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 I explain why simply tightening skin or relying on outdated techniques fails to correct the deeper structural descent of the face, and how modern deep plane approaches reposition muscle and fat for more natural, durable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.
