Denver Facial Plastic Surgeon
850 E. Harvard Ave, Suite 575
Denver, Colorado 80210 US

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Free Facelift Consultation
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Free Skin Pen Treatment with Purchase of Filler
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Buy IPL for the chest and get the hands for free
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17 years experience
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Patient Reviews


4.7 out of 5 stars 4.7 stars from 7 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
4.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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5 out of 5 stars Eyelid Surgery

38 Year Old Female with Loose Under Eyes - Lone Tree, CO

I had a lower eyelid pinch by Dr. Nicolette Picerno last October. I had come to her after losing a significant amount of weight and had lost some fat in my face which I think resulted in the loose and wrinkled skin under my eyes. The pinch was such a quick and easy procedure and really I feel took years off the look of my face! There was little to no downtime and I love the after results! Dr...

5 out of 5 stars Eyelid Surgery

Upper and Lower Eye Lift and Fat Placement - Denver, CO

Dr. Picerno did procedure in the office. Care was exceptional. She is attentive, positive. Results are fantastic. Trust her 100%. Procedure was explained and after care excellent. I receive compliments on how rested I look. Took years off without changing the shape of my eyes. Have referred my family and friends to Dr. Picerno.

5 out of 5 stars Septoplasty

Dr. Nicolette Picerno in Denver is Not Only a Fantastic ENT and Plastic Surgeon, but a Wonderful Person! - Denver, CO

Injury: Fractured nose and deviated septum. Cons- few days down, exhaustion, some numb upper teeth for a few days, stuffy nose (felt like bad head cold) and just general discomfort for a few days. Benefits of the surgery - awesome breathing and straight nose. Open reduction nasal septal repair (septoplasty).

5 out of 5 stars Restylane

I Am a 47 Year Old Professional Who Needed a Little Help with Gravity. Denver, CO

Dr. Picerno has the ability to know exactly what you need, I had a face lift years ago and see her once a year for maintenance. The staff at Faces First are friendly and professional. I was told I look rested. Instead of .... Did you get something done? I use many of their facial products and I am please with the results as well as the price, Lots of options for a girl on a budget. ...

5 out of 5 stars Restylane Silk

I Feel Beautiful!!! - Denver, CO

I have never been so happy or felt so beautiful! I have been botoxing and getting filler in my lips and cheeks for years. I never felt like the aesthetician (not surgeon ) listened to what to I wanted and I have had it done wrong and left looking unnatural. Dr Picerno and her staff were amazing, she took her time and genuinely listened to what I wanted! I came in for lip filler in June and...

3 out of 5 stars Fat Transfer

Fat Grafting: Not Sure - Denver, CO

I had FG to my cheeks and mouth area in 2009. I looked like a chipmunk for months. My smile was unnatural. The fat "took" which was good, but again, I looked unnatural. 2 years later, much of it is gone. The one part that did remain was a small correction that she added to fix my dimple. I was bothered by the area that was indented and she implanted fat. Now, I have a strange...

5 out of 5 stars Laser Peel

Dr P is the besr!!

I love Dr. P!! I appreciate her expertise and honesty. She has helped me address my problem areas to my satisfaction and I have the utmost confidence in her skills. I had a laser treatment and my skin has never looked better!

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)

Consultation Fee

$125. 45 minute comprehensive evaluation with the doctor and photo manipulation if indicated. One complimentary facial is included with our aesthetician.

Hospital Privileges

Dr. Picerno has hospital affiliations at Porter Adventist, Swedish Hospital, Sky Ridge Hospital.


  • Undergraduate & Medical School

    Medical: MD, Hahnemann University, School of Medicine, Philadelphia, PA
  • Post-Medical School Training

    Internship: General Surgery, Medical College of Georgia
    Residency: Otolaryngology - Head and Neck Surgery, Medical College of Georgia
    Fellowship: Facial Plastic and Reconstructive Surgery, Beeson Aesthetic Surgery Institute, Carmel, Indiana

Treatments offered at Faces First Center for Facial Cosmetic and Laser Surgery

Most popular answers from Nicolette Picerno, MD

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I'm 3 months post op and the crepiness on my neck looks worse. Can this problem be corrected? (Photo)

Well, it is unfortunate that you are having this problem so soon after surgery. It appears from the picture that you may also be having a recurrence... READ MORE

Can Jowls Come Back After a Lower Face/neck Lift?

The underlying bony structures of the face play an important role in the success or lack of success of a facelift. Most of the time a facelift should... READ MORE

3 weeks post neck & facelift. When will the scabs heal? These are prominent behind my ears. Is there anything I can do to help?

Hello,  I do many facelifts and the area behind the ears is always a concern for some patients.  That area is where much of the tension from your "... READ MORE

At 25, would a facelift be the thing I am looking for to remove a double chin and a fatty jawline? (Photo)

I feel the easiest way to correct your lower face issues would be with a chin implant and submental liposuction.  Your are young enough that the skin ... READ MORE

Is there anything that can be done about a wide, vertical forehead indentation? (Photo)

Dear Tyler,Although it is difficult to see in your photo, that indentation may actually be a bony depression, present to some extant or another in all... READ MORE

Does using coconut oil interfere with the peeling process of a chemical peel? (Photo)

While I cannot be sure exactly what type of peel you had at the spa, I would not worry too much that you are not peeling.  The coconut oil will mask ... READ MORE

I'm 32 with horrible skin. I look way older than my actual age. What can I do to improve or repair my skin?

I am so sorry that you feel like your skin is aging you. There is quite a bit that can be done to help. It sounds like you have taken the first steps... READ MORE

What are options available for me to treat a tired face? (Photo)

I would recommend fillers to the tear troughs and possibly the cheeks. You are experiencing some deflation of the facial tissues especially around the... READ MORE

Red marks under my eyes. Is there anything I can do to fix them? (Photo)

I am so sorry that you have had these marks for 2 months. Did you have a lot of bruising after the initial procedure? If that is the case, the redness... READ MORE

I'm 1 day post juvederm for tear troughs. Should I be concerned about uneven results, swelling, discoloration, & pain? (Photo)

Rest assured your swelling and bruising is very common and expected for Juvederm in this location only 24 hours ago. Even visible asymmetries may just... READ MORE

Before and After Photos by Dr. Picerno

Nicolette Picerno, MD has shared 34 before and after pictures with 82 helpful votes from the RealSelf community.

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