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101 Old Short Hills Road Ste 510
West Orange, New Jersey 07052


ASAPS 2016

Posted on: April 22nd, 2016
By: drspiro

ASAPS (American Society of Aesthetic Plastic Surgery) 2016

I was honored to be chosen as a speaker for the full day instructional course on cosmetic breast implant and lifting surgery.  It was an international panel composed of eleven world leaders in combination breast lifting and implants.  This nearly 11 hour symposium was extremely well attended as it was actually scheduled for the day before the National/International meeting (American Society of Aesthetic Plastic Surgery, ASAPS) officially got underway.

It was especially nice to see how well my talk was received.  I had numerous plastic surgeons coming up to me telling me how amazed they were at my outcomes, and wanting more information, even asking if they could fly into town to watch me do surgery!  Additionally, the symposium chairperson has told me that the post meeting comments were overwhelming with many plastic surgeons very impressed with my techniques and outcomes.  I showed many videos of my surgical techniques and shared 34 cases of before and after which brought down the house.

My combination approach to superior aesthetic outcomes with breast lifting and implants, and revision of previous breast implant surgery resonated with the sophisticated and experienced audience for its artistry and technical merit.

I will continue to bring the same strategy to all future patients here at Spiro Plastic Surgery.

Have you heard of “Insta-Breast”?

Posted on: December 10th, 2015
By: drspiro

In response to the concept of “Insta-Breast”, this is a phrase used referring to the temporary increase in breast size using saline injections directly into the breast. These injections can potentially increase the breast up to two cup sizes but only last twenty four hours. It is a procedure that can be performed in the office under local and topical anesthetic and can be accomplished in 30-60 minutes. It may be helpful for women who want to “try out” breast enhancement before actual implant augmentation or who just want a temporary enhancement for an occasion.

There are risk however; hematoma (bleeding) and infection must be considered by potential patients.

Nipple Tattooing

Posted on: November 24th, 2015
By: drspiro

There has recently been a lot of press about certain tattoo artists who are all of a sudden seemingly specializing in 3D tattooing of a nipple and areola in breast reconstruction. This is nothing new to me or our practice as I have been doing this for nearly twenty years. As an accomplished artist, it was a natural marriage of sorts between art and surgery of sorts. I have done thousands of nipple reconstructions for post mastectomy patients with a fairly unique technique I developed in the 1990’s. (it can be seen on our YouTube channel at Spiro Plastic Surgery). I have done the tattooing personally into most of those nipples I reconstructed over the years. There is a subset of women who just don’t want a formal nipple reconstruction procedure, so for these women I do 3D tattooing. I use only approved medical grade, natural pigments (nonmetals) and often blend or use a variety of colors (sometimes up to 5 per patient) to get a real Trompe-l’oeil look! Check out my YouTube video documenting me doing nipple tattooing- you’ll love it!

Which Is Your Favorite Piece of Artwork by Dr. Spiro?

Posted on: November 19th, 2015
By: drspiro

Which Is Your Favorite Piece of Artwork by Dr. Spiro?

Dr. Spiro was a noted artist for many years.  He has illustrated journal articles, chapters in books, pamphlets for patients resource information, and has an extensive portfolio of fine art in several mediums.  You may have while in the office seen copies of many of his works in oil, graphite, and photography.   Which is your favorite?

#1 - Over Four Seasons Budapest

#1 – Over Four Seasons Budapest

#2 - Another in the series of up-perspective – Budapest: A Bridge Life

#2 – Another in the series of up-perspective – Budapest: A Bridge Life

#3 - Man wearing Ed Hardy - The Hemlock Building

#3 – Man wearing Ed Hardy – The Hemlock Building

#4 - Strawberry Shortcake

#4 – Strawberry Shortcake






#5 – It’s Showtime

#6 – Bygone Days

#7 – East River Journey

#8 – Dizzing Heights

#9 – Mr Chicago

#10 – An O’Keefe Tribute

#11 – Lonely Bucket

#12 – Fall Harvest










#13 – Problem With Lights

#14 – Piece 1, Budapest Crossings – Bridge Life – The Sentinel

#14 – Piece 2, Budapest Crossings – Bridge Life – The Sentinel

#14 – Piece 3, Budapest Crossings – Bridge Life – The Sentinel

Permanent Make-up

Posted on: November 18th, 2015
By: drspiro

Is permanent make-up (tattooing) a procedure you would consider? If yes, which area would you be most interested in?

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Venus, Jupiter, and Mars in the palm of your hand

Posted on: November 2nd, 2015
By: drspiro

If you are fortunate enough to be outside in the predawn hours these days you should make sure you stop for a moment and take advantage of a truly special event which you can see in the eastern sky on a cloudless night. This time of year ( late September to early November) when the sun rises later and later and the nights are more often clear and with low humidity you can see celestial objects with enhanced intensity. In particular, the planets Venus, Jupiter, and Mars are in such rare visual proximity to each other that you could cover them with the palm of your outstretched hand. Venus, ( the second brightest object in the night sky – second only to the moon ) has been particularly bright since September. Over the last several weeks Jupiter and most recently Mars, have been getting closer and closer to Venus, making it all a unique and special sight. Venus and Jupiter shine quite white in color which actually makes seeing the pale red color of Mars easier. Mars to the lower left, Jupiter to the upper left in late October , and Venus to the top right is how they can be seen about 30 degrees up from the horizon.

I recommend that everyone just take a moment of their time and step outside and look up in the eastern predawn sky. Behold this peaceful and tranquil sight that you might miss if you are in a rush. Stop for just a moment and contemplate your existence, the proximity of these planets that brings them into view and yet all the while the vastness of the cosmos. Take stock in who you are and your position in this place and time. In solitude and peace outside in the crisp predawn hours, take a moment to think about how fortunate you are to be presented such a gift to view on display each and every night, before it turns to day—before the hustle and bustle of your day diffuses out the light of this peaceful and tranquil display. Take a deep breath and look for 30 seconds longer— I’ll bet it centers and grounds you in peace and helps to make your day…

That’s my daily meditation…peace and tranquility to all

Dr Spiro

Making Strides Against Breast Cancer

Posted on: October 19th, 2015
By: drspiro

Sunday, October 18, 2015, I along with many of my office staff participated in the “Making Strides Against Breast Cancer” walk sponsored by the American Cancer Society, which took place in Parsippany, NJ. Our Spiro Plastic Surgery Team was joined by many former and present patients and their families. There seemed to be thousands of people overall walking. It was a cold, but beautiful day and truly uplifting in spirit! Thanks to all who joined us! Looking forward to next year!

Why is cellulite so hard to treat?

Posted on: October 15th, 2015
By: drspiro

Before we talk treatment, we have to discuss what cellulite exactly is. Cellulite is the visualized interaction of gravity’s influence, affect and consequences on the interactions between skin, underlying connective tissue attachments, and deeper tissues of fat, muscle and fascia.

The fewer (looser) the connective tissue (fibrous) attachments the looser the cellulite. The longer, lower and larger the column of tissue (thighs) the greater the chance for cellulite.

Genetics and age influence greatly the propensity for (or lack thereof) cellulite. Thin skin and fatty tissue show it far worse. Thick skin with little fat and good attachments rarely show cellulite.

The treatments therefore focus on diminishing the variables that can be addressed. Lifting tissues and/or tightening (tummy tuck, body lift, thigh lift, and arm lift) serve to reduce or eliminate cellulite. Reduction of fat volume can aide in reducing cellulite; liposuction and Coolsculpting can both achieve this to varying degrees.

In conclusion, there is no panacea, no magic bullet, no simple solution, but improvements are achievable.

I Love My Doctor

Posted on: June 19th, 2015
By: drspiro

On Wednesday evening, June 17, 2015, St. Barnabas hosted a tribute event called “I Love My Doctor”. The event paid tribute to both patients who recognized their physicians’ outstanding efforts and the physicians themselves.

The response of my patients was overwhelming and greatly appreciated. The hospital placed enlarged copies of patient letters around the entrance to the hospital. I went around and read each and every one. The messages were heart felt and inspiring to me.

While most physicians who were recognized had one, two, or three letters submitted on their behalf, I had twenty! The power of the written word (especially blown up in size) left me speechless.

Two of my patients actually came to celebrate and the hospital administrator read one of my patients’ letters out loud.

Thanks to everyone who took the time to recognize my efforts. I truly try my hardest for you!

If it sounds too good to be true, then it probably is…

Posted on: May 15th, 2015
By: drspiro

Fat Grafting for Breast Augmentation

Have you noticed that there is less banter about fat grafting to the breast as the sole way of doing breast augmentation? It’s because like everything else in life, at the beginning there is an irrational exuberance and overzealousness for something new. We want it to work. It sounds great. Just place fat into the breast to make it bigger and eliminate the need for implants. We use fat grafting for so many other applications, why shouldn’t it be the same. Buttocks, faces, hands, post mastectomy reconstruction to name a few. But the female breast is an active immunosurveillance gland area and is not tolerant to receiving fat. The actual proper anatomic space to place fat in small breasts, is itself, quite small.


The process is fraught with asymmetry, cyst formation, loss of volume and worst of all micro cysts, calcifications and lumps which may make breast cancer surveillance more challenging in the fat grafted breast patients.

So efforts to make things simpler, by using fat instead of implants, it actually makes it far more complex. Augmentation with implants is a relatively safe and simple way to enhance breast size. The risks are minimal. Fat grafting carries significantly way more variability and unfortunately sounds better than it actually is!

Promises to fill the needs of our patients who are seeking non-surgical facial & body regenerative skin care.