Cover of Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

By: Dr. James Koehler Cosmetic Surgeon
Listen for free

Season's Savings | 0.99 €/month for 3 months

5.99 €/month thereafter - terms apply. Cancel monthly.
Summary
 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.With Dr. Koehler and Dr. Gardner's unique expertise in cosmetic surgery and medical aesthetics, each episode is a deep dive into a face, breast or body plastic surgery procedure or hot topic. From the first cosmetic surgery consultation to the days, months, and years beyond, no question goes unanswered. Have a question for Dr. Koehler, Dr. Gardner and Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.Located in Fairhope, Alabama on the beautiful Eastern Shore, cosmetic surgeon Dr. James Koehler and his team are dedicated to delivering the very best patient experiences and results. Learn why Eastern Shore Cosmetic Surgery Center one of the leading cosmetic surgery providers for men and women near Fairhope, Alabama and throughout the Mobile-Pensacola area at easternshoreplasticsurgery.com.Your HostsJames Koehler, MD - Dr. James Koehler is a board-certified cosmetic surgeon with an impressive list of academic and professional achievements. From breast augmentation and tummy tuck to face lift and eyelid surgery, women and men from all over the South and across the country seek Dr. Koehler for the aesthetic results he delivers and the stellar experience he and his team are known for.His patients love him for his charm and warm sense of humor, and when you meet him, it is abundantly clear how he has the best interests of each patient near his heart. Supporting him, Dr. Koehler’s staff goes above and beyond to create an exceptional experience for every patient, no matter how big or small the concern.Dr. Koehler first became interested in a surgical career during a general practice residency at the University of Washington in Seattle. During his training at Harborview Medical Center, he found he was armed with the skilled hands and keen eye for detail required for the technical demands of surgery.After completing a general surgery internship, Dr. Koehler further pursued his interests in maxillofacial surgery at the University of Alabama. He then completed a facial cosmetic surgery fellowship under the guidance of Dr. Peter Waite, a past president of the American Academy of Cosmetic Surgery.He later continued his training and completed two years of Fellowship in full body cosmetic surgery in Tulsa, Oklahoma. After caring for patients in Tulsa from 2006 to 2014, Dr. Koehler had the opportunity to take over the plastic surgery practice of a respected plastic surgeon in Fairhope, Alabama. Happy to return to his home state after decades away, he ventured forward to continue specializing in cosmetic surgery of the face, breast, and body. Dr. James KoehlerBoard Certified by the American Board of Cosmetic Surgery in facial and body cosmetic surgeryTrustee for the American Board of Cosmetic SurgeryServed as the Chairman for fellowship training for the American Academy of Cosmetic Surgery and has trained numerous cosmetic surgeonsServed on the admissions committee at the Alabama School of Medicine, where he shared his knowledge and experience with residents and studentsServed as a Board examiner for the American Board of Cosmetic Surgery and was the Committee Chairman responsible for formatting the maintenance of certification examHas been co-director for a number of live surgical workshops and has lectured on numerous topics on cosmetic surgery both nationally and internationallyNominated in 2018 for the Stellar Patient Experience Award at the MyFaceMyBody Global Aesthetic Award in Beverly Hills, CaliforniaActive staff at Thomas Medical Center, Infirmary Health in Fairhope, Alabama and currently serves on the surgery steering committeeVincent Gardner, MD - With more than 20 years of experience in both general and cosmetic surgery, Dr. Vincent Gardner 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.Kirstin Jarvis, Co-HostAs the practice manager at Eastern Shore Cosmetic Surgery, Kirstin ensures smooth office operations and provides...The Axis Art Hygiene & Healthy Living Physical Illness & Disease
Episodes
  • What Tummy Tuck Recovery Really Looks Like, Week by Week

    What Tummy Tuck Recovery Really Looks Like, Week by Week
    29 Oct 2026
    Some people are back on Zoom calls a week after, and others are still walking hunched over in week three. Dr. Vincent Gardner explains why both are normal, and what actually happens from the moment you wake up until six months out.He covers why drains go in and when they come out, why standing up straight feels like it will pop your stitches (it won't), and how compression and scar tape work together as a one-two punch for healing. Kirstin adds what nobody warns you about: numb abs, the relief of trading the binder for a faja, and the spitting suture that feels like a zit.The six-week rule is about protecting the muscle repair, not the skin. Dr. Gardner also explains when you can drive (practice slamming the brakes first), why your fajas should come from two different brands, what real lymphatic massage feels like, and why the last bit of swelling can hang around for six months.Read more about tummy tuck.

    Questions answered by this episode:
    1. How long is tummy tuck recovery?
    2. When do tummy tuck drains come out?
    3. Why do you walk hunched over after a tummy tuck?
    4. How long do you wear compression after a tummy tuck?
    5. When can I drive after a tummy tuck?
    6. How soon can I go back to work after a tummy tuck?
    7. When can I lift my kids after a tummy tuck?
    8. Does lymphatic massage help swelling after a tummy tuck?
    9. What is a spitting suture after a tummy tuck?
    10. When does the numbness go away after a tummy tuck?
    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
    Show more Show less
    35 min
  • Why Breast Reduction After Weight Loss Is Really a Breast Lift

    Why Breast Reduction After Weight Loss Is Really a Breast Lift
    15 Oct 2026
    A 19-year-old with back pain and a woman who lost 100 pounds might hear the same surgery recommendation, but their needs are completely different and so are their surgical procedures. One needs tissue taken away, and the other needs shape, skin removal, and often a little volume put back.Dr. Vincent Gardner explains why one surgery is more like a breast lift, and why waiting until a 2nd surgery for breast implants gives a more accurate size, and what changes when skin has been stretched by 80 to 100 pounds or more. Find out how close to your goal weight you need to be for breast reduction surgery, how much protein it truly takes to heal well, and why relaxed skin sometimes needs a small revision down the road. Read more about breast reduction: https://www.easternshoreplasticsurgery.com/breast/breast-reduction/

    Questions answered by this episode:
    1. Is a breast reduction the same as a breast lift?
    2. Do I need a breast reduction or a lift after losing 100 pounds?
    3. Will I need an implant after a breast lift or reduction?
    4. Should a breast lift and implant be done at the same time or staged?
    5. How stable does my weight need to be before breast surgery after weight loss?
    6. Does breast skin quality differ after gastric bypass, GLP-1s, or diet and exercise?
    7. What is the fat roll between the breast and the back, and can liposuction fix it?
    8. Are breast surgery scars longer after massive weight loss?
    9. Can I combine a breast lift with an arm lift or tummy tuck?
    10. What happens if the T junction opens up after a breast 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
    Show more Show less
    21 min
  • The First Signs of Capsular Contracture After Breast Implants

    The First Signs of Capsular Contracture After Breast Implants
    1 Oct 2026
    Months or years after surgery, one side can suddenly feel firmer than the other, and most women assume they did something wrong.Dr. James Koehler and Dr. Vincent Gardner walk through what a mild case actually feels like, how it's graded on the Baker scale, and why some cases never get noticed until something changes years later.The leading theory is a "slime layer" of bacteria that settles on the implant and triggers chronic inflammation, which is part of why implants are more often placed under the muscle today.Treatment carries its own risk of recurrence, so Dr. Koehler explains how an acellular dermal matrix like Strattice dramatically improves the odds of it not coming back — plus what rupture, rippling and bottoming out look like, and why the "replace your implants every 10 years" rule isn't quite true.Read more about capsular contracture treatment: easternshoreplasticsurgery.com/breast/breast-implant-revision/capsular-contracture-revision

    Questions answered by this episode:
    1. What does capsular contracture feel like when it's just starting?
    2. How much firmness is normal after breast augmentation?
    3. What causes capsular contracture?
    4. What is the "slime layer" theory of capsular contracture?
    5. What are the Baker grades of capsular contracture?
    6. When should capsular contracture be treated?
    7. Does a capsulectomy fix capsular contracture for good?
    8. What is Strattice and how does it help prevent recurrence?
    9. How can you tell if a silicone implant has ruptured?
    10. Do breast implants really need to be replaced every 10 years?
    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
    Show more Show less
    27 min
adbl_web_anon_alc_button_suppression_t1
No reviews yet