# Vincent Gardner

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Unhappy After a Facelift? What a Revision Can (and Can't) Fix

The hardest consults in cosmetic surgery aren't the first-timers. They're the people sitting across from Dr. Koehler with someone else's incisions, someone else's result, and a question that's harder to answer than it sounds: did the surgery fail, or did the expectations?A lot of disappointment tra…

What Happens to Your Skin After GLP-1 Weight Loss

Drug companies want you on these injections for life. Dr. Vincent Gardner sees it differently — and if you’re planning cosmetic surgery on the other side of a major transformation, that distinction matters.The combinations walking into our office at Eastern Shore are wild now. Someone had a Roux-en…

What GLP-1 Weight Loss Does to Your Face (And How to Fix It)

We hear about the weight loss, the body changes, the transformation. What almost nobody mentions is what that same transformation does above the collarbone. Significant weight loss, whether from medication or lifestyle, can pull volume out of your cheeks, jawline, and neck and leave a face that loo…

2026 Trends: What’s Real and What’s Hype?

Filler migration is all over TikTok, biostimulators get sold as a “natural” alternative, and people are choosing a surgeon by follower count. Dr. James Koehler and Dr. Vincent Gardner react to it all in real time.Kirstin reads off the year’s biggest injectable and body claims and asks for gut react…

Where Did My Butt Go?

You did the work and the pounds are gone, but the skin didn’t disappear.Dr. Vincent Gardner walks through what a full body lift actually does after major weight loss: how a lower body lift combines a tummy tuck with a buttock lift and an auto-augmentation so you don’t end up flat, and how an upper …

Can You Really Get Rid of a Scar After Surgery?

There's no such thing as erasing a mark on your skin. The best a cosmetic surgeon can do is trade it for a thinner, flatter line placed where a waistband or bathing suit hides it — which is exactly what a tummy tuck does with an old vertical C-section scar.Dr. James Koehler and Kirstin Jarvis get i…

Body Lift: What Recovery Really Looks Like, Week by Week

Six months. That's about how long it takes for swelling to fully settle after one of cosmetic surgery's biggest transformations — and the first ten days feel entirely different from month six.Dr. Vincent Gardner walks through the day-by-day reality of a full body lift: soreness, three to four surgi…

Facelift: What Recovery Really Looks Like, Day by Day

Most people know what a facelift looks like on the outside. Almost nobody talks about the weeks in between — the swelling, the numbness, the moment a worried spouse finally exhales.Dr. James Koehler walks through the real timeline: the 24-hour dressing change, why he skips drains, when stitches com…

The First Signs of Capsular Contracture After Breast Implants

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…

Why Breast Reduction After Weight Loss Is Really a Breast Lift

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. Vincen…