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.