The Artist in the O.R.

Understanding the Deep Plane High SMAS Facelift

In this episode of Artist in the O.R., Dr. Scott Spiro breaks down what the Deep Plane High SMAS facelift actually means and why working beneath the surface of the face can produce more natural, lasting results. From explaining why faces age the way they do to walking through the deeper layers surgeons address during a facelift, the conversation focuses on the anatomy and surgical thinking behind modern facial rejuvenation. Dr. Spiro also discusses when the face and neck should be treated together, how facial fat grafting can restore volume, and how non-surgical treatments can help maintain results over time. This episode is ideal for patients seeking a clearer understanding of facelift techniques and the thoughtful planning that goes into achieving natural-looking facial rejuvenation.

Behind the Scenes: The Preparation Behind Every Surgery

What really happens behind the scenes before a surgical procedure?
In Episode 9 of The Artist in the O.R., Dr. Scott A. Spiro takes you inside a typical day as a board-certified plastic surgeon and discusses the preparation and teamwork that patients don’t always see. From reviewing patient charts at home the night before to revealing the roles inside a high functioning OR, Dr. Spiro explains why preparation is one of the most critical components of achieving the best surgical outcomes
If you’re considering cosmetic surgery or curious about what goes on behind the scenes, this episode offers an in-depth look at the process.

Mommy Makeover Explained

A mommy makeover is often talked about online, but rarely explained with clarity.
In this episode of Artist in the O.R., Dr. Scott Spiro breaks down what a mommy makeover truly involves and who it’s designed for. From defining rectus diastasis and understanding the difference between a mini and full tummy tuck, to when liposuction alone may or may not be enough - this conversation walks through the anatomy, planning, and decision-making behind one of the most requested body contouring procedures.
Dr. Spiro also explains how breast surgery fits into a mommy makeover, how long patients should wait after pregnancy, what recovery realistically looks like, and which factors influence surgical planning and cost. The episode concludes with rapid-fire questions on pain control, scarring, and timelines, giving listeners a comprehensive, grounded understanding of the process.
This episode is ideal for patients seeking honest guidance, realistic expectations, and expert insight into how mommy makeovers are customized to restore strength, contour, and confidence after pregnancy.

Second Chances: Mastering Implant Breast Cosmetic & Reconstructive Surgery

Breast revision surgery is rarely simple, and it’s never one-size-fits-all.
In this episode of Artist in the O.R., Dr. Scott Spiro sits down with RN Gina for an open, thoughtful conversation about what makes breast implant revision and reconstructive surgery fundamentally different from a first-time procedure. From implant malposition and capsular contracture to size dissatisfaction, bottoming out, and complications following prior lifts, they break down why revision cases require deeper planning, advanced techniques, and experienced surgical judgment.
This episode is for patients seeking clarity, reassurance, and expert insight into what’s possible when revision surgery is done thoughtfully, deliberately, and with long-term outcomes in mind.

Debunking Modern Plastic Surgery Myths & Terms

Plastic surgery terminology has changed fast, largely driven by social media and TikTok trends. In this episode, Dr. Spiro and RN Gina break down the most common buzzwords patients bring into the office and explain what they actually mean in real surgical practice. They discuss terms like mini facelifts, mini tummy tucks, snatched jawlines, internal bras, Barbie makeovers, and why these labels can be misleading when it comes to outcomes, longevity, and patient expectations.
If you’ve ever wondered whether a procedure is right for you or if a viral trend actually translates to safe, lasting results, this conversation offers clarity from a surgeon and nurse who see these misconceptions every day.
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The Artist Behind the Surgeon: How Art Shapes Dr. Spiro’s Vision

Long before the operating room, Dr. Scott Spiro was an artist.
In this episode, Dr. Spiro takes listeners inside the creative foundation that has shaped his entire life and surgical career. He traces his artistic journey from studying art alongside pre-med, to early inspirations like photographer Berenice Abbott and the book Lost New York, which taught him the power of perspective, contrast, and seeing familiar structures in unexpected ways.
Dr. Spiro walks through key bodies of his work - paintings and drawings that explore architecture, bridges, reflections, light, and extreme perspective. From watercolor cityscapes in Budapest and Amsterdam to oil paintings that bend light across glass, water, and steel, he explains how mundane subjects become captivating when perspective is pushed and light is manipulated.
He revisits deeply personal pieces, including pencil drawings created over 40 years ago as an art major, pop art inspired by his daughter that launched his gallery representation, and oil portraits of his son painted during a trip to Chicago. The episode also explores his acclaimed Reflections series, graphite and silvered graphite works, and his fascination with “up perspective” as a way to ground scale, structure, and human presence.
The conversation culminates with Dr. Spiro’s invitation to Art Basel Miami in 2018, where he was commissioned to paint a massive mural honoring the human body: an intersection of beauty, strength, anatomy, and artistic vision that mirrors his work as a plastic surgeon.
This episode offers rare insight into how an artist’s eye informs surgical judgment, aesthetic balance, and the pursuit of natural, timeless results revealing why art and surgery have never been separate worlds for Dr. Spiro.

Botox, Done Right: Expert Injection Strategy, Safety, and Natural Results

Botox is one of the most powerful tools in aesthetic medicine, but only when it’s done correctly.
In this episode, board-certified plastic surgeon Dr. Scott Spiro sits down with Nurse Practitioner Mikayla to break down the science, artistry, and safety behind modern Botox and injectable treatments. Together, they explain how expert injectors evaluate facial movement, muscle balance, and anatomy to soften lines while preserving natural expression.
The conversation covers far more than forehead wrinkles. You’ll learn how Botox can be used to treat neck bands, gummy smiles, excessive sweating (hyperhidrosis), and brow positioning along with when injectables are the right solution and when surgery may be the better long-term option.
Dr. Spiro and Mikayla also address growing concerns around DIY Botox and social-media injection trends, explaining why purchasing injectables online and following TikTok “maps” can lead to serious complications. They discuss microdosing techniques for the brows, Botox for men, and why the idea of a “frozen face” is outdated when injections are performed with precision and restraint.
Whether you’re considering injectables or simply want to understand what separates expert-level treatment from everything else, this episode delivers clear education, honest myth-busting, and medically sound guidance.

Inside the Practice: An Artistic Tour of Dr. Spiro’s Office

In this episode, board-certified plastic surgeon Dr. Scott Spiro takes you on a guided tour of his newly remodeled practice. An immersive space designed with the same precision, creativity, and attention to detail that define his surgeries.
Whether you’re a prospective patient or simply fascinated by the fusion of medicine and creativity, this episode gives you an insider’s view into the space where thousands of life-changing transformations begin from museum-level artwork hand painted by Dr. Spiro himself to cutting edge modalities built for transformative results.

Inside a Full Face & Neck Lift: Patient Testimonial with Dr. Spiro

What does a truly natural, rejuvenating facelift look like? One that turns back the clock 20–30 years without ever changing who you are.
In this episode, board-certified plastic surgeon Dr. Scott Spiro sits down with his recent face and neck lift patient to unpack her full journey: the motivation behind seeking surgery, the decision to trust Dr. Spiro, her operative experience, and her remarkably smooth recovery.
Filmed 3 months after her procedure, this conversation illustrates how advanced multi-layer facelift techniques work together to create a natural, youthful, yet completely authentic result.
You’ll hear firsthand how friends and family told her she looks like her high-school self, and how restoring harmony, balance, and structural support can change not only appearance, but confidence, energy, and presence.
Dr. Spiro breaks down: how multiple advanced procedures can be performed safely in a single setting, what patients can expect at 1 week, 1 month, and 3 months, and the artistry behind facial aging, contour, and proportion.
Whether you’re considering facial rejuvenation or want to understand what separates elite facelift surgery from everything else, this episode offers an honest, educational, and technically rich look inside the process.

Intro Episode

After nearly three decades and tens of thousands of surgeries, Dr. Scott Spiro shares what truly happens behind the scenes of plastic surgery, from advanced facelift techniques to cutting-edge breast reconstruction and personalized skincare. In this introductory episode, Dr. Spiro explains why he's launching this podcast, what makes his perspective unique, and what you can expect from upcoming episodes featuring expert guests, real patient topics, and honest, myth-busting conversations.