5 Codes Podcast

Cameron Chesnut

The 5 Codes podcast is hosted by Dr. Cameron Chesnut, a double board–certified physician and practicing facial plastic surgeon with a deep focus on regenerative medicine, functional health, and long-term human performance. Working at the intersection of performance and medicine, Dr. Chesnut brings a unique, practical perspective shaped by years of experience with high performers from around the world.   Despite disciplined lifestyles, advanced health practices, and even cutting-edge biohacks, many driven individuals still feel a disconnect between how they look, how they feel, and how they perform. The 5 Codes exists to bridge that gap.   Each episode explores the principles and tools that help people perform, move, look, feel, and connect as the most optimized version of themselves. Topics include longevity, regenerative medicine, metabolic health, recovery, aesthetics, and personal discipline - approached through a grounded, strategic lens focused on real-world application.   Designed for those who take responsibility for their health and believe their next level can be built intentionally, The 5 Codes is a guide to preserving your prime and optimizing performance in every dimension of life.

  1. 1 DAY AGO

    EP 13: How Stress and Cortisol Accelerate Facial Aging | OR DIARIES

    In this episode, I share a powerful case from the operating room that highlights how chronic stress, trauma, and elevated cortisol can rapidly accelerate facial aging. I break down the physiology behind stress hormones, metabolic health, tissue quality, and why your face often reflects what’s happening internally long before labs do. You’ll learn why surgery alone isn’t always the answer, the importance of addressing root causes, and how to think about aging through a more holistic, biology-first lens. 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 01:18 - Stress and Life Events 02:38 - Trauma and Rapid Facial Aging 03:14 - Cortisol and the Physiology of Aging 04:15 - How Do We Address This? 07:12 - 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.

    8 min
  2. 28 APR

    EP 12: Laser Specialist Reveals the Truth About Anti-Aging Devices | Dr. Ryan Kelm

    In this episode, Dr. Ryan Kelm, Harvard-trained laser specialist and cosmetic surgeon, breaks down what actually works (and what doesn’t) when it comes to devices, longevity science, and modern facial rejuvenation. We explore cellular senescence, regenerative approaches like fat transfer, and how surgical thinking is evolving to integrate technology without compromising outcomes. If you want a clear, evidence-based perspective on the future of aesthetics, and the biggest mistakes to avoid with devices, this episode delivers. CONNECT WITH RYAN KELM Website: https://clinic5c.com/providers/ryan-c-kelm-md Instagram: https://www.instagram.com/kelm_md/   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 02:28 - Lift vs Tighten 06:50 - What Devices Work 13:50 - Microneedling vs RF Microneedling 16:58 - How to Tell If Microneedling Is Done Well 18:57 - CO2 Lasers 22:14 - Fractional vs Continuous Lasers 24:10 - Top Devices Ranked 25:23 - Light Devices vs Lasers 30:56 - Downtime From Lasers 33:08 - Aging and Cellular Senescence 36:56 - Can Devices Impact Cellular Senescence? 40:01 - Surgical Practice Tie-Ins 41:30 - Red Light and Other Recovery Tools 50:09 - Psychotropics 54:11 - The Surfer’s Mindset 58:07 - Co-Writen Paper 1:09:20 - The Future of Fat Transfer 1:15:37 - Future and Evolution of Facial Surgery 1:26:53 - 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.

    1hr 29min
  3. 21 APR

    EP 11: The Surgical Reality of Thread Lifts | OR DIARIES

    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.

    7 min
  4. 14 APR

    EP 10: What is Fat Transfer? | DEEP FOCUS

    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.

    31 min
  5. 7 APR

    EP 9: The Future of Facelifting | OR DIARIES

    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.

    8 min
  6. 31 MAR

    EP 8: BFR Training, Foot Mechanics & Building Unbreakable Strength | Chris Duffin

    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.

    32 min
  7. 27 MAR

    EP 7: How Facial Plastic Surgery Training Actually Works | DEEP FOCUS

    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.

    19 min
  8. 24 MAR

    EP 6: Fixing My Own Surgical Plan | OR DIARIES

    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.

    7 min

About

The 5 Codes podcast is hosted by Dr. Cameron Chesnut, a double board–certified physician and practicing facial plastic surgeon with a deep focus on regenerative medicine, functional health, and long-term human performance. Working at the intersection of performance and medicine, Dr. Chesnut brings a unique, practical perspective shaped by years of experience with high performers from around the world.   Despite disciplined lifestyles, advanced health practices, and even cutting-edge biohacks, many driven individuals still feel a disconnect between how they look, how they feel, and how they perform. The 5 Codes exists to bridge that gap.   Each episode explores the principles and tools that help people perform, move, look, feel, and connect as the most optimized version of themselves. Topics include longevity, regenerative medicine, metabolic health, recovery, aesthetics, and personal discipline - approached through a grounded, strategic lens focused on real-world application.   Designed for those who take responsibility for their health and believe their next level can be built intentionally, The 5 Codes is a guide to preserving your prime and optimizing performance in every dimension of life.

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