Many patients experience extreme anxiety before or during a cosmetic procedure. Our team at FacesFirst Cosmetic Surgery want to help relieve our patients of any feelings of anxiety and make them feel comfortable during their procedure. That is why we are now using the Pro-Nox™ System.

What is the Pro-Nox™ System?

This Pro-Nox™ System is a medical nitrous oxide system that is completely administered by the patient for when they are feeling any pain or anxiety during the procedure. It is completely safe to use, and the effects wear off shortly. It contains 50% Nitrous oxide and 50% oxygen, helping you to feel pain and anxiety relief while giving you a sense of control.

How Does the Pro-Nox™ System Work?

This system is self-administered, much like some tools used in a dental office. A long tube is hooked up to the machine containing the nitrous oxide and oxygen when the patient is feeling any signs of pain or anxiety, they inhale the mixture from the tube and instantly feel relief. There are alarms on the machine that let you know when the gas is low as well as a safety shut off the system when the gas pressure is too low. This system has been helping patients with pain and anxiety for decades during all types of procedures.


from our patients

I absolutely love this place! I have been going for years (oh wait did I just date myself, lol) From the moment you walk in to leaving you feel great! The staff and even the patients in the waiting room are friendly and awesome! 🙌🏼

-Melissa Gray

Dr Picerno is amazing and I adore her!
-Ciana Wallace

Pro-Nox™ Benefits

  • Safe and Effective
  • No Long Recovery
  • Quick Onset
  • Patient Administered
  • Short Duration of the Effects

Is Pro-Nox™ Right for You?

If you are getting ready to undergo one of our cosmetic procedures and would like to use this comfort technology, then talk to our staff before the procedure so we can assess if this would be ideal for you and your procedure. The team at FacesFirst Cosmetic Surgery want nothing more than for you to feel safe and comfortable.

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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.

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