they made him look tired.

We performed an upper blepharoplasty to remove the excess skin covering the area above the eyes. We also performed a transconjunctival lower blepharoplasty to reduce the bags under the eyes and create a better lid-cheek junction. Lastly, we performed conservative autologous fat grafting to the tear trough area to help replace a small amount of lost volume.

He has done absolutely amazing, and we couldn’t be happier for him.

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

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