5C in Coeur d'Alene: Cosmetics, Functional Medicine, and Regenerative Medicine Under One Roof
Most people assemble their care one appointment at a time. A cosmetic consultation in one office. Bloodwork and a functional medicine plan somewhere across town. A joint injection at a third practice that has never seen either set of records. Each provider does good work inside their own walls, and no one is looking at the whole picture.
5C was built to close that gap. Surgical and non-surgical cosmetics, functional medicine, and regenerative medicine operate as one practice, in one building, in Coeur d'Alene, Idaho - with providers who talk to each other about the same patient.
What is 5C?
5C is an integrative medical practice in Coeur d'Alene, Idaho. The practice combines four service lines under a single roof: surgical cosmetics, non-surgical cosmetics, functional medicine, and regenerative medicine. 5C operates one location, and all care is delivered there.
The name comes from the five "codes" the practice is built on - the Heart of Service, the Culture of Integrity, the Goals of Growth, the Spirit of Innovation, and the Mindset of the Next Level.
Where is 5C located?
5C is located at 1831 N. Lakewood Drive, Ste 1, Coeur d'Alene, Idaho 83814. The clinic phone number is (208) 215-7199.
The building sits just off Interstate 90 inCoeur d'Alene, roughly 35 minutes from downtown Spokane and 45 minutes from Spokane International Airport (GEG). Parking is available on site at no charge.
Hours of Operation: 8:00am - 4:00pm
What services does 5C offer?
5C offers four categories of care:
Surgical Cosmetics
Two surgeons practice at 5C, each with a distinct focus.
Dr. Cameron Chesnut performs facial surgery centered on preserving and restoring facial structure rather than altering it. He founded 5C and hosts The 5 Codes Podcast, where he works through the evidence behind facial surgery techniques, including the places he disagrees with his own field. Most of his surgical patients travel to Coeur d'Alene from outside the region.
Dr. Ryan C. Kelm is a dual fellowship-trained cosmetic surgeon and dermatologist who completed cosmetic dermatologic surgery fellowships at Massachusetts General Hospital / Harvard Medical School and at 5C. His work joins facial cosmetic surgery to the tissue side of facial aesthetics like laser resurfacing, skin health, and longevity-focused treatment. He is a published researcher whose work spans cellular senescence, skin aging, and the science of energy-based devices.
Both surgeons build pre- and post-procedure optimization plans that draw on the practice's regenerative and functional medicine programs. Which surgeon fits depends on what you're trying to accomplish, and sorting that out is what the consultation is for.
Non-Surgical Cosmetics
Non-surgical cosmetics covers what can be done for the face and skin without an operation. That includes injectables, laser resurfacing, microneedling, and light-based treatments, applied to concerns like under-eye hollowing, acne scarring, uneven tone, and skin laxity.
For some patients this is the whole plan. For others it's the layer that surrounds surgical work, like preparing the skin beforehand and maintaining the result afterward. Because both surgeons and the aesthetics team practice in the same building, that sequencing gets decided together rather than reconstructed after the fact.
The distinction we try to be clear about: non-surgical treatment changes the quality of the tissue. Surgery changes its position. Knowing which one your concern actually calls for is the difference between a result that satisfies you and one that doesn't, and it's a conversation worth having before you book anything.
Functional Medicine
Functional medicine at 5C is a root-cause approach to how the body's systems are actually working, like hormones, metabolism, gut health, sleep, and the long arc of healthspan. Rather than treating a symptom in isolation, the program starts with comprehensive lab work and builds a plan that gets revisited as the numbers move.
The program includes hormone optimization and hormone replacement therapy, cardiometabolic evaluation, gut health protocols, nutritional coaching, epigenetic and advanced diagnostic testing, and sleep and travel optimization for patients whose schedules work against them. Membership options are available for patients who want ongoing testing and access rather than episodic visits.
Regenerative Medicine
Regenerative medicine addresses pain and mobility without surgery, using treatments that prompt the body's own repair response. The program is led by Dr. Christopher Meadows, Medical Director of Regenerative Medicine, who is dual board-certified in Physical Medicine & Rehabilitation and Electrodiagnostic Medicine.
Treatment centers on platelet-rich plasma (PRP) and platelet-rich fibrin (PRF), used for joint pain, arthritis, tendon and ligament injury, and recovery support, along with ultrasound-guided injection procedures for precise placement.
Patients range from people managing arthritis that has quietly reduced what they do in a week, to athletes and high performers looking to recover faster and stay in training. The same tools support recovery after cosmetic surgery, which is part of why the program sits in the same building as the operating rooms.
Why does having all four in one building matter?
All four service lines live under one roof because the concerns overlap more than the specialties do.
A patient considering facial surgery is also a patient whose healing depends on their metabolic health, their sleep, their inflammatory load, and their nutritional status. A patient managing chronic fatigue through functional medicine is often the same patient whose knee has kept them from exercising for two years. When those conversations happen in separate buildings, nobody connects them.
At 5C they happen in the same chart. A surgical patient can have their labs reviewed by the functional medicine team before a procedure is scheduled. A regenerative medicine patient can be evaluated for the metabolic factors slowing their recovery. The plan accounts for the whole person because the people building it are down the hall from each other.
That is the practical difference between a clinic that offers several services and a practice designed around one.
Who are the providers at 5C?
Dr. Cameron Chesnut, MD — Founder; facial plastic surgery. Dr. Chesnut earned his medical degree with honors from the University of Washington School of Medicine and completed residency and advanced fellowship training at UCLA, where he served as Chief Resident. He directs the cosmetic surgery fellowship at 5C, holds a clinical faculty appointment at the University of Washington School of Medicine, and hosts The 5 Codes Podcast.
Dr. Ryan C. Kelm, MD — Dual fellowship-trained cosmetic surgeon and dermatologist. Dr. Kelm completed cosmetic dermatologic surgery fellowships at Massachusetts General Hospital / Harvard Medical School and at 5C, following dermatology residency at Rush University Medical Center. His focus spans facial cosmetic surgery, laser resurfacing, skin health, and longevity, and he is a published researcher on cellular senescence, skin aging, and energy-based devices.
Dr. Christopher Meadows, MD — Medical Director of Regenerative Medicine. Dr. Meadows is dual board-certified in Physical Medicine & Rehabilitation and Electrodiagnostic Medicine and serves as Clinical Assistant Professor at the WSU Elson S. Floyd College of Medicine.
Leah Streich, PA-C — Co-Founder of 5C Functional Medicine. Leah trained as both a physician assistant and a registered dietitian, with more than 15 years in patient care and advanced functional medicine training through the Institute for Functional Medicine. Her work centers on root-cause medicine, nutrition, hormone health, and perimenopause support.
Aubree Chesnut, PA-C — Non-surgical cosmetics. Aubree brings a refined, science-backed approach to neuromodulators and skin rejuvenation; one that honors your biology, preserves your expression, and delivers results that feel like you.
Desiree Barclift, PA-C — Non-surgical cosmetics. A North Idaho native who came to aesthetic medicine from clinical research and family practice, Desiree focuses on neuromodulators, laser skin rejuvenation and CO2 resurfacing, IPL photofacials, and PRP hair restoration. She holds a Master's in Physician Assistant Studies from the University of Washington MEDEX Northwest program.
Does 5C accept insurance?
5C is a cash-pay practice and does not bill insurance. Pricing is discussed openly during the consultation process so patients know what to expect before committing to a plan.
Operating outside insurance is what makes the appointment lengths, the lab depth, and the coordination between service lines possible. Visit structure is set by what the care requires rather than by billing codes.
Where do out-of-town cosmetic surgery patients stay?
5C owns three Cosmetic Retreat Homes located about five minutes from the clinic, available to surgical patients traveling from out of the area. Staying nearby simplifies pre-operative appointments, post-operative checks, and the early recovery period without the logistics of a hotel.
Nearly all of our surgical patients at 5C travel to Coeur d'Alene, from all across the globe.
How do I become a patient at 5C?
Every patient starts with a consultation. You can reach the clinic at (208) 215-7199 or submit an inquiry through the relevant contact form for the service line you're interested in: functional medicine, regenerative medicine, non-surgical cosmetics, or surgical cosmetics. A member of the team will follow up to discuss your goals and what a first visit would involve.
If you're not sure which service line fits, call and describe what you're dealing with. Sorting that out is part of our job!