Feel Confident About Your Nose

The nose is one of the most prominent features on your face, and it can greatly affect your appearance. It is one of the first things people see when they look at you, and it can contribute largely to their impression of you. At AOO/ENT specialists of the Rockies, we want to help you leave an impression of beauty, strength, and confidence. Walk into a room feeling and looking your best. At AOO/ENT specialists of the Rockies, we specialize in facial surgery. We are experts in sensitive surgeries, such as rhinoplasty, and we are conveniently located right here in Denver. We can assure you that you can place your trust in our skilled and qualified hands. Our priority here at AOO/ENT specialists of the Rockies is creating beautiful and natural looking noses that achieve balance and harmony with the rest of your face.

Meet Our Skilled Rhinoplasty Surgeon

Dr. Christopher Cote has been an authority in the field of rhinoplasty for several years. He is the “go-to” board-certified plastic surgeon for the most intricate rhinoplasty surgeries and the most complex nasal reconstruction cases. He has taught rhinoplasty and trained surgical residents at Johns Hopkins University, the Army’s Walter Reed Medical Center, and the Navy’s Bethesda National Naval Medical Center for the past ten years. This experience has given him the ability to handle the most difficult cases with ease and construct the most exquisite noses. His modern structural techniques create long-lasting results. He is also an expert in revision rhinoplasty.

Choose Us for Beautiful and Functional Results

Your nose is not just an ornament on your face. It is a functioning organ that plays a major role in your respiratory system. It warms, cleanses and humidifies the air before it enters your lungs. Therefore, your surgeon should not only be able to shape a beautiful nose, but he should also have a deep understanding of the function of your nose. For instance, if your goal is to have a smaller nose, your surgeon must be able to ensure that your breathing passages are not restricted in the process. Dr. Cote is experienced in complex nasal airway reconstruction as well as intricate aesthetic facial plastic surgery. View our gallery here. 

What Patients Are Saying

Had a great experience with Dr Cote and great results! Would recommend Dr Cote. I would also go back for anything else I may need! -Cheryl B.

I recently had to find a new ENT after my employer changed my insurance. I have a complicated health history so it can be daunting to find a new provider that you trust. I was very pleased with Dr. Picerno – she was kind, patient and very thorough! I’m so happy to have found her! I also met with Amelia, an audiologist, and she was also awesome!

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What is Rhinoplasty?

Rhinoplasty, or commonly known as “nose reshaping,” “nose job surgery,” or “nose surgery,” is a surgery that changes the form or function of a patient’s nose. The nose is one of the most prominent features on your face and can greatly affect your appearance, but it is also an important organ in your respiratory system. A rhinoplasty procedure improves the aesthetic shape of the nose as well as its function. Rhinoplasty can address issues such as:

  • Nose size
  • Dorsal hump on the bridge of the nose
  • Size or shape of nasal tip
  • Large, wide, or upturned nostrils
  • Nasal asymmetry
  • Structural issues restricting breathing
  • Birth defects

The goal of a rhinoplasty surgery is to create natural-looking results by achieving balance between the nose and the rest of the facial features, while improving or maintaining functional breathing.

Aesthetics and Function

The function of your nose is directly affected by the shape of your nose. A well-proportioned nose that works properly is very possible to achieve. For example, a nose affected by an injury can have functional as well as cosmetic damage, and reshaping it to be more proportionate can also improve breathing. At AOO/ENT specialists of the Rockies, we use the latest rhinoplasty techniques to help you achieve the look you desire, while ensuring a clear airway, proper nose function, and facial balance and harmony.

Rhinoplasty Techniques

There are a few different techniques used in rhinoplasty. Dr. Cote will choose the technique that is best suited to your needs. An open rhinoplasty is performed through a small incision on the columella, or septum, between the two nostrils, which makes it easier for the surgeon to view the structures inside the nose. An open rhinoplasty is best for patients who desire to improve breathing and function, reshape the bridge, change the angle of the nose, or change the shape and size of the nasal tip. This technique is also used for revision rhinoplasty, a second surgery that modifies the results of your first. The disadvantage of an open rhinoplasty is that it leaves a small scar on the columella. However, this is usually unnoticeable. A closed rhinoplasty is performed from inside the nostrils. This technique is used for minor changes to the shape of the nasal bridge, nostrils, or nasal tip. This technique usually involves less swelling. A septoplasty is used for patients with damaged or deviated septums that cause breathing problems. A septoplasty revises the septum that separates the nostrils and is often included in an open or closed rhinoplasty surgery.

What to Expect

Everyone’s nose is different. Therefore, we tailor each surgery to the patient’s specific needs. Some patients simply want subtle adjustments, some have more complex issues they need fixed, and others need revision surgery. Your surgeon will explain what you can expect based on your individual needs.


Rhinoplasty is usually an outpatient surgery that takes only a few hours, after which you will rest and recover at home and can generally return to your usual routine in 7-10 days. You may still have some swelling at that point, but most of the noticeable swelling will be gone after a month. You may notice subtle changes in your nose over the next year as residual swelling continues to disappear. During this time, you will have a follow up meeting with Dr. Cote to make sure you are happy with your results.


To view more of our before and afters click here 

Your Advanced Consultation

At AOO/ENT specialists of the Rockies, we use advanced technology in your consultation to give you a full understanding of the procedure. We use Vectra 3D Imaging to show potential outcomes of the patient’s rhinoplasty. The program uses photographs of the patient’s face to create a 3D model, which Dr. Cote then manipulates to better understand the patient’s goals. To schedule your consultation and view your potential rhinoplasty results, call AOO/ENT specialists of the Rockies at (720) 897-7160 or request an appointment online.

Read Our Blog

Do You Need Nasal Airway Reconstruction?


Everything You Need to Know About Rhinoplasty


Frequently Asked Questions

Christopher R. Cote, M.D.

With more than 25 years experience, Dr. Christopher Cote is double-board-certified 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 a surgical internship and residency at Walter Reed Medical Center and National Naval Medical Center. He received fellowship training at Johns Hopkins University in Facial Plastic And Reconstructive Surgery, his subspecialty area of expertise and focus, including rhinoplasty and nasal airway surgery . He also enjoys hiking, skiing, and traveling with his family.

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