Episodes

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...

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...

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...

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...

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...

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...

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?...

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...

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...

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...

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...

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”...

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...

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...

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...

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...

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...

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...

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...

To slow down the effects of aging in your 40’s, Dr. Koehler and Kirstin reveal the must-have products and must-do treatments in the second episode of our mini-series on skin care throughout the decades.  In your 40’s, it’s all about prevention and a...

In the first episode of our mini-series about taking care of your face throughout the decades, Dr. Koehler and Kirstin share tips for your 30’s to keep yourself looking young. Entering your 30’s calls for a solid anti-aging treatment plan you can...

Sometimes breast implants need a little help within the first year, while others have implants for decades with no need to make a change.  But trends and feelings change, and someday you might want to be smaller or larger, or just want them out...

The secret to great breast augmentation results is getting the right size and style of implant for your body.  Kirstin asks Dr. Koehler the most common questions about breast augmentation and a few weird ones, including how big can you really go?...

Losing weight and looking great feels amazing, but for some people there’s loose skin hanging around that won’t go away on its own. When this happens, there’s a range of non-surgical and surgical approaches to solve the problem, including a tummy...