Facial Cosmetic Surgery

in Denver, CO

Our practice provides facial surgery with a focus on precision, safety and natural looking results. Under the care of Dr. John Nesiba, a triple board certified surgeon known for his calm approach and meticulous technique, individuals receive personalized treatment plans built around their anatomy, goals and comfort.
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Table of contents

Our Facial Procedures

Our practice provides a complete selection of facial procedures designed to refine,
restore or enhance specific features

A facelift is a surgical procedure that lifts and repositions deeper facial tissues to restore jawline definition and reduce lower face sagging.
An isolated neck lift is a focused procedure that tightens loose skin and improves neck contour without altering the lower face.

A brow lift elevates the brow and smooths the forehead to reduce heaviness and open the upper eye area.

Blepharoplasty removes excess skin or fat from the eyelids to reduce puffiness and refresh the appearance of the eyes.
Otoplasty reshapes or repositions the ears to create a more balanced and natural appearance.
Earlobe repair corrects torn or stretched earlobes to restore a smooth and natural looking contour.
Custom jaw implants enhance jawline structure using implants designed to match the individual’s anatomy for improved definition.

These procedures can work to either further feminize or masculinize the face.

This procedure can be done to reduce asymmetry and feminize the face.

Buccal fat pad removal reduces fullness in the lower cheeks to create a more sculpted and refined midface.
Genioplasty reshapes or repositions the chin to improve facial balance and strengthen the profile.
Woman with hand on neck, eyes closed, profile view showing facial structure

How Facial Surgery Works

From Consultation to Procedure

Understanding the process helps create realistic expectations and a sense of confidence.

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Consultation

A detailed conversation
about goals, anatomy
and medical history.

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Facial analysis

Photographs and
structural evaluation to
plan proportions and
technique.

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Treatment
planning

Discussion of surgical
options, sequencing and
expected outcomes.

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Procedure day

Techniques are performed
with precision to protect
natural movement and
minimize visible scarring.

Add On Treatments

Non Surgical Enhancements

Woman touching her forehead and temple, demonstrating facial area for Botox treatment

Botox

Botox is an injectable treatment that relaxes targeted facial muscles to soften dynamic lines. It smooths the forehead, frown lines and crow’s feet while maintaining natural expression.

Gloved hand holding syringe to woman's chin for dermal filler injection

Fillers

Fillers are injectable gels used to restore volume, enhance contour and soften deeper folds. They can refine the cheeks, chin, jawline or lips with subtle, natural looking improvement and immediate results.

Am I a Candidate for Facial Surgery?

Woman touching her face with both hands, smiling against a beige background
Facial surgery can be an excellent option for individuals who want meaningful, natural looking improvement in facial balance, contour or aging changes.
  • Good overall health and stable medical conditions
  • Clear and realistic expectations about results
  • Understanding of the recovery process and timeline
  • Concerns that cannot be addressed with non surgical treatments alone
  • Commitment to following pre and postoperative instructions
These elements help ensure a safe experience and results that align with personal goals.
Woman touching her face with both hands, smiling against a beige background

What the Healing Process Usually Looks Like

Recovery varies depending on the procedure, but most individuals follow a similar pattern.

  • First days: Rest, swelling and mild tightness.
  • First two weeks: Bruising fades and swelling improves; light activities resume.
  • Weeks three to six: More defined results appear as tissues settle.
  • Long term: Final refinement continues as the face reaches its natural shape.
A personalized aftercare plan supports comfort and optimal healing.

Long Term Maintenance and Planning

Supporting Results Over Time

Long term success often involves a combination of healthy habits and periodic aesthetic care.
Skin quality, sun protection and lifestyle choices influence how results age. Some individuals
choose occasional non surgical treatments, such as Botox or fillers, to maintain facial balance
and support the longevity of their surgical outcomes. Follow up visits help monitor progress and
guide future planning when needed.

Frequently Asked Questions (FAQs)

Do oral and maxillofacial surgeons perform facial cosmetic surgery?

Yes, when they hold the additional training and certification. Dr. Nesiba is an MD and DDS who is board-certified by the American Board of Oral and Maxillofacial Surgery, the American Board of Facial Cosmetic Surgery and the American Board of Cosmetic Surgery, with six years of hospital residency in facial reconstruction and anesthesia.

A full facelift or combined face and neck lift generally has the longest downtime, typically two weeks before social activities and six weeks for strenuous exercise. Eyelid surgery, brow lifts and otoplasty are usually easier. Dr. Nesiba reviews a realistic, procedure-specific timeline at your consultation.

Depending on the procedure, Dr. Nesiba operates in our Denver surgical suite with in-office IV sedation or at an accredited facility where he holds privileges, including Highlands Ranch Surgical Center, Porter Adventist Hospital and Littleton Adventist Hospital.

National averages published by surgical societies run from a few thousand dollars for eyelid surgery or otoplasty to well over $10,000 for a facelift, plus facility and anesthesia fees. Cosmetic procedures are not covered by insurance. Those are market figures, not our fee; book a consultation with Dr. Nesiba for an itemized quote and financing options through CareCredit, Alphaeon Credit or PatientFi.

Age alone is not the deciding factor. Good overall health, stable medical conditions and realistic expectations matter more. Dr. Nesiba, an MD with hospital anesthesia training, reviews your medical history and may coordinate with your physician before clearing you for surgery.

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