Clinic 5C Protege Pricing

Our protégé surgeons, Dr. John Nia and Dr. Ryan Kelm, are personally trained and mentored by Dr. Chesnut to deliver the same refined techniques and exceptional care that define Clinic 5C.

Choosing a protégé offers the same elevated experience at a reduced rate (typically about 40% lower) making world-class results more accessible without compromise.
4.9rating from156reviews
.
Woman smiling with a shadow of a palm frond on her face

Ryan C. Kelm, MD

Cosmetic Dermatologist & Facial Surgeon, Laser Specialist

“My goal is to provide care that feels both personal and precise, so every patient feels fully confident.”

About

John Nia, MD

Mohs Surgeon, Board-Certified Dermatologist, Cosmetic Surgeon

“My passion is creating natural, refined results that enhance confidence without ever looking overdone."

About

Scarless Lower Eyebag Removal

(Includes lower lid tightening and filler removal when applicable) Dr. Chesnut’s scarless, minimally invasive lower eyelid surgery is widely regarded as a next-level approach to rejuvenating the lower lids, tear trough, and lid-cheek junction. Results are natural and lasting. For optimal outcomes, this procedure may be paired with a Laser Cocktail, Stem Cell Rich Fat Transfer, or EnigmaLift Midface Lift.
Ryan C. Kelm, MD
$10k - $15k
John Nia, MD
$15k - $25k

Upper Eyelid Surgery

(Includes internal lateral brow fat pad support) Dr. Chesnut’s upper eyelid surgery combines innovative techniques with artistry in shape, volume, and symmetry. Using advanced tools he helped pioneer, he tailors results to each patient. Upper eyelid surgery is often paired with brow lifts and, when needed, eyelid ptosis correction.
Ryan C. Kelm, MD
$5k - $10k
John Nia, MD
$8k - $15k

Brow Lift

Dr. Chesnut uses a range of minimally invasive brow lift techniques tailored to each patient. These approaches deliver subtle, lasting results and are often combined with upper eyelid surgery.
Ryan C. Kelm, MD
$10k-$15k
John Nia, MD
$14k - $25k

Ptosis Correction

(50% reduction as an add-on procedure) Ptosis is the drooping of the upper eyelid, making the eye opening appear smaller and more noticeable when tired or in photos. It is often corrected at the same time as upper eyelid surgery using a minimally invasive technique, as determined during consultation with Dr. Chesnut
Ryan C. Kelm, MD
$8k - $12k (up to 50% off)
John Nia, MD
$12k - $18k

Mid Face Lift

(Add-on procedure) Dr. Chesnut’s scarless, minimally invasive midface lift restores the area below the eyelid through the cheek to the nose and mouth corner, where aging often causes sagging. He will determine candidacy during your consultation.
Ryan C. Kelm, MD
$8k - $14k
John Nia, MD
$12k - $20k

Lower Eyelid Retraction Correction

Lower eyelid retraction is most often caused by prior cosmetic surgery. Much of Dr. Chesnut’s practice focuses on revision procedures to restore lid function and a natural look. Because techniques vary by need, options are best reviewed during consultation.
Ryan C. Kelm, MD
$5k - $20k
John Nia, MD
$15k - $30k

Deep Plane Neck Lift & Contouring

Dr. Chesnut’s deep neck lift uses minimally invasive techniques to reshape the skin, muscle, fat, and glands for a refined contour. It often restores a more defined neck than patients recall and serves as the foundation for all neck procedures.
Ryan C. Kelm, MD
$20k - $25k
John Nia, MD
$24k - $35k

Invisible Access Jawline Lift

(Includes EnigmaLift Mid Face Lift) Dr. Chesnut’s Invisible Access EnigmaLift is a scarless deep-plane facelift performed through hidden incisions in the temporal hairline. Designed for younger patients, it lifts the midface, jawline, and jowls with subtle, natural support. Unlike thread lifts, it delivers durable results by elevating the anatomic fat pads.
Ryan C. Kelm, MD
$15k - $25k
John Nia, MD
$25k - $35k

Minimal Access Deep Plane Facelift

Best for moderate aging, this deep-plane “mini lift” offers more natural, durable results than traditional techniques, addressing current concerns while helping prevent future aging changes.
Ryan C. Kelm, MD
$20k - $25k
John Nia, MD
$24k - $35k

Deep Plane Facelift and Neck Lift

(Includes deep neck lift and contouring and buccal fat pad lifting, when indicated) Dr. Chesnut’s deep plane EnigmaLift delivers natural, long-lasting facial rejuvenation and serves as the foundation for advanced aging treatments. It is often combined with an EnigmaLift Brow Lift, Laser Cocktail, Stem Cell Rich Fat Transfer, or EnigmaLift Mid Face Lift.
Ryan C. Kelm, MD
$40k - $50k
John Nia, MD
$48k - $70k

LoveLift - Deep Plane Lip Lift

(Includes corner lift when necessary and filler removal when indicated) With age, the upper lip often elongates and flattens, a problem sometimes worsened by filler. Dr. Chesnut and Dr. Nia address lip aging with the LoveLift, a deep-plane technique that also corrects filler changes. When needed, the corner lift enhances the outer lip for a natural, lasting result.
Ryan C. Kelm, MD
$8k - $12k
John Nia, MD
$10k - $20k

Stem Cell Rich Fat Transfer

(Up to 50% reduction when added to surgical procedure) Dr. Chesnut is a leading innovator in fat transfer, emphasizing the regenerative power of stem cell–rich fat to restore lost volume. Often placed in multiple facial areas, this technique creates subtle, lasting, and harmonious rejuvenation.
Ryan C. Kelm, MD
$10k-$15k (up to 50% off)
John Nia, MD
$12k - $25k

Laser Cocktail

(Up to 50% reduction when added to surgical procedure) A hallmark of Dr. Chesnut’s results is his precise use of non-surgical laser adjuncts. Each Laser Cocktail is customized to improve skin quality and deliver natural, long-lasting results, further enhanced by regenerative medicine techniques.
Ryan C. Kelm, MD
$10k - $15k (up to 50% off)
John Nia, MD
$12k - $22k

Buccal Fat Pad Lift OR Reduction

(Includes buccal fat pad transfer when indicated) Dr. Chesnut and Dr. Nia’s scarless buccal fat pad lift preserves facial structure by lifting rather than simply removing fat. This minimally invasive procedure refines heavy or “chubby” lower cheeks, either by repositioning or reducing the buccal fat pad. When removal is needed, the fat can also be used for transfer to enhance other areas.
Ryan C. Kelm, MD
$5k - $10k
John Nia, MD
$10k - $20k

Earlobe Reduction

(Add on procedure) Correcting enlarged, stretched, or torn earlobes can be performed at the time of your facial rejuvenation procedure if indicated or desired.
Ryan C. Kelm, MD
$5k - $8k
John Nia, MD
$5k - $8k

Scar Treatment

Dr. Chesnut is widely known for his use in regenerative medicine within his surgical procedures, and his regenerative scar based treatment protocols achieve impressive outcomes and provide results where many other treatments have failed.
Ryan C. Kelm, MD
$6k - $12k
John Nia, MD
$8k - $15k

Follicular Unit Extraction (FUE) Hair Restoration

Dr. Chesnut’s FUE hair restoration offers precise, undetectable, and permanent results. Using hand-harvested and placed follicular units with regenerative medicine, Dr. Chesnut and Dr. Nia restore hair naturally and without scarring.
Ryan C. Kelm, MD
Starting at $5k (Priced Per Area)
John Nia, MD
Starting at $5k (Priced Per Area)

Ultrasound Guided Filler Dissolution

(Included with surgical procedures above, as indicated) Ultrasound-guided filler dissolution precisely targets problem areas, reducing filler burden with minimal hyaluronidase. It may be performed alone or included with surgery, and in some cases surgical filler removal is recommended. Dr. Chesnut will review your filler history during consultation.
Ryan C. Kelm, MD
$3.75k - $7.5k
John Nia, MD
$5k - $10k

Choosing Your Surgeon

Every procedure at Clinic 5C is defined by the same uncompromising standards of artistry and safety.

All of our surgeons personally review your photos, design your treatment plan, and guide your journey from first consultation through recovery.

Trained in advanced cosmetic techniques and mentored directly by Dr. Chesnut, Dr. Nia and Dr. Kelm share his philosophy of natural, refined results, combining medical expertise with a patient-first approach.

The pills that fell out of the blister pack

Ready to Get Started?

Free Photo Screening
Spokane Clinic (Main Floor)
510 S Cowley St
Spokane, WA 99202
Spokane Clinic (Downstairs)
511 S Pine St Suite A&D
Spokane, WA 99202
Phone: (509) 362-9937
Fax: (844) 961-3417
Liberty Lake Clinic
1334 N Whitman Ln, Suite 200
Liberty Lake, WA 99019
Phone: (509) 606-5310
Fax: (844) 927-4793
Coueur d’Alene Clinic
Opening Soon
Coeur d’Alene, ID 83814
We use cookies to improve your experience on our website. By clicking “Accept all’, you agree to the use of all cookies. More information