
The Red Flags We Watch For in a Cosmetic Surgery Consultation
From Alabama The Beautiful: The Eastern Shore Cosmetic Surgery Podcast by Dr. James Koehler, Cosmetic Surgeon
May 28, 2026 · 26 min · Episode 60
About this episode
Dr. James Koehler and Dr. Vincent Gardner discuss the critical red flags to watch for during a cosmetic surgery consultation.
Picking the wrong provider for your procedure is a problem no one wants to fix. Before any of the technical details matter, cosmetic surgeon Dr. James Koehler and Dr. Vincent Gardner think the most important moment of your whole experience is the one most people rush through: sitting across from the surgeon for the first time and deciding whether to move forward. Surgeons are vetting you back. Dr. Koehler explains the questions running through his head: Is the decision yours, or is your spouse driving the conversation? Are your expectations grounded in your actual anatomy, or in someone else's before-and-after? Is something else going on — a recent loss, a sudden upheaval — that might mean this isn't the right time to make a permanent change? On your side, Dr. Gardner walks through what to vet for: real experience with the specific procedure you want, before-and-afters that look like you, post-op accessibility that doesn't drop off after the stitches come out, and an office-based facility that's accredited. Alabama's new rules now require accreditation for office-based surgery, but it's worth confirming. And if a quote comes back $10,000 below everyone else's, that's the kind of…
People in this episode
Host: Dr. James Koehler
Guest: Dr. Vincent Gardner
Topics covered
- cosmetic surgery
- consultation
- patient vetting
- surgeon expectations
- surgery accreditation
Keywords
- cosmetic surgery
- consultation
- surgeon
- accreditation
- revision policy
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