Chesnut MD Cosmetics

Mr. Fix It- neck lift and facelift fix🔧

Revising a prior SMAS facelift and neck lift with my INVISIBLE ACCESS EnigmaLift®️ for Carrey, who is 51 and traveled in.

We also did a full upper and lower eyelid rejuvenation🙌🏼

It’s incredibly difficult to fix and revise a lift like this, let alone doing it just with an invisible access, behind the hairline incision.

You’ll notice that the lift in that deep plane was quite powerful, even enough to fix a “pixie ear“ deformity with her ear pulling down.

Just to be clear, this means I made NO INCISIONS in front of her ears (she had prior incisions there from her SMAS lift).

To follow her entire journey click and follow the hashtag .

She had:
☝🏻EnigmaLift comprehensive brow contouring

✌🏻 EnigmaLift upper eyelid surgery with lacrimal glad repositioning and ptosis repair

🤟🏻 EnigmaLift scarless lower eyebag removal with fat transposition

👊🏻 InvisibleAccessEnigmaLift to revise her prior SMAS lift

✋🏻 EnigmaLift deep neck contouring with salivary gland sculpting

✋🏻☝🏻 Stem cell rich Fat transfer

✋🏻✌🏻My laser cocktail

✋🏻🤟🏻 Ultrasound Guided Filler Dissolution

WELCOME TO THE NEXT LEVEL ®️

What do you think of Carrie’s results? Tell me in the comments 👇🏼

6 week progress for Jessa (42) after my COMPLETELY SCARLESS EnigmaLift®️ lower eyelid rejuvenation and scarless ptosis repair!

I love the photos here because it really lets you zoom in on the fine details, which is what eyelids are really all about!

The first thing to notice is that her eyelids are just slightly more open. A bit wider and a bit brighter. Interestingly, this is something that I suggested to her that she had not necessarily noticed in the same way.

This is called ptosis. Hers was symmetrical, most are not, but you can see what it does for her overall look afterwards.

My fellow surgeons out there will recognize how challenging this is, as Jessa has very distinctly shaped eyes, and I did not want to change that! That’s always a risk with any lid surgery, and it takes a special understanding to keep things looking natural and as they were.

The most obvious change is, of course, in her lower eyelids and midface. Jessa has had lower eyelid bags almost her entire life, so seeing this for now is life-changing!

She had a strong, genetic predisposition to these lower eyelid bags, as many patients do, and as I commonly see.

This made her an incredible candidate for my COMPLETELY SCARLESS EnigmaLift®️ lower eyelid rejuvenation!

With this procedure, I was able to completely and three dimensionally reconstruct her midface fat pads, her lower eyelid bags, and use those to hide her eyesocket (orbital) rim and tear trough.

She was out and about after one week, looked even better at two weeks, and now at 6 weeks is looking incredible!

She still has some healing progress ahead, and she will only look better and better.

She took full advantage of my full optimized recovery protocol, including regenerative medicine, complete with her own stem cells! 🧬

Just stepping back for the 30,000 foot view…

“I want my face to reflect what I feel like inside. My eyebags make me look tired, and I’m not tired. I’m actually really, really awake!”

I think we nailed it!🙌🏼

What do you think of her results at the 6 week mark? Let me know below! 👇🏼

This is a NATURAL hairline! 🤯

This is what FUE should look like - you’d never know that he had a procedure to achieve this, and you never will in the future.

These are FUE hair restoration results at 14 months for Brendan from LA, who is 45 years old.

FUE is a method of hair restoration that takes individual hair follicular units and extracts them one by one from calculated donor sites on the posterior part of the scalp and strategically places them in areas of need to increase density, restore hairlines, and improve the overall framing of the face.

FUE is an incredibly stealth procedure, leaving no trace that it was there, and with the hair restoration being permanent!

I employ my FUE with my optimized recovery protocol utilizing regenerative medicine modalities such as my ME PRP, stem cells, and hyperbaric oxygen treatments to improve the recovery, increase the survival and growth rate of the transferred hairs, and improve the overall outcome.

Check out my podcasts with and to learn more!

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

WELCOME TO THE NEXT LEVEL ®️

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 use those fat pads to reposition into her cheek, 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!👇🏼

5 years of aging backwards! Can you tell what we did?! SWIPE for some of the finer points ✍🏼

I love these types of results because you can tell that the person looks so much better, but it’s really hard to put your finger on things until those finer details are pointed out.

They look just like themselves, just a bit rejuvenated and optimized. Never transformed🙅🏻‍♂️

Lorraine (58) trusted me to rejuvenate her eyes first, which is heavily focused on re-volumizing and reshaping her upper lids and brow fat pads.

At that time we did discuss treating more than just her eyes as a full facial rejuvenation, yet the timing needed to be right.

She was so thrilled with the outcome from her eyes that she came back for some deep neck contouring and lifting.

Lorraine’s deep neck contents were all sinking, this includes the floor of the mouth all the way down to the large submandibular salivary glands.

Next level results in the neck are achieved as deep neck contents are re-shaped and re-elevated to give a youthful neck contour.

This is NOT a skin (mini lift), superficial fat (neck liposuction), or superficial muscle procedure (SMAS lift).

This is true DEEP neck lifting, re-elevating all of those deep neck contents and re-supporting the floor of the mouth! 😯🤩

I’m grateful that Lorraine has put her trust in me multiple times, and I’m so thrilled to see her results as they continue to improve!

WELCOME TO THE NEXT LEVEL ®️

My EnigmaLift®️opens eyes and enhances symmetry✨while keeping the absolute natural character and personality of each person’s eyes.

This was WILDLY important to her, and this is my jam!

She looks beautiful, and you’d never know anything was done; completely unoperated!

She is lovely on all fronts and prioritizes an active and natural lifestyle, right up my alley.

After witnessing her husband undergo a complex eyelid revision procedure with me (he is also viable in my before and after images) with remarkable results, she decided it was her turn!

This is the ultimate compliment🙏🏼

She is now years out from her upper eyelid surgery, which included minimally invasive brow contouring, scarless lower eyelid surgery, and my customized laser cocktail.

She feels her eyes are more open and symmetrical, and the gravitational stress has been relieved from her forehead, which is evident in these photos. Her skin looks incredible as well!

What do you think of her results? Let me know below!
WELCOME TO THE NEXT LEVEL®️

🇫🇮 🇲🇽 🇦🇺 🏴󠁧󠁢󠁥󠁮󠁧󠁿 🇪🇸 🇨🇦 🇺🇸 🇦🇷 🇺🇾 🇨🇴 🇯🇵 🇪🇨 🇵🇦 🇸🇻 🇫🇷🇨🇭🇵🇹🇧🇪🇧🇷🇹🇷🇹🇨🏳️‍🌈🇫🇯🇩🇪🇮🇹🇲🇪🇨🇾🇬🇷🇨🇳🇰🇷🇵🇭🇰🇭🇻🇳🇨🇱🇿🇦🇷🇺🇨🇷🇬🇹🇧🇿

6/7 continents! (Come on Antarctica 🇦🇶)

World wide! 🌎 I am beyond grateful for the incredible feedback from my patients 🙏🏼

(I definitely missed some, let me know which ones!)

One of the things I love about the following selection of feedback is the diverse representation:

Different countries that patients traveled from.

Men and women.

Challenging revisions (that everyone else said no to) and primary surgeries.

Different beliefs, different religions, different families.

All people I now share significant relationships with 🫶🏻

Your kind words and positive experiences inspire me to continue to strive, work hard, and elevate to THE NEXT LEVEL - every day!

Thank you for your trust, support, and for being a part of our family!

WELCOME TO THE NEXT LEVEL ®️

14 months in, and the fine details really start to show themselves! 🤩

This was a full facial rejuvenation with my EnigmaLift®️, which is by design very nuanced and intricate, so it’s fun to see all of those subtle, differentiating factors that I worked so hard for in the operating room reveal themselves!

There’s a bonus question in here for you too - check out my notes on the sixth photo 🤓

To see all of her journey over the year follow: !

Her minimally invasive procedures included:
☝🏻EnigmaLift®️ minimal access, deep plane extended facelift
✌🏻 EnigmaLift®️ mini brow contouring, upper eyelid surgery (with medial fat pad repositioning)
🤟🏻 EnigmaLift®️ scarless lower eyebag removal with fat repositioning and midface lifting (not all eyelid surgeries are created equal, these are important and complex nuances!)
👊🏻 Stem cell rich optimized fat transfer
✋🏻 Optimized Laser Cocktail

I am honored to have been trusted by a colleague! At age 51, Melissa had multiple procedural options and roads that she could have gone down, we had to discuss and choose our plan carefully - I think her results back up that trust and support our choice of the right procedural combination!

Melissa is a fellowship trained eye surgeon, an ophthalmologist with extra training in a surgical subspecialty.

She mostly lives in Scottsdale, Arizona, and I am grateful that she made the trip to come see me!

At age 51, and being a very good spot on her age and curve, we had multiple options to talk about during her consultation, including utilizing my Invisible Access EnigmaLift to address some of the aging changes along her midface and jawline.

Instead, we elected to choose a minimal access, deep plane, extended version of my EnigmaLift®️, which gave me the capacity to give her a more robust result.

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

WELCOME TO THE NEXT LEVEL ®️

She was not going to share these 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.

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 revised some prior neck work and a cobra neck deformity in addition to performing a complex upper eyelid restoration centered around her brow, upper lid, and upper eyelid aperture.

What questions do you have about her procedure?

What do you think of her results?

Let me know in the comments below 👇🏻

WELCOME TO THE NEXT LEVEL®️

Wendy (63) is doing beautifully in the healing process after a complex EnigmaLift®️ eye and face rejuvenation👁️

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

In addition she had relatively normal changes with eyebags and midface descent in her lower lids.

These was corrected predominantly through scarless approaches.

Her face, neck, and lip were addressed with my EmigmaLift®️ deep plane lifting and contouring with a preservation focus.

(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 so far? Leave me a comment below!

WELCOME TO THE NEXT LEVEL ®

INVISIBLE Access EnigmaLift®️ - this is it!

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

4 month results after this 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 so far? Let me know in the comments!

WELCOME TO THE NEXT LEVEL ®

🇧🇷 Complicated and significant revision EnigmaLift®️(an essentially scarless revision!) for a colleague from Brazil!

👉🏻 Scroll the photos to see details explained!

She is 67 years old, and I’m so honored that she made the trip from Brazil to see me.

She’s a renowned physician in Brazil and knows who’s who throughout the world.

All of this invisible work was very intricate, revising prior procedures: a prior brow lift, upper and lower eyelid surgery, facelift, and neck lift. *plus significant prior filler*

Check out the drawings to see all of the nuanced details we were targeting! 🎯

You can see the beautiful changes in her upper eyelid, with more open eyes from ptosis repair, optimized upper eyelid volume with my stem cell-rich fat transfer, a revision of her prior upper lid surgery, and correction of her lower lid surgery.

This EnigmaLift®️ revision complex has left her eyes looking fantastic, younger, softer, more relaxed, and more symmetric.

Her face and neck revision were very challenging. I was able to utilize ZERO incisions around the front of her ears to revise her prior facelift and neck lift with my Invisible Access EnigmaLift®️

🚀 This is what she was seeking and why she came to me specifically.

We could have done a more robust revision for more significant results, but we were definitely able to take advantage of the 80/20 rule, Pareto principal, to achieve incredible results with very, very minimal input.

Her prior neck lift left “lumps” in her neck - if you look closely, you will see this ALL THE TIME!

For her neck revision, we lifted, sculpted, and contoured her deep neck contents, including her submandibular glands, deep fat, and deep musculature.

That did exactly what we wanted to restore the contour, profile, and surface quality of her neck.

We are both thrilled with her results with such minimal input!
EyePapi®️

WELCOME TO THE NEXT LEVEL ®

My EnigmaLift®️ eyelid surgery results in a nutshell - this is it! 🤩

Can you tell what procedures we did?🧐

Every minor detail is dialed here ❤️‍🔥

Symmetry ✅ (can you spot the upper lid asymmetry in her before photo?)

Vibrant, opened eyes ✅

Contours ✅

Volume ✅

Soft tissue quality ✅

Completely stealth, scarless results ✅

All of this, and looking at her, you would NEVER know that she had surgery - this represents my objectives very well!

What do you think of her results? Send to a friend who needs to see them!

WELCOME TO THE NEXT LEVEL®️

✅Symmetry ✅Aperture ✅Volume

These are the areas of many upper eyelid surgeries that I see underappreciated, neglected, un-managed.

These results from my EnigmaLift®️ highlight their importance so well.

She looks so much better, more symmetrical, brighter, and more open, but you would never know what happened🙌🏼🙅🏻‍♂️

This is how it should be!!!

👉🏻Bonus points if you can spot her skin cancer removal and reconstruction scar that was also improved in this process!

WELCOME TO THE NEXT LEVEL ®️