Nicholas S. Karter, MD

I have been seeing Dr Karter for a few years now. I initially went to him to get fillers and was very impressed by his expertise as well as his manner. I was really nervous about getting them and he was nothing but patient and kind. I remember sitting in the examining room talking with him on the day I was going to get them and I was expressing my angst and kind of jokingly said what if I just got up and walked out? And he said that’s fine! Whatever you want to do! There was absolutely no pressure, which of course, then made me feel much more comfortable about it. And I was really pleased with the results. Fast-forward a few years later, and there were other things that I was not happy about with the aging process that could not be fixed with fillers. I had so many mixed feelings about getting a facelift, but ultimately, I knew it was going to make me happy and (reluctantly… purely out of fear!) I wanted to proceed with it! This was supposed to happen a year ago, but my partner had a medical event that forced me to postpone my procedure so that I could help him out. Again, Dr Karter and Erin (I’ll get back to her in a minute!) were completely understanding and kind. They refunded my money, but I told them to please keep my deposit because I fully intended on coming back!! Fast forward again…now a year later… And I just had my facelift two weeks ago! Even though I am still somewhat swollen, I could not be more pleased with the results. I’m so excited! I have had a bit of a hiccup with some drainage issues, but Dr Karter has seen me as many times as I need to see him to get it straightened out and he is always kind, caring, and utterly patient! In fact, my partner, commented about his patience as well! I do think my partner thought I was asking too many questions, but Dr Karter never made me feel that way at all! From start to finish, he has been so lovely and helpful and his expertise is without compare. Now let me get to Erin! Talk about patient! I have inundated that poor woman with all sorts of questions throughout the weeks before my procedure… Well, let’s be honest… Both this year and last! Mostly about what kind of foods that I can have while I’m on a bland diet. Every time I texted her with another question, not only did she answer it promptly, but she always did so with a sense of humor! She did so much to put my mind at ease about everything! All of this is to say that I cannot recommend Dr Karter highly enough! Not only am I so pleased with the results, but I’m just so appreciative of how kind and caring he has been along the way! Thank you, Dr Karter and Erin!

I've know Dr Karter for a while and he is great at what he does. I was a little hesitant about my first treatments but he took the time to explain everything and made sure I felt comfortable. I have been very happy with my results and I plan to use Dr Karter for additional treatments in the future.

How do I begin?? Dr. Karter was different than any other Dr I have ever come across in all my years! He is so endearing and personable to start. He gave me all his time and attention and I enjoyed every minute with him. He is an amazing person ! This was a first time cosmetic surgery for me and I have to admit I was extremely nervous before the procedure. He was very reassuring and professional and I fully believed him when he said we could achieve the results I wanted. I am 3 months out and absolutely love my results! My friends and family cannot believe how much better I look. I still look like myself but younger and more refreshed. I had no difficulties during or after my surgery and was up and running again in just a couple of weeks! I look and feel so much better! It is so much fun going out socially now. Thank you Dr. Karter! I am so very thankful that our paths crossed.

Dr. Karter is an excellent facial plastic surgeon. He spent time with me explaining fillers, Botox, and other cosmetic options available to me. He was kind and friendly and very patient. He worked within my budget and I am thrilled with the results! I feel so vibrant and pretty at 58 years old!

I received Kybella treatments from Dr. Karter and my experience was wonderful! I decided to get Kybella done because the fat under my chin would not go away despite my efforts of healthy eating and exercise. It just wouldn’t budge!! From the beginning, Dr. Karter was very informative about the procedures, answered all my questions and made me feel at ease. I started with a consultation then decided to proceed and scheduled my first treatment the following week. I was fairly nervous for my first treatment but Dr. Karter and his staff did everything possible to make me feel comfortable from numbing medicine to ice rollers and packs afterwards! The procedure wasn’t as painful as I thought and it was over very soon! From there, swelling began and the medicine started to work it’s magic. The week after I experienced swelling, hardness, and tightening. Ice packs and Tylenol helped tremendously and after a week the swelling was gone and areas under my chin kind of felt jello like for that second week. For me, I could see improvement around the fourth week and had my second treatment at week 5! The second treatment was very easy and swelling was a little less but it followed the same pattern of swelling, hardening, ect.. I could start to see a huge improvement around 3rd/4th week of this treatment. It has been 2 months since my 2nd treatment and I am very happy with my results! The treatments are not an overnight fix and it does take some time to see the results. I used my hair curled under around the sides to kind of camoflauge the swelling. My profile is more defined and my submental fat right under my chin is gone! Currently I am deciding if I need a third treatment. I am so happy that I decided to use Kybella and I found Dr. Karter to administer it. It has helped my self-esteem and confidence to be a better wife and mom to my family and friend to others!!

Great, easy to talk to and easy to communicate with. Those things were most important to me. I got a facelift and before he did the procedure I was able to go back for another consultation because I was a little nervous. He answered all my questions and made me feel better!! I was concerned I would look so tight afterwards, but no my lift looked incredibly natural ..

I regret this every single day. It’s been almost three years. My results are so bad inside and out. I still cry daily over the mess Dr.Karter left on my face. Hope my money was worth it to you. Also gaslit me the ENTIRE time. Terrible all around. 0/10 is my review not even a 1.

I wish I could make this a positive review. My journey with Dr. Karter has been marked with unexpected outcome. Initially I had high hopes, I expressed my concerns and aesthetic goals through meeting with Dr. Karter (consult/pre-op), along with submitting a detailed email with attached pictures. I entered this surgery on March 2024 with realistic expectations, understanding that 100% perfection wasn’t attainable but hoping for significant improvement, the 70-80% that Dr. Karter stated he would aim for. Post-surgery I was disappointed to find my main concerns (aesthetics) unaddressed. The dent on top of my RT nostril, a RT retracted nostril, asymmetrical nostrils-one pointing up and the other pointing sideways, and old scars that I had expressed the need to have them revised during surgery. Dr Karter informed me that the old scars were not visible during surgery, therefore he didn’t revise them. When I looked at the table pictures, the old scars were visible. Perhaps he didn’t realize that the scars were less visible to him due to the amount of swelling. Unfortunately, once the swelling subsides, things become noticeable. Prior to surgery I was not informed that there would be a possibility that not all my concerns would be addressed during surgery and further in office procedures would be needed to fully resolve the issues. Had I been made aware of this possibility I would not have made the decision of having this surgery. On days with minimal swelling and stiffness, my concerns become more noticeable. During my follow up appointment, I expressed my dissatisfaction, only to be told by Dr. Karter that my nose was in very bad shape and there was nothing more he could have done to correct it. He stated he shaved down my bridge, removes old scar tissue, placed graft on my tip for support and corrected incision on the side of my nostrils. But left my main concerns unaddressed. My nose does not reflect the investment I made; my nose looks like I am in need of a revision. After hearing Dr. Karter say that there was nothing else, he could have done to fix the retraction and dent, I asked him of the possibility of cutting the inside of my nose along the right alar and pull the alar skin down to prevent it from fully retracting. Previously he stated he did every he could have, but when I asked him about the alar he stated he could take a small piece of cartilage from my ear and place it along my alar rim and dent on top of my nostril to correct them to the best of his ability. Left me wondering why didn’t he take this measure during surgery. I am aware that I am only a few weeks post op, but having gone through this same procedure before, I know how my nose will heal. There isn’t significant amount of swelling left-not enough to make a huge difference on the aesthetics of my nose. My concerns will continue to be there. I stated to Dr. Karter that I continued to be self-conscious about the appearance of my nose and it has kept me from being socially active. Dr. Karter responded “You have to go on with your life.” After being told by Dr. Karter that I have been unrealistic in regards to this surgery and the need to go on with my life, I realized that I could no longer continue under his care. I didn’t find the need to further discuss the trouble that I have been experiencing after the surgery. My breathing is not good, I have a developed a bump on the bridge of my nose, shooting pain on the RT side, pressure to the tip of my nose radiating to my front teeth, talking causes a lot of discomfort/pulling on the tip, occasional headaches, unable to wear my glasses, very sensitive to touch, and pain when it’s cold outside. I have invested in this procedure only to not have my main concerns (aesthetics) addressed. I would have been happy if attempts were made with slight improvement, slight improvement is better than no improvement. Dr. Karter felt my nose looked good enough to go out in public"people don't look at the nose." Lip lift also needs revision. Looks worse in person