In this episode, I break down what I’m actually seeing in the operating room when patients have had prior thread lifts. From persistent foreign material and linear fibrosis to biofilm-related inflammation that can flare after surgery. I explain why threads often fail to deliver meaningful lift, how they can complicate future procedures, and the long-term tissue changes they may leave behind. You’ll learn the real risks that don’t get talked about, what happens beneath the skin years later, and how proper surgical planning, removal, and a targeted pre- and post-op protocol can help minimize inflammatory complications and protect your final result.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
01:30 - Finding Old Threads During Surgery
03:09 - Post-Op Inflammation, Fibrosis, and Biofilm
04:31 - Why Threads Don’t Actually Lift
05:52 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I break down the science of facial fat transfer, what it actually is, and how it differs from dermal fillers when it comes to restoring volume, structure, and long-term facial health. I explain who is (and isn’t) a good candidate, the regenerative role of fat in aging tissues, and how fat grafting works at the cellular level. You’ll also learn the most common misconceptions and mistakes so you can make informed decisions and avoid treatments that don’t align with your goals or anatomy.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 
 
WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/ 
 
TIMESTAMPS 
00:00 — Intro
00:41 — Fat Transfer Is a Graft
01:42 — Fat Transfer vs Filler
05:25 — Best Uses for Fat Transfer
07:49 — How Fat Transfer Fits Into Surgery
09:36 — Can Fat Transfer Be Done on Its Own?
11:06 — Regenerative Benefits of Fat Transfer
14:38 — Where Does the Fat Comes From?
18:01 — Fat Transfer to the Face vs the Body
21:09 — Can You Do Fat Transfer If You’re Fit?
22:04 — How Long Fat Transfer Lasts
22:57 — Does Fat Transfer Migrate?
23:35 — Where Fat Transfer Can Be Used in the Face
26:28 — Fat Transfer to the Lips
27:31 — Skin Coloration
29:30 — Outro
 
ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 
 
DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I address the real future of facelifting and break down one of the most misunderstood areas in aesthetic surgery: the buccal fat pad. I explain why simply tightening skin or relying on outdated techniques fails to correct the deeper structural descent of the face, and how modern deep plane approaches reposition muscle and fat for more natural, durable results. You’ll learn what actually drives facial sagging, why I believe buccal fat removal should be avoided, and how to think about facial rejuvenation from a structural, anatomy-first perspective.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
01:32 - Why Old School Facelifts Fail
02:12 - The Evolution to the Deep Plane Facelift
03:06 - The Deep Fascial Floor
04:45 - Buccal Fat Pad Case Breakdown
06:04 - When Buccal Fat Removal Is Misunderstood
07:01 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I’m joined by Chris Duffin to break down what it really means to become a “boardroom athlete” - building strength, resilience, and longevity without sacrificing performance in business or life. We dive into the science of BFR training, anabolic signaling, and how trauma - both physical and psychological - shapes adaptation and recovery. We also unpack foot health, functional strength, and the role of barefoot shoes in restoring biomechanics so you can train smarter, avoid common mistakes, and build a body that’s powerful, durable, and built for the long game.

CONNECT WITH CHRIS DUFFIN 
Website: https://enhancedexecutive.com 
Instagram: https://www.instagram.com/mad_scientist_duffin/ 
Youtube: https://www.youtube.com/@MadScientistDuffin 
Book: https://www.amazon.com/Eagle-Dragon-Story-Strength-Reinvention/dp/1544501927 

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 — Intro 
01:00 — The Mad Scientist of Strength 
02:13 — Journey to Peak Performance 
06:46 — Ultimate Goal 
07:47 — Were Your Thoughts Well Received? 
09:06 — How Did you Manage the Friction? 
10:25 — Blood Flow Restriction Training 
14:07 — How Often Should I Use BFR 
14:39 — Foot Biomechanics 
17:31 — Barefoot Shoes and Discomfort 
18:19 — Orthotics 
21:35 — What's the Best Kind of Barefoot Shoe? 
22:41 — Performance Enhancements
26:43 — Aging Changes After Taking Anabolics
27:51 — Six P's
31:25 — Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

Facial plastic surgery training is often misunderstood and board certification can add even more confusion. In this episode, Dr. Chesnut walks through his exact training pathway, explaining how he became a facial plastic surgeon and why he is not board certified in plastic surgery. Learn the key differences in training routes, what credentials actually mean, and how to evaluate a provider based on true expertise, not just titles.
 
CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 
 
WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/ 
 
TIMESTAMPS 
00:00 - Intro
00:25 - History of Plastic Surgery
01:32 - Core 4 Cosmetic Specialties
02:19 - Results vs Titles
03:01 - My Training Pathway
05:47 - My Practice Over 12 Years
06:55 - Collaboration Is Key
07:23 - T-Shaped Thinking
10:34 - Iteration and Innovation
11:40 - Patient Perspectives
12:45 - Turf Wars
15:25 - History of Procedures
17:00 - Cross Pollination
18:14 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 
 
DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I break down a real case where a patient took my fully developed surgical plan elsewhere to save money - only to come back needing a complex revision. I explain why execution matters just as much as strategy, how subtle details around symmetry and natural expression can’t simply be “copied,” and why revision surgery is often more invasive, expensive, and limited than getting it right the first time. If you’re considering traveling or price-shopping for surgery, this episode will help you understand the real risks, trade-offs, and long-term consequences before you make that decision.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
00:27 - When a Patient Takes the Surgical Plan Elsewhere
01:40 - Revision Surgery: Best-Case vs Worst-Case Scenarios
03:35- A Real OR Case
04:24 - Managing Expectations in Complex Revisions
06:13 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I break down the science of photobiomodulation, the difference between red and near-infrared wavelengths, and how light impacts your cells, skin, recovery, sleep, and overall health. You’ll learn how to choose the right device, how to dose it safely, and the most common mistakes people make so you can get real results without wasting time or money.
 
CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 
 
WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/ 
 
TIMESTAMPS 
00:00 — Intro
01:00 — Backstory
04:37 — Understanding Wavelengths (Red vs Near-Infrared)
06:12 — Deep Science
13:26 — Clinical Applications
20:29 — Safety
22:58 — Blood Glucose Response + Metabolic Effects
28:36 — Recovery and Performance
29:31 — “Light Diet”
33:11 — Why Time of Day Matters
34:38 — LEDs
37:11 — Red Light Devices: What’s Right for You?
41:46 — Red Light Is Hormetic: Dose Matters + Follow Instructions
44:00 — Lasers vs LEDs
45:06 — Masks vs Panels
49:44 — Pulsed Light
51:00 — Outro
 
ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 
 
DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I share two real cases from the OR - including a striking example of hyaluronic acid filler that migrated from the lower face deep into the muscles of the neck - and explain what it reveals about filler behavior, anatomy, and long-term consequences. I also break down how treatments like neck liposuction, Kybella, and even buccal fat pad removal can miss the true structural drivers of aging, especially when natural glide planes are disrupted and adhesions form. If you’re considering injectables or facial contouring, this will help you understand the anatomy, avoid common mistakes, and make more informed decisions about your face and neck.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
00:31 - Discovering Filler During a Neck Revision
01:00 - Proof That Filler Can Migrate
01:23 - Why Neck Liposuction Misses the Real Problem
02:01 - The Importance of Fat
04:20 - Buccal Fat Pad
05:39 - Structural Support vs. Surface-Level Treatments
06:55 - Patient Story
08:40 - Choosing A Surgeon
09:02 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I share a powerful OR story about how childhood body image trauma can shape self-perception for decades - and what plastic surgery can and cannot fix. I break down the psychology behind aesthetic procedures, the evolution of modern facelift techniques, and why restoring a natural look is often more about restraint and precision than dramatic change. You’ll learn how to think about cosmetic surgery responsibly, the mistakes people make when chasing an “ideal” image, and why true rejuvenation requires both technical excellence and internal work.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
00:30 - Childhood Body Image and Parental Influence
01:08 - Revision Surgery and Rebuilding Trust
02:14 - “I Can’t Fix That for You”
03:01 - Restoring Normalcy vs Chasing Perfection
03:52 - Growing Up in LA and Distorted Beauty Standards
05:07 - The Problem With Treating Camera Angles
06:06 - The Psychology Behind Satisfaction After Surgery
07:18 - Aging, Expectations, and Subjective Results
08:09 - Trauma, Self-Image, and a Surgeon’s Responsibility
08:37 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

In this episode, I break down the neuroanatomy of facial perception and explain why so many people say, “I don’t look how I feel.” I walk through the brain regions, neuromodulators, and subconscious cues that shape how we interpret our own faces - and how that creates cognitive dissonance when your external appearance doesn’t reflect your internal vitality. You’ll learn how to think about alignment between identity, biology, and aesthetics so you can make intentional changes that actually reduce friction in the mirror - not just chase surface-level fixes.

CONNECT WITH HOST 
Website: https://clinic5c.com/ 
Instagram: https://www.instagram.com/chesnut.md/ 
YouTube: https://www.youtube.com/@chesnutMD 
LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/ 

WAYS TO WATCH/LISTEN 
YouTube: https://www.youtube.com/@5CodesPodcast 
Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f 
Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238 
Instagram: https://www.instagram.com/5codespodcast/
 
TIMESTAMPS 
00:00 - Intro
01:12 - “I Don’t Look How I Feel”
03:51 - Fusiform Face Area
05:02 - Amygdala
07:47 - Hippocampus
09:45 - Orbital Frontal Cortex
11:13 - Nucleus Accumbens
12:14 - Masking With Botox and Fillers
13:42 - Where I Come In
15:36 - Symmetry
17:08 - Enhanced Human Performance
18:00 - What I Hear From Patients
21:34 - Key Takeaways
24:50 - Outro

ABOUT HOST 
Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life. 

DISCLAIMER 
The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.