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 in

Request a consult for revision 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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 loss
• Do 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 program

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 liposuction

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 momentum
• The role AI might play in the future of cosmetic surgery
• How social media influences the decision to “get work done”
• The risks of traveling abroad for cheaper cosmetic surgery

Links

Read more about breast augmentation and liposuction

Read more about bioidentical hormone replacement therapy and our medical weight loss program

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

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 @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io