Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast

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 bett...

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 p...

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 p...

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 reco...

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,...

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 proced...

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 du...

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...

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...

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 practi...

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 wo...

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...

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...

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...

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...

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 impl...

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 of...

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 "tot...

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...

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 works What to expect with scars Recovery time and what to...

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 c...

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 treatme...

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 import...

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 cosme...

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-...