If you are considering a facelift in Englewood, CO, FacesFirst offers the specialized facial plastic surgery expertise and personalized care you deserve. Serving patients throughout the Englewood area and the greater Denver metro, our practice focuses exclusively on the face and neck, bringing over 40 years of combined surgical experience to every consultation. 

Whether you are beginning to notice sagging skin, deepening folds, or early signs of facial laxity, our board-certified surgeons, Dr. Christopher Cote and Dr. Nicolette Picerno, are here to help you explore your options.

Schedule your consultation today or call us at (303) 744-2300.

What Is a Facelift? Understanding Your Facial Plastic Surgery Options

A facelift, also referred to as a rhytidectomy, is a surgical procedure designed to address the visible signs of facial aging. As the skin and underlying facial tissues lose elasticity over time, patients may develop sagging skin along the jawline, excess skin in the neck, and deep facial folds around the mouth and cheeks. Facelift surgery repositions these tissues and removes excess skin to restore a more natural, refreshed appearance.

At FacesFirst, Dr. Cote and Dr. Picerno offer a range of facelift procedures tailored to each patient’s anatomy and aesthetic goals. Options may include the traditional facelift, the mini facelift for patients with early concerns, and the deep plane facelift for those seeking more comprehensive facial rejuvenation. Each approach is selected based on a thorough evaluation of your facial anatomy, skin laxity, and overall health.

Because Dr. Cote and Dr. Picerno are both double board-certified in facial plastic surgery and otolaryngology, they bring an exceptionally detailed understanding of facial anatomy to every procedure. Their advanced training in the structures of the face and neck allows them to deliver natural-looking results with a focus on minimizing visible scarring and optimizing long-term outcomes.

Deep Plane Facelift: A Gold Standard Approach to Facial Rejuvenation

Among the facelift techniques available today, the deep plane facelift is widely regarded as a gold standard for patients seeking longer-lasting outcomes and comprehensive facial rejuvenation. Unlike more superficial approaches, the deep plane technique addresses the foundational layers of facial tissues beneath the skin, allowing surgeons to reposition structures that contribute most significantly to facial aging.

This approach may help reduce the appearance of deep wrinkles, restore definition along the jawline, and improve neck contour in a way that looks natural rather than overly tightened. Because the deep plane facelift works with the deeper anatomical structures, many patients find that results tend to be more durable compared to traditional facelift techniques.

Dr. Cote and Dr. Picerno have extensive experience performing the deep plane facelift and other advanced techniques in facial plastic surgery. Their surgical experience, combined with their dual board certifications, positions them as dedicated facial plastic surgery specialists rather than general plastic surgeons; a distinction that matters when you are choosing who to trust with your face.

Are You a Candidate? Benefits of Facelift Surgery

Facelift surgery may be appropriate for adults in good general health with realistic expectations about surgical results. Ideal candidates often include those who:

• Are experiencing sagging skin along the cheeks, jaw, or neck
• Have noticeable skin laxity that has not responded to nonsurgical procedures
• Notice deep facial folds or loss of definition in the lower face
• Are bothered by excess skin in the neck area
• Want natural results that reflect their best version without an overdone appearance
• Are at a stable weight and do not smoke, or are willing to stop prior to surgery

Facelift surgery may be combined with complementary procedures such as a brow lift, eyelid surgery, neck lifts, or lip lifts to create more balanced facial rejuvenation results. Dr. Cote and Dr. Picerno will review your medical history during your initial consultation and discuss a comprehensive treatment plan tailored to your needs and aesthetic goals.

Some patients with early signs of facial aging may be better suited for a mini facelift or non-surgical treatments, while others may benefit most from a full facelift or deep plane approach. The right recommendation depends entirely on your individual anatomy and what you hope to achieve.

Request your personalized consultation or call (303) 744-2300 to speak with our team about whether facelift surgery is right for you.

What to Expect: From Initial Consultation to Recovery

Your Consultation and Treatment Plan

Your journey begins with a personalized consultation with Dr. Cote or Dr. Picerno. During this visit, your surgeon will evaluate your facial anatomy, review your medical history, and discuss your aesthetic goals in detail. You will have the opportunity to ask questions, review before and after examples, and gain a thorough understanding of the surgical procedures being recommended.

At FacesFirst, patient-centered care is at the heart of everything we do. We take the time to explain each step of the process, set realistic expectations, and ensure you feel informed and comfortable before any decisions are made. Our personalized consultations are designed to put you at ease and give you the clarity you need to move forward confidently.

The Facelift Procedure

Facelift surgery is typically performed under general anesthesia or local anesthesia with sedation, depending on the scope of the procedure and your preferences. Most facelift procedures take between two and five hours, though this varies based on the technique used and whether additional surgical procedures are performed at the same time.

Incisions are carefully placed to minimize visible scarring, typically within the hairline and around the natural contours of the ear. Our surgeons use advanced techniques to reposition the underlying facial tissues and remove excess skin, creating a naturally refreshed appearance rather than an overly tight result. 

Recovery and Results

Recovery time following facelift surgery varies by individual, but most patients can expect some swelling, bruising, and mild discomfort in the first one to two weeks. Most patients return to light activities within two weeks, with more complete recovery typically occurring over four to six weeks. Your FacesFirst surgeon will provide specific aftercare instructions to support your recovery and protect your results.

Visible improvement typically becomes apparent as swelling resolves, with many patients noting that their final results continue to refine over several months. Longer-lasting outcomes are one of the reasons many patients choose facelift surgery over nonsurgical procedures for more significant facial rejuvenation concerns. As with any surgical procedure, your surgeon will discuss potential risks and realistic expectations during your consultation.

Why Englewood, CO Patients Choose FacesFirst for Facial Plastic Surgery

Patients throughout Englewood, CO, and the surrounding communities of Cherry Hills Village, Littleton, Greenwood Village, Centennial, and downtown Denver choose FacesFirst for one straightforward reason: our surgeons are exclusively focused on the face. 

Dr. Cote and Dr. Picerno are not general plastic surgeons who occasionally perform facial procedures; they are dedicated facial plastic surgeons whose entire practice centers on the anatomy, function, and aesthetics of the face and neck.

Both surgeons are double board-certified in facial plastic surgery and otolaryngology, and both are affiliated with the American Academy of Otolaryngology and the American Academy of Facial Plastic Surgery. These affiliations reflect a commitment to the highest standards in the field of facial plastic surgery. Dr. Cote was recognized by Newsweek as one of America’s Best Plastic Surgeons in rhinoplasty for both 2023 and 2024. Dr. Picerno and Dr. Cote were both named Top Doctors by Castle Connolly in 2023, 2024, and 2025; recognitions that reflect consistent excellence in patient care and surgical outcomes.

With over 30 years of combined experience in facial plastic surgery and a practice that has served the Denver metro community for over 40 years, Dr. Cote and Dr. Picerno bring extensive training, exceptional results, and a genuine commitment to patient comfort and natural beauty to every procedure. Whether you are a busy professional in Cherry Hills Village or preparing for a meaningful milestone in Littleton or Centennial, our team is here to support your journey.

We also offer a comprehensive range of related facial procedures, including neck lifts, brow lift surgery, eyelid surgery, lip lifts, and both surgical and nonsurgical procedures for patients at various stages of their aesthetic journey. 

Schedule Your Facelift Consultation in Denver, CO

If you are ready to explore facelift surgery with a team that is entirely dedicated to facial plastic surgery, FacesFirst is here for you. Serving patients from Englewood, CO, Cherry Hills Village, Littleton, Greenwood Village, Centennial, and downtown Denver, Dr. Christopher Cote and Dr. Nicolette Picerno bring board-certified expertise, advanced techniques, and a patient-centered approach to every procedure. 

Contact FacesFirst today to schedule your personalized consultation. Call us at (303) 744-2300 or fill out our online form to request an appointment. We look forward to meeting you and helping you put your best face forward!

Frequently Asked Questions About Facelift Surgery in Englewood, CO

How do I find a board-certified facial plastic surgeon for a facelift in Englewood, CO?

When searching for a board-certified facial plastic surgeon for facelift surgery in Englewood, CO, look for providers who hold dual board certification in facial plastic surgery and otolaryngology, which indicates specialized training specifically in facial anatomy. Dr. Christopher Cote and Dr. Nicolette Picerno at FacesFirst are both double board-certified and have over 30 years of combined experience in facial plastic surgery. 

What is the difference between a mini facelift and a full facelift?

A mini facelift is a less extensive surgical procedure typically suited for patients with early signs of facial aging or mild skin laxity in the lower face. A full facelift addresses more significant sagging skin, deep facial folds, and neck concerns through a more comprehensive repositioning of the facial tissues. Dr. Cote and Dr. Picerno will help determine which approach aligns best with your anatomy and aesthetic goals during your initial consultation.

What makes the deep plane facelift different from a traditional facelift?

The deep plane facelift addresses the deeper layers of facial tissues beneath the skin, allowing the surgeon to reposition the structural foundation of the face rather than simply tightening the surface. This approach is often associated with more natural-looking results and longer-lasting outcomes compared to a traditional facelift. Because the technique requires advanced training and surgical experience, it is important to choose a dedicated facial plastic surgery surgeon.

Can a facelift be combined with other facial procedures?

Yes, facelift surgery is commonly combined with complementary procedures such as a brow lift, eyelid surgery, neck lifts, and lip lifts to achieve more balanced facial rejuvenation. Dr. Cote and Dr. Picerno will discuss which combination of procedures may help you reach your aesthetic goals based on a thorough evaluation of your facial anatomy and medical history. Individual results may vary, and your treatment plan will be customized to your specific needs.

Will a facelift leave visible scarring?

Facelift surgery does involve incisions, but Dr. Cote and Dr. Picerno use advanced techniques to place incisions within the natural contours of the hairline and around the ear in order to minimize visible scarring. While some degree of scarring is a natural part of any surgical procedure, most patients find that scars fade significantly over time and are well-concealed. Your surgeon will discuss realistic expectations for scarring during your consultation.

Is FacesFirst convenient for patients in Englewood, CO?

FacesFirst is easily accessible for patients coming from Englewood, Cherry Hills Village, Littleton, Greenwood Village, and Centennial. The practice is situated near major roadways connecting the south Denver metro area, offering a convenient option for patients throughout the region. 

Get directions for our Denver office here, and our Lone Tree office here.

What should I expect at my facelift consultation?

During your initial consultation at FacesFirst, Dr. Cote or Dr. Picerno will review your medical history, evaluate your facial anatomy, and discuss your aesthetic goals in detail. You will receive a personalized treatment plan and have the opportunity to ask any questions you may have about the procedure, recovery, and expected outcomes. We believe that an informed patient is better prepared for exceptional results, and our team takes the time to ensure you feel confident before moving forward.