Face Episodes

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...

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...

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, tr...

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...

Chin augmentation is one of the most overlooked ways to improve facial balance, and once you notice it, you can’t unsee it. Kirstin asks Dr. James Koehler and Dr. Vincent Gardner all the questions you probably don’t know to ask about chin augmentation. Dr. Koehler explains how chin implants can subtly sharpen the jawline, why fillers aren’t a long-term fix, and what today’s implant technology gets right. Learn how modern techniques create natural results that feel like your own within months. ...

New year, new predictions! Kirstin revisits Dr. James Koehler’s takes from last year to see which ones held up, then he and Dr. Vincent Gardner look ahead to 2026 and where facial cosmetic trends may be headed. Get their takes on the growing shift toward more natural results, filler fatigue, whether younger people should really be choosing surgery earlier, and why deep plane face lifts continue to be the gold standard for facial rejuvenation. They also talk about how AI is starting to show up ...

Thinking about cosmetic surgery? Winter might be the best time to do it. With fewer social plans, less sun exposure, and more downtime built in, recovery can be easier and more discreet during the colder months. Dr. Koehler, Dr. Gardner, and Kirstin explain why winter is such a great time for procedures, how planning ahead around holidays and travel makes a difference, and which surgeries tend to fit best this time of year. Hear their winter recovery recommendations, from compression garments ...

Rhinoplasty isn’t about picking a nose from Instagram—it’s about creating balance and preserving function unique to you. Dr. James Koehler explains that while many patients bring in celebrity photos for wish pics, real results depend on each person’s unique anatomy and structural limits. He and Kirstin break down common misconceptions, surgical techniques, and what recovery looks like. From open and closed techniques to newer preservation approaches, Dr. Koehler explains how he keeps results ...

Every year there’s a new “miracle” face lift with a catchy name. But a lot of these are just clever marketing spins on the same thing. Dr. Koehler and Kirstin sort through the alphabet soup of face lift techniques, from mini lifts that might work for a younger crowd to powerhouse options like the lateral SMASectomy and deep plane face lift. They cover which buzzword procedures to be cautious about, why the surgeon’s skill matters way more than the trademarked name, and the extra know-how it ta...

From sweat-stopping MiraDry to subtle tweaks like brow lifts, lip lifts, and chin augmentations, Dr. Koehler and Kirstin break down their favorite underrated procedures—who they’re best for, what recovery’s like, and why these low-key treatments can have a big impact. Here in the South, sleeveless season is long, but saggy arm skin can make people cover up. Arm lifts don’t get enough attention, but they can be game-changing for those with “bat wings,” especially since the gym won’t tighten loos...

Kris Jenner’s new face has everyone talking, and Dr. Koehler shares his opinion on the thoughtful combination of procedures behind her refreshed look. One of the biggest signs of aging? Hollows, bags and sags in the eyelids that make people say, “You look tired.” Eyelid surgery can fix that, and when done right, no one will even know. Combine it with other procedures, and the results are even better. A brow lift can open up the eyes, while fat removal and repositioning help smooth out puffines...

Dr. Koehler and Kirstin discuss the art of taking fat out with liposuction—and putting it right back in with fat transfer. From sculpting waists to plumping booties (and even rejuvenating hands), they break down the techniques, the aftercare, and what really happens to all that fat. Gone are the days of manually chiseling away with liposuction. Dr. Koehler now uses power-assisted technology for a smoother, more precise process. And once that fat is out, it’s not always just tossed; it can be pu...

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 ...

Kirstin gets Dr. Koehler’s “no nonsense” opinions on facial cosmetic surgery trends: - Neck lipo/chin lipo - Buccal fat removal - Fox eye lift Find out: - Does anyone actually benefit from neck liposuction? - Why do some people end up looking...

What does Dr. Koehler think of today’s injectable trends? Kirstin pokes the bear to find out his opinion on: SkinVive Non-surgical rhinoplasty Kybella PDO threads IV therapy pop-up clinics Find out: Is there any actual benefit to SkinVive? Is a non-surgical rhinoplasty more dangerous than an actual rhinoplasty? What’s alarming about Kybella? Why Dr. Koehler is an “anti thread lifter” Is IV therapy any better than… drinking water? Learn more about dermal fillers at Eastern Shore Cosmet...

Kirstin gets Dr. Koehler’s hot takes on the latest neuromodulator trends: - Baby Botox - Trap Tox Find out: - Should 20-somethings even be getting Botox? - Does zinc really make Botox last longer? - What is the point of Trap Tox exactly? ...

Kirstin talks Dr. Koehler into revealing which procedures he has had himself, and the unique reasons men might not seek cosmetic treatments as often as women. Most men want to look younger and more professional. Popular procedures include liposuction, male breast reduction to get rid of “man boobs,” and tummy tucks after weight loss. Eyelid surgery is also a favorite for tired eyes, and chin implants and rhinoplasty are a great combo for a more balanced face. When it comes to non-surgical trea...

Dr. Koehler and Kirstin get into the two most popular face lift techniques: the deep plane face lift and the SMAS face lift. Every face lift is customized—there's no one-size-fits-all approach. Dr. Koehler emphasizes that the goal is to achieve a natural look, and a surgeon's skill is crucial in making that happen. While individual results may vary, many people find that deep plane face lifts offer a faster recovery and more natural-looking results that last longer than SMAS face lifts. The l...

Turkey neck, sagging, jowling, and those pesky horizontal lines… the neck gives us so many things to complain about. Treatments like radiofrequency microneedling and CO2 laser resurfacing are great for boosting skin texture and tone, but they won't change the shape of your neck. Botox smooths out those neck bands, and fillers give your chin a bit more definition. But if you're dealing with more noticeable sagging, only surgery like a neck lift or lower face lift will give you more dramatic, lo...

To keep you looking fresh and reverse the "worn out" look, Dr. Koehler and Kirstin reveal the best options for your 60’s in this fourth and final episode of our mini-series on skin care throughout the decades. If you want serious improvements, Botox and filler are no longer going to cut it. Surgery can address deeper concerns for a more dramatic transformation. Keeping up with non-surgical treatments post-surgery is key for long-term results. In your 60s, it's all about replacing volume and re...

For people in their 50’s, here’s how to take action and avoid looking "old." Dr. Koehler and Kirstin share tips in this third episode of our mini-series on skin care throughout the decades. In your 50s, it's time to consider more aggressive rejuvenation treatments while still focusing on prevention, so keep your sunscreen and Retin-A handy. Botox and filler can still work wonders, but it's important to avoid going overboard. In this decade, skin resurfacing treatments can take care of wrinkles...

To slow down the effects of aging in your 40’s, Dr. Koehler and Kirstin reveal the must-have products and must-do treatments in the second episode of our mini-series on skin care throughout the decades. In your 40’s, it’s all about prevention and a little bit of reversal too. Forget the drugstore basics and start looking at Retin-A and medical grade skin care products. Get serious about microneedling and add lasers to your beauty plan for those deeper lines. Dr. Koehler dishes on the most comm...

In the first episode of our mini-series about taking care of your face throughout the decades, Dr. Koehler and Kirstin share tips for your 30’s to keep yourself looking young. Entering your 30’s calls for a solid anti-aging treatment plan you can stick to. Start with a nightly skin care ritual and don’t be out sun-worshiping with no SPF. How quickly our skin ages depends on lots of factors—some within our control, others not so much. Find out when it’s time to start getting Botox, fillers and ...

Eyelid surgery (the procedure that “fancy people” call blepharoplasty) is how we help fix dark circles and eye bags. The goal isn’t to make you look different, just less tired or old. Eyelid surgery techniques differ for men and women. Unless you’re going for a feminine look, you don't want to show much upper eyelid as a man. Dr. Koehler restores men’s eyes without throwing their masculinity out the window. For anyone thinking about eyelid surgery, Kirstin asks Dr. Koehler the important questi...