FacesFirst is Denver’s leading facial plastic surgery center, where expertise meets artistry and personalized care. With over four decades of combined experience, double board-certified plastic surgeons Dr. Christopher Cote and Dr. Nicolette Picerno have transformed the lives and confidence of countless patients from Denver and beyond.

At FacesFirst, the approach is simple: combine advanced surgical skill with a deep understanding of facial anatomy for natural, beautiful results that reflect the best version of you.

Why Choose FacesFirst in Denver?

As a leading practice in facial plastic surgery, we offer unparalleled expertise in the anatomy of the face, head, and neck. Our commitment is to provide a comprehensive range of surgical and non-surgical solutions, all meticulously customized to achieve each patient’s unique aesthetic goals.

Dr. Cote and Dr. Picerno lead our team at FacesFirst. Both are double board-certified and possess decades of experience in facial plastic and reconstructive surgery. Through their seamless collaboration and combined knowledge, patients receive a collaborative approach that ensures outstanding and harmonious outcomes.

We strive to create a welcoming and accessible environment where patients can confidently embark on their journey toward enhanced facial aesthetics, assured of receiving world-class care.

Cosmetic Services We Offer in Denver

Every face is unique. FacesFirst offers a large variety of surgical and non-surgical services, each tailored to your individual needs, concerns, and goals.

Surgical Procedures

• Facelift / Neck Lift: Restores youthful contours and defines your lower face and jawline.
• Brow Lift & Eyelid Surgery (Blepharoplasty): Opens up the eye area, softens sagging brows and refreshes your appearance.
• Rhinoplasty & Revision Rhinoplasty: Reshapes the nose for improved balance and function.
• Lip Lift: Shortens the distance between the nose and upper lip to create a more youthful, balanced, and defined smile.
• Otoplasty (Ear Pinning): Corrects protruding ears or reshapes ear cartilage.

Non-Surgical & Minimally Invasive Treatments

• Injectables (Botox®, Dysport®, Juvederm®, Restylane®, Sculptra®): Softens lines, restore volume, refresh appearance.
• Laser Skin Resurfacing/MiXto, IPL Photorejuvenation, Microneedling, Dermaplaning: Treats texture, pigment, sun damage and tone irregularities.
• Specialty Peels & Advanced Skin Treatments: Complements surgical results and maintain long-term skin health.

Meet Dr. Christopher Cote

Dr. Cote is a double board-certified facial plastic surgeon with extensive training in both otolaryngology and facial plastic surgery. He is renowned for his attention to detail and ability to deliver results that enhance, not alter, your natural features. Dr. Cote has received numerous honors, including Top Doctor awards and Newsweek recognition as one of America’s Best Plastic Surgeons for Rhinoplasty in 2023 and 2024. Whether performing complex rhinoplasty, revision surgery, or facelift, Dr. Cote’s philosophy combines surgical skill with empathy and patient education.

Awards & Recognitions

• Castle Connolly Top Doctor (2023, 2024, 2025)
• 5280 Magazine Top Doctor Recognitions
• Newsweek America’s Best Plastic Surgeons – Rhinoplasty (2023, 2024)

Professional Affiliations

• Board-Certified Otolaryngologist – Head and Neck Surgeon (American Board of Otolaryngology)
• Board-Certified Facial Plastic and Reconstructive Surgeon (American Board of Facial Plastic and Reconstructive Surgery)
• Member, American Academy of Otolaryngology – Head and Neck Surgery
• Member, American Academy of Facial Plastic and Reconstructive Surgery

Meet Dr. Nicolette Picerno

Dr. Picerno is also a double board-certified facial plastic surgeon and otolaryngologist, celebrated for her compassion and expertise. Dr. Picerno has received repeated recognitions, including Castle Connolly Top Doctor and “Woman of the Year” from the American Biographical Institute. She specializes in facial, eyelid, and brow surgery and is known for creating balanced, natural-looking results that inspire confidence. Her patient-centered approach means every treatment is customized for your individual needs.

Awards & Recognitions

• Woman of the Year – American Biographical Institute (2006, 2009, 2012)
• America’s Best Cosmetic Doctor – Castle Connolly (2005, 2006)
• America’s Top Physician – Consumer Research Council of America (2004, 2005, 2013)
• Castle Connolly Top Doctor (2018, 2022, 2023, 2024, 2025)
• 5280 Magazine Top Doctor Recognitions

Professional Affiliations

• American Medical Association
• Board-Certified Otolaryngologist – Head and Neck Surgeon (American Board of Otolaryngology)
• Board-Certified Facial Plastic and Reconstructive Surgeon (American Board of Facial Plastic and Reconstructive Surgery)
• Member, American Academy of Otolaryngology – Head and Neck Surgery
• Member, American Academy of Facial Plastic and Reconstructive Surgery
• American Academy of Cosmetic Surgery

Experience Denver’s Leader in Facial Aesthetics

With convenient locations in Denver and Lone Tree, we are dedicated to serving our community with the highest standards of care. Whether you’re interested in a subtle refinement or a more significant transformation, FacesFirst is here to guide you on your journey.

Don’t wait to embrace a more confident you. Schedule your consultation today!

Directions to FacesFirst in Denver, CO