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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.

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Recent Episodes

Unhappy After a Facelift? What a Revision Can (and Can't) Fix
61
June 11, 2026

Unhappy After a Facelift? What a Revision Can (and Can't) Fix

The hardest consults in cosmetic surgery aren't the first-timers. They're the people sitting across from Dr. Koehler with someone else's incisions, someone else's result, and a question that's harder to answer than it sounds: did the surgery fail, or did the expectations? A lot of disappointment traces back to one misunderstanding. The word “facelift” doesn't mean “make me look younger.” It addresses the lower face and neck, with some improvement to the cheek. It doesn't lift the brow, fix the e
The Red Flags We Watch For in a Cosmetic Surgery Consultation
60
May 28, 2026

The Red Flags We Watch For in a Cosmetic Surgery Consultation

Picking the wrong provider for your procedure is a problem no one wants to fix. Before any of the technical details matter, cosmetic surgeon Dr. James Koehler and Dr. Vincent Gardner think the most important moment of your whole experience is the one most people rush through: sitting across from the surgeon for the first time and deciding whether to move forward. Surgeons are vetting you back. Dr. Koehler explains the questions running through his head: Is the decision yours, or is your spouse d
What Chin Lipo Couldn’t Fix: Kirstin’s Deep Plane Neck Lift
59
May 14, 2026

What Chin Lipo Couldn’t Fix: Kirstin’s Deep Plane Neck Lift

Some kinds of fullness under the jaw don't budge no matter how much weight you lose. The reason isn't the layer most people are looking at — it's the one a few millimeters deeper, where the muscles, glands, and deeper fat actually live. Kirstin had been bothered by her neck for years. She finally booked the procedure that fixed it — a deep neck lift — and came back to talk through what it actually involves. Dr. James Koehler walks through the deeper anatomy: contouring the digastric muscles, tri
Things Nobody Tells You About Losing 240 Pounds
58
April 30, 2026

Things Nobody Tells You About Losing 240 Pounds

Some people have one wake-up call. Rodney had three. Dr. Gardner sits down with Rodney, his patient who lost 240 pounds on his own before coming to Eastern Shore Cosmetic Surgery to have his excess skin removed. Rodney talks about growing up heavy,...
How to Get Rid of Loose Thigh Skin After Weight Loss
57
April 16, 2026

How to Get Rid of Loose Thigh Skin After Weight Loss

A thigh lift is one of those cosmetic surgeries that people don’t always hear about until they need it, but for the right person, it’s a game changer. Kirstin sits down with Alabama cosmetic surgeons Dr. James Koehler and Dr. Vincent Gardner to talk about who’s typically interested in a thigh lift and what the surgery involves. Dr. Gardner explains incision placement, recovery, scar care, and why there’s really no such thing as a “scarless” thigh lift. Get answers to common questions about cellu
The Best Cosmetic Procedures You’ve Never Heard Of
56
April 2, 2026

The Best Cosmetic Procedures You’ve Never Heard Of

Some of the most satisfying cosmetic procedures are the ones people rarely talk about. Kirstin brings Alabama cosmetic surgeons Dr. James Koehler and Dr. Vincent Gardner together to discuss a few of these underrated treatments, from MiraDry for...

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.

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