After growing up in New Jersey, Dr. Kotamarti attended The College of New Jersey followed by Rutgers New Jersey Medical School as part of their combined BS-MD program. He spent an extra year during medical school performing research on fat grafting. He subsequently completed the integrated Plastic Surgery residency at Albany Medical Center in upstate New York. During this, he spent two months working with the hand surgeons in the Department of Plastic Surgery at Vanderbilt University.