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Your Trusted Facial Plastic Surgery Experts in Denver, CO
Faces First is a premier facial plastic surgery center serving Denver and Lone Tree, Colorado, with over 40 years of combined experience among its board-certified surgeons. Founded by Dr. Nicolette Picerno and Dr. Christopher Cote, the practice specializes in enhancing patients' confidence through surgical and non-surgical facial treatments. Our team prioritizes personalized care, utilizing advanced techniques in procedures such as facelifts, rhinoplasty, injectables, and laser treatments. As double-board-certified specialists, we combine expertise in facial plastic surgery and reconstructive techniques to deliver natural, transformative results. Our commitment to patient education ensures informed decision-making, while our recognition by Newsweek and 5280 Magazine underscores our leadership in the field.

We maintain a welcoming environment where patient comfort and safety are paramount, offering tailored solutions for diverse aesthetic goals. With two convenient locations and flexible financing options, we strive to make high-quality care accessible to all. Our dedication to continuous learning ensures patients benefit from the latest innovations in facial plastic surgery. By focusing exclusively on facial procedures, we provide unparalleled specialization and attention to detail. At Faces First, we believe every patient deserves to feel confident in their appearance through expert, compassionate care.
Services
Facelift Rhinoplasty Botox Laser Resurfacing Facial Liposculpture Eyelid Surgery Neck Lift Injectables Scar Revision BioTE Hormone Therapy
Highlights and features
  • Over 40 years combined experience in facial plastic surgery
  • Double-board-certified surgeons with specialized training
  • Personalized treatment plans tailored to individual goals
  • Recognized as top surgeons by Newsweek and 5280 Magazine
  • Comprehensive range of surgical and non-surgical options
Associations and certifications
  • American Board of Facial Plastic and Reconstructive Surgery
  • American Board of Otolaryngology
  • Newsweek Best Plastic Surgeons
  • Castle Connolly Top Doctors
What people say
Natural-looking results Expert care Personalized approach Professional staff Exceptional outcomes
Services
Facelift
Our facelift procedures address visible signs of aging by tightening skin and underlying tissues for a more youthful appearance. Ideal for patients seeking long-lasting results, this surgical option improves jawline definition and reduces deep creases. With techniques ranging from weekend mini-lifts to comprehensive deep plane lifts, we customize approaches to match individual facial structures and aesthetic goals while maintaining natural expressions.
Rhinoplasty
Rhinoplasty procedures reshape the nose to enhance facial harmony and improve breathing function. We offer both primary and revision surgeries using advanced techniques that maintain structural integrity while achieving desired aesthetics. Patients benefit from personalized consultations with 3D imaging technology to visualize potential outcomes, ensuring alignment between surgical plans and patient expectations for balanced, natural-looking results.
Botox
Botox injections temporarily relax facial muscles that cause dynamic wrinkles, smoothing expression lines around the eyes and forehead. This non-surgical treatment requires no downtime and delivers visible results within days. Our specialists tailor injection plans to maintain natural facial movement while addressing crow's feet, frown lines, and forehead creases for a refreshed appearance lasting up to four months.
Laser Resurfacing
Laser resurfacing treatments target skin imperfections like sun damage, acne scars, and uneven texture using fractional CO2 technology. This minimally invasive procedure stimulates collagen production for improved skin tone and elasticity. Patients achieve smoother, more radiant complexions through customized treatment plans that balance effectiveness with appropriate recovery periods for different skin types and concerns.
BioTE Hormone Therapy
BioTE hormone replacement therapy addresses hormonal imbalances through bioidentical hormone pellets derived from plant sources. This treatment alleviates symptoms like fatigue and low libido by restoring optimal hormone levels. Our certified providers create personalized regimens based on comprehensive evaluations, offering ongoing monitoring to ensure safe, effective results that improve energy levels, mental clarity, and overall well-being.
People
Nicolette A. Picerno
Double-Board Certified Facial Plastic Surgeon
Dr. Picerno specializes in facial plastic surgery with certifications from the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. She completed fellowship training at the Beeson Aesthetic Surgery Institute and holds additional certifications in BioTE hormone therapy and age management medicine.
Christopher R. Cote
Double-Board Certified Facial Plastic Surgeon
Dr. Cote is a Newsweek-recognized plastic surgeon specializing in facial rejuvenation and reconstructive procedures. With dual board certification in facial plastic surgery and head/neck surgery, he brings expertise in complex facial procedures including rhinoplasty and facial liposculpture, combining technical precision with natural aesthetic outcomes.
Questions
Are your surgeons board-certified?
Yes, both Dr. Picerno and Dr. Cote are double-board-certified in facial plastic surgery and otolaryngology.
Do you offer non-surgical options?
We provide various non-surgical treatments including injectables, laser therapies, and BioTE hormone optimization.
What financing options are available?
We offer flexible financing through third-party providers to make treatments accessible for qualified patients.
How do I schedule a consultation?
Call 720-414-3332 or use our online request form to book a personalized consultation with our surgeons.
Do you treat both men and women?
Yes, our practice welcomes all patients seeking facial aesthetic improvements with gender-specific treatment considerations.
What areas do you serve?
We primarily serve Denver and Lone Tree, Colorado, with patients traveling from surrounding regions for specialized care.
Videos
Reviews (6)
Marcy Ascarrunz
Dec 27, 2021 Report
I was billed a total of $976.00 for a nose surgery consultation. That's right, just for a consultation! I was searching for a good and qualified surgeon to perform my septoplasty/rhinoplasty surgery and I found a few doctors that seemed promising in the Denver area, Dr. Cote among them. I called FacesFirst and they told me over the phone that the consultation fee was going to be $125, paid in advance as a deposit to hold the consult date and that this charge would go toward my surgery if I booked it with them. I had already been to other surgery consultations by this point and this fee seemed
Arely Garcia
Nov 17, 2021 Report
Dr.Cote is the best! I did months of research before finding him, very glad I found him. He is meticulous and his attention to detail and patient care puts him over the top. His staff is friendly and knowledgeable. I HIGHLY recommend Dr.Cote.
Dana Chretien
Oct 14, 2021 Report
Highly recommend Dr. Cote! My entire experience and recovery went flawlessly. Heres a picture of my husband kissing my new nose on our wedding day (~2 months after my Rhinoplasty!)
Colleen Q.
Sep 19, 2021 Report
Dr. Picerno is amazing! I had a mini facelift/neck lift and look amazing, like me, 10 years ago! From the initial consultation through the follow up I was treated with kindness professionalism and most importantly "no attitude".
Dr. Picerno is an excellent plastic surgeon and very busy. She made me feel like I was the most important part of her day. She took the time to listen to my concerns answered all of my questions, nothing was rushed. She is the most unpretentious Dr. I have ever met. I had other consultations, I am so happy I made the right decision to have Dr. Picerno and
Amanda Parnitsupoun
Jun 28, 2021 Report
I have been getting facials and micro needling done here and absolutely love it! The staff is so kind and the results have been amazing!
Zonia Kean
May 29, 2021 Report
I wanted so much to talk to any of the doctors and I was willing to schedule an appointment, but the receptionist was very rude and short. She questioned all the information about my debit card, like if she was interested in receiving money, but didn't give me the time to ask questions :( She was horrible!!