EP 22: Things That Age You Faster | OR DIARIES

In this episode, I explore the counterintuitive ways certain treatments people turn to for anti-aging can actually accelerate the aging process. I use a real patient story, a woman in her early forties who ended up needing surgery earlier than expected, to walk through how filler, tightening devices like ultrasound and radiofrequency, liposuction, Kybella, and weight loss peptides can all leave lasting structural changes in the face and neck. I get into why a youthful face is elastic rather than shriveled and tight, how a subtractive mindset toward fat removal often backfires, and why repositioning and replacing tissue tends to produce better long term results than taking it away. I also touch on the epigenetic and metabolic benefits of weight loss peptides alongside their structural downsides for facial fat, and why genetics, inflammation, and metabolic health all play a role in how quickly someone ages. If you're interested in facial surgery, longevity, or understanding what actually drives premature aging versus true rejuvenation, this episode breaks down what I see in practice every week. CONNECT WITH HOST Website: https://clinic5c.com/ Instagram:   / chesnut.md   YouTube:    / @chesnutmd   LinkedIn:   / cameron-chesnut-a6910baa   WAYS TO WATCH/LISTEN YouTube:    / @5codespodcast   Spotify: https://open.spotify.com/show/1FZ7vpm... Apple: https://podcasts.apple.com/us/podcast... Instagram:   / 5codespodcast   TIMESTAMPS 00:00 - Introduction 00:12 - Things That Age Us Faster 00:57 - A Patient's Story 01:40 - The Real Drivers of Aging 02:36 - The Anti-Aging Checklist 03:31 - Seeking Surgery Young 04:08 - What's Going On Underneath 04:54 - Filler and Aging 06:52 - Tightening Devices 08:04 - Lipo, Kybella, and GLP-1s 09:01 - The Subtractive Effect 09:34 - Repositioning vs. Removing 10:39 - The Neck Lipo Problem 11:45 - Peptides and Facial Fat 13:28 - Younger Patients, Bigger Pattern 13:46 - Fixing It the Right Way 14:58 - A Definitive Answer 15:14 - Mirror vs. How You Feel 16:31 - The Future of Peptides 17:30 - Closing Thoughts ABOUT HOST Dr. Cameron Chesnut is the host of the Five 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 Five 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.