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Karter Advanced Facial Plastic Surgery
120 Hebron Ave., Suite 2A
Glastonbury, CT 06033
Phone: (860) 775-5595
Hours:
Monday: 8 a.m.–4 p.m.
Tuesday: 8 a.m.–4 p.m.
Wednesday: 8 a.m.–4 p.m.
Thursday: 8 a.m.–4 p.m.
Friday: 8 a.m.–3 p.m.
Extended evening and Saturday hours available for skincare services.
Please call to inquire.
The ideal facelift should help you look naturally younger,
with results you can enjoy for many years to come.
Double board-certified facial plastic surgeon Dr. Nicholas Karter specializes in tension-free facelifts, maximizing results while delivering natural, long-lasting effects. He performs the deep plane facelift at our Glastonbury, Connecticut, practice to restore youthful contours by addressing the causes of facial aging at the deepest level.
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #218
Many people seek changes in their facial appearance as part of their journey toward feeling more confident. Recently, we met with a patient who expressed concerns about facial aging, especially around her cheeks, jawline, and neckline. She sought a comprehensive, lasting option to address issues of facial volume and sagging that had become mo... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #5
This patient visited us seeking improvement in the appearance of her neck and jawline. She shared concerns about visible laxity and a loss of youthful definition in these areas. After a thorough consultation, we determined that a Deep Plane Facelift, deep neck sculpting, upper and lower blepharoplasty, and fat grafting would address her goals... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #168
This patient came to us looking to address early signs of facial aging. He felt his skin quality was good overall, but changes along the jawline and neck had become more noticeable. He expressed concern about developing jowls and a drooping appearance beneath his chin. These changes led him to seek information about options for a Deep Plane F... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #190
For this patient, visible changes in her jowls and neck skin became more noticeable over the past few years. She described her concern as a “turkey neck,” common in her family, and noted that the right side appears to have dropped more than the left. She felt that her neck “no longer lives where it’s supposed to.” After seeing positive result... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #6
This patient came to Karter Advanced Facial Plastic Surgery on the edge of her early 70s, seeking a refreshed appearance that would match her active lifestyle. As someone who works out regularly and takes care of her family, she noticed her cheeks had started to descend and create heaviness around her mouth. Her goal was not dramatic change,... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #171
This patient came to us feeling increasingly dissatisfied with her lower face and neck. She described concerns about jowling, a lack of definition under her chin, and a general sense of facial aging. In our conversations, she also mentioned wishing her lips had more shape and proportion. Together, we discussed her goals and the treatment opti... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #191
After losing 20 pounds a few years ago, this patient noticed that she still struggled with excess fullness in her lower face and under her chin. Despite her weight loss, changes in her neck and jawline did not respond to dieting or other efforts. She consulted with several physicians before visiting our Wethersfield office to learn more about... Read More
Deep Plane Facelift
Before & After Photos
Deep Plane Facelift Case #216
This patient came to us with concerns about early jowling and looseness in her neck. She shared that the contour of her neck bothered her the most and expressed a desire for a more defined, “snatched” profile. After a detailed consultation, we discussed options for facial rejuvenation and determined a Deep Plane Facelift in Wethersfield would... Read More
Keep in mind that each patient is unique and your results may vary.
What Is a Deep Plane Facelift?
Aging affects more than just the skin—it also impacts the deeper support structures of the face, including the SMAS (Superficial Musculoaponeurotic System) and platysma muscle in the neck. Unlike older facelift methods that rely on pulling the skin tighter, a deep plane facelift repositions these underlying tissues for significantly more natural-looking and enduring results.
This advanced facelift technique lifts sagging cheeks, smooths deep folds, redefines the jawline, and tightens the neck to rejuvenate your appearance. Because it releases and repositions the deeper layers of the face, it creates longer-lasting results while maintaining a soft, natural look—never pulled or artificial.
Are You a Deep Plane Facelift Candidate?
Ideal candidates for a deep plane facelift want to correct significant sagging in the cheeks, jowls, and neck, are generally in good health and do not smoke, and have realistic expectations about recovery and the results that can be achieved. During your consultation, Dr. Karter will assess your facial structure and aging pattern to determine if this approach is right for you.
Why Choose a Deep Plane Facelift?
- Unparalleled results – A tension-free, deep plane facelift produces results that simply cannot be achieved through less advanced styles of facelifting.
- Enduring rejuvenation – Traditional facelifts rely on tension-based lifting, which weakens as stitches give way over time. A deep plane facelift doesn’t just look better; it lasts longer, too.
- Minimal tension for better healing – This method avoids placing stress on the incisions, leading to better scar healing and a more refined result.
- Comprehensive transformation – The deep plane technique repositions rather than pulls, addressing sagging, skin laxity, and volume loss in the midface, lower face, and neck.
Deep Plane Facelift vs. SMAS Facelift
Many people seeking facelift surgery wonder about the difference between a deep plane facelift and a SMAS facelift. Below is a comparison of the two techniques to help illustrate how they differ.
| Feature | Deep plane facelift | Smas facelift |
|---|---|---|
| Technique | Releases and repositions deeper facial layers, including the SMAS and underlying ligaments, for a comprehensive lift. | Focuses on tightening the SMAS layer without fully releasing deeper attachments. |
| Results | Lifts and restores volume in the midface, jawline, and neck with a naturally refreshed appearance. | Primarily improves the lower face and neck, with results that vary depending on the technique used. |
| Longevity | Typically lasts 10-15 years, as it repositions rather than simply tightening tissues. | Generally lasts 7-10 years, though results may evolve over time. |
| Recovery Time | Requires about 3-4 weeks for initial healing, with continued refinement over several months. | Recovery is typically around 2-3 weeks, with gradual improvement in swelling and firmness. |
| Ideal Candidate | Best suited for individuals experiencing significant facial sagging, particularly in the midface, jawline, and neck. | Often recommended for those seeking improvement in the lower face and neck with moderate skin laxity. |
| Scarring | Incisions are discreetly placed around the ears and within the hairline for natural healing. | Incision placement is similar, designed to blend with the natural contours of the face. |
Understanding Facial Aging
As we age, the cheeks, jowls, and neck gradually descend, changing the shape and contours of the face. This process softens jawline definition, deepens folds around the mouth, and results in excess skin accumulation in the neck. While many assume these changes are due to skin laxity alone, the real cause is the weakening of deeper support structures, including the SMAS in the face and the platysma muscle in the neck.
These structural changes contribute to some of the most common concerns patients notice in the mirror:
- Jowls and jawline changes – The SMAS remains tightly anchored near the ears but weakens as it moves toward the center of the face, leading to sagging along the jawline and the formation of jowls.
- Cheek and midface sagging – Volume shifts downward, creating hollowing beneath the eyes and deepening nasolabial folds (laugh lines).
- Loose neck skin and banding – The platysma muscle stretches and separates, causing neck laxity and visible vertical bands.
Because these changes happen beneath the skin, traditional facelift methods fall short. Patients looking for the best results need a deep plane facelift, which addresses the root causes of facial aging.
Meet Dr. Nicholas Karter
Dr. Karter is fellowship-trained, double board-certified facial plastic surgeon known for his exceptional results and patient-first philosophy. Learn what sets him apart below:
- Voted "Best Plastic Surgeon in Hartford"
- 15 Years of Facial Plastic Surgeon Experience
- Certified by 2 Prestigious Medical Boards
- Completed an Elite AAFPRS Fellowship
- 4.9 Average Rating on Google
The Difference Is in the Technique
As mentioned above, less advanced facelifting techniques rely on pulling the skin tight to create a lifted look. The problem? Tension distorts facial features, shortens results, and exacerbates visible scarring.
A deep plane facelift at Karter Advanced Facial Plastic Surgery is different. Instead of stretching the skin, Dr. Karter lifts and repositions the underlying layers, correcting sagging where it actually starts. By treating your facial aging where it occurs—not just where it's easy to pull—Dr. Karter creates results that are balanced and natural-looking so they age gracefully with you.
From Consultation to Confidence: Your Personalized Surgical Experience
From your first conversation with our team to your one-on-one time with Dr. Karter, we provide a concierge-level experience tailored to your needs.
Complimentary Phone Consultation
Start with a free one-on-one call with Erin, our patient care coordinator. She’ll listen to your concerns, discuss treatment options, and go over important details like technique, recovery, and cost considerations. If we feel like the right fit for you, she will schedule your in-person consultation with Dr. Karter.
Comprehensive In-Person Consultation
During your visit, Dr. Karter will examine your facial anatomy and explore your surgical options in-depth. He will walk you through the details of a deep plane facelift, discuss what to expect after surgery, and create a customized plan based on your goals.
Simple & Seamless Scheduling
When you are ready to move forward, we will coordinate every detail with the surgical center and anesthesia team. We recommend bringing your calendar to your appointment so you can choose your ideal date. A fully refundable 20% deposit is all that is needed to secure your surgery.
Pre-Surgical Preparation & Support
We make sure that you are 100% prepared for your procedure. You will receive a comprehensive recovery kit with everything you need for post-operative care, have pre-surgical photos taken, and review all necessary consent forms and instructions.
Comprehensive Postoperative Care
We see patients several times throughout the recovery process to ensure optimal healing and results. As part of our commitment to exceptional post-surgical care, we also provide laser resurfacing treatments to refine incision lines and support smoother scar healing.
Direct Access to Dr. Karter
Dr. Karter is personally invested in your experience and results. As part of his commitment to your comfort and well-being, he provides you with his personal cell phone number so you always have a direct line to your surgeon when you need it.
Deep Plane Facelift Recovery
The exceptional care at our office doesn’t end when your procedure is complete—it extends through every stage of your recovery. Dr. Karter and his team take a proactive approach to healing, guiding you through your healing journey with structured follow-ups, expert scar care, and personalized support:
- Smooth, predictable downtime – Most patients take about 2 to 3 weeks off from social engagements while swelling and bruising subside. After this, your results will appear refreshed and natural, with no obvious signs of surgery.
- Comfortable recovery – Because the deep plane technique minimizes tension, patients enjoy a smoother healing process. Most patients manage discomfort with Tylenol and ibuprofen alone, though stronger medication is available if needed in the first few days.
- Extensive follow-ups – Dr. Karter sees you at 1 day, 5 days, 14 days, 6 weeks, 3 months, 6 months, and 1 year after your procedure. This close monitoring of your recovery allows Dr. Karter to assess your healing, fine-tune your post-surgical care, and answer any questions or concerns you may have as they arise.
- Advanced scar care and skin optimization – To ensure the most refined, discreet results, we incorporate laser resurfacing at 6 weeks and 3 months to optimize your scar healing. We also provide personalized skincare guidance and recommend medical-grade skincare products to enhance your final results.
While you will look visibly refreshed early into your healing, your results will take time to develop. The finer details of your transformation will reveal themselves over 2 to 3 months as swelling resolves and the deeper layers of the face settle into their natural, rejuvenated position.
A Reputation Built on Results
Dr. Karter is an exceptional plastic facial surgeon. I am so pleased with the results of my surgery. I knew from my initial interview with him that he was the best surgeon for me. He is confident, professional...
My experience with dr. Karter and his staff was far more than I anticipated. My case was complicated and Dr. Karter exceeded my expectations.
I’m thrilled with my results…
I could not be happier with my rhinoplasty results! From my very first consultation through my post-operative appointments, my surgeon was professional, knowledgeable, and truly listened to my concerns...
I cannot say enough amazing things about Dr. Nicholas Karter and his entire team. I have wanted a rhinoplasty for literally my whole life, and after years of thinking about it, I am so beyond grateful...
Complementary Procedures
Since facial aging occurs in multiple areas at once, many patients benefit from combining a deep plane facelift with other procedures.
Deep Plane Facelift FAQ
How long does a deep plane facelift take?
A deep plane facelift takes approximately 3 to 5 hours to perform depending on the specifics of the surgery and the patient’s unique anatomy and needs.
Does a deep plane facelift include a neck lift?
Yes, in most cases Dr. Karter performs a neck lift as part of a deep plane facelift to provide a comprehensive rejuvenation from the mid-face to the collarbones.
How much does a deep plane facelift cost in Hartford?
Surgery costs are tailored to the individual. Once we have a better idea of what you are looking for, we can give you an initial quote during your free phone consultation. We also accept financing through CareCredit® and can help you plan for your investment in long-lasting facial rejuvenation.
What is the best age to get a deep plane facelift?
There isn’t a specific “best” age for a deep plane facelift—it depends on your facial structure, degree of aging, and personal goals. Many patients in their 40s, 50s, and 60s opt for this procedure when they notice significant sagging that nonsurgical treatments can no longer correct. If you’re unsure whether the timing is right, Dr. Karter can provide expert guidance based on your unique needs.
How long do deep plane facelift results last?
Deep plane facelift results typically last 10 to 15 years, significantly longer than traditional facelift techniques, because it repositions the deeper layers of the face rather than just tightening the skin. While a deep plane facelift cannot stop the natural aging process, you will continue to look younger than if you had never had surgery. Maintaining a healthy lifestyle and a good skincare routine can help prolong your results.