Do you have extra fullness under your chin and neck? While this is often due to hereditary deposits of adipose (fatty) tissue in the submental area, Dr. Picerno and Dr. Cote are specifically trained to enhance the neck and face region. They have the experience and expertise that sets them apart and provides patients with that extra boost of confidence – in their treatment, and of course, in their results with submental lipectomy.

Learn how a submental lipectomy or neck lift can help you to regain your youthful appearance and make you feel good about the way you look. Schedule an initial consultation with one of our doctors by calling 303-744-2300. You will be showing off your neck with flattering clothing and fun jewelry in no time.


from our patients

I saw Dr. Picerno and FacesFirst for a lower jaw and neck uplift. My experience with Dr. P and her staff was amazing. They were so professional and answered all my questions with ease. They were very responsive to my emails. And they helped get all of my aftercare set up for me. They went out of their way to find me the most cost effective solutions. I found that their office isn’t just cosmetic surgery. It is anything and all things for faces and I will be using them to meet my other needs. Highly, highly recommend Dr. P and her staff!

-Christy Fleskes

Dr. Cote exceeded all of my expectations. I had a rhinoplasty, septoplasty, and a tonsillectomy 1 month ago and at my follow-up he said I was above average and healing beautifully. I am very happy with my results. Recommend 10/10

-Riley Buchanan

Read More

Submental Lipectomy

Depending on the bone structure in your neck, the results of submental lipectomy can often be quite substantial, and can dramatically postpone the need for facelift surgery. This procedure works best on young to middle-aged individuals who have good skin tones. Without good skin tone, the fatty tissue would be removed, but the skin tightening that occurs secondary to undermining tissues would not take place. A submental lipectomy only removes excess fat and relies upon the skin’s ability to tighten itself. It is not a replacement for a facelift or a necklift. However, dramatic results can be obtained with a minimal amount of discomfort and recovery time for appropriate individuals. This procedure can be done under local anesthesia in less than an hour in our Denver or Lone Tree offices. Recovery is just about 3-5 days. Combining submental lipectomy with a chin implant can result in superior, long-lasting results.


Neck Lift Surgery

The neck lift procedure starts with an incision under the chin and sometimes in the nape of the neck through which the skin is brought up to reverse signs of aging like sagging skin, fat under the chin, or visible bands in the neck. As we age, the edges of the neck muscles separate and fall, creating visible vertical bands. While the neck lift is not a replacement for the facelift, in many cases, 80% of the improvement that a facelift would provide to this area can be achieved with a neck lift. Benefits of a neck lift include less visible external incisions and less healing time.


Before and After

Submental liposuction targets fat on the chin and jawline, also referred to as a double chin. By removing this stubborn fat, patients can enjoy a more defined jawline that accentuates their lower face.


View More

*actual patient of Submental Lipectomy / Neck Lift Cosmetic Surgery

Neck lifts are especially beneficial in men who want to avoid the telltale incision in front of the ear that is necessary for a male facelift, yet are concerned over the laxity of tissue in the neck area. Differing from a facelift, the neck lift removes fatty tissue, re-supports muscles, and removes some skin below the chin and in the neck area. A facelift removes fatty tissue, re-supports muscles, and removes excess skin in the neck, cheek, jowl, and lateral temporal areas. Please consider that a neck lift does require twilight or general anesthesia.

Read Our Blog

for more information

How Do You Know If You Need a Neck Lift?


Facelift vs Neck Lift


Frequently Asked Questions

How do I prepare for a neck lift?

Have a thorough pre-operative physical exam and assessment by your surgeon and possibly involving your primary physician. At FacesFirst we do a pre-operative visit to cover most questions and review recovery plans. Before your procedure, plan good rest, nutrition and exercise so your body can do well with healing.

How long does it take to recover from a neck lift?

Neck lift recovery typically takes about two weeks. After resting for two weeks following the procedure, most patients can return to work or other activities, although some bruising, swelling, and tightness will likely remain.

How much does Neck Lift Cost?

The cost of cosmetic surgery depends on the unique needs and desires of each patient. Typically, the cost of a neck lift varies between $7500 - $15,000. Your surgeon will be able to provide you with a more accurate estimate after a consultation.

Is Neck lift surgery dangerous?

Any surgery can have risks, but a necklift performed by an experienced and well trained surgeon will minimize any risks. In most well prepared situations, this is not a dangerous procedure. At FacesFirst we will work to help you feel well prepared.

What is a liquid facelift?

A liquid facelift is not actually a surgical procedure but instead it is a treatment of the face with injectable fillers-hence the term liquid. When well planned and executed, this can restore the volume lost with aging and give you a lifted rejuvenated look. Come discuss with our surgeons at FacesFirst a plan to achieve these results with no downtime.

What is a lunchtime facelift?

A “lunchtime” facelift is another way of saying a non-invasive procedure that can be done quickly and with minimal to no recovery. Typically, these kinds of treatments can be performed in the amount of time it would take for you to have your lunch break. These treatments can include thread facelifts, dermal fillers, or cosmetic injectables all positioned in a way to make the face look younger and smoother.

What is a neck lift?

A neck lift is a cosmetic surgical procedure that removes excess skin and fat around the neck and jaw. This creates a more youthful-looking and defined neck.

What is the best treatment for saggy neck?

This all depends on what is causing the sag. It could be loose skin or muscle that needs to be lifted. It could be fatty tissue that needs to be reduced. Come have a consult with the doctors at FacesFirst to see whats best for you.

Whats involved in a neck lift?

During a neck lift, the underlying tissue in the neck is repositioned, and the muscle may be tightened. The skin is then redraped to create a tighter, smoother appearance.

What are the restrictions after a neck lift?

After a neck lift, you will want to keep your head elevated above your heart in order to reduce swelling. You will also want to keep your head straight to avoid stretching and twisting the skin on your neck. The treatment site may feel uncomfortable for a little bit, but it is important that you do not apply ice to the area. You should also avoid alcohol, aspirin, and lifting heavy objects.

How long does it take to look normal after a neck lift?

It can take four to six weeks for the swelling and bruising to disappear and for you to look like your normal self. That being said, recovery times differ from person to person.

How long do you have to wear a chin strap after a neck lift?

For the first week of recovery after a neck lift, you will be required to wear a chinstrap at all times except when showering or bathing. The second week after surgery, you will transition to only wearing it at bedtime.

Does a neck lift affect the face?

A neck lift focuses on tightening the skin on the neck and jawline, so it will not affect the cheeks or the face.

How painful is neck lift recovery?

The recovery from a neck lift is typically not painful. You may feel some discomfort as you heal, but you can take pain medications as directed by your doctor.

Who is not a good candidate for a neck lift?

Patients with blood disorders or complications with healing are not good candidates for a neck lift. If you are looking to enhance the appearance of the upper portion of your face, a neck lift may not be right for you as it only addresses the lower face.


ASPS – Submental Lipectomy
American Academy or Facial and Plastic Reconstructive Surgery (AAFPRS) – Neck Liposuction
Cleveland Clinic – Submental Lipectomy

Christopher Cote, M.D.
Dr. Christopher Cote is a double-board-certified facial and reconstructive plastic surgeon and head and neck surgeon by the American Board of Otolaryngology and the American Board of Facial and Reconstructive Surgery. He received his medical degree from Tufts University and performed his residency at Walter Reed Army Medical Center and National Naval Medical Center, fellowship training at Johns Hopkins university. His specialties include aesthetic and functional rhinoplasty, facelifts and brow lifts, and others minimal invasive procedures.  He is also a clinical instructor to Plastic Surgery residents at University of Colorado, and recently received recognition on Newsweek’s Americas best rhinoplasty surgeons. When not assisting patients, Dr. Cote enjoys spending time hiking, skiing, and traveling with his wife and kids.

Request Appointment

Request Appointment