If you are considering a facelift in Highlands Ranch, CO, FacesFirst offers the surgical expertise, credentials, and compassionate care that patients throughout the Denver area have trusted for over 40 years.
A facelift is a proven facial rejuvenation procedure that may help address sagging skin, deepening folds, and loss of definition along the jawline and neck, helping you look and feel more like yourself.
To schedule a consultation at FacesFirst, call us today: (303) 744-2300.
Facelifts: What You Need to Know
A facelift, known clinically as a rhytidectomy, is a surgical procedure designed to address visible signs of facial aging in the lower face and neck. As skin loses elasticity over time and the underlying facial tissues shift, many patients notice jowling along the jawline, loose skin beneath the chin, and deepened nasolabial folds. A facelift may help restore a smoother, more youthful contour by lifting and repositioning these underlying tissues and removing excess skin.
At FacesFirst, both Dr. Nicolette Picerno and Dr. Christopher Cote bring extensive experience in facial plastic surgery to every procedure. The technique used will vary based on your anatomy, the degree of change you are hoping to achieve, and your overall health. Patients considering a facelift benefit from working with surgeons who specialize exclusively in the face and neck, which means every aspect of your care is tailored to facial anatomy and outcomes.
Many patients also choose to combine their facelift with complementary procedures such as blepharoplasty for a more comprehensive facial rejuvenation.
Are You a Candidate for a Facelift?
Ideal candidates for a facelift are generally adults who are experiencing moderate to significant signs of facial aging and are in good overall health. Patients who do not smoke, or who are willing to stop smoking well in advance of surgery, tend to be better candidates for healing and recovery.
You may be a good candidate if you experience any of the following concerns:
- Sagging or loose skin along the jawline and jowls
- Excess skin or fullness beneath the chin and in the neck
- Deepened creases between the nose and mouth
- Loss of definition in the lower face and neck contour
- Facial aging that has not responded to non-surgical approaches
- Realistic expectations and a desire for long-lasting facial rejuvenation
If you are curious about whether surgical or non-surgical options better align with your goals, the FacesFirst team can also discuss approaches such as Renuvion Seamless Plasma Lift during your consultation.
What to Expect at FacesFirst
Your facelift journey at FacesFirst begins with a detailed consultation with Dr. Picerno or Dr. Cote. During this appointment, your surgeon will evaluate your facial anatomy, review your medical history, and discuss your aesthetic goals. This is also the time to ask questions, address any concerns, and gain a clear understanding of what the procedure involves and what recovery typically looks like.
The facelift procedure is typically performed under general anesthesia or IV sedation, and most patients return home the same day. Incisions are generally placed in natural contours around the ears and hairline to minimize visible scarring. Most patients experience some swelling and bruising in the first one to two weeks following surgery, and these effects typically resolve gradually over the following weeks. Most patients find they are comfortable returning to light activity within two weeks, though recovery timelines vary patient to patient.
Why Choose FacesFirst for a Facelift?
FacesFirst is a facial plastic surgery and aesthetics practice in Denver dedicated exclusively to facial procedures, and that focus matters when choosing a surgeon for a facelift near Highlands Ranch, CO.
Dr. Nicolette Picerno and Dr. Christopher Cote are both double board-certified in facial plastic surgery and otolaryngology, a distinction that reflects a depth of training and commitment to this specialty that is uncommon in the field.
Both surgeons have been named a Top Doctor by Castle Connolly in 2023, 2024, and 2025. Dr. Cote has also been recognized by Newsweek as one of America’s Best Plastic Surgeons in Rhinoplasty for both 2023 and 2024. These recognitions reflect a record of consistent, high-quality patient care.
FacesFirst serves patients from Highlands Ranch, Cherry Hills Village, Greenwood Village, Lone Tree, Centennial, and communities throughout the greater Denver area. Patients who travel from these communities appreciate the combination of genuine surgical expertise and personalized attention that defines the FacesFirst experience.
Take the Next Step Toward Facial Rejuvenation
Patients seeking a facelift have a trusted, specialized source in FacesFirst. Dr. Picerno and Dr. Cote bring over 50 years of combined facial plastic surgery experience to every consultation. Call FacesFirst today at (303) 744-2300 to schedule your facelift consultation and begin your journey toward a more refreshed, natural appearance.
Frequently Asked Questions About Facelifts
Am I too old or too young for a facelift?
There is no single ideal age for a facelift. Candidates are typically adults who show meaningful signs of facial aging and are in good overall health. Some patients pursue facelifts in their 40s, while others wait until their 60s or beyond. During your consultation, we will evaluate your anatomy, skin quality, and goals to determine whether a facelift is well-suited to your individual circumstances.
How long does facelift recovery typically take?
Most patients are comfortable resuming light daily activities within approximately two weeks following a facelift. More visible signs of healing, such as swelling and bruising, typically improve significantly within the first few weeks. Final results continue to refine over several months as tissues settle. Our team provides recovery guidance and is available to support patients throughout the healing process.
When will I see results after my facelift?
Many patients begin to notice meaningful improvement within a few weeks as initial swelling subsides, though full results typically emerge over three to six months as the face continues to heal and settle. Results from a facelift are long-lasting for most patients, though the natural aging process does continue over time.
Can a facelift be combined with other procedures?
Yes. Many patients choose to combine a facelift with complementary procedures to address additional concerns in a single surgical session. Common combinations include blepharoplasty for the eye area, a brow lift, or fat transfer for volume restoration. During your consultation, our team will discuss which combinations may be appropriate for your goals and anatomy.
Where is FacesFirst located, and how far is it from Highlands Ranch?
FacesFirst is located in Denver, Colorado, making it conveniently accessible for patients coming from Highlands Ranch, Cherry Hills Village, and the surrounding south Denver communities. The practice maintains a welcoming environment designed with patient comfort in mind. For specific directions or to confirm the office address before your visit, contacting the FacesFirst team directly is recommended so they can assist you with any logistical questions ahead of your appointment.

Nicolette Picerno, M.D.
Dr. Nicolette Picerno is a double-board-certified facial cosmetic surgeon certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. She received her medical degree from Hahnemann University, School of Medicine in Philadelphia, and completed her fellowship for the American Academy of Facial Plastic and Reconstructive Surgery at the Beeson Aesthetic Surgery Institute in Carmel, IN. She also completed the Cenegenics Physician Training and Certification in Age Management Medicine program in 2012 and became a certified BioTE provider in 2014. When not in the office, Dr. Picerno enjoys spending time with her family, hiking, skiing, playing tennis, and running her doggie daycare with her husband.

Call Us