Alabama The Beautiful

Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.

Recent Episodes

68
Sept. 17, 2026

Facelift: What Recovery Really Looks Like, Day by Day

Most people know what a facelift looks like on the outside. Almost nobody talks about the weeks in between — the swelling, the numbness, the moment a worried spouse finally exhales. Dr. James Koehler walks through the real timeline: the 24-hour dressing change, why he skips drains, when stitches come out, and how long bruising actually takes to settle. The most counterintuitive part might be the six-week mark. Many people look camera-ready by then, but the last of the swelling under the chin d
67
Sept. 3, 2026

Body Lift: What Recovery Really Looks Like, Week by Week

Six months. That's about how long it takes for swelling to fully settle after one of cosmetic surgery's biggest transformations — and the first ten days feel entirely different from month six. Dr. Vincent Gardner walks through the day-by-day reality of a full body lift: soreness, three to four surgical drains, and a new non-narcotic pain protocol that's changing how people get through the first week. He and Dr. James Koehler cover the parts nobody warns you about — where swelling pools in unex
66
Aug. 20, 2026

Can You Really Get Rid of a Scar After Surgery?

There's no such thing as erasing a mark on your skin. The best a cosmetic surgeon can do is trade it for a thinner, flatter line placed where a waistband or bathing suit hides it — which is exactly what a tummy tuck does with an old vertical C-section scar. Dr. James Koehler and Kirstin Jarvis get into the honest gap between removing a scar and improving one, and why every operation leaves a mark no matter how skilled the hands that made it. For a cosmetic surgeon, where that line sits and how
65
Aug. 6, 2026

Where Did My Butt Go?

You did the work and the pounds are gone, but the skin didn’t disappear. Dr. Vincent Gardner walks through what a full body lift actually does after major weight loss: how a lower body lift combines a tummy tuck with a buttock lift and an...
64
July 23, 2026

2026 Trends: What’s Real and What’s Hype?

Filler migration is all over TikTok, biostimulators get sold as a “natural” alternative, and people are choosing a surgeon by follower count. Dr. James Koehler and Dr. Vincent Gardner react to it all in real time. Kirstin reads off the year’s biggest injectable and body claims and asks for gut reactions. The doctors sort what holds up from what doesn’t: why less filler is winning, why “natural” biostimulators are still just filler with a better publicist, and what a lip flip can and can’t actual
63
July 9, 2026

What GLP-1 Weight Loss Does to Your Face (And How to Fix It)

We hear about the weight loss, the body changes, the transformation. What almost nobody mentions is what that same transformation does above the collarbone. Significant weight loss, whether from medication or lifestyle, can pull volume out of your cheeks, jawline, and neck and leave a face that looks years — sometimes a decade — older than the body it's attached to. Dr. Koehler explains why a fuller face actually reads as younger, especially in people over 50, and why "Ozempic face" isn't real

About the Hosts

James Koehler, MD Profile Photo
James Koehler, MD

Alabama Cosmetic Surgeon

James Koehler, MD is a board certified cosmetic surgeon with an impressive list of academic and professional achievements. Women and men from all over the South and across the country seek him for the aesthetic results he delivers and the stellar experience he and his team are known for. His patients love him for his charm and warm sense of humor, and when you meet him, it is abundantly clear how he has the best interests of each patient near his heart.

After ten years caring for patients in Tulsa, Dr. Koehler had the opportunity in 2014 to take over the practice of a respected plastic surgeon in Fairhope, Alabama. Happy to return to his home state after decades away, he ventured forward to continue specializing in cosmetic surgery of the face, breast, and body.

Today, every patient who walks into Dr. Koehler’s practice can see that he and his team genuinely enjoy what they do. Their philosophy is to treat patients as they’d want themselves or their family members to be treated.

Kirstin Jarvis Profile Photo
Kirstin Jarvis

Co-Host & Practice Manager

A veteran in the field of women’s health, Kirstin Jarvis has a strong passion for helping people feel and look their best. As the practice manager, she is dedicated to making sure every person who walks through the doors of Eastern Shore Cosmetic Surgery has a warm and positive experience. Kirstin was born and raised in a small farm town in Ohio and now lives in Fairhope with her husband and three children, where they spend most of their time at the ball fields or snorkeling, diving, and fishing in the Gulf.

Vincent Gardner, MD Profile Photo
Vincent Gardner, MD

Alabama Cosmetic Surgeon

With more than 20 years of experience in both general and cosmetic surgery, Dr. Vincent Gardner brings a unique blend of skill, compassion, and perspective to our team.

Earlier in his career, Dr. Gardner cared for many patients who had undergone bariatric surgery. Witnessing how excess skin often affected their confidence is what sparked his interest in cosmetic surgery. He’s passionate about helping people reach that “reveal moment” where they can finally see and feel the results of their hard work.

In addition to his cosmetic focus, Dr. Gardner has spent more than two decades treating venous disorders. His minimally invasive vein procedures restore comfort, energy, and confidence—helping patients feel like themselves again.

Faith also plays a meaningful role in his approach. Dr. Gardner often prays with patients, supporting healing in both body and spirit.