General Information Episodes

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 ...

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 ...

A little extra TLC can make all the difference after cosmetic surgery. Dr. Koehler swears by lymphatic drainage massage for speeding up recovery after procedures like liposuction and tummy tucks. By helping move excess fluid to the lymph nodes, this gentle technique can cut down swelling, ease discomfort, and get you back on your feet faster. Find out when to start, how often to go, how to find a good specialist, and why DIY can sometimes do more harm than good. If you want the smoothest recov...

Even when your surgeon is amazing, your results depend on you doing your part too. Taking an active role in getting ready for surgery—and recovery—makes all the difference. Reading through your pre-op instruction booklet may not be the most exciting thing, but it can really help you know what to expect and what to do. You’re in charge of your recovery, so speak up if something feels off. There’s no such thing as a silly question! Dr. Koehler shares why he turns down smokers for surgery, why yo...

Is liposuction a weight loss fix? Do breast implants really need to be replaced every 10 years? Can you still breastfeed if you have breast implants? Dr. Koehler and Kirstin are here to clear up the top 10 cosmetic surgery myths and set the record straight on liposuction, breast implants, rhinoplasty, non-surgical treatments, and the risks. They tackle the stigma too, like the idea that cosmetic procedures are only for the rich or always lead to an overly “done” look. Alabama the Beautiful is...

People trust Dr. Koehler so much they’re willing to travel for surgery—and the peaceful, private vibe in Fairhope makes recovery even better. After more than a decade away from Tulsa, his Oklahoma patients still come back to him for expert care and a familiar face. If you're thinking about traveling for cosmetic surgery, planning ahead is key. That means locking in your accommodations and travel plans well before your surgery date. Dr. Koehler explains why having a support person is a must dur...

Dr. Koehler and Kirstin bust the most common myths about recovering from cosmetic surgery. If you’ve got surgery scaries, they’re here to calm your nerves, from setting realistic expectations to being totally ready for surgery. Recovery can be an emotional rollercoaster, but with the right support system around you, you'll breeze through it and come out looking better than ever. Find out what recovery timelines REALLY look like (and how to plan), how much bruising and swelling is normal (and w...

Nobody likes hearing “no” from their cosmetic surgeon, but sometimes it’s the best thing for them. In fact, a little tough love can lead to better results in the long run. Alabama cosmetic surgeon Dr. James Koehler knows that saying no isn’t always easy, but it’s an important part of responsible patient care. He explains why he sometimes turns down requests for cosmetic procedures, whether it’s due to health concerns, smoking, unrealistic expectations, or outside pressures. At the end of the d...