DiscoverAlabama The Beautiful: The Eastern Shore Cosmetic Surgery PodcastAfter Losing 200+ Pounds, Cosmetic Surgery is More Than a “Vanity Thing”
After Losing 200+ Pounds, Cosmetic Surgery is More Than a “Vanity Thing”

After Losing 200+ Pounds, Cosmetic Surgery is More Than a “Vanity Thing”

Update: 2025-07-31
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Since age 15, Rebekah had tried—and failed—at nearly every diet. After yo-yoing through almost every clothing size and coming dangerously close to a serious health crisis, she chose to undergo gastric bypass surgery, ultimately losing an astonishing 205 pounds.

While she was left with significant excess skin—an issue she insists is much more than just a “vanity thing”—Rebekah found Dr. Koehler and underwent a breast lift along with a belt lipectomy to tighten her midsection.

Rebekah shares how she discovered Dr. Koehler and what her consultation, surgery day, and recovery entailed. Beyond the physical transformation and surgical process, she describes how her mindset has changed in her smaller body and offers crucial advice for anyone considering surgery after weight loss.

See Rebekah’s before and after photos

Learn more about cosmetic surgery after weight loss

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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After Losing 200+ Pounds, Cosmetic Surgery is More Than a “Vanity Thing”

After Losing 200+ Pounds, Cosmetic Surgery is More Than a “Vanity Thing”

Dr. James Koehler, Cosmetic Surgeon