If you are considering rhinoplasty in Lakewood, CO, FacesFirst offers the specialized expertise of dedicated facial plastic surgeons serving patients throughout the Denver metro area. A nose job is one of the most nuanced procedures in cosmetic surgery, requiring a facial surgeon who understands both the aesthetic and functional complexity of the nose. 

Dr. Christopher Cote and Dr. Nicolette Picerno bring over 30 years of combined experience in facial plastic surgery, giving Lakewood-area patients access to highly skilled, board-certified plastic surgeons focused exclusively on the face.

To take your first step, call us at (303) 744-2300 or schedule a consultation online.

What Is Rhinoplasty? A Facial Plastic Surgery Overview

Rhinoplasty is a surgical procedure that reshapes the nose to improve its appearance, its function, or both. As a cornerstone of facial plastic and reconstructive surgery, rhinoplasty addresses a wide range of concerns, including a dorsal hump, a wide or asymmetrical tip, a deviated septum, or disproportionate facial features. The procedure can be tailored to each patient’s unique facial structure, aesthetic preferences, and underlying anatomy.

At FacesFirst, Dr. Cote and Dr. Picerno approach every rhinoplasty with a thorough evaluation of your medical history, nasal anatomy, skin quality, and aesthetic goals. Their expertise in both plastic and reconstructive surgery allows them to address cosmetic concerns and functional breathing issues within the same procedure when clinically appropriate.

Rhinoplasty may be performed using an open or closed technique. Closed rhinoplasty, in which all incisions are made inside the nose, is often preferred for patients with more limited reshaping goals. It typically involves minimal external scarring and may support a smoother recovery process. Our surgeons will recommend the approach best suited to your anatomy and desired outcome during your initial consultation.

Facial Procedures and Rhinoplasty: Understanding Your Aesthetic Goals

Rhinoplasty is deeply personal. The goal is not a single idealized nose shape, but rather a nose that complements your natural contours and harmonizes with the rest of your facial features. Whether you are bothered by the size of your nose in profile, the width of the nostrils, or an asymmetry that has affected your confidence, rhinoplasty may help address these concerns with results that look natural and balanced.

Dr. Cote and Dr. Picerno also provide a broad range of facial procedures, including neck lifts, deep plane facelift surgery, lip lifts, and non-surgical treatments, allowing patients to pursue comprehensive facial rejuvenation when appropriate. Rhinoplasty is often considered alongside these treatments for patients seeking a more cohesive approach to their overall facial aesthetics.

Who Is a Candidate for Rhinoplasty Near Lakewood, CO?

Rhinoplasty may be appropriate for adults who are in good general health, have realistic expectations, and are bothered by the appearance or function of their nose. Most patients who pursue this procedure share some of the following considerations:

• You are bothered by a bump, asymmetry, or the overall size and shape of your nose
• Your nose appears disproportionate to your other facial features
• You experience breathing difficulties related to the internal nasal structure
• You have completed facial growth, typically in your mid-to-late teens or older
• You have a stable medical history and do not smoke, or are willing to stop prior to surgery
• You are seeking natural-looking results that enhance, rather than dramatically alter, your appearance
• You maintain a healthy lifestyle and have realistic expectations about surgical results

Candidacy is always determined through a thorough evaluation with one of our surgeons. Factors such as skin thickness, nasal cartilage structure, and prior nasal surgery all play a role in determining the most appropriate surgical plan. Individual results may vary.

Ready to explore your options? Call (303) 744-2300 or request your consultation with our team today.

What to Expect: From First Consultation to Recovery

Your First Consultation

The process begins with a detailed initial consultation at our Denver or Lone Tree office, conveniently accessible to patients from Lakewood, Wheat Ridge, Englewood, Littleton, and Arvada. During this visit, Dr. Cote or Dr. Picerno will review your medical history, examine your nasal anatomy, discuss your aesthetic goals, and answer any questions you have about the procedure. You will have the opportunity to share your concerns and develop a clear understanding of what rhinoplasty can and cannot achieve for your specific anatomy.

This consultation is also the time to ask about complementary facial procedures, such as neck lifts or deep plane facelift surgery, if you are interested in addressing multiple areas of concern. Our dedicated team takes a patient-centered care approach, ensuring your treatment plan reflects your individual needs and timeline.

The Rhinoplasty Procedure

Rhinoplasty is typically performed under general anesthesia and takes between one and three hours, depending on the complexity of the case. Our surgeons use refined surgical techniques, including closed rhinoplasty when appropriate, to achieve balanced, natural-looking results while minimizing visible changes to the surrounding skin and facial tissues. Reconstructive surgery on the nose may also be performed at the same time if a functional concern, such as a deviated septum, is identified.

As with any surgical procedure, rhinoplasty carries potential risks. Your surgeon will discuss these in detail during your consultation so you can make a fully informed decision.

Recovery and Results

Recovery time following rhinoplasty varies by patient and by the extent of the procedure. Most patients experience swelling and bruising in the initial days after surgery, which gradually resolves over several weeks. Splints or nasal packing may be used during early healing. Many patients return to desk work and light activity within one to two weeks, though strenuous exercise and certain activities, such as wearing glasses that rest on the nose, are restricted during the healing period. You should avoid wearing glasses that contact the nasal bridge for a period your surgeon will specify.

Visible improvement is often noticeable within a few weeks, but the nose continues to refine and settle over the course of twelve months or longer. Lasting results are best maintained with a healthy lifestyle and consistent follow-up care. Individual results may vary.

A Double Board Certified Facial Plastic Surgeon Team Serving Lakewood, CO

Choosing a surgeon who focuses exclusively on the face makes a meaningful difference in rhinoplasty outcomes. Dr. Christopher Cote and Dr. Nicolette Picerno are both double board-certified in facial plastic and reconstructive surgery and otolaryngology, head and neck surgery. This dual certification reflects a depth of training and a specialized understanding of facial anatomy that distinguishes their practice from general plastic surgery providers.

FacesFirst has been serving the Denver area for over 40 years. Both Dr. Cote and Dr. Picerno are affiliated with the American Academy of Otolaryngology and the American Academy of Facial Plastic Surgery, reflecting their standing within the broader community of facial plastic and reconstructive surgery specialists. Dr. Cote and Dr. Picerno have both been recognized as Top Doctors by Castle Connolly in 2023, 2024, and 2025. Additionally, Dr. Cote has been named among Newsweek’s America’s Best Plastic Surgeons in the rhinoplasty category for both 2023 and 2024.

Patients from Lakewood, Wheat Ridge, Englewood, Littleton, and surrounding communities choose FacesFirst because of this team’s commitment to individualized care, their surgical expertise in facial plastic surgery, and their reputation for natural-looking, lasting results. Whether you are a busy professional in Lakewood or preparing for an important milestone, our team works closely with you from your initial consultation through your full recovery.

Schedule Your Rhinoplasty Consultation Near Lakewood, CO

If you are ready to explore rhinoplasty in Lakewood, CO, FacesFirst is here to guide you with expertise, compassion, and a commitment to natural-looking, lasting results. Dr. Christopher Cote and Dr. Nicolette Picerno are double board-certified facial plastic surgeons with over 40 years of combined practice history in the Denver area, proudly serving patients from Lakewood, Wheat Ridge, Littleton, Englewood, and Arvada. 

Call us at (303) 744-2300 or contact us online to schedule your consultation and take the first step toward achieving your aesthetic goals!

Frequently Asked Questions About Rhinoplasty in Lakewood, CO

What is the difference between open and closed rhinoplasty?

Open rhinoplasty involves a small incision along the columella, the strip of tissue between the nostrils, providing greater visibility of nasal structures. Closed rhinoplasty places all incisions inside the nose, which is often preferred for more limited reshaping. Dr. Cote and Dr. Picerno will recommend the most appropriate technique based on your anatomy and aesthetic goals during your consultation.

How do I find a board-certified facial plastic surgeon for rhinoplasty near Lakewood, CO?

When researching a board-certified facial plastic surgeon for rhinoplasty, look for surgeons who specialize specifically in facial plastic surgery and hold dual board certification. Dr. Cote and Dr. Picerno are double board-certified in facial plastic and reconstructive surgery and otolaryngology, and their practice is located in Denver, just minutes from Lakewood. 

Is rhinoplasty performed under general anesthesia?

Yes, rhinoplasty is typically performed under general anesthesia, although the specific anesthetic approach depends on the complexity of the procedure and your overall health. Your surgeon will review all anesthesia considerations as part of your pre-surgical evaluation and answer any questions you have during your consultation.

What is the recovery time for a nose job?

Recovery time varies based on the scope of your rhinoplasty and your individual healing process. Most patients can return to light activity within one to two weeks, with more significant swelling resolving over the following months. Final results continue to emerge over the course of up to twelve months. Individual recovery experiences vary, and your surgeon will provide personalized guidance.

Can rhinoplasty address both cosmetic and functional concerns?

Yes. Because Dr. Cote and Dr. Picerno are trained in both facial plastic and reconstructive surgery and otolaryngology, head and neck surgery, they are well-positioned to address both the appearance of the nose and structural issues that affect breathing. If a functional concern, such as a deviated septum, is identified, it may be treated during the same procedure. Your medical history and nasal anatomy will guide this conversation.

Why should I avoid wearing glasses after rhinoplasty?

Following rhinoplasty, you will be advised to avoid wearing glasses that rest directly on the nasal bridge during a portion of your recovery. Pressure from frames can affect healing tissues and potentially alter surgical results while the nose is still stabilizing. Your FacesFirst surgeon will give you specific guidance on how long to avoid wearing glasses and what alternatives are available during recovery.

What makes FacesFirst different from other facial plastic surgery practices near Lakewood, CO?

FacesFirst stands apart through its exclusive focus on the face. Dr. Cote and Dr. Picerno are both double board-certified facial plastic surgeons with over 30 years of combined experience and recognition from Castle Connolly as Top Doctors in 2023, 2024, and 2025. Their specialized training in head and neck surgery and facial plastic and reconstructive surgery means that every procedure, including rhinoplasty, is approached with a depth of facial anatomical expertise that serves patient safety and surgical outcomes.