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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.
A lower blepharoplasty is a specialized cosmetic procedure designed to
refresh and rejuvenate the delicate area underneath your eyes.
Double board-certified facial plastic surgeon Dr. Nicholas Karter performs lower blepharoplasty at our Glastonbury, Connecticut, practice to awaken your appearance by treating the lower eyelids.
Lower Blepharoplasty
Before & After Photos
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #166
This patient, a teacher with a busy schedule, first contacted us out of interest in Deep CO2 laser resurfacing. After careful review of our before and after photos, she chose to discuss both a deep plane facelift and eyelid surgery during her consultation. Coordinating her elective procedures around a school break and family events was an imp... Read More
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #174
Many individuals consider a lower blepharoplasty to address concerns about under-eye bags and puffiness. This patient described feeling self-conscious about persistent bagginess under her eyes since childhood. During her consultation, she expressed a desire for a more rested and youthful appearance. On examination, we noted visible lower eyel... Read More
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #157
Many patients come to us after having prior cosmetic procedures that did not address all their concerns. This patient had previous upper eyelid surgeries and noticed little change in the jawline and neck from earlier treatments performed elsewhere. In her consultation, she expressed that her main priority had shifted to her eyes, particularly... Read More
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #177
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
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #179
This patient came to us seeking improvement for aging changes of the neck and lower face. She had a prior upper blepharoplasty about a decade ago but noticed new concerns. Her cheeks appeared sunken and had drifted downward, while early jowling and a scalloped jawline were developing. We discussed how a deep plane facelift could address these... Read More
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #202
This patient came to us seeking a solution for sagging at the outer brow and persistent bags beneath the eyes. Together, we discussed several options to address his goals while restoring balance and volume to the upper and lower eyelid area.We proceeded with a targeted approach using a lateral brow lift, complemented by lower blepharop... Read More
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #156
Before & After
Lower Blepharoplasty
Before & After Photos
Lower Blepharoplasty Case #198
This patient came to us with concerns about early signs of aging in her neck and lower face, as well as visible changes in her eyelids. She noted heaviness in her upper eyelids and mild bags forming under her eyes. These changes led to some aesthetic discomfort, particularly with upper eyelid hooding. After a thorough evaluation and discussio... Read More
Keep in mind that each patient is unique and your results may vary.
What Is Lower Blepharoplasty?
Lower blepharoplasty, also commonly called lower bleph or lower eyelid surgery, is a facial plastic surgery procedure that reshapes the lower eyelids and reduces under eye bags for a refreshed and more youthful appearance. Dr. Karter’s advanced transconjunctival blepharoplasty approach seamlessly rejuvenates the eyes without altering their unique shape or character.
Are You a Candidate for Lower Blepharoplasty?
The best candidates for lower eyelid surgery typically have aging symptoms such as loose skin, eyelid wrinkles, crepey skin, under eye bags, and puffiness. Ideal candidates are also nonsmokers in good overall health with realistic expectations about the procedure and recovery requirements. While lower bleph is popular among patients over 40, the procedure also benefits younger patients concerned about under eye bags and bulges.
Why Choose Lower Blepharoplasty?
- Youthful, rejuvenated appearance – Lower blepharoplasty eliminates under eye bags and wrinkles, creating a more youthful appearance that better reflects your inner vitality.
- Minimally invasive – The transconjunctival approach reduces the need for external incisions, resulting in minimal scarring and a quicker recovery.
- Subtle, seamless transformation – Precise surgical techniques preserve the contours of the lower eyelids, ensuring natural-looking rejuvenation.
- Improved self-confidence – A youthful and energetic appearance helps you feel your best in social and professional settings.
Aging and Your Lower Eyelids
As we age, the delicate skin under the eyes and underlying eyelid structures gradually change, leading to a fatigued appearance that may not reflect how you truly feel. Many of these changes are caused by fat displacement, volume loss, and weakening support structures in the lower eyelids.
Some of the ways aging impacts the lower eyelids include:
- Under eye bags and puffiness – Fat that once supported the eye can shift or bulge forward, creating a tired, swollen appearance.
- Hollowing and dark circles – Volume loss beneath the eyes can create a sunken look and emphasize shadows, making the face appear older or more fatigued.
- Fine lines and skin laxity – The thinning of delicate lower eyelid skin contributes to wrinkles, crepey texture, and a loss of youthful smoothness.
Because these changes involve the skin and deeper structural support, nonsurgical treatments only offer a temporary fix. Patients desiring long-lasting under eye rejuvenation must address the root causes of lower eyelid aging, which is best accomplished through lower blepharoplasty.
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
Your Lower Blepharoplasty Procedure
Dr. Karter uses a specialized approach called transconjunctival lower blepharoplasty to refresh the lower eyelids without visible scarring. Unlike traditional lower bleph techniques, this method uses a small incision inside the lower eyelid, allowing for precise fat removal and repositioning while preserving a natural look. Since there are no external incisions, healing is faster, and there is minimal downtime.
During your personalized consultation, Dr. Karter will assess your candidacy for the transconjunctival approach, provide detailed lower blepharoplasty procedure steps, and share realistic expectations for your surgical outcome.
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.
Presurgical 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 postoperative care, have presurgical 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 postsurgical 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.
Your Lower Blepharoplasty Recovery
Our compassionate team provides ongoing, personalized care and follow-up throughout your healing journey.
Minimal downtime – Most patients resume light activities within a few days and return to social engagements in about 2 weeks once swelling and bruising significantly subside.
Comfortable healing – Lower bleph is a well-tolerated procedure. Most patients manage discomfort using Tylenol or ibuprofen alone. Any mild side effects typically resolve within the first week.
Comprehensive follow-up care – Dr. Karter closely monitors your healing to ensure your recovery stays on track and promptly addresses any concerns.
Concealed scarring – Incisions are carefully placed inside the eyelids so there are no visible external scars.
While you’ll notice a brighter, refreshed look early on, full results become gradually visible as residual swelling diminishes, revealing your bright-eyed look.
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
Changes in the forehead, brows, and eyelids contribute to an overly aged appearance, which is why combining facial rejuvenation procedures is commonplace among patients seeking comprehensive rejuvenation.
Lower Blepharoplasty FAQ
How much does lower blepharoplasty cost in CT?
At Karter Advanced Facial Plastic Surgery, procedure costs are always tailored to the individual. Once we understand your needs better, we can provide an initial quote during your free phone consultation. We also accept financing through CareCredit® and can help you plan for your investment in long-term facial rejuvenation.
Is the procedure painful?
No, lower blepharoplasty is a well-tolerated procedure. It’s common to experience bruising and swelling in the first few days, but icing the area helps with discomfort. Patients can also alternate Tylenol and ibuprofen as needed. We also provide eye drops as part of our curated postoperative package to minimize dry eye following surgery.
What causes dark circles or under eye bags?
Dark circles have various causes including aging, heredity, allergies, and lack of sleep. Blood vessels under the eyes can show through thinning skin due to collagen loss. Herniated fat pads can create dark shadows along with puffiness. Melanin can increase in the skin due to genetics, sun exposure, and certain medical conditions, including allergies and melasma, causing dark circles. Dr. Karter can diagnose the cause of your concerns and recommend an effective treatment during a consultation.
Does lower blepharoplasty get rid of wrinkles?
Yes, lower bleph can tighten the skin and smooth out under-eye wrinkles. In some cases, nonsurgical treatments such as BOTOX® Cosmetic injections can smooth out fine lines and wrinkles.
How long will my results last?
Eyelid surgery results last at least 10 to 15 years. Following a healthy lifestyle and wearing a quality sunscreen can help to extend the life of your results. The aging process will continue, so you may need a subsequent procedure at some point in the future.
Does a lower blepharoplasty leave scars?
Dr. Karter’s advanced approach to lower blepharoplasty leaves no visible scars as he expertly places the incisions behind the lower eyelid.
Request Your Complimentary Consultation
If you’re ready to explore your facial rejuvenation options with a top facial plastic surgeon in Connecticut, we invite you to request a consultation online or call Karter Advanced Facial Plastic Surgery at (860) 775-5595 to get started today.
Request a Consultation