Épisodes

  • Why Today’s Hair Transplants Don’t Look Fake

    Why Today’s Hair Transplants Don’t Look Fake
    Feb 19 2026
    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
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    33 min
  • What’s In (and Out) for Body Cosmetic Surgery in 2026

    What’s In (and Out) for Body Cosmetic Surgery in 2026
    Jan 29 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
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    15 min
  • What’s In (and Out) for Facial Cosmetic Surgery in 2026

    What’s In (and Out) for Facial Cosmetic Surgery in 2026
    Jan 15 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
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    20 min
  • When Is the Best Time for Surgery and Why is it Winter?

    When Is the Best Time for Surgery and Why is it Winter?
    Jan 8 2026
    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
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    12 min
  • Exercise Won’t Fix Those Bat Wings! How Arm Lift Surgery Works

    Exercise Won’t Fix Those Bat Wings! How Arm Lift Surgery Works
    Dec 18 2025
    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 surgery

    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
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    17 min
  • Above or Below the Muscle? The Truth About Breast Implant Placement

    Above or Below the Muscle? The Truth About Breast Implant Placement
    Dec 4 2025
    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 augmentation

    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
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    18 min
  • Beware of “Bargain Botox” and Sketchy Med Spas

    Beware of “Bargain Botox” and Sketchy Med Spas
    Nov 13 2025
    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 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

    Theme music: Never Need a Reason, Guy Trevino and Friends
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    10 min
  • Rhinoplasty Myths We Wish You’d Stop Believing

    Rhinoplasty Myths We Wish You’d Stop Believing
    Oct 30 2025
    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 rhinoplasty

    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
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    20 min