Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

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, trimming the deeper fat pads, and shaving down the submandibular glands when they're hanging too low.He also explains why a less experienced surgeon would have offered her liposuction, and why the wrong procedure can leave you with 20 percent of the result you'd get from the right one. Dr. Vincent Gardner joins to cover recovery — Kirstin was back at work three days after surgery, and her bruising was gone in four days with Dermacut.They also talk about why some "minimally invasive" alternatives — Kybella and Sculptra in particular — can quietly sabotage a future facelift by creating scarring that a surgeon later has to work around. If you've ever wondered why no amount of weight loss seems to change the shape of your neck, this one tells you why — and what to look for when you're choosing a surgeon to do something about it.Read more about neck lift surgery at Eastern Shore Cosmetic Surgery.Questions answered by this episode:What is a deep neck lift?Deep neck lift vs. facelift — what's the difference?Why doesn't liposuction work on every double chin?How long is recovery from a deep neck lift?When can you go back to work after a deep neck lift?Does Kybella make a future facelift harder?How do you choose the right surgeon for a neck lift?Is it a red flag when a surgeon doesn't do facelifts?Why do some people have a fuller neck even at a healthy weight?How long until you see final results from a deep neck lift?Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama. To learn more about the practice or ask a question, go to easternshoreplasticsurgery.comFollow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

Some people have one wake-up call. Rodney had three.Dr. Gardner sits down with Rodney, his patient who lost 240 pounds on his own before coming to Eastern Shore Cosmetic Surgery to have his excess skin removed. Rodney talks about growing up heavy, the three near-death experiences that changed everything, and why sustainable results come from building habits you actually enjoy, not chasing a fast fix.He's honest about the body dysmorphia that follows major weight loss and what it felt like to finally see himself without the extra skin. Hear his advice to anyone still at the beginning of their weight loss journey. Questions answered by this episode:What was it like growing up overweight as a kid?What was the wake-up call that started Rodney's weight loss journey?How did he actually lose 240 pounds?Why do so many people fail at keeping the weight off long term?What role did bulimia play early in his journey?What does sustainable weight loss actually look like day to day?What orthopedic issues came with extreme obesity, and how were they fixed?What surgeries did he have to remove excess skin after weight loss?How did skin removal surgery change how he sees himself?What advice does he have for anyone just starting their weight loss journey?Follow Rodney on Instagram @brodfit_21Read more about cosmetic surgery after weight lossFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

A thigh lift is one of those cosmetic surgeries that people don’t always hear about until they need it, but for the right person, it’s a game changer.Kirstin sits down with Alabama cosmetic surgeons Dr. James Koehler and Dr. Vincent Gardner to talk about who’s typically interested in a thigh lift and what the surgery involves. Dr. Gardner explains incision placement, recovery, scar care, and why there’s really no such thing as a “scarless” thigh lift. Get answers to common questions about cellulite and swelling, and find out what you should know before considering this procedure.Read more about thigh lift surgery Questions answered by this episode:What is a thigh lift—and who actually needs one?Am I a good candidate after weight loss?What are the different types of thigh lifts?Where will my scars be… and how bad are they?Can a thigh lift get rid of cellulite?What is recovery really like?How long does swelling last—and how do you reduce it?Can you combine a thigh lift with liposuction or other procedures?Are non-surgical options actually worth it?Is a “scarless thigh lift” real or just marketing?Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 excessive sweating to lip lifts, ear surgery, and cheek implants. Find out what these procedures do, who they’re best for, and why they deliver such high patient satisfaction. Dr. Koehler explains when cheek filler makes sense, when surgery may be the better long-term solution, and why sometimes the smallest change can make the biggest difference.Read more about cheek augmentation, lip augmentation and ear pinning and learn more about MiraDry.Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

Losing the weight is a big deal, but figuring out what comes next is a little confusing.Kirstin asks Dr. James Koehler and Dr. Vincent Gardner the questions everyone has about post weight loss surgery.Hear the difference between tummy tuck and body lift, what recovery feels like, and how GLP-1 weight loss medications are reshaping outcomes. They talk honestly about expectations, scars, and the mental shift that comes with post weight loss body contouring.Read more about cosmetic surgery after weight lossRead more about tummy tuckFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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.He also walks through recovery, common myths, and what usually surprises people most after surgery.Read more about chin augmentationAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

Hair restoration surgery has come a long way, and today’s results can look incredibly natural when the right technique and patient come together. Dr. Koehler, Dr. Gardner, and Kirstin explain how NeoGraft and follicular unit extraction (FUE) have changed the game, and why most people choose these methods over older strip techniques.Find out who’s a good fit for hair restoration surgery, what the procedure and recovery are like, and why managing expectations matters just as much as the surgery itself. Plus, get the truth on common myths about hair transplants, the importance of post-op care, and how you can camouflage your recovery if you don’t want anyone to know about it.Learn more about NeoGraft Hair RestorationFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 proceduresFollow Dr. Vincent Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 in patient education and virtual care and why nothing can replace a surgeon’s trained eye, experience, and human judgment when it comes to great results.Learn more about face lift and other facial cosmetic proceduresAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 and realistic timelines to why protein, simple foods, and cozy indoor rest matter more than people think.If you’re trying to time your surgery so you can heal well and be summer-ready, this is your rundown of what to consider before you book.Check out our out-of-town patient resourcesFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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. Koehler, Dr. Gardner, and Kirstin explain how the procedure removes extra skin and reshapes the arms for a smoother, more toned look.They clarify that while there are non-surgical skin tightening options, they’re best for mild cases. If there’s a lot of extra skin, surgery is the only way to truly see a big change.Recovery takes a little patience—there’s swelling, and you’ll need to avoid lifting your arms too much at first—but results are long-lasting as long as your weight stays stable.Most people say it’s totally worth it for the confidence boost, especially those who’ve worked hard to lose weight. It’s not a “shrink wrap” fix, and scars are part of the tradeoff, but for many, the payoff is life-changing.Read more about arm lift surgeryFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 the muscle just makes sense.They also clear up a few myths, like needing new implants every 10 years, and talk honestly about complications like animation deformity and capsular contracture.Bottom line: there’s no one “right” answer. Have an open chat with a surgeon you trust, listen to your body, and make the choice that fits your lifestyle.Read more about breast augmentationFollow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 spas, and those connected to surgical practices—where you benefit from having both non-surgical and surgical options under one roof. Dr. Koehler also shares what really goes on behind the scenes, from safety regulations to who should be doing your injections.And when it comes to bargain Botox? He’s seen what can go wrong. His advice: if the price sounds too good to be true, it probably is.Read more about the medical spa at Eastern Shore Cosmetic SurgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 looking natural while helping you breathe and heal better. He also touches on fillers for nose reshaping, sharing why they can be risky and why surgery is usually the safer, more lasting option.Read more about rhinoplastyAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 both strength and appearance.A tummy tuck often includes repairing these muscles by bringing them back to the midline. This step is key to restoring strength, stability, and a flatter abdominal contour.Dr. James Koehler and Dr. Vincent Gardner discuss what causes diastasis recti, why repair is important, and what recovery looks like after a tummy tuck. They also stress the importance of maintaining results with healthy weight management.Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerLearn more about tummy tuckAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 perspective to our team.Earlier in his career, Dr. Gardner cared for many patients who had undergone bariatric surgery. Witnessing how excess skin often affected their confidence is what sparked his interest in cosmetic surgery. He’s passionate about helping people reach that “reveal moment” where they can finally see and feel the results of their hard work.In addition to his cosmetic focus, Dr. Gardner has spent more than two decades treating venous disorders. His minimally invasive vein procedures restore comfort, energy, and confidence—helping patients feel like themselves again.Faith also plays a meaningful role in his approach. Dr. Gardner often prays with patients, supporting healing in both body and spirit.Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardnerAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 recovery and the best results, this just might be your secret weapon.Read more about tummy tuck and liposuctionAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 takes to get great results for men versus women.If you’re wondering what’s real and what’s just branding, this one’s worth a listen.Read more about face lift surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 you’ll need to pause the tequila shots for a while, and why it’s so important to be honest about any supplements or medications you’re taking.You’ll also learn what surgical drains actually do and how to take care of them, why your surgeon’s advice matters more than what you saw on Instagram, and how to set yourself up for a smoother surgery and a better recovery.Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 she discovered Dr. Koehler and what her consultation, surgery day, and recovery entailed. Beyond the physical transformation and surgical process, she describes how her mindset has changed in her smaller body and offers crucial advice for anyone considering surgery after weight loss.See Rebekah’s before and after photosLearn more about cosmetic surgery after weight lossAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 loose skin.Ear pinning isn’t just for kids. Dr. Koehler shares how people of all ages react when they see their new, more balanced ears.If you’re after shape over size, the Skinny BBL is all about subtle contouring rather than dramatic curves.Through it all, Dr. Koehler explains how he finds that sweet spot between taking care of your concerns and delivering a natural-looking result.Read more about arm liftRead more about brow liftRead more about otoplastyRead more about chin surgeryRead more about MiraDryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 puffiness and hollows for a more balanced look.Sometimes fat is gently taken from the abdomen and placed under the eyes to restore volume. A CO2 laser can then tighten and brighten the skin for a final touch.Dr. Koehler explains how the eyes change with age, why filler doesn’t mix well with eyelid surgery, and whether men are as bothered by tired eyes as women.Read more about eyelid surgery, facial fat grafting and brow liftRead more about Kris Jenner’s new face liftAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 during recovery, why traveling too soon after surgery is a bad idea, and why flexible return flights are a smart move.He also shares his go-to tips for navigating Fairhope, like local amenities and transportation, to help make your surgery and recovery as smooth and stress-free as possible.View our out-of-town patient resourcesAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 when to worry), and what’s actually scary and what’s just part of the process. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 separately? What are the pros and cons? Who’s a good candidate for each approach? Dr. Koehler tailors his recommendations based on your anatomy and goals—but he won’t budge when it comes to patient safety.Find out why some people must stage their procedures, no if’s, and’s or but’s about it, the risks of combining a lift and augmentation, and how long you need to wait between surgeries.Read more about breast augmentation and breast liftAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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.Learn about breast implant revision, a procedure Dr. Koehler specializes inRequest a consult for revision surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 day, good surgeons think beyond the here and now. Dr. Koehler is all about long-term patient safety and well-being, even if that means passing up a procedure (and a paycheck!).Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 things with the right procedures for the best results.Find out:What's the difference between semaglutide and tirzepatide?How fast do people typically see results?Surprise perks of GLP-1s beyond weight lossDo these injections hurt? And what if you hate needles?Are you losing muscle too? How do you keep your gains?Once you hit your goal, what’s the maintenance plan?Learn more about our medical weight loss programAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 put to work, whether that’s adding volume to the right places or restoring a youthful touch.Find out:Where are we typically removing fat from? How much fat can you remove in one go? Is lipo a weight loss solution or just a reshaping tool? What is 360 lipo aside from a great marketing term? How is high definition liposuction different from traditional lipo? What is Renuvion? When is CoolSculpting actually an option? Why isn’t fat transfer the go-to for breast augmentation? How much of the transferred fat actually sticks around? What makes facial fat transfer different from body contouring? What is nanofat? What’s the recovery process really like? How long does it take to see your new body shape? Read more about liposuctionAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 breast implant removal continues to gain momentumThe role AI might play in the future of cosmetic surgeryHow social media influences the decision to “get work done”The risks of traveling abroad for cheaper cosmetic surgeryLinksRead more about breast augmentation and liposuctionRead more about bioidentical hormone replacement therapy and our medical weight loss programAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

Kirstin makes Dr. Koehler sound like a grumpy old man by asking for his unfiltered opinions on trending body cosmetic surgeries:Awake lipoGoing to Turkey for surgeryRib removalHigh-definition liposuctionFat transfer to breastsFind 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 surgeryWhy are people removing their ribs?What happens to HD lipo results if you don’t maintain them?How much fat actually sticks around when transferred to the breasts?Learn more about liposuction at Eastern Shore Cosmetic Surgery in Fairhope, Alabama. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 like Skeletor after buccal fat removal? Why the fox eye lift is a no-no Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 CoolSculpting? Learn more about CoolSculpting at Eastern Shore Cosmetic Surgery in Fairhope, Alabama. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 Cosmetic Surgery in Fairhope, Alabama. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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? Learn more about Botox at Eastern Shore Cosmetic Surgery in Fairhope, Alabama. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 treatments, men love Bro-tox, laser hair removal, and MiraDry for excessive sweating.Dr. Koehler and Kirstin cover:How recovery is different for menUnique challenges when treating men with procedures like Botox or liposuctionWhat HD lipo is and why it’s gaining popularityWhat causes gynecomastia and how it’s treatedThe key difference between tummy tucks for men and womenRead more about male breast reduction, chin augmentation, and liposuctionAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 longevity of results depends on factors like your age and skin, but ideally, you’ll look better in ten years than if you hadn’t had the surgery!Dr. Koehler and Kirstin also cover:How face lifts have evolved over the years since the skin-only days (yikes)How we work around beards for incisionsScar locations for each techniqueWhat exactly deep plane meansThe meaning of SMAS (it’s not just a random acronym)Why people (including Dr. Koehler) love the deep plane technique so muchRead more about deep plane face liftAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 capsulectomy terminologyWhat "en bloc" really means and who it’s meant forHow breast implant removal recovery can differ from person to personWhy you shouldn’t depend solely on social media or anecdotal experiences when deciding to remove your implantsWhat the current research says about diagnosing and treating breast implant-associated illnessWhy it’s important to be prepared for changes in your appearance after explant surgeryWhat anaplastic large cell lymphoma (ALCL) is and how it’s treatedBreast implant safetyRead more about breast implant revisionAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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, longer-lasting results. Dr. Koehler and Kirstin dive into:Why non-surgical solutions that sound too good to be true might not be all they’re cracked up to beRecovery times for isolated neck lifts vs. full face and neck liftsWhy choosing a skilled surgeon mattersWhat causes neck sagging and how to prevent itWhy neck lipo may not be the best optionRead more about neck lift surgery. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 worksWhat to expect with scarsRecovery time and what to expectAdjusting your nipple and areola sizeHow small you can goHow to get it covered by insurance Read more about breast reduction surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 consultationWhy we don’t charge a consultation feeSteps to apply for financingThe credit score you need to be approvedHow much of your total surgery fee will be approvedWhat to do if you're declinedLearn more about cosmetic surgery financing at ESCSAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 repositioning sagging skin. Find out the best treatments for wrinkles, volume loss, sun damage, and skin laxity.Learn how fat transfer works and the advantages of fat over filler, why you shouldn’t waste your money on thread lifts, and the top procedures for men that offer hidden incisions and a quick recovery.Shop our skin care storeRead more about laser treatments and RF microneedlingRead more about face lift, neck lift, fat grafting, and eyelid surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 and skin quality, but a face and neck lift is your best bet for those jowls and neck bands.Find out what Dr. Koehler’s 50-something patients worry about most and how to tackle those concerns.Shop our skin care storeRead more about injectablesRead more about laser treatmentsRead more about face lift, neck lift and eyelid surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

Mary Emma Pitman, CRNP leads our bioidentical hormone replacement therapy program at Eastern Shore Cosmetic Surgery. Taking the time to understand everything from your sleep habits to your stress triggers, Mary Emma dives deep with comprehensive lab tests in order to create a personalized hormone replacement plan that’ll have you on your way to feeling amazing. Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

We don’t just want to look young, we want to feel young, too. Hormone replacement can improve quality of life for both women and men by tackling issues like brain fog, fatigue, low libido, and anxiety.Mary Emma Pitman, CRNP is our in-house hormone replacement therapy specialist. She’s all about getting to know you and customizing a treatment plan that fits your unique symptoms, not one-size-fits-all solutions.Aging is inevitable, but suffering through it doesn’t have to be. Find out how to tell if you’re experiencing symptoms that may be related to your hormones, and what to expect when you visit Mary Emma for help.Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 common complaints he hears from 40-something patients and which treatments tackle them best. It might seem like changes such as volume loss are popping up left and right at this age, but don’t overdo the filler. Find out when fat is the better option. Find out the two most common areas aging hits hardest in your 40’s and the best surgical solutions.Shop our skin care storeRead more about injectablesLearn more about SkinPen microneedling and Vivace RF microneedlingRead more about laser treatmentsRead more about neck lift and eyelid surgeryAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 microneedling and which areas we treat with them.And what about cosmetic surgery? Find out if anything surgical should be on your radar in your 30’s.Read more about injectablesLearn more about SkinPen microneedling and Vivace RF microneedlingAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis:theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 complications might be happening to you.Read more about breast implant revisionRead more about treatment for capsular contractureAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast. Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgeryAnd on TikTok @jameskoehlermdWatch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMDAlabama The Beautiful is a production of The Axis: theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends

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 thousands of surgeries. Read more about breast augmentationAlabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.Have a question for Dr. Koehler or Kirstin? Record your voicemail at https://alabamathebeautifulpodcast.com/ and we’ll answer it on the podcast.Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.To learn more about the practice or ask a question, go to https://www.easternshoreplasticsurgery.com/Follow Dr. Koehler and the team on InstagramAnd on TikTokWatch Dr. Koehler & Kirstin on YouTubeAlabama The Beautiful is a production of The AxisTheme music: Never Need a Reason, Guy Trevino and Friends