Redefining Recovery: A Metabolic Approach to Plastic Surgery | Cameron Chesnut, MD | The Metabolic Link Ep.75

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Sep 2, 2025

Dr. Cameron Chesnut, a facial plastic surgeon known for his innovative approach, discusses how he revolutionizes recovery in plastic surgery through metabolic science. He reveals the benefits of ketones and hyperbaric oxygen for faster healing and emphasizes the elimination of opioids post-surgery. Chesnut also shares insights on optimizing recovery with nutrition, advanced anesthetic techniques, and regenerative therapies like red light and fat grafting enhancements. This approach not only prioritizes natural results but also transforms the entire surgical experience.

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ANECDOTE

Nutrition Roots Shaped His Practice

Cameron Chesnut grew up with a nutritionist mother who modeled time-restricted eating and anti-processed-food habits.
That upbringing shaped his interest in performance, nutrition, and later integrating metabolic medicine into surgery.

ADVICE

Avoid General Anesthesia When Possible

Avoid general anesthesia when possible and use low-dose IV sedatives plus long-acting local blocks to reduce postoperative cognitive dysfunction.
Eliminate intraoperative and postoperative opioids and benzodiazepines by using nerve blocks and multimodal strategies to improve sleep and recovery.

INSIGHT

Neuroinflammation Drives POCD

Postoperative cognitive dysfunction largely stems from neuroinflammation triggered by anesthetic agents, hypoxia, and peripheral surgical inflammation.
Selecting anti-inflammatory or less hypoxia-inducing agents can shift anesthesia from harmful to neuroprotective.

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Plastic surgery meets metabolic medicine.

Dr. Cameron Chesnut isn't just changing faces - he's changing the entire surgical process. In this episode, Dr. Dominic D'Agostino talks with the facial plastic surgeon who’s using ketones, hyperbaric oxygen, red light, and regenerative protocols to optimize brain health, accelerate recovery, and eliminate opioids entirely.

Trusted by high performers around the world, Dr. Chesnut is known for delivering natural, rejuvenated, and seemingly untouched results through minimally invasive procedures. His practice integrates regenerative medicine, metabolic science, and next-level recovery techniques — all grounded in a personal performance protocol as refined as his surgical outcomes.

In this episode, he and Dr. Dominic D’Agostino unpack the future of surgical care: ketones for cognitive protection, hyperbaric oxygen for faster healing, red light and PEMF for recovery, and the anesthesia protocols he uses to avoid post-op brain fog — and eliminate opioids altogether.

This isn’t cosmetic — it’s clinical strategy. And it could change the face of plastic surgery as we know it.

Where to find Dr. Chesnut online:
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