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.

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.

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.

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.