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.

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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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.