FacesFirst is a facial cosmetic surgery center which offers its patients in Castle Rock the combined expertise of Dr. Nicolette Picerno and Dr. Christopher Cote. They are double board-certified surgeons and offer their combined experience to their patients, getting them exceptional results for more than 40 years now. Our patients benefit from the artistic detailing and unparalleled aftercare offered at FacesFirst. The combination of the unique art and technique of doctors Picerno and Cote has been helping thousands of patients lead better lives. They are the most sought-after surgeons in the Colorado area due to the natural-appearing, beautiful results offered at FacesFirst.

You can be assured of stunning results from a variety of facial procedures at FacesFirst. When you choose a surgical procedure of the face, head, or neck, it not only requires exceptional artistic skill but also significant experience with the procedure itself. This skill and experience you get at FacesFirst with the most optimal results.

At FacesFirst, rhinoplasties are performed by Dr. Christopher Cote, who has extensive experience in performing the procedure. Dr. Cote is fellowship trained in facial plastic surgery through the Johns Hopkins University Hospital and is double-board certified in otolaryngology and facial plastic surgery.

The beneficial rhinoplasty surgery

Everyone desires an attractive nose which fits in complete balance with the rest of the facial features. Everybody has a unique face with specific dimensions and proportions that may make your nose stand out. If you feel self-conscious about your nose, you might choose to undergo the rhinoplasty procedure. You get the best results from rhinoplasty when we can help you get a nose that fits in perfect harmony with your face. We have the experience to give you a nose sculpted specifically for you, bringing in the desired balance.

Who makes a good rhinoplasty candidate?

When your nose is too large or crooked, it affects your overall appearance, since the nose is a noticeable facial feature. Many people have experienced being bullied in school about their noses and suffer from low self-esteem as a result. A lot of young adults consult us at FacesFirst for the rhinoplasty procedure to get better facial harmony and restore their confidence. We offer you the surgical and artistic skills required for a successful rhinoplasty so that you get the facial harmony and balance to help you look naturally beautiful.

Rhinoplasty is not simply a cosmetic procedure. Our patients from Castle Rock also opt for the procedure when they have had an injury or deviated septum. You could be dealing with medical issues such as sinusitis or breathing concerns due to the deviated septum, and rhinoplasty can help you eliminate these.

How can rhinoplasty help you?

A Rhinoplasty surgery at FacesFirst helps with the restoration of functionality as well as improving the appearance of your nose. It is our aim to give you naturally pleasing facial proportions by reshaping your nose during the rhinoplasty surgery. Dr. Cote uses his artistic eye for detailing to give you stunning results that not only look natural but also last forever.

The rhinoplasty procedure is a highly customizable procedure that can be personalized to meet the individual requirements of our patients. During your consultation, we evaluate your nasal anatomy and understand your desires and expectations from the surgery. This helps us to use the most optimal rhinoplasty technique and, at times, combine different procedures like septoplasty for best results. Every aspect of your nose can be modified with this surgery, including the bone, tissue, and cartilage so that you can get the nasal contours you always desired.

About Castle Rock, CO

Castle Rock is an affluent home rule municipality which is the county seat of Douglas County in Colorado. Located between Denver and Colorado Springs, Castle Rock is part of the Denver Metropolitan area and the Front Range Urban Corridor. About 27% of Castle Rock is open space and parks; additionally, there are almost 75 miles of soft surface and pave trails. You can enjoy the Baldwin Park, Butterfield Park, Centennial Park, East Plum Creek Trail and Mitchell Creek Canyon Trail. Some other points of interest for visitors include the Phillip S. Miller Activity Center featuring zip lines, adventure treks, amphitheater, swimming pools, fire pits, outdoor incline and playgrounds. The Castle Rock Historical Museum built in 1875 is located in the former Denver and Rio Grande Railway depot building and spans the history of Castle Rock. There is a large Hindu community in Colorado that visits the Sri Venkateswara Temple’s eight-acre complex located on Ridge Road.


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.

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