Chesnut MD Cosmetics, 510 S Cowley Street, Spokane, WA (2025)

11/28/2025

What you NEED to know about facelift scars. How do I achieve imperceptible incisions?

The real truth is, the quality of the scar is related to how much tension is placed on it.

A true, deep plane facelift with a meticulous elevation relies 0% on the skin - which means no tension on the skin and imperceptible results.

Less advanced techniques and less thorough elevation that relies on skin to any degree can create less optimal scars. On rare occasions they are obvious and problematic.

There are different ways to “hide” access points.

What you’re looking at here is a retrotragal incision, meaning the access point disappears into the natural curves and concavities behind the tragus of the ear.

Everything is in the details here.

The front contours of the ear - the little hills and valleys that give it character - are COMPLETELY preserved, thanks to the meticulous technique and elevation with my EnigmaLift®️🙌🏼

The incision continues behind and
underneath the ear, hidden in perfect anatomic transitions hidden from view.

This is the strategy:

Firstly, I design incisions around natural topography and transition points unique to each person, truly, sometimes even different from side to side. These are not cookie cutter, arbitrary plans.

The tragus, the conchal bowl, the lobule, the postauricular crease are key anatomical transition points to camouflage, and each needs to be carefully studied and respected - allowing the access to become functionally invisible.

Release, reposition, and rejuvenate without anyone ever knowing I was there 🥷

This all comes from a meticulous understanding of my patient’s anatomy, disciplined restraint, and a commitment to honoring the face’s natural design.

What questions do you have about incisions either my EnigmaLift®️ techniques?
Ask me below!

Dr. Cameron Chesnut, Clinic 5C, endoscopic facelift, scarless facelift

11/27/2025

This answer🎙️from really resonated with me - the surfer’s mindset. I love this idea, and of course it completely fits 🏄‍♂️ Have you heard of this before?

I welcome Dr. Kelm as an incredible protégé surgeon after having spent more than a year training him directly.

Undoubtedly, one of the things that became very clear to me in the years that I have known him…

His MINDSET, his curiosity, and the ACTION he takes in response to these - this creates a unique combination of strengths that I love to see.

In my years teaching and mentoring, I’ve learned that a lot of talented people carry some curiosity, and I’ve seen a lot of great mindsets, but this often doesn’t get paired with much ACTION.

This is where Dr. Kelm differs - he even made some immediate and impactful changes in MY practice as a result of this.

That is not common, it is something I’m very grateful for, and I see nothing but more great things for this young, talented, and unique surgeon!

I was fortunate to have Dr. Kelm for a second formal fellowship, after his first at Harvard - and he will now be staying to perform my EnigmaLift®️ procedures (at a different price point).

He will work in the same facilities, with the same team that I have built, and with the same mindset towards these procedures that he forged in his formal fellowship training with me.

His results are beautiful, and I’m excited to watch his trajectory 🚀

Please help me welcome Dr. Kelm to 🙌🏼

11/25/2025

I was WRONG as a KEY OPINION LEADER = KOL (aka thought leader) for many years….  I was taught as a physician that filler “goes away” in 6–12 months (for the longest product, up to 25 months), and I used to believe it - just as the mass of physicians and injectors still do now.  I was taught this by the filler companies, which is where everything starts. The research performed by the filler companies for FDA approval drives the education that is perpetuated through the key opinion leaders and leaders. In my time this was primarily surgeons and physicians in a very new and rapidly evolving space.  Then, through my combination of injecting and facial surgery, I started seeing A LOT that did not line up with what we were being taught, which made me very curious and I started paying very close attention.  My wife - a PA who practiced exclusively as an injector, started noticing the same things, which made for some really awkward and in-depth conversations at dinner 😬 as it was something that threatened one of our main income streams as a family.  But we just could not ignore it.  This same expectation duration is what most patients are told when they are getting their filler injected - and as we realized that was completely wrong, I had to try to change the conversation and found paradigm to be more realistic and educational.  Here’s where I entered the fire of a too rapidly growing and thus poorly understood echo chamber.  I do not believe that filler is bad - I’ve never said that and I don’t believe it today. But I do believe it is TERRIBLY misunderstood and too often misused. It’s a product of its rapid growth and expansion into the hand of lots of different injectors, essentially a commoditization of these filler products that need to be taken a lot more seriously than they are by some.  I’ve always approached this as from the thought model of Hanlon’s razor = the simplest and most likely explanation for misbehavior is stupidity (or lack of understanding), not malice.  Did you know any of this before you got filler? Let’s talk in the comments!

Dr. Cameron Chesnut, Clinic 5C, Facial Plastic Surgeon,

11/24/2025

Another healing update from 🤯 Brandy (51) ,now less than one month out.

I’m grateful to her for letting me show her progress at these frequent intervals. She continues to demonstrate a beautiful, balanced transformation - refreshed, lifted, and still completely herself.

Her treatment plan focused on restoring youthful harmony to the eyes, midface, jawline and neck.

+ Brow lift
+ Upper eyelid surgery
+ Scarless lower eyebag removal
+ Deep plane face and necklift
+ Stem cell–rich fat transfer
+ Laser resurfacing

Highlights: Her eyes appear brighter and more open, with a smoother, rested contour from her brow repositioning , upper and lower eyelid refinement.
 The face and necklift restored definition and balance while preserving her natural expressions- no tightness, flatness, or distortion.
 Laser and regenerative fat transfer added a soft glow and improved texture, completing the look.

She’s still early in her healing, but the transformation already speaks for itself, graceful, natural, and radiant.

What do you think of Brandy’s results at 4 weeks out? Tell me in the comments!

Ready to start your journey? Click the link in my bio🔗 . . 

11/24/2025

8 red light panels in my sauna?? 🤯 Here’s why👇🏻

Red light is a key part of my daily routine, and one of the most important pieces of my pre-operative flow state preparation.

When I designed and built my sauna, I knew I wanted a red light sanctuary built with the highest-quality panels possible, and the units checked every box.

The irradiance, the wavelengths, the pulse mode give a red light quality that is strongly backed by so much grade 1a medical evidence - the strongest level of evidence and most reliable for clinical application.

This is why I use them every day.

Red + near-infrared light penetrates through skin, fat, and muscle (even bone😳) to influence the central nervous system.

The data on wound healing, hair growth, mitochondrial function, angiogenesis, and skin rejuvenation is robust.

I choose these specific panels because the pulse mode matters, the wavelengths matters, and the dose matters.

I did the deep dive - the output is exceptional, and they are specifically built to function inside a sauna, where most panels fail.

This is also the perfect environment for stacking modalities for me, all in one place with perfect exposure🔥

In my sauna I’m getting:
✔️ Traditional heat
✔️ Infrared heat
✔️ Full-body red/NIR exposure
✔️ Mobility and breathwork

This setup lets me pull multiple important hormetic levers in one place: thermal stress, photobiomodulation, mobility, nervous system priming… all in the same setting and session.

I feel like I should elaborate with a specific video series breaking down the strong and unique science of photobiomodulation - ATP production, nitric oxide release, cytochrome c oxidase activation - what do you think?

I’m happy to go deeper into this with you, just let me know what you want to know more about with some good questions below, and I’ll try to answer them via this video series! 🙌🏼

Want to learn more about my sauna red lights? Check out the link in my bio!🔗

11/23/2025

Encapsulated filler and the use of enzymes to dissolve that capsule. “Dissolver resistant“ filler is finally being recognized more and more as encapsulated filler.

I’ve been directly seeing this encapsulated filler during facial surgery for nearly a decade, but that’s been met with much resistance - even with direct video evidence like this.

The reason this encapsulation has been met with much resistance is because it disrupts some strongly held beliefs, echo chamber reinforced thought paradigms:

The capsule in the first place because our body recognizes the filler as a foreign substance and attempts to wall it off with inflammation - just like it does with the breast implant, I’m interestingly some of the enzymes will talk about come from that world.

That capsule also makes the filler significantly more challenging (impossible?) to dissolve
because it doesn’t touch the filler, which I believe is only one of the reasons that filler can be difficult to dissolve.

Serrapeptase and nattokinase are being used more and more for people struggling with filler that just won’t dissolve, and their main objective is to dissolve that capsule - coming from the breast implant literature.

Here’s what you need to know:

Filler most often sits in the face as a free-floating gel for decades.

Hyaluronidase, the dissolving enzyme, then cannot make contact with the filler to dissolve it because of the fibrous capsule.

This is where serrapeptase and nattokinase entered the filler world 🌎 - borrowed from decades of experience treating capsular contracture around breast implants.

They are both fibrinolytic, fibrin-breaking enzymes (originating from silkworm bacteria and Japanese fermented soy, respectively) that can soften or thin those capsules.

Fibrin is such a key, key part of surgery, surgical recovery, surgical healing, and long-term results.

There’s a lot of important nuance here that I explain in the video, things that both patients and surgeons NEED TO KNOW.

Check it out 👆🏻

Have you had trouble dissolving your filler? Let’s chat!

11/21/2025

From the studio with 🙏🏼🎙️

This episode is trending 🤯 right now 📈🚀

Did you guys catch the episode? 🎧

Revealing what’s behind the scenes of beauty, filler, Botox, and so much more.

Listen or watch on Spotify, and YouTube!

11/20/2025

Julianne (63) is a colleague of mine who traveled across the country from the East Coast!

She had a previous neck procedure that left some challenging scarring, and she was seeking a revision for that procedure, along with my comprehensive EnigmaLift®️facial rejuvenation.

Here she is at the 1 year mark. We performed:

✅Scarless eyelid ptosis repair
✅Invisible access brow lift
✅Upper eyelid surgery
✅Scarless lower eyebag removal with midface lifting
✅Preservation style deep plane facelift and neck lift with deep neck contouring and neck revision with scar management
✅Stem cell and rich fat transfer
✅Laser cocktail
✅Manual filler removal

Her eyelid filler had moved through multiple locations, including in her upper lids, and ALL OVER her lower lids 🫣

Anyone who tells you filler does not move or migrate 🙄 come remove this upper eyelid filler with me that started in the lower lid.

I managed her filler situation using a combination of manual removal and ultrasound guided filler dissolution🔎

We also had a major focus to correct the asymmetry in her eyes 🎯

She was back to work in less than two weeks! (You can see the video at that point and follow her entire journey at )

Much of that recover pace was thanks to my optimized recovery protocol! Can’t argue with that type of recovery 🤗

How do you think she looks? Let me know in the comments!👇🏼

Dr. Chesnut, Clinic 5C, Facial plastic surgeon, endoscopic facelift, scarless facelift, natural results

11/19/2025

I did filler (yep 😉) 8 years ago for a beautiful patient’s tear troughs - she looked better for years - then yesterday we did surgery, and the process taught me some very important things.

I had known her for 10 years, and this continuity and consistency of photographs gave me something most surgeons never get: a real-time, year-by-year look at how filler actually behaves inside the face.

This was her first surgical procedure, she had the hyaluronic acid filler eight years ago that I injected myself (yep, I believed the same things that you do, but I was starting to get piqued that something wasn’t right and very curious right around this time).

I fully admit that she did look better after filler for several years…

In her case, the filler I placed eight years ago began “percolating” upward into the orbicularis oculi muscle - especially over the past few years.

It did NOT move because it was injected incorrectly.

It also did not move up (superficially) towards the skin surface into her orbicularis muscle for several years after the injection.

I found small, free-floating fragments during her scarless lower eyelid procedure - soft, “wet sugar” consistency. Not encapsulated. Not fixed. Free to move. 8 years later!

This is exactly why many people develop:
• Puffy lids
• A bluish hue
• Impaired lymphatic drainage
• New contour irregularities years after their injections, or years after their surgery

We removed what filler we could, restored her anatomy through scarless access surgery, reconnected her fat pads, corrected her ptosis and lower lid support, and finally addressed the underlying tear trough and eyebag issues that filler was trying to mask all those years.

Looking back on it - this surgery is what we should have done in the first place, as she would still be enjoying those results now and would not have had the filler issues that she was dealing with.

You live and you learn.

If you want more deep dives on real filler behavior, let me know below.

11/18/2025

With all the recent chatter about bad eyelid surgery on various people in the spotlight - here is a focus on what preservation eyelid surgery looks like in a man to maintain a masculine appearance.

Bjorn is ruggedly handsome at 51 years old 🇩🇪, he said:

“I tend to be very high energy, but my eyes are just making me look tired. I’m tired of looking tired!”

As with many of my male patients around his age, Bjorn is addressed his upper and lower eyelids with my incredibly minimally invasive male-specific EnigmaLift®️.

Here he is one year out, looking and feeling great - as though his inner vitality and external appearance match! Most importantly, his masculinity is maintained.

This male-specific EnigmaLift®️ is mindfully crafted for men to be impactful yet incredibly stealth - focused on enhancing the masculinity that the eyes put out into the world.

Bjorn beautifully articulated a key insight - explaining that while he feels incredibly energetic, his eyes and face fail to convey that vitality to the world.

This disconnect creates a mismatch, leading to cognitive dissonance - a common phenomenon that many people experience without even realizing it.

Bjorn is often in the public eye, so there’s extra pressure on this feeling of disconnect and mismatch for him.

This is a common situation amongst my patients.

Far too often, men get feminized after an eyelid procedure, and much of this has to do with what’s happening in the upper eyelid and its interaction with the brow.

This is where my EnigmaLift®️ excels, creating results that look natural and maintain masculine, “hunter eyes,” as Bjorn has.

There is no room for error, yet this combination needs to be adequately addressed to achieve optimal results.

We nailed it here! What do you think?

Male eyelid surgery, Dr. Chesnut, Clinic 5C, Male cosmetic surgery

11/16/2025

6 month follow up for Yasi (44) 🇪🇸🇺🇸, after a set of SCARLESS* and invisible access* EnigmaLift®️ procedures to address her eyes, including filler removal.

*Read this as: Yasi DOES NOT HAVE EVEN ONE scar or access point anywhere on her face 🤯

Here you can see the upper eyelid results with my scarless technique - including an evening of the aperture of her eyes, restored volume, improved brow position, and a ptosis correction.

She did have a prior lip lift, before me, and part of our procedure was meant to blend the abnormalities created by that isolated lip lift into a more natural setting.

Yasi is a multinational colleague of mine 🇪🇸🇺🇸 and I am so grateful for her trust, and so excited for her results already!

Before surgery had all the typical questions about being young, beautiful at baseline, and many thinking that she didn’t need anything done.

You can follow her entire journey (before and 1 week after) at

Yet - Yasi realized that as her early aging progressed, Botox and filler were not helping, and in fact were making her look worse 😳 This is a trap I see many get caught in for too long.

Yasi was a perfect candidate for my Invisible Access EnigmaLift®️ with multiple facets to address!

These results represent the state of the art for minimally invasive facial rejuvenation surgery - essentially a SCARLESS procedure for most intents and purposes. 🤯

Technical time 🤓

The first thing you’ll notice (thanks to your temporal lobe 🧠) is Yasi’s eyes. We significantly opened the aperture and improved the symmetry of her eyes to provide more brightness, more fullness to her upper eyelids, and to restore the three dimensional contour of her brow and upper lid.

This takes her eyes from bordering on dull and tired to bright and full of life - reflecting the curiosity that helps define her! (this is one of the first things I noticed about her personality - this one hits in your amygdala, the emotional center of your 🧠)

There’s always a lot to say when it’s a younger patient, please let me know your comments below!

11/16/2025

The secret to the best facelift results 👇🏻

So often I hear:

“I am going to wait until I’m older to get a facelift… until things get worse and I REALLY need it.”

This is one of the most common thought paradigms I hear, and I completely understand why people think this way.

But… it’s flawed logic 🧐

Let’s shed some light on this mindset.

Waiting until things are “bad enough” inhibits the quest to get quality, long-lasting results.

You get better and more natural outcomes the closer you are already to your ideal outcome, when anatomy has not already shifted dramatically. It’s a more gradual transition to those ideal results.

You need less actual surgery when you address aging earlier. This allows us to use the least invasive options.

*This also can mean the cost is less.

Your tissue quality is as great as it will ever be, thus the durability of your results will be longer.

Most of all, from both an overall and a value proposition perspective, you get to enjoy those beautiful results starting NOW, and get to enjoy them for a longer overall period of time.

There is a fallacy that doing surgery younger means doing “more” or “too much too soon” - in my opinion there’s some truth to this that hinges completely on the surgeon’s mindset and the surgeon’s ability to perform these less invasive, more technically advanced types of procedures.

I have 💯 seen younger patients that have had an overly invasive procedure, more than they needed (IMO).

It WAS too much too soon.

My focus with my EnigmaLift®️ is to be SCARLESS, and as MINIMALLY invasive as possible, especially with younger patients.

When you intervene at the right time = when you are ready, a few subtle and minimally invasive moves restore your original anatomy and structure and set you on a better aging trajectory. 🚀

I always say I’m thinking in decades, and this is a prime example.

What do you think? Would you rather wait for surgery, or have a procedure earlier and enjoy your results for longer?

I am genuinely curious to hear your thoughts! 🙌🏻

Scarless facelift, facelift in your 40’s, scarless eyelid surgery, facial plastic surgeon

Chesnut MD Cosmetics

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