Chesnut MD Cosmetics, 510 S Cowley Street, Spokane, WA (2026)

02/19/2026

Scarless lifting?
My INVISIBLE Access EnigmaLift®️ - this is it!

Scarless upper eyelid surgery, scarless lower eyelid surgery, my invisible access forehead, temple, and midface lifting.

2.25 year follow up for Nid, now 53… 🤯

This is what we’ve been talking about, early intervention, minimally invasive procedures (that actually work), beautiful and durable results!

This is an essentially SCARLESS procedure, no access is visible, at all!

Scarless, subtle, stealth results! 🥷

This is the NEXT LEVEL of MINIMALLY invasive surgery strategically paired with non-surgical adjuncts = my stem cell rich fat transfer and customized laser cocktail (yes, even for her skin type 🧠).

Look at the improvements that this combination gives in ALL of these areas 👀
Upper eyelids (my unique scarless technique)
Eyelid symmetry (including ptosis)
Lower eyelid bags
Brow
Midface
Smile lines
Jawline

What do you guys think of her results? Let me know in the comments!

Want to see more? Follow

What do you think of her results? Tell me in the comments!

WELCOME TO THE NEXT LEVEL ®

02/17/2026

One month 🤯 Cory (52) 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. She is already looking in the mirror and seeing a face that matches her energy, presence, and the way she moves through the world.

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.

What she began to notice over time is something many fit women experience: gradual hollowing, subtle descent, and a mismatch between how vital they feel internally and what they see externally.

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. This is often a window into the neuroanatomy of facial recognition and identity, where small distortions in contour and light reflection can disrupt the way we recognize our own baseline. 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.

This is why Cory chose me, and this is why I am so intentional with every step of her plan.

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

facelift, deep plane facelift, mini facelift, neck lift, face and neck lift, jawline surgery, facial rejuvenation surgery,

02/15/2026

IMPORTANT POINT illustrated here in our 2 month progress update for Tricia (50). She is doing so well in her healing process (still with improvement time to go), and she is already able to be out and about in the real world, even traveling internationally, without anybody knowing that she had anything done.

Part of that is because she has had no prior procedures or filler. Yes, my delicate tissue handling and intricate procedural technique matter, but there’s more to it than that.

This is the important point - some portion of the subtle nuances in the procedural recovery, and in the procedural results, are dictated by prior filler and prior procedures.

Filler undoubtedly makes the recovery process longer, with more swelling and a longer time for full resolution of that swelling. Part of this is because of the lymphatic drainage issues created with filler, some of it is from the filler attracting water, some of it is from the inflammation, etc.

Tricia came to me seeking help with eyelid rejuvenation, and she is in a position that I rarely see now - she had never(!!!) had filler in her lower eyelids or “cheeks” (same thing).

We rejuvenated her entire upper face and eyelids in an invisible fashion. Forehead, temple, upper lid, lower lid, midface - You won’t see an incision, scar, or access point anywhere.

Uniquely in our field, I did NOT to remove any of her fat pads. Removing them often creates hollowing and leads to an odd look with lack of support for the eyeball, in my opinion.

I instead of repositioned all of her fat pads, which I think intuitively makes sense. Those fat pads are valuable structural tissue that can be moved into a more youthful position to smooth the contour between the lower eyelid and cheek while maintaining volume, eyeball support, and ultimately identity.

Follow along here

What questions do you have about eyelid bags, filler, or fat repositioning around the eyes?

Drop them below 👇🏼

02/14/2026

Invisible access… Candid camera work here, caught in action looking for my own incision - access from a previous procedure that Lisa and I did together.

Spoiler alert: we never found it.

I quite literally laughed out loud when I saw this video that was captured. When I say invisible, I mean it so much that it even makes me look silly sometimes.

Lisa is 63 - and could easily pass for 20 years younger.

Some part of that is because we have taken a proactive, step wise surgical and regenerative approach with her over the past decade.

Lisa puts out a vibrant energy, and she feels that way inside. She has always wanted her appearance to match that! That is how she originally found me.

For us, that has meant a couple of procedures over the years that were very small, stealth, and focused on not only the exact position she was in at that time, but a mindset of decades down the road, which we can see working out in a very beautiful way for her here. 🥷🎯

Our journey originally started sometime back with revising some previous surgical procedures that she had had when she was much younger, and once we had fixed those and had her back with a solid and reset baseline, we have been very focused, responsible, and dialed in on a long-term and customized plan for her.

Lisa‘s path is not actually the norm. Most people wait until they are a little bit further along and tend to take care of everything at once. Lisa started earlier, which afforded her more ability to keep procedures smaller and focused, doing less each time and looking incredible in between.

Which path resonates with you the most?

More coming from Lisa, stay tuned…

Until then, enjoy me looking silly while hunting for my own incision. 🔎🧐

02/13/2026

Premature aging after prior surgery? 2 years after a challenging revision (‘fix it’) rescue with my EnigmaLift® brow contour, eyelid surgery with ptosis repair, face, and revision deep plane neck lift, along with my LoveLift deep plane lip lift and corner lift.

She had had prior surgery on her neck that included liposuction and prematurely aged her neck.

Just as bad filler can prematurely age somebody, so can bad surgery.

Qualitative aspects of her neck skin were also affected by that prior, superficial procedure.

It’s great to see long-term follow up after procedures like this.

Getting into the neurobiology… If you follow along with me, you’ll know how I’m focused on all of the subtle, key nuances. Even in something that is a large and challenging neck revision, I’m going to pull all of the important levers to help her look the way that she feels.

Much of that for her was actually in her eyes, which was surprising to her as she was hyper focused on her neck, understandably.

When you step back and look at the whole, these reflect the results that I am after. Would you know what we did exactly? Her eyes certainly look brighter, more symmetric, she looks more well rested and vibrant overall, yet it’s hard to put your finger on exactly what was done. This is my calling card. It’s more challenging in a revision situation, and I think we accomplished it well here.

We performed:
☝🏻 EnigmaLift®️brow contouring
✌🏻 EnigmaLift®️ eyelid surgery with ptosis repair
🤟🏻 EnigmaLift®️revision deep plane face lift and neck lift
👊🏻 Stem cell-rich optimized fat transfer
✋🏻 LoveLift deep plane lip lift with corner lift

You can see her previous progress posts at 1 month, 3 months, 5 months and more at

What do you think of these long term results? Leave me a comment below!

WELCOME TO THE NEXT LEVEL®️

02/12/2026

Tricia (50) is VERY UNIQUE… She came to me seeking help with eyelid rejuvenation, and she is in a position that I rarely see now - she has never(!!!) had filler in her lower eyelids or “cheeks” (same thing).

One of the great things about this lack of filler is it gives us a very clear view of what a true lower eyelid and cheek aging actually looks like and how it behaves when anatomy has not been altered by years of layering gel into the tissue planes around the eye 👁️

I always take extra time to study the natural progression of lower lid aging in these situations.

When I examine her lower eyelids, we can see the native fat pads that live around and below the eye, with the trough below where they are tethered to the orbital rim.

When she gently squints, those fat pads push back into the orbit. Super cool! That simple movement tells us so much. These are true fat pads. They are not filler, fluid, and an inflammatory gel sitting in the wrong layer. This is native anatomy behaving exactly the way it should.

It’s been interesting as hyaluronic acid fillers have been around in the United States for longer, we start to see this more and more as the filler breaks down over time. We have all seen this puffiness and slightly bluish discoloration in action.

Tricia’s case shows what clean anatomy looks like and why preserving it matters. **We will also see her having a faster recovery because of the clean lymphatic drainage and lack of water attracting gel present after surgery.**

Uniquely in our field, my plan is NOT to remove her fat pads. Removing them often creates hollowing and leads to an odd look with lack of support for the eyeball, in my opinion.

My plan is to reposition her fat pads, which I think intuitively makes sense. Those fat pads are valuable structural tissue that can be moved into a more youthful position to smooth the contour between the lower eyelid and cheek while maintaining volume, eyeball support, and ultimately identity.

Follow along here

What questions do you have about eyelid bags, filler, or fat repositioning around the eyes?

Drop them below 👇🏼

02/10/2026

Many will say “she’s so young,“ and they are correct, but interestingly this was a REVISION eyelid surgery with my EnigmaLift®️🙌🏼

She was understandably underwhelmed with a prior eyelid surgery left her with significant asymmetry, tissue redundancy, and brow descent. She was young, and a procedure like she had originally should have left her in a significantly better spot…

Knowing that there was something better available is what led her to me. Unfortunately, fixing a sub optimal prior surgery can be more challenging than it would have been too just do it right the first time.

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

This is essentially a subtle support for 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.

Here you see a young, beautiful woman with those earliest changes in her upper lid and brow, who demonstrates this idea perfectly - and she had already that failed prior upper eyelid surgery that utilized a more myopic approach.

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?!

WELCOME TO THE NEXT LEVEL®️

Chesnut MD Cosmetics

02/19/2026

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