Rhinoplasty, commonly known as a nose job, is a highly customized procedure that

enhances facial harmony by reshaping the nose to better complement your features.

Double board-certified facial plastic surgeon Dr. Nicholas Karter specializes in precision rhinoplasty techniques at our Wethersfield, Connecticut, practice. His tailored approach ensures aesthetic and structural harmony while delivering natural-looking, balanced results.

Rhinoplasty
Before & After Photos

Before & After Rhinoplasty Case 135 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #135

This patient is 6 months out from her rhinoplasty.
She was bothered by the shape of her bridge and by the overall tip position and shape. She wanted to make a meaningful change but also keep a natural look.⁠

We did an open rhinoplasty and focused on contouring the bridge of the nose and refining and repositioning the tip. Ev... Read More
Before & After Rhinoplasty Case 147 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #147

This beautiful patient is now 6 months out from her rhinoplasty.

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... Read More
Before & After Rhinoplasty Case 137 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #137

This patient is now 6 months out from her rhinoplasty.

She was most bothered by the bump on her bridge, but also felt that the tip was droopy and stuck out to far. We were able to sculpt the bridge, bring the tip back closer to the face (de-project the tip), raise the tip position and refine the tip cartilages. In the end her nose fit... Read More
Before & After Rhinoplasty Case 139 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #139

This patient is now 3 months out from her rhinoplasty.

She was bother by a few small things including the bump on her bridge, the size of her tip cartilage, and the deviation of her bridge when looking from the front. ⁠

By making small changes to each of these things we were able to create a beautiful nose that fits her perfec... Read More
Before & After Rhinoplasty Case 132 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #132

This patient is now 6 months out from her rhinoplasty.

She was bothered by the bump on her bridge and the way her bridge fell off into her tip. We were able to sculpt the bone and cartilage to create a gentle profile and transition into her tip. We also refined the tip cartilages a bit to bring more balance to the new nasal shape.⁠Read More
Before & After Rhinoplasty Case 128 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #128

This patient is now one year out from her rhinoplasty.

She felt like her tip was droopy and was bothered by the bump on her bridge. We were able to reduce the bump and shape her bridge as well as place the tip in the correct position while refining the cartilages. ⁠

The result is a beautiful and famine nose that compliments he... Read More
Before & After Rhinoplasty Case 143 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #143

Before & After Rhinoplasty Case 129 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Rhinoplasty
Before & After Photos

Rhinoplasty Case #129

This beautiful patient is now 6 months out from her rhinoplasty.

She was most bothered with her hump and her overall profile. We were able to reduce her hump, bring her tip back towards the face a bit (deprojecting the nose) and refine the tip just slightly. The result is a beautifully contoured nose that looks so natural on her.⁠
... Read More
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Keep in mind that each patient is unique and your results may vary.

What Is Finesse Rhinoplasty?

“Finesse rhinoplasty” is a specialized approach to nose surgery that focuses on subtle, precise refinements rather than dramatic changes. Dr. Karter prefers this technique because it allows him to blend his expertise in nasal anatomy with artistic precision, creating a balanced look that enhances your features without making the nose appear surgically altered.

Why Choose Surgical Rhinoplasty?

  • Enhanced facial harmony – Rhinoplasty brings balance to your features, refining the nose’s shape and proportions to create an attractively cohesive look.
  • Personalized, natural-looking results – A well-executed rhinoplasty enhances your appearance by helping you look like the best version of yourself.
  • Balanced form and function – Dr. Karter prioritizes aesthetics and function, ensuring your results look great from every angle and preserving or improving your breathing.
  • Long-lasting refinement – With expert technique and precision, rhinoplasty provides enduring enhancements to your facial features for many years.
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Understanding Nasal Anatomy

Two key components shape the nose’s appearance: the skin envelope and the underlying structural framework. The framework, made of bone and cartilage, determines the nose’s size, shape, and strength, while the skin acts as a covering (much like a canvas over a frame), adding definition and detail.

Rhinoplasty surgery focuses on reshaping and supporting this internal structure while preserving—and, in some cases, enhancing—the overlying skin to create a balanced, natural-looking result. It treats concerns such as:

  • Refining the nasal tip, bridge, or nostrils
  • Correcting bumps or a crooked nose
  • Improving breathing by addressing structural concerns
  • Restoring the nose after trauma or injury

Ultimately, a finesse nose job performed by Dr. Karter harmonizes your facial features while preserving your innate appearance and enhancing your confidence.

Dr. Nicholas Karter

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
  • 4.8 Average Rating on Google
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Dr. Nicholas Karter credentials logos including Facial Plastic Surgery, Facial Plastic Surgeon Board Certified, ABOHNS, American Academy of Otolaryngology-Head and Neck Surgery and The Aesthetic Society
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Your Finesse Rhinoplasty Procedure

Rather than trying to change a single feature, Dr. Karter takes a holistic approach to your nose job, ensuring balance and facial symmetry. With an experienced hand and artistic eye, he performs your finesse rhinoplasty using precise techniques and discreetly hidden incisions. The result? A nose that naturally fits and complements your face.

In addition to finesse rhinoplasty, Dr. Karter also performs revision rhinoplasty to help patients correct concerns from a previous rhinoplasty procedure, as well as liquid rhinoplasty, a non surgical nose job that uses temporary fillers to enhance the nose.

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 their recovery 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 Rhinoplasty Recovery

The exceptional care at our office continues well beyond your rhinoplasty surgery, with our team guiding you through every stage of recovery. Your healing journey includes structured follow-ups and personalized, ongoing support from our devoted team:

  • Smooth, predictable downtime – Most patients take about a week off from school, work, or social engagements while swelling and bruising subside. By the 2-week mark, your nose should appear natural and refined, with no apparent signs of surgery.
  • Comfortable recovery – Rhinoplasty is generally well-tolerated, with most patients managing any discomfort using Tylenol and ibuprofen alone. We can prescribe a stronger medicine in rare cases where more relief is needed.
  • Comprehensive follow-ups – Dr. Karter closely monitors your progress with follow-ups 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery. These check-ins allow for personalized guidance and ensure the best possible results.
  • Gradual, long-term results – While initial improvements are immediately noticeable, the full results of your nose job will continue to be refined over several months as the nose settles into its enhanced shape.

It’s essential to closely follow Dr. Karter’s detailed postoperative instructions for a smooth recovery and optimal results.

A Reputation Built on Results

Dr. Karter is hands down the best and extremely knowledgeable !! He starts by asking you what you see before he tells you what he thinks would help/improve you! which is nice! My nose is looking absolutely...
Dr. Karter exceeded all of my expectations with my rhinoplasty. For as long as I can remember, I had one major insecurity: the hump on my nose and its tip projection. After years of research and consultations...
Excellent service, and his work is exceptionally good ,
Dr Karter knows faces! I’ve been seeing him for over 5 years for both surgical and non surgical procedures. I would not trust anyone else with my face! He’s the best!

Complementary Procedures

While rhinoplasty is the ideal way to bring balance to the face, the following procedures can also be performed with a nose job to enhance your appearance further.

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Rhinoplasty FAQ

How much does rhinoplasty cost in CT?

Just as your rhinoplasty surgery is never one-size-fits-all, neither is the cost of the procedure. At Karter Advanced Facial Plastic Surgery, costs are always tailored to the individual. Once we have a better idea of your needs, 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.


Who’s a good candidate for rhinoplasty surgery?

Ideal candidates for a nose job are nonsmokers in good overall health with realistic expectations about the procedure. While there’s no “best” age for rhinoplasty, females should be at least 16 years old, and males should be at least 17 to 18. Ideally, the nose should be fully developed before surgery.


Is there a way to see what your nose might look like after rhinoplasty?

Absolutely! During your consultation, we use a special camera and software to share realistic 3D images that help you visualize the possibilities of your nose job before committing to the procedure.


Is a rhinoplasty painful?

No, most patients tolerate the procedure well. It’s common to experience some soreness or pressure in the nasal region during the first few days of healing. However, most patients find they can easily manage any discomfort using over-the-counter pain medications.


Do you still look like yourself after a nose job?

Yes! While the primary goal of a nose job is to create an aesthetically beautiful nose, Dr. Karter takes a personalized approach using the finesse technique. This enables him to create a nose that “fits” your face beautifully while enhancing and balancing your facial features—so you look like a more refined version of yourself.


Are rhinoplasty results permanent?

Yes, rhinoplasty results last indefinitely as long as the nose is not traumatized. However, the nose may undergo subtle changes over time due to the natural aging process.

Request Your Complimentary Consultation

If you’re ready to explore your rhinoplasty 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.

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