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 surg...

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 take...

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, ...

Loose skin on the upper arms is super common, especially after weight loss, and it can really make people feel self-conscious. The truth is, no amount of exercise can tighten loose skin. That’s where an arm lift comes in. Dr....

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 low...

Not all med spas are created equal. Dr. James Koehler and Kirstin walk through how to spot a safe, physician-run med spa versus those “too good to be true” spots. They explain the difference between traditional spas, medical ...

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 result...

The more pregnancies you have—or the bigger the baby—the more likely you are to develop diastasis recti, when the “six-pack” muscles drift apart. Instead of snapping back together, those muscles can leave a gap that affects b...

We’re excited to welcome Dr. Vincent Gardner to the Eastern Shore Cosmetic Surgery family. With more than 20 years of experience in both general and cosmetic surgery, he brings a unique blend of skill, compassion, and perspec...

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 ...

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 ...

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 ...

Since age 15, Rebekah had tried—and failed—at nearly every diet. After yo-yoing through almost every clothing size and coming dangerously close to a serious health crisis, she chose to undergo gastric bypass surgery, ultimate...

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 thes...

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 t...

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 my...

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 ...

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 surger...

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 bu...

The best way to avoid revision surgery is a solid game plan from the start, but sometimes revision is necessary. Dr. Koehler and Kirstin break down the ins and outs of revision surgery, from why patients change their minds to...

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...

Dr. James Koehler and Kirstin break down the myths vs. facts of GLP-1 weight loss meds. Are they the magic fix people think they are? What’s the difference between the two? And what really happens after the weight comes off? ...

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 technique...

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 ou...