Chesnut MD Cosmetics (2025)

18/07/2025

My signature EnigmaLift®️ with so many subtle details and nuances! 🤩

For this beautiful woman, we focused heavily on the shape and fullness of both her brows and upper lids.

I paired that with a smoothing of her lower eyelid and cheek junction (where filler had failed), followed by tightening and repositioning of her lower eyelid margin.

Genetically, she had very full upper lids and eyebrows, which we needed to respect as we addressed her aging changes.

For me, that meant finding all of the subtle nuances that had changed, including the positioning of her eyebrow fat pads, her intraocular fat pads, and even her lacrimal gland.

I repositioned all of those structures, NOT subtracting volume and cutting them out, but getting them back to their native locations.

That is a very difficult proposition, and certainly isn’t the norm for most surgeons when addressing eyelid aging!

For her lower lids, I first started by removing prior filler manually.

I then took a similar approach to her upper lids by utilizing the volume that she already has and repositioning it, as opposed to just cutting it out, which is again not the norm.

She had very full lower eyelid fat pads, and I was able to reposition those fat pads, simultaneously taking care of her eyebags and her tear trough.

Through this scarless approach, I then lifted her midface fat pads, and the combination of fat pad repositioning and a midface lift eliminated any need for volume restoration with fat transfer!

She had some inherent positional laxity in her lower eyelids that can lead to a sad look in the lower eyelids with aging, so I addressed that simultaneously, while future proofing her from any changes in her eyelid position with time.

I’ve said it before, and I’ll say it again: I don’t know that I’ll ever get over how incredible it is that I can do all of these things scarlessly!

What questions do you have? Ask me in the comments!👇🏼

16/07/2025

Lip implant removal and SCARLESS EnigmaLift®️ rejuvenation to the lower eyelids, midface, plus skin regeneration for this beautiful and brilliant 40-year-old mother.

🚨This is the power of choosing the right procedural combination and taking an innovative, progressive, and minimally invasive surgical approach🚨

For her lower lids, I three-dimensionally repositioned all of the fat pads in her lower eyelids and midface while qualitatively optimizing those fat pads, using my stem cell rich fat transfer. 🤯

She had a prior lip implant that had left some contraction and distortion, and I was able to revise that to restore function and form at the corner of her mouth. 👄

The finishing touch was my qualitative and nonsurgical combination of my stem cell rich fat transfer and optimized laser cocktail to give her skin that ✨✨✨

She looks absolutely stunning after.

What do you think of her results? Tell me below!👇🏼

14/07/2025

Julie (53) 9 week follow up after an absolute *full facial* rejuvenation with my EnigmaLift®️ 🤩

An update completely without makeup 🤗 This is real life and I’m very grateful to Julie for sharing during this vulnerable time.

When a patient does have make up on, much in this timeframe covers up beautifully, so this is a rare glimpse to get to see where things are actually at in the healing process.

The healing process is approaching a bit of a flux point right around this timeframe, where things start to really improve, redness continues to fade, and swelling continues to go down.

Julie’s full facial EnigmaLift®️ rejuvenation =
-Brow
-Upper lids revision
-Ptosis repair
-Scarless lower eyelids
-Face and neck lift - deep plane preservation style (you can already see the elevation of the deep structures of her neck: muscles, glands, etc)
-Stem cell rich fat transfer done my special way 😉
-My optimized laser cocktail
-Manual filler removal

🙌🏼🙌🏼🙌🏼

Julie (who traveled in from the East Coast) did beautifully with my optimized recovery protocol, which is a next level experience included with every procedure that I do!

She first found me through the podcast 🎙️(link to that podcast in my bio)

She looks and feels great at 9 weeks, still with plenty of recovery to go - off to a great start.

You can still notably still see swelling and key areas, namely in her neck.

This is very typical! Full video on surgical healing here 👇🏻

What do you think of her results so far?

Follow along her entire journey

12/07/2025

Scarless surgery for men? Progress for Dave (63)!

Results are starting to come together 20 weeks into recovery after my EnigmaLift®️ upper and lower eyelid rejuvenation to maintain masculinity.

You can see the dramatic progress in the weeks since the last photos posted!

Follow his whole journey at

You can see the improved symmetry in Dave’s upper lids 🙌🏻 without even a hint of feminization..

fully MAINTAINED MASCULINITY.

We addressed Dave’s brow with a subtle, male-specific brow support with a distant, invisible access.

I also performed a SCARLESS upper eyelid blepharoplasty, a technique that I have been perfecting with great results in the proper patients, and Dave was a great candidate for that!

*Scars from traditional blepharoplasty techniques on the upper eyelid are generally not an issue, even when the rest of the surgery is mediocre.

Nonetheless, Dave will have ZERO incisions on his upper lid, truly scarless.

In addition, I corrected a ptosis in Dave, also completely scarlessly, which will provide symmetry and an awake, open, even aperture for his eyes.

Dave was bothered by his lids for over a decade, but he hesitated to do anything because of the potential complications and visible scarring from normal lid surgery techniques, especially to address the malar bags that he has near his cheeks.

Dave’s malar bags are an especially difficult issue, and most struggle greatly with them.

I crafted my SCARLESS EnigmaLift®️ techniques for male eyelid rejuvenation to be especially targeted for this challenging situation! 🎯

He still has swelling in this area, which is expected with this type of regenerative procedure.

For his lower lids, that most challenging area, we scarlessly approached the multiple targets that are happening in his lower lid, from his eyebags to his lower lid laxity, the junction with his eyelid and cheek, and of course, those malar bags!

What questions do you have about my scarless EnigmaLift®️? Leave them below!

11/07/2025

I can only say wow 🤯

What I really did here was use my EnigmaLift®️ to expose Rachel’s (34, from Canada) 🇨🇦 underlying, baseline beauty. These photos are 8 months out - they are subtle and powerful, which was important and impactful for Rachel.

Her underlying anatomy had been covered and altered with fillers, and it was blunting us from seeing Rachel!

Interestingly, her lateral photo show this anatomic change best, as do her before and after videos, posted prior.

(We discussed this very extensively in her pre-operative discussions, which you can see at )

We took a completely SCARLESS approach with my EnigmaLift®️to remove her previous filler manually, address the changes it created, and simultaneously address the underlying anatomy that led her to get that filler in the first place seven years ago.

I also utilized my regenerative protocol with her own stem cell rich fat transfer and an optimized laser cocktail to help improve some of her qualitative changes throughout her face.

In her pre-op discussion, we talked about the blanket effect of the filler, what happened when she smiled, and the pumping mechanism of the muscle around her eye.

Rachel had been struggling with filler issues for nearly 7 years.

She felt her initial filler made her look unnatural, and she was having trouble with the yo-yo mentality of dissolving and re-adding filler.

* For any injectors and surgeons who don’t understand how filler can affect surgical outcomes, Rachel is a prime example. It doesn’t change our actual outcome, it just remains a persistent, annoying, misplaced problem that is a challenge to fully remove.

To see more of Rachel’s journey check out

For anybody who wants to comment on make up (they likely we’re not curious enough to read this far anyway and jumped to leave a comment long ago): results like this are designed to be subtle and if they are attributed to make up then I’ve done my job perfectly 🤗

What do you think of Rachel’s results?

08/07/2025

Surgical revision for Vanessa❤️‍🩹 (63) using my EnigmaLift®️: upper eyelid revision and ptosis, scarless manual filler under the eyes, and asymmetry that was never quite addressed with previous procedures.

We used my EnigmaLift®️ approach balance her eyes, restore symmetry, and scarlessly remove her lower eyelid filler and baseline eye bags, all while preserving her natural expression and structure.

We also subtly lifted the rest of her face with a stealth, minimally invasive approach, no pulled or overdone look, just clean, natural structure.

After her previous surgery, she definitely ended up further in a situation of misguided filler.

Filler for her had missed the actual underlying issues and exacerbated the problems it was intended to fix.

Here’s everything Vanessa needed in the first place. 🙌🏼 She is just 18 months post-op.

At 18 months, she is looking:

⚡️ More awake and refreshed
⚡️ Symmetrical and harmonious
⚡️ Natural, without filler distortion or under-eye puffiness

This is how we set the foundation for long-term results.

Minimally invasive.
Subtle.
Built to age well.

And spoiler: at 5.5 years out… she’s still crushing it 🤯

No more filler 🤗

What do you think of her results? Tell me below!

05/07/2025

Do they know they look “off?” 🤔

The answer is often no - and we all see it.

Why do these patients (and injectors) look “funny” or “off” with fillers? What leads to this unnatural look?

It is called PERCEPTION DRIFT 😵‍💫

It is at a very interesting intersection where small adjustments meet NEUROPLASTICITY 🧠

We have all seen it happen: what most often starts as subtle changes that are “different” (but not necessarily better) start adding up over time to look very distorted and unnatural.

The slow changes over time allow the person looking in the mirror to cognitively adapt to what their new ‘baseline’ is, and because filler allows these changes to happen slowly and subtly overtime, the drastic overall distortion from true baseline is less apparent, and it doesn’t register with the same abnormal impact.

The same phenomenon is very commonly seen with injectors 😬, which makes perfect sense, as they have easy and frequent access to acquire these subtle changes, allowing their baseline to shift more significantly.

The dangerous part for that injector is that they now have a double input for an abnormal baseline:

1. The abnormal baseline that they are seeing looking in the mirror.

2. The abnormal baselines that they are seeing in their clinic every day - the one they created in their patients.

🧠 I often bring up this thought paradigm for any patient and any injector assessing before and after results: the after photo is “different,” but is it “better?”

This further compounds the issue, as it is hard to objectively look at any before and after photo and determine if it is “better“ when your perception of a normal baseline has drifted.

Have you seen this phenomenon of perception drift with anyone in your life? Are you interested in how to prevent perception drift? Let me know in the comments!

03/07/2025

The most common mistake I see when people want to rejuvenate their eyes 🎯

Misguided filler.

More often than not, it fails 😐

Occasionally, it flat out makes things look funny 😳

This was certainly the case for Vanessa, (63) who was treated with filler to address her “dark lower lid bags,” and all it did was miss the actual underlying issues and exacerbate the problem it was intended to fix.

Here’s everything Vanessa needed in the first place. 🙌🏼 She is just 15 months post-op.

This was a revision case from the start: upper eyelid ptosis, scarless manual filler under the eyes, and asymmetry that was never quite addressed.

We used my EnigmaLift®️ approach balance her eyes, restore symmetry, and scarlessly remove her lower eyelid filler and baseline eye bags, all while preserving her natural expression and structure.

At 15 months, she is looking:

⚡️ More awake and refreshed
⚡️ Symmetrical and harmonious
⚡️ Natural, without filler distortion or under-eye puffiness

We also subtly lifted the rest of her face with a stealth, minimally invasive approach, no pulled or overdone look, just clean, natural structure.

This is how we set the foundation for long-term results.

Minimally invasive.
Subtle.
Built to age well.

And spoiler: at 5.5 years out… she’s still crushing it 🤯

No more filler 🤗

What do you notice most about her transformation?

29/06/2025

This is essential to know if you want to rejuvenate your eyes 🎯

I see this so often with my patients - filler being used to address genetic or anatomical issues

More often than not, it fails 😐

This was certainly the case for Vanessa, (63) who was treated with filler to address her “dark lower lid bags,” and all it did was miss the actual underlying issues and exacerbate the problem it was intended to fix.

Here’s everything Vanessa needed in the first place. 🙌🏼 She is just 3 months post-op.

This was a revision case from the start: upper eyelid ptosis, scarless manual filler under the eyes, and asymmetry that was never quite addressed.

We used my EnigmaLift®️ approach balance her eyes, restore symmetry, and scarlessly remove her lower eyelid filler and baseline eye bags, all while preserving her natural expression and structure.

At 3 months, her results are already:

⚡️ More awake and refreshed
⚡️ Symmetrical and harmonious
⚡️ Natural, without filler distortion or under-eye puffiness

We also lifted the rest of her face with a stealth, minimally invasive approach, no pulled or overdone look, just clean, natural structure.

This is how we set the foundation for long-term results.

Minimally invasive.
Subtle.
Built to age well.

And spoiler: at 5.5 years out… she’s still crushing it 🤯

No more filler 🤗

What do you notice most about her transformation?

Chesnut MD Cosmetics

18/07/2025

16/07/2025

14/07/2025

12/07/2025

11/07/2025

08/07/2025

05/07/2025

03/07/2025

29/06/2025

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