Facial procedures are popular in the Centennial, CO area to address signs of aging or to enhance bothersome facial features. Facial procedures can be surgical or involve the use of nonsurgical injectables. A plastic surgeon can examine and discuss your facial concerns to determine which course of treatment will benefit you.

At FacesFirst, patients in the Centennial area can meet with a board certified facial plastic surgeon for their concerns. Dr. Picerno or Dr. Cote can perform an evaluation to determine the best course of treatment based on the patient’s concerns and goals. The first step to either a surgical or nonsurgical treatment is a consultation in Centennial.

Facial Cosmetic Surgery

Surgical procedures are offered to those in the Centennial area that want a significant enhancement to their facial features. Surgical facial procedures include:


A facelift in Centennial is effective at improving signs of aging such as midface sagging and deep wrinkles. patients can benefit from a facelift if they want to look significantly younger. During the procedure, the tissue is repositioned to reduce sagging and excess skin is removed.

Neck lift 

A neck lift can improve sagging in the lower face and neck. Patients can opt for a neck lift to redefine the jaw line, reduce the appearance of a double chin, and slim the neck to look many years younger. The procedure works by eliminating excess skin and tightening the tissue to eliminate sagging. The neck lift can be performed alone or can be combined with a facelift if aging is the midface as well.


A rhinoplasty in Centennial is to reshape and resize the nose. Patients might opt for a rhinoplasty if they are unhappy with an overly large nose, an asymmetrical nose, a hump in the bridge, or a deviated septum. During the procedure, cartilage and bone can be taken away and reshaped to enhance the appearance and sometimes function of the nose.


For those in the Centennial area who are not ready for or do not require a surgical procedure, injectables are an effective alternative for facial rejuvenation. Nonsurgical injectable treatments include:


Botox in Centennial is a popular injectable treatment option for those who are unhappy with fine lines and wrinkles. Botox is a neuromodulator that reduces muscle activity in the face, resulting in fewer wrinkles such as crow’s feet and frown lines in the upper face.


Facial fillers aim to smooth out signs of aging by filling in facial wrinkles and folds. Patients in Centennial can choose from a variety of formulas depending on the location of their wrinkles, their budget, and how long they would like their results to last.


Submental fullness is a common concern among patients. Kybella in Centennial is an injectable treatment that safely destroys fat cells, resulting in a slimmer chin profile and improved jawline without the use of surgery.

Directions from Centennial to FacesFirst Lone Tree

Dr. Christopher Cote and Dr. Nicolette Picerno are board-certified plastic surgeons practicing in Denver and Lone Tree, Colorado. They have over 40 years of combined experience together in facial plastic surgery. Both Dr. Cote and Dr. Picerno specialize in procedures like Facelift, Browlift, Facial Rejuvenation, Nose Surgery, and many other types of cosmetic procedures at FacesFirst.

Request Appointment

Request Appointment