We’re breaking down what actually works when it comes to your skin!

In this episode of The Artist in the O.R., our Nurse Practitioner Mikayla and Skin Care Specialist Rebecca sit down for an honest, behind-the-scenes conversation about all things medical spa.

From Rebecca’s personal journey with acne to Mikayla’s perspective as an injector, they share how real-life skin experiences shape the way they treat patients today. Mikayla and Rebecca break down the treatments they offer, how to know what’s right for you, and why combination treatments often deliver the best results. You’ll also hear real patient stories, insights on bridal prep, and how skincare and injectables work together to create long-term results.

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.

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.

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.

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.

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.