Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

By Dr. James Koehler, Cosmetic SurgeonMedicineHealth & FitnessArtsFashion & Beauty
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Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast episodes

  • What Chin Lipo Couldn’t Fix: Kirstin’s Deep Plane Neck Lift
    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:
    1. What is a deep neck lift?
    2. Deep neck lift vs. facelift — what's the difference?
    3. Why doesn't liposuction work on every double chin?
    4. How long is recovery from a deep neck lift?
    5. When can you go back to work after a deep neck lift?
    6. Does Kybella make a future facelift harder?
    7. How do you choose the right surgeon for a neck lift?
    8. Is it a red flag when a surgeon doesn't do facelifts?
    9. Why do some people have a fuller neck even at a healthy weight?
    10. 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.com

    Follow the team on Instagram @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    20 min
  • Things Nobody Tells You About Losing 240 Pounds
    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:
    1. What was it like growing up overweight as a kid?
    2. What was the wake-up call that started Rodney's weight loss journey?
    3. How did he actually lose 240 pounds?
    4. Why do so many people fail at keeping the weight off long term?
    5. What role did bulimia play early in his journey?
    6. What does sustainable weight loss actually look like day to day?
    7. What orthopedic issues came with extreme obesity, and how were they fixed?
    8. What surgeries did he have to remove excess skin after weight loss?
    9. How did skin removal surgery change how he sees himself?
    10. What advice does he have for anyone just starting their weight loss journey?
    Follow Rodney on Instagram @brodfit_21

    Read more about cosmetic surgery after weight loss

    Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner

    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 @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    22 min
  • How to Get Rid of Loose Thigh Skin After Weight Loss
    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 @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends

    20 min
  • The Best Cosmetic Procedures You’ve Never Heard Of
    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 @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    22 min
  • Think You Need a Tummy Tuck? You Might Need More
    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 loss

    Read more about tummy tuck

    Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner

    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 @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    24 min
  • Chin Implants vs. Chin Filler: What Actually Works Long-Term?
    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 augmentation

    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 @easternshorecosmeticsurgery

    Watch Dr. Koehler, Dr. Gardner & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    20 min
  • Why Today’s Hair Transplants Don’t Look Fake
    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 Restoration

    Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner

    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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    33 min
  • What’s In (and Out) for Body Cosmetic Surgery in 2026
    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 procedures

    Follow Dr. Vincent Gardner on Instagram @drvincentgardner and TikTok @drgardner

    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

    Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    15 min
  • What’s In (and Out) for Facial Cosmetic Surgery in 2026
    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 procedures

    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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    21 min
  • When Is the Best Time for Surgery and Why is it Winter?
    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 resources

    Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner

    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

    Theme music: Never Need a Reason, Guy Trevino and Friends
    12 min

About Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

From the publisher's feed

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…

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