Chesnut MD Cosmetics

Chesnut MD Cosmetics World-renowned plastic surgeon with next level results🌎✈️ Clinic 5C | Spokane, WA
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https://hoo.be/chesnut.md

Wendy (63) is doing beautifully 1 year after a complex EnigmaLift®️ rejuvenation 👁️Wendy had a complex and dynamic eyeli...
04/27/2026

Wendy (63) is doing beautifully 1 year after a complex EnigmaLift®️ rejuvenation 👁️

Wendy had a complex and dynamic eyelid ptosis, upper lid aging with lacrimal gland ptosis and hollowness.

In addition she had significant lower lid aging changes with eyebags and midface descent.

These was corrected predominantly through scarless and invisible access approaches.

👄 Also take a quick look at her lips, rejuvenated with my LoveLift deep plane lip lift. A minor detail, and make be overlooked with her stunning eyes, but I love the contour from the middle of the lip to the corners.

(She was adamant not to do “too much” and that she still wanted to look like herself)

My stem cell rich fat transfer and laser cocktail were the finishing touches here 🤌🏻

What do you think of her results? Leave me a comment below!

WELCOME TO THE NEXT LEVEL ®

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04/26/2026

Archer is back for a second surgery, 18 months later. Why? We are now in a different chapter, still sharing the same vision.

The first time we worked together, we did a complete eyelid revision (literally everything we did was a revision/fix) 🤯

18 months later we are back to address her lower face and neck, tackling residual laxity from a prior facelift that I was looking unnaturally inflated prior by a meaningful volume of old filler.

I don’t always do it this way, but this was ultimately a planned, intentional, staged surgical approach. I did want to give her some time after her previous revisions to see if that relieved the cognitive dissonance she was feeling, and at largely did, yet she still had this one outstanding area, and the trust that we built with our previous procedure, along with the uncannily good results despite a challenging baseline revision situation led her to make the decision to finish her full facial rejuvenation!

18 lens was also our choice of timeframe - it has allowed her previous results to mature and settle. It sits in a range where the first results have declared itself, healing is complete, and the next chapter can be planned with full information. I find that 6 months is often too soon, yet that is a commonly requested timeframe when it comes for revision surgeries.

What makes this case particularly meaningful is the previous relationship that we have already created. We had a shared vision the first time, we nailed it, and we both are incredibly thrilled with the outcome. That trust does not have to be built from the ground up again - it transfers directly into the second procedure and makes every decision easier.

I do not participate in transactional surgical care - sorry I’m not sorry 😉 That type of a relationship doesn’t fill my bucket for satisfaction.

Her first revisional changes were nuanced, deliberate, and purpose not dramatic. The goal for this facelift revision is the same as it was the first time with her eyes: Archer wants to look like the best, most energized version of herself and have people not be able to put their finger on why.

Let’s go!

04/25/2026

Laura is 56, and she now looks how she feels 🔥

That phrase sounds simple, but in reality it’s quite complex to make happen in the way want.

For most of my patients, there is a gap between the energy, vitality, and identity that they carry internally and what they see in the mirror. Laura felt vibrant, engaged, and full of energy, yet she felt like her face was communicating something different.

That mismatch (cognitive dissonance/friction) is one of the most common things I hear, and it is one of the most meaningful things I get to resolve.

For Laura, we helped her appearance line up with how she feels inside.

She had a facial rejuvenation with my EnigmaLift®️ - her forehead, eyes and upper lids, scarless lower lids, midface, mouth, jawline, and neck. Every detail was addressed with the same goal: a durable anatomical improvement that communicates her inner vitality, and has no signs of surgery 🙌🏼

Laura’s eyes went from communicating disengagement and fatigue to helping us read Laura as awake, alert, present, and vibrant.

I believe this approach helps to differentiate the type of work I do far beyond being cosmetic, shallow, or superficial - this is working WITH your neurobiology. The signal Laura’s face sends to every person she meets has improved, and thus her interface with her entire world has improved. 🧠

Laura’s mouth is the other key axis - and admittedly this one is subtle but powerful. She went from a resting expression that read as frustrated or closed off to one that reads as warm, open, and approachable. People will respond to her differently now without knowing why. That is my goal - looking at her and knowing she looks better, yet not being able to put your finger on exactly what happened. That is one of my goals and standards for every procedure and every patient.

This result is also durable, meaning her anatomy has been structurally repositioned and restored. Laura is going to look this way for a long time. She is thrilled - and so am I.

Without it before photo to compare her to, walking around in the real world, you would never know she had anything done!

Follow her journey here 👉🏻

04/24/2026

98.3% chance you are MISSING this KEY workout strategy - down regulating your nervous system after your workout with simple breathing techniques. This is something worth trying after your next workout.

This is wildly important to change your nervous system state after it’s been activated in your workout, which will improve your recovery from your workout and even help you sleep better.

(It’s really on some level of safety signal to throttle back)

I use this after every surgery to transition out of my flow state, start my recovery, and change my nervous system from being activated and focused to calm and relaxed.

It’s literally the exact same mechanism after a workout, which is where I first learned it.

It is as simple as five breaths with the understanding that your nervous system needs an intentional signal that it is safe to downregulate.

One simple strategy is nasal breathing with a prolonged exhale (inhale through your nose). Make your exhale twice the length of your inhale - this provides a simple shift that begins moving your autonomic nervous system away from sympathetic (fight or flight) dominance and toward parasympathetic (rest and digest) recovery.

For a more structured protocol, box breathing accomplishes the same thing - four seconds in, hold for four, out for four, hold for four.

Either approach works. The physiological mechanism is the same: you are manually throttling back your stress response and creating the optimal conditions for recovery.

I use this between procedures on back-to-back surgical days as a deliberate downregulation strategy. I usually pair it with five minutes of meditation, which also helps improve my sleep, my cognitive sharpness, and my tissue and cellular recovery between high-output surgical days.

I would have to say this is one of the most underutilized performance strategies I know of, and it so simple 🙌🏼

Try it after your next workout and tell me what you notice. Or if you have a downregulation protocol that works well for you - drop it in the comments below 👇🏼

04/23/2026

Red light after anesthesia - this is one of the reasons I use photobiomodulation after every procedure…

We are now using red light therapy on the newest of newborns - immediately after birth - with hypoxic (lack of oxygen) brain injuries - and their long term outcomes are better 🤯

Most of what has been known about red light has been reframed and rethought in the last decade of medicine.

Neonatology is traditionally one of the most safety focused, conservative, and evidence-driven fields in medicine, so shining specific wavelengths of red light through the skulls of newborns to affect their compromised brains (from lack of oxygen) is not taken lightly (and it’s working).

Interestingly: the same photobiomodulation mechanisms driving neonatal neuroprotection are the ones being studied in adult traumatic brain injuries and stroke recovery.

Red and near-infrared wavelengths pe*****te through the skull, transcranially, and influence mitochondrial function, reducing neuroinflammation and supporting tissue repair - all without generating meaningful heat.

Essentially, the fact that neonatologists are using red light you everything about both the efficacy and the safety profile of this modality.

I go way deeper into the mechanisms, the devices, and how I use red light in my own perioperative protocols in my red light deep focus episode - link in bio.

Send this to a friend 📲

04/22/2026

What you need to know about physical preparation before surgery! The what, the why, and the how?

Breathwork building CO2 tolerance (hypercapnic training) can prepare your brain and your body for surgery - before you even travel to see me!

* This benefit extends to any type of surgery you might have *

Approximately zero 🤗 😉 other people talk about this - which blows my mind a bit, because this specific type of hypercapnic tolerance can undoubtedly enhance your procedural recovery.

I train my patients to improve their CO₂ tolerance before surgery via hypercapnic training for 3 key reasons:

🧠 Cerebral resilience 👉🏻 Reduces risk of brain fog & postoperative cognitive dysfunction (POCD) after anesthesia

🫀Microcirculation boost 👉🏻 Enhances vascular healing

🔥 Metabolic flexibility 👉🏻 Improves fat, ketone, and glucose utilization post-op, more efficient and effective recovery

Want to prep like I have my patients do?

✅ Train nasal breathing during exercise (mouth closed)
✅ Try breathwork: long exhales, box breathing (watch the video for more)
✅ Start weeks before your planned procedure

I’m doing this first version as I climb 🏔️and ski in the Sunnmøre Alps of Norway 🇳🇴 I am largely staying in zone one and zone two, focusing on breathing exclusively through my nose.

I start my patients on this two to four weeks out. This is what I mean when I say I train like a professional athlete before your surgery, and I train you like one too! The mountains just make it better.

This is part of the system I use to protect your brain, improve your healing, and upgrade your recovery.

What questions do you have about my surgical precovery and recovery? Ask me in the comments! I’ll do my best to answer 💪🏻

She was not going to share this originally, but she changed her mind when she saw her results! 🤩🤗🙏🏻 This is a beautiful ...
04/21/2026

She was not going to share this originally, but she changed her mind when she saw her results! 🤩🤗🙏🏻

This is a beautiful mix of revision work with some eyelid magic utilizing my EnigmaLift®️ technique for this beautiful 65-year-old. Previous eyelid surgery had left her still not feeling like herself.

She has an incredible eye for detail, and whether you recognize her or not, you’ve likely seen her work - so her happiness about this outcome is extra special.

We performed a complex upper eyelid restoration centered around her brow, upper lid, and upper eyelid aperture.

We also achieved some excellent regenerative improvement in her skin, you can see this in the texture, the quality, and even the vascularity. Look at the tip of her nose. ❤️

What questions do you have about her procedure?

What do you think of her results?

Let me know in the comments below 👇🏻

•

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04/20/2026

Can you hold your breath with me? Doing my first ever “4 banger” with - one breath + 4 lengths of the pool doing underwater farmer’s carries and swimming with weights 🫁

The 4 Banger is as humbling as it sounds. How long do you think it will take?

Laird has been pushing me on breathwork and CO2 tolerance for a while now, which has inspired me and even changed the way I practice - specifically in how I prepare my patients for their procedure by focusing on their own CO2 / hypercapnic tolerance, which improves the recovery from their procedure and their resilience to anesthesia! 🧠

I am focused on sustained oxygen efficiency under physical (and cognitive) stress - this is one of the most underrated variables in human performance (and in surgical recovery).

For me personally, the ability to stay calm, think clearly, and function at a high level when my body and brain are flowing and consuming energy and oxygen is a skill, and it’s trainable 🧠

The pool is the most direct environment to train it. It’s hard, and it isn’t always “fun.”

Underwater workouts build my hypercapnic tolerance, they sharpen my mental control, and force a kind of mental focus and presence that dry-land training just cannot quite replicate.

Also, when the king of underwater training lays out a challenge, you don’t say no, you get in the water.

My patients can mimic this training with simple nasal breathing while exercising, or even holding your breath while walking.

Try it with me here.

Were you able to hold your breath with me? Let me know in the comments 🤿

7 weeks post- update for Caroline (51) who has very unique eyes at baseline (scroll to the end to see photos in her 20s)...
04/19/2026

7 weeks post- update for Caroline (51) who has very unique eyes at baseline (scroll to the end to see photos in her 20s) - after a life in front of the camera, we knew we did not want to change those unique characteristics.

Neurobiologically, our eyes drive so much of our interface with the world, from our identity to our emotional expression and communication.

Caroline has a couple of specific eye traits that she and I could have fully “fixed,” yet I was concerned that would change the identity that her eyes communicate.

Namely, she had ptosis, or drooping of her upper eyelids, along with scleral show, which is strip of white showing between the pigmented part of her eye (iris) and her eyelid margin.

When you look back to her 20s, you can see these present.

Interestingly, these are most often age related changes that happen - those aging changes also alter somebody’s eye character and identity, yet in Caroline these are her baseline eye characteristics that had become slightly more exaggerated as she aged.

This is why I ask everyone for pictures through all the decades leading into our procedure, it really helps give me a deeper understanding to build with.

Caroline’s situation is challenging! She illustrates very well that understanding the right amount of correction is key - it should not be all or none. Like my parents taught me, just because you can, doesn’t mean you should.

7 weeks into recovery after my EnigmaLift®️, you can already see the improvement in her eyes with the intricate correction and maintenance of those key eye characteristics that make her uniquely Caroline.

Also of note, the improvement in her chin was performed with no chin implant. I used my completely autologous structural rebuild for her chin using all of her own structural fat tissue. This is very unique!

also did a beautiful job with her jawline and neck! He performed that portion of the procedure while I deeply focused on her brow, upper and lower lids, midface, and stem cell rich fat transfer, including for her chin.

*These after photos were sent from home and are standardized as much as possible.

•

natural results facelift, natural facelift surgeon

04/18/2026

Have you heard of the pomodoro timing hack?

Here’s how that productivity strategy ties into a patient who came to see me from Italy 🇮🇹

First of all, all of my patients travel to see me, from all over the world, and I am so grateful when I get to see them back and follow up!

This patient was so thrilled with her results that she brought a piece of her world back to me 🤗

She arrived with big hugs, and with some of the most thoughtful gifts I’ve ever received. Bluefin tuna belly, olive oil, and salt from Sardinia, Iberian ham pâté and sardines from Sardinia, including the pomodoro variety packed in tomato 🐟

When someone flies across the world for their care, and then shows up with a piece of their home, it makes my heart smile 😊 - it reflects our deep connection, as quite clearly she knows me very well also!

I never take this for granted.

As I matured in my practice, I really realized how important this part of my work is to me.

This is what I’m most grateful for. The people, and the connections I get to make with them.

I love surgery - I am incredibly OBSESSED with my results and the process, don’t get me wrong, but this is the part that makes it extra special.

If you’ve traveled to see me, drop your location in the comments. Let’s see the map! 🗺️

04/17/2026

Have you been told you’re “not ready” for surgery or that it’s “too early” for you - and instead been getting filler and tightening devices. This had been happening to Cory since she was in her 40s.

She was told that surgery was too much for where she was at, and she pursued these non-surgical options, but she knew inside that it wasn’t right, that she was ready, and that the non-surgical treatments were just getting her further away from seeing her actual self in the mirror.

Enter my invisible access EnigmaLift®️. Not a single incision you can see here, no scars in front of her ears like a traditional facelift.

Cory (52) is that one month, checking in from home after traveling from the Midwest for her invisible access EnigmaLift®️.

At this stage, what matters most is not a dramatic reveal. It is creating alignment.

Our plan for Cory was intentionally minimal when viewed piece by piece, yet comprehensive in the balance it restores. Everything was addressed without anything being overdone, utilizing my invisible access EnigmaLift®️ approach, meaning no incisions in front of the ears like a traditional facelift and no surface-level pulling to chase short-term change.

Her story is very typical of the high-performing women I work with. She did not come in looking for a shortcut. She trains consistently, eats well, protects her sleep, and pays attention to recovery and metabolic health. Her baseline is strong, which matters, because the face always reflects the underlying physiology and the way someone lives.

Looking back at photos, she realized that repeated filler and Sculptra had not solved the problem she was trying to solve. Her face felt puffy. She did not quite feel like herself. None of her prior treatments were “wrong,” yet none of them addressed the deeper structural changes that occur with time.

My goal is always simple: help patients look the way they feel, especially when they are already doing everything right.

More to come on her journey. Follow along here 👉🏻

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510 S Cowley Street
Spokane, WA
99202

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+15092521299

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