Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| Medical school | Hahnemann University School of Medicine, Philadelphia; Alpha Omega Alpha |
| Residency | Surgery residency and internship, Medical College of Georgia |
| Fellowship | American Academy of Facial Plastic and Reconstructive Surgery fellowship, Beeson Aesthetic Surgery Institute, Carmel, Indiana |
- Board certification as printed: "Certified by the American Board of Facial Plastic and Reconstructive Surgery," with recertification completed in June 2023.
- Also "Certified by the American Board of Otolaryngology" as a head and neck surgeon.
- Admitting privileges at Porter Adventist Hospital, Swedish Hospital and Sky Ridge Medical Center.
- Member, American Academy of Otolaryngology/Head and Neck Surgery and American Academy of Facial Plastic and Reconstructive Surgery.
- Completed Cenegenics training in Age Management Medicine in 2012; BioTE provider since 2014.
Eyelid surgery work
The blepharoplasty page names Dr. Picerno and Dr. Cote and describes:
- Upper blepharoplasty. Removes excess skin and muscle through a thin incision hidden in the natural upper lid crease, under local anesthesia in the office. A complete eye exam is required first.
- Lower blepharoplasty. Transconjunctival, with a hidden incision inside the lower lid, for patients with good skin and muscle tone who have bags; transcutaneous, with a thin incision under the lashes, when skin or muscle droops and more lifting is needed. Fat is removed or repositioned. Peels, fillers and fat transfer may complement it.
- Double eyelid surgery. An incision along the planned crease; skin and fat are removed and repositioned and the scar sits in the new crease.
- Surgery takes 1 to 2 hours. The FAQ notes that true upper lid drooping may be ptosis and that the surgeons can assess whether blepharoplasty, ptosis repair or both is needed.
The brow lift page names both surgeons and lists an endoscopic brow lift through small hairline incisions, described as the most commonly performed at the practice; a coronal lift; a hairline lift that preserves or lowers the hairline; and a direct brow lift above the brows.
Galleries: blepharoplasty and forehead lift, with numbered patient cases. Cases do not name the operating surgeon.
Other procedures
The site lists facelift, lower facelift and neck lift, rhinoplasty and revision rhinoplasty, chin and cheek implants, lip lift, otoplasty, fat transfer, submental liposuction, lasers, injectables and skin treatments (source).
Insurance and cost
The site states no insurance or Medicare policy for eyelid surgery and publishes no price. The eyelid page says cost depends on technique, extent, anesthesia and facility fees, and offers CareCredit financing (source). It notes visual field testing can assess vision blocked by excess upper lid skin.
Recovery
From the blepharoplasty page:
- Swelling and bruising: plan on 7 to 10 days; most fades within a week to 10 days.
- Downtime: at least one to two weeks before work; the FAQ states most return to work after 10 to 14 days.
- Contact lenses and eye makeup: wait at least two weeks.
- Sleep on the back with the head elevated; cold compresses reduce bruising.
- Results: initial at 1 to 2 weeks, full at 4 to 6 weeks; scars fade over months up to a year. Results last 5 to 7 years on average, per the page.