Chesnut MD Cosmetics

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Chesnut MD Cosmetics Dr. Cameron Chesnut | 5C
Cosmetic surgery in Coeur d'Alene, Idaho. Preservation and restoration, never reinvention. Virtual consults👇🏼

https://hoo.be/chesnut.md

10/09/2026

The opportunities you want are right there… grab them! One of the ways I try to live that out is by keeping a kettlebell (or two) in the back of my truck 🛻🏋🏻‍♂️

My kids have soccer practice multiple days a week, which gives me an time that I could easily kill on my phone, but having a kettlebell reduces my initiation friction and makes it pretty easy to get some training in while I’m in a big, open grassy area.

I’m a big believer in taking advantage of those opportunities to move, but it isn’t always easy, and because of that I like having a plan for my training.

I’m actually quite stoked to work with a patch of grass, whatever I’m already wearing, the time that’s available, and of course that kettlebell.

You can do quite a bit with ONE kettlebell 👇🏼

🔹 KB swings for power, posterior chain, and getting the heart rate up
🔹 Goblet squats for legs, core, and mobility
🔹 Halos for the shoulders and upper back (particularly welcome after hours in the OR)
🔹 Single arm gorilla rows and strict presses to stabilize your core, balance, and work each side independently
🔹 Suitcase carries for grip and hip stability
🔹 Turkish get ups when you need a reminder of how challenging one weight can be 😅

I exercise hard for resilience and long term function. I try to stay hard to kill!

My main objectives are to perform at the highest level in the OR, keep up with my kids, and continue doing the things I love as I get older. Training is a big part of how I prepare for all of that, so I am happy to get some of that preparation happens right here on the sideline.

There’s a metabolic component to this too. Wearing a CGM, I can see how even a short bout of movement like this after a meal affects my glucose.

Keeping the kettlebell in the truck is a small thing, but it keeps me invested and means I’m ready when the opportunity is there.

For a little extra social friction - I do get some funny looks from the other parents, and despite all of my invitations only one other has ever joined 😉

Anybody else getting a workout in at their kids’ practice? Where do you fit yours in? 👇🏼

The truth vs. false assumptions about filler. It doesn’t last just 1–2 years. It can last decades.That means it doesn’t ...
10/06/2026

The truth vs. false assumptions about filler.

It doesn’t last just 1–2 years. It can last decades.

That means it doesn’t need to be “touched up” every 6 months. (This unfortunately disrupts a lot of business models 😳)

Dissolving filler is NOT a “get out of jail free card“ or a magic wand - it does not just all go away. In fact, we don’t call it “dissolving” anymore, now we call it “modifying.“

Some of the filler breaks down, but much of it lingers, shifts, and migrates through your face.

Every week, I see patients who have dissolved their filler multiple times… and I still find it during surgery - years later.

The real problem? The filler can end up in your lymphatic system, disrupting lymphatic drainage, and this progresses as the filler breaks down with time. That means swelling doesn’t drain as well - after surgery, when you’re ill, or even after something as simple as an allergic reaction or dental cleaning.

Your immune system knows the filler isn’t supposed to be there - it’s foreign. That’s why some people notice their cheeks get sore when they have a cold, or their lips swell after a cleaning or allergies.

That is inflammation lighting up filler that is persisting, STILL there, years beyond its stated duration.

Even those years later, filler is not inert. It can create chronic, low-grade inflammation, and this can be seen as rosacea on the skin surface.

When I treat these cases, I remove what I can manually during surgery, and more importantly, I correct the underlying anatomy that led to filler in the first place with my EnigmaLift ®️🙌🏼

Even with dissolving and manual removal, filler never completely disappears. We just can’t get rid of all of it.

Bottom line: filler lasts longer than you think, dissolves less reliably than is sold, and impacts your biology more than most people are told.

To be clear: I am NOT anti-filler. I am pro knowledge.

I am also pro using it sparingly and correctly, and giving patients the education they deserve.

🔗Click the link in my bio to watch the full episode of my conversation with Mari Llewellyn on Pursuit Of Wellness Podcast

65 years old?! 🤯 These are the results of a beautiful mix of revision work with some eyelid magic utilizing my EnigmaLif...
10/05/2026

65 years old?! 🤯 These are the results of a beautiful mix of revision work with some eyelid magic utilizing my EnigmaLift®️ technique for this beautiful 65-year-old.

We revised some prior neck work and a cobra neck deformity that left her in a very difficult spot with her neck and presented some great soft tissue quality and anatomic challenges for us.

In addition, we performed a complex upper eyelid restoration centered around her brow, upper lid, and upper eyelid aperture.

We supplemented with some non-surgical, regenerative techniques as well.

What questions do you have about her procedure?

What do you think of her results?

Best of all, what would you do to look like this at 65?

Let me know in the comments below 👇🏻

WELCOME TO THE NEXT LEVEL®️

10/03/2026

If I could add just ONE food to your diet before surgery, it would be this 👇🏻🥗

If you have surgery on the horizon, there’s a simple food that can set you up beautifully for recovery before it even begins - I call this “pre-covery.”

What I’m talking about are live, low-sugar fermented foods.

As many of you know, I was a nutrition major before medical school, and nutrition is still one of the cornerstones of my pre-covery and recovery protocols.

Why fermented foods?
They balance gut pH ⚖️
They improve the gut microbiome 🦠
They optimize immune signaling 🔄

That means better systemic inflammation (the good kind we want for healing), improved wound repair, and even deeper sleep post-op, something I am relentlessly focused on protecting for recovery and long-term results.

Research tells us it’s fermented foods (not just fiber) that keep inflammation in check - this is the key differentiator. 🎯

That’s why I often recommend one small serving of live, refrigerated, low-sugar fermented food with each meal leading into surgery, paired with fiber, hydration, stress management, and quality sleep.

Actionable take home:

Eat one serving of a live, low‑sugar option every day in the 2 to 4 weeks before surgery - examples include:

Sauerkraut (live, low‑sugar, refrigerated)

Kimchi — packed with natural probiotics

Kefir — fermented milk drink with diverse cultures

Plain yogurt — live-active, low or no sugar

Miso – umami-packed, low-sugar, and immune-supporting

Tempeh – high in protein and naturally fermented

Kombucha – fermented tea (opt for low-sugar versions)

Fermented pickles & veggies – choose ones fermented in brine, not vinegar

Kvass – a lightly fermented rye or beet-based drink

Amazake – a naturally sweet, probiotic-rich fermented rice drink

This is surgical pre-covery at its simplest… and its most powerful.

Drop your favorite fermented foods in the comments!👇🏻

10/02/2026

Today I revised and fixed a patient who first consulted with me, and then ended up going elsewhere because of price. I completely understand this on one level, but the underlying logic she used was flawed.

She chose the less expensive surgeon because she believed the plan would not be quite as comprehensive there… and she thought, “I don’t need that much anyway, this should be fine.”

This is where I think the SURGEON has a responsibility to properly council the patient on what they need, not just do whatever they may be asking for, even if it’s the wrong constellation of procedures 🎯

I am a huge believer in doing LESS surgery when less surgery is actually appropriate, but there is a very important difference between a thoughtfully limited operation and simply removing critical components from a surgical plan because that makes it easier for somebody to say yes.

Instead I prefer a comprehensive plan using more minimally invasive techniques.

In her case, some VERY important parts of her anatomy and aging were simply not addressed, and those were not little optional additions that might have made the result 5% better, they were foundational pieces of what needed to happen for the rest of the surgery to be successful, achieve her goals, and restore her function 🧠

This is where I think the conversation should be different with your surgeon. It is not, “What do you want me to do? Okay, we can just do that.”

Instead, “Based on your anatomy and what you are trying to accomplish, THIS is what I think needs to be addressed, and if we skip this component, I don’t think we should do the surgery.”

Sometimes that means I recommend MORE than somebody originally thought they needed, and very often it means I tell somebody they need LESS, or absolutely nothing yet.

The point is that the plan should be driven by the anatomy and the desired outcome, NOT by what gets somebody to say yes.

If you want to understand how I think about facial anatomy, surgical planning, and WHY sometimes doing less is actually doing the wrong operation, follow me 👆🏻

10/01/2026

Why do some facelifts look funny? What leads people to consult with me for revision facelifts?

You have 💯 seen these, yet you may not have noticed… now you will!

I just had three back-to-back consultations with the same theme: “lower facelifts” or “isolated neck lifts” that only grab and pull at the jawline to chase jowls.

This leads the some of the most dreaded, telltale signs of a bad facelift - things you have definitely seen:

👉🏼 A lateral sweep deformity, where tissue sinks over a tight “chin strap” below with a band pulled from the corner of the mouth, along the jaw line, to the ear. Often referred to as a “Nike swoosh.”

👉🏼 A pixie ear deformity, where that tightness on the skin and SMAS pulls your earlobe down and fuses it into the jawline. This one you have definitely seen, it’s all over politics and screens.

These are not rare. I see them all the time.

The result from the baseline thinking and approach. That approach can be a SMAS lift - a myopic way of thinking about lifting the lower face with problematic outcomes.

The jowls and lower face do not live in isolation. They are the end of the road, and they are dependent on and tied to everything above them - from the brow and the temple through the midface and the buccal fat pad.

This is why my EnigmaLift®️ is designed to reposition everything in harmony. Quite literally fat pad by fat pad from their deep positional
surfaces.

Invisible or minimal access, yes - all still deep, structural, and comprehensive approaches.

Natural, durable, beautiful and long-term results come from restoring and repositioning structural anatomy, NOT PULLING on the surface.

What questions do you have about jowls and lifting the lower face? Ask me in the comments and I’ll answer as many as I can!

Many of the newest and next level techniques I utilize are demonstrated here in this invisible access correction for Kal...
09/30/2026

Many of the newest and next level techniques I utilize are demonstrated here in this invisible access correction for Kaleigh (40) - seen here at almost 3 months!

Her forehead, upper lids, lower lids, jawline, neck, and even chin were all addressed here, in a very minimally invasive fashion with zero evidence that we were present, and NO FOREIGN BODIES utilized - meaning nothing permanent like sutures and nothing implanted like a chin implant. 🤯

In fact, I actually removed filler around her mouth, which was contributing to some of the heaviness that she had there.

At this point, you’ll notice most of the changes in shapes and contours along her brow, upper lids, chin and jawline.

Her forehead is really important to notice, because this is not a “brow lift,“ in fact you’ll notice that her brow itself didn’t really move much at all while her entire forehead is more supported, relaxed and in a more natural position. This is so important and so often missed!

Read below for her story and “how” I did this.

Kaleigh had tried many previous treatments for her neck, including Kybella, which left her middle neck distorted, bunched, scarred, and irregular.

Her neck has been an ongoing issue, causing her frustration after this prior treatments. In Kaleigh’s neck, the issue was not actually excess fat. The Kybella removed the little fat that was actually present, and then left behind visible bands - it did nothing to correct the deeper anatomy, which was creating the contour she didn’t like in the first place.

The question is: Why now? Why at 40?

For Kaleigh, she was trying to keep up with changes before they become much larger, and clean up some past things that she has tried. Her upper eyelids and brows have felt heavy for a while, and her neck has been an ongoing frustration despite trying those non-surgical options.

This is early intervention done with intention.

What questions do you have about Kybella, neck contouring, early intervention, or invisible eyelid rejuvenation?

09/29/2026

The eyes… to our 🧠 neuroanatomy, they are everything!

Our eyes communicate emotion, age, symmetry, attraction, and connection in a way no other part of the face can. Fractions of a millimeter in anatomy carry an unbelievable amount of information.

When I operate with objectives around the eyes, I’m not simply adjusting skin or fat. It is functional, I’m interacting directly with the deepest, most hard-wired structures of the human brain that shape how we perceive one another - subconsciously.

We have a dedicated region of the temporal lobe, the fusiform gyrus, that contains the fusiform form face area (FFA), whose entire purpose is to recognize faces, decoding identity and non-verbal communication.

Emotionally, our brain decodes the eyes, via the FFA and the amygdala - constantly reading emotional nuances that we don’t even have names for. Even infants, with zero concept of beauty or aesthetics, lock onto this central zone of the face to recognize their mother.

When people look at my before and afters and say, “Wait… I can’t even tell what you did, but she looks amazing,” they’re responding to those subconscious neural circuits firing 🧠🚀

That means it’s working 🤫🥷

A touch of symmetry, a softening of heaviness, a more open aperture, more light reflection or smoother contour… these subtle refinements communicate energy, restore brightness, restore presence, and restore you without ever crossing into the territory of looking “done.”

High impact with minimal change will always be my philosophy 🤗

This is the foundation of my EnigmaLift®️ approach, where anatomy, neuroscience, and regenerative techniques work together to create results that feel invisible yet undeniable.

You still look completely like yourself, just in a way that aligns with how your brain expects you to look at your healthiest, most expressive, most vibrant baseline.

What questions do you have about eyelid surgery or subtle eye rejuvenation?

Drop them below and I’ll answer as many as I can. 👇🏼

Check out Ep 147 of the Pursuit of Wellness Podcast to listen to this full episode 🎧

Before you say “she’s so young…” - understand that this was a REVISION (fixing a prior) eyelid surgery using my EnigmaLi...
09/27/2026

Before you say “she’s so young…” - understand that this was a REVISION (fixing a prior) eyelid surgery using my EnigmaLift®️ technique 🙌🏼

She fell into the trap of thinking that this was a “simple” procedures “just her upper lids…” this couldn’t be further from the truth, no matter how young you are.

She was understandably underwhelmed with her prior eyelid surgery results, which left her with significant asymmetry, tissue redundancy, and brow descent.

She was young, and sadly her procedure left her in a worse spot.

I utilized an incredibly minimally invasive combination of my EnigmaLift®️ combining invisible brow support with upper eyelid surgery.

This is essentially a 3-dimensional approach to the brow fat pad on the outside of the brow, which deflates, descends and encroaches on the upper eyelid, contributing to part of the fullness that many people notice as an early sign of eyelid aging.

One of the most common misconceptions that I see is that those early stages of upper lid aging and sagging are caused solely by excess skin.

In reality, the sinking and descent of the brow and underlying fat pad are major contributors, even early on, and addressing just upper lid skin can exacerbate the problem and give an unnatural look by shortening the distance between the brow and upper lid, pulling it down further while flattening the youthful contours of the upper lid.

One of my favorite things about her results is the shape, fullness and projection of her brow fat pad.

You can really appreciate the effect that its position and projection have on the overall result, without any volume added. This pairs beautifully with the now crisp upper lid!

What do you think of her results?!

Address

1831 N. Lakewood Drive Suite #1
Coeur D'alene, ID
83814

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 4pm

Telephone

+15092521299

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