Episodes

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, ultimately losing an astonishing 205 pounds. While she was left with significant excess skin—an issue she insists is much more than just a “vanity thing”—Rebekah found Dr. Koehler and underwent a breast lift along with a belt lipectomy to tighten her midsection. Rebekah shares how...

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...

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...

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...

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 the unique challenges that come with do-overs. Find out what leads women to swap or remove their breast implants, why revision surgeries can be riskier than the first procedure, the limits of surgical reversibility, and the unique challenges certain scars can present. Le...

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...

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 clears up common misconceptions, tells us what side effects to expect (and how to handle them), and explains why a cosmetic surgery office might just be the best place to get these meds. Spoiler: We help patients reach a healthier weight first—then fine-tune th...

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 makes Dr. Koehler sound like a grumpy old man by asking for his unfiltered opinions on trending body cosmetic surgeries: Awake lipo Going to Turkey for surgery Rib removal High-definition liposuction Fat transfer to breasts Find out: Can you get as good of a result with awake lipo as you can under general anesthesia? Is awake lipo really worth saving a little bit of money? Dr. Koehler’s word of caution if you plan on traveling for cosmetic surgery Why are people removing their r...

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...

Find out if Dr. Koehler gives a thumbs up or a side-eye to popular fat & cellulite treatments: - Cellulite devices - CoolSculpting Find out: - Do cellulite treatments actually work? - How much fat can you actually get rid of with...

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...

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...

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...

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 ...

We get it – talking about money can be uncomfortable. Cosmetic procedures are elective, so insurance doesn’t cover them, but we offer flexible financing options to help you achieve your dream look today. We partner with companies like CareCredit and CareFund to help you spread out the cost. Using her expertise in all things cosmetic surgery pricing and financing, Kirstin addresses all your money concerns: How to ask for costs and payment options before your consultation Why we don’t charge a...

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...