Breast Episodes

Kirstin pulls body surgery specialist Dr. Vincent Gardner, with Dr. James Koehler chiming in, to talk about how GLP-1 weight loss meds are reshaping cosmetic surgery going into 2026. Find out why weight loss is driving a surge in procedures like tummy tucks, 360 body lifts, arm lifts, and thigh lifts, and why the idea of a “GLP-1 makeover” may be the next big trend. Read more about body cosmetic procedures Follow Dr. Vincent Gardner on Instagram @drvincentgardner and TikTok @drgardner Alabama...

Where your implants go—above or below the muscle—actually makes a big difference. It can change how your breasts look and feel, and how you recover. Most people go under the muscle because it gives a more natural look and lowers the risk of capsular contracture. Dr. Koehler, Dr. Gardner and Kirstin explain how your body type, fitness level, and goals all play into what’s best for you. Above the muscle can work great for some athletes or people with enough natural tissue, but for most, under th...

Dr. Koehler and Kirstin demystify the decision-making process behind combining vs. staging breast lifts and augmentations. A breast lift (or as Dr. Koehler calls it, a “de-sagging” procedure) reshapes and lifts the breasts but doesn’t add fullness. That’s where implants come in. But here’s the catch: combining both procedures has a 25% revision rate. It’s one of the most complex breast surgeries, requiring precise alignment to get the best results. So, should you do both at once or stage them...

Predicting what will be hot in aesthetics in 2025, Dr. Koehler and Kirstin cover everything from the impact of weight loss medications to how social media is shaping the way we view body image and cosmetic procedures. Find out: Are weight loss medications here to stay in aesthetics? Could body contouring have its biggest year yet? Is wellness, like hormone therapy, still growing in cosmetic practices? Will liposuction and breast augmentation stay on top as the most popular procedures? Why ...

Women decide to remove their implants for all sorts of reasons—whether it’s personal choice, concerns about breast implant-associated illness, or just not wanting to deal with future replacements. In a lot of BII support groups, the term “en bloc” floats around incorrectly. It's actually a term used in cancer surgery. When surgeons like Dr. Koehler are taking out implants, they use the terms "total intact" or "partial" capsulectomy. Dr. Koehler and Kirstin cover: The latest updates on capsul...

If you're dealing with back pain, neck aches, or uncomfortable bra straps because of your breast size, breast reduction surgery can make a huge difference in your quality of life. It’s not just about making your breasts smaller—it’s about giving them a lift and getting rid of that extra weight. Dr. Koehler and Kirstin cover: How the surgery works What to expect with scars Recovery time and what to expect Adjusting your nipple and areola size How small you can go How to get it covered by ...

Sometimes breast implants need a little help within the first year, while others have implants for decades with no need to make a change. But trends and feelings change, and someday you might want to be smaller or larger, or just want them out completely. Dr. Koehler and Kirstin talk through the different types of breast revision surgeries available depending on your concerns. Find out what the two most common unplanned reasons for replacing implants are, and how to tell if these worrisome co...

The secret to great breast augmentation results is getting the right size and style of implant for your body. Kirstin asks Dr. Koehler the most common questions about breast augmentation and a few weird ones, including how big can you really go? What is the best incision location? Do I really have to have them replaced later? In this conversation about all the things women worry about before breast augmentation surgery, you’ll learn all there is to know from Dr. Koehler’s experience doing thou...

You can have the best results in the world, but being mentally and physically unprepared for recovery will affect your experience. Dr. Koehler and his team believe the more you know at the pre-op appointment about what to expect, the less anxiety and questions you’ll have later and the better the outcome. Compression isn't going to make or break your result, but it is helpful and speeds up your recovery. Find out what types of compression garments Dr. Koehler recommends as well as how often an...

No amount of exercise or diet can correct skin laxity and muscle separation. Although Dr. Koehler finds the term “mommy makeover” to be overused, it represents the surgical options designed to get the pre-kids body back. Most commonly, it’s the breasts and tummy. Some women just need a breast augmentation and tummy tuck, others need a breast lift with implants and tummy tuck, and others need it all: breast lift with implants, tummy tuck, liposuction, and fat transfer to the buttocks. And don’t...