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

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Monthly Archives: August 2013


I have decided to share with my blog readers some of the kind words my patients have had about their experiences with me. So each week for the next nine weeks you will get to read the reflections of former patients. Their words will reveal a lot about me to you.

Dear Dr. Spiro:

A year ago, I chose you to perform my breast reconstruction, after I was diagnosed with cancer.

Today…I wanted to take a moment and share with you and your excellent staff my sincere gratitude for all you have done for me.

I am very pleased to have found you as my plastic surgeon and I’m very happy with the results of my breast reconstruction. I feel great about myself now.

You performed a wonderful job on me and are an example of what the practice of medicine and patient care should be.

You have my gratitude and respect in ways I cannot possibly put words to. So…I say humbly, thank you Dr. Spiro: You are the BEST!


 Read Last Weeks Testimonial Here…

Patient Testimonials

I have decided to share with my blog readers some of the kind words my patients have had about their experiences with me. So each week for the next nine weeks you will get to read the reflections of former patients. Their words will reveal a lot about me to you.

March 2013

Dr. Scott Spiro,

I started to write a testimonial many times and never really knew where to begin. However, after today’s checkup, thirteen moths after the seven hour procedure (which included a breast lift, tummy tuck and liposuction of the buttocks and hips) I sat in my car in the parking lot of the Atkins-Kent Office building and penned this testimonial to express my gratitude. When I refer to gratitude, I do not just mean for changing my body from what it looked like thirteen months ago, but for being the honest, caring and dedicated doctor that you are.

Seven years ago, I sat in your office after a good friend recommended you. I made an appointment and went to see you. After careful evaluation, you told me to go home, lose weight and not come back until I was ready for the surgery. In fact, your words were, “I am not a diet doctor!”  You knew I wasn’t ready.

I wasn’t ready. It took seven years for me to lose seventy pounds and find the courage to reschedule an appointment and bite the bullet to commit to surgery. Many women and men both say that they are not going to live like “this” anymore. The operative word “this” meaning their out of control body, the way they have let themselves go, but not many have the determination to do something about it.

I am an ex-teacher and have a sales position working in an industry that deals with young people. I had made up my mind that I did not want to be that woman who looked like someone’s grandmother who came to the schoolhouse to work with the students, anymore. So, after joining the YMCA, going to classes, changing the way I eat and losing enough weight to give me the courage to make a second appointment, I was ready. My second visit was a little more refreshing and relaxing. I had done the work. I had lost the weight necessary to have a successful outcome. I made an appointment for the surgery. Dr. Spiro, you have changed my life.

The frightening part of any surgery is the unknown. Everyone responds differently; emotionally, mentally and physically. The only surgery that I ever had, were two C-sections when I delivered my children over thirty years ago. To say I wasn’t frightened would be a lie. I was frightened. I even wrote a letter to my family in the even I didn’t wake up. Deep down, I knew that everything was going to be just fine; it just made me feel better to go through the exercise.

Having finally reached the decision to go ahead, I spoke with three patients of yours. They all had experienced the same procedure I was about to undertake. One woman was forty, one fifty and the third, a sixty year old. All of the women convinced me to go ahead with the surgery, and that was the best decision they have ever made, but it had to be you preforming the operation. I went ahead and have never looked back.

Dr. Spiro, you are the “wizard of artistry”, in your field, as well as a kind, caring and compassionate individual. You are an artist as well as a surgeon. You have made me feel special. No, you have made me feel beautiful. You explained everything you were going to do, sometimes more times than you would have liked to. And, you gave me time to digest the procedure, to my level of understanding.

You looked at me as a human being, one that you wanted to improve physically for my best interest, and because of your artistic talent, you could. You are a proud man and extremely proud of your work. You work un-rushed, are attentive both pre and post-op and have reassured me every time that I had any doubt about myself.

Because of your gentleness, kindness and talent, I also had you perform a full face lift six months later. I believe that because of the weight loss, my face looks even more natural than I ever expected. I look twenty plus years younger and feel great. Wow, what a feeling.

Only a few close friends even know about the surgery, when asked about the pain I cant honestly remember. I guess it is like having children. You forget what it was like. All I know is that when I look in the mirror and see the new me, I am grateful that I made the commitment to myself and I had you as my surgeon.

When you feel better about yourself, mentally and emotionally and then add the physical component to the mix I honestly believe that you become more active and better contributor to society. You make a difference. You are noticed. Regardless of what you do, whether it be working full time, volunteering or taking care of you r family, you must take care of yourself first. If you can’t do it yourself, don’t be afraid to ask for help. I needed help…I asked.

As far as I am concerned, people considering plastic surgery of any kind should not look any further than your office door. Your compassion, talent and your incredible staff is the perfect combination for success. Just like the old slogan, New Jersey and You…Perfect Together. I should read on your door…Dr. Scott Spiro and You…The Best Fit for Now and the Future.


Management decisions for possible ruptured silicone gel implants previously placed over muscle

Prior to the late 1980’s it was commonplace and standard practice to place silicone implants under or within breast tissue over the muscle. As awareness of breast cancer surveillance became increasingly important along with the general understanding that implants were better off under muscle, implant placement underwent a renaissance by the late 80’s early 90’s.

Now we are seeing many women in their late 50’s to late 60’s with 30 year old disintegrating implants. They are not experiencing health issues, but rather cosmetic concerns of hardened malshaped breasts.

My solution has always been to remove all existing implant and scar capsule called total capsulectomy. This is combined with new implants (usually silicone gel) placed under muscle with the addition of a-cellular dermal matrix as a needed tissue graft support for the new implant space. Often a breast lift is necessary at the same time to optimize aesthetics.

This procedure is done as an outpatient and the recovery is fairly simple.

Occasionally, patients will request that no implant be replaced. This may present a challenge to create an aesthetic appearing breast. I use auto augmentation techniques when applicable to solve the dilemma of camouflage.

Finally, it should be restated that there are numerous options for women with “old tired” implants that need attention.

Botox Or Fillers?

Remember, Botox is a neuromodulator. It works by blocking the muscle response to nerve stimulation. Hence, animation lines in the face are diminished when Botox is injected. It is most useful for effect in the forehead, and crows feet.

 Fillers, such as restylane, juvederm, and others, work by filling gaps of volume loss or the interface between falling lax tissue and the next lowest fixed point. This is typically the lid cheek interface, the nasolabial folds, marionette areas, jaw line and lips.

So these two products are mutually exclusive and can often be used in combination to help achieve a more youthful appearance.

Combined upper eyelid and lower eyelid blepharoplasty with lateral cheek lift

I’ve been getting a lot of interest from other Plastic surgeons regarding my approach to periorbital rejuvenation (blepharoplasty). I believe that several events combine to create aging appearance in the eyelid and cheek region. Firstly, the skin loses its vigorous attachments to underlying tissues. Additionally, the underlying tissues (cheek pad) separate from the underlying bone and fall.

When this cheek pad falls, it reveals the three distinct fat bags below the eye. Over time, the connective tissue thins out over these bags and the bags start to prolapse outward. This gives the characteristic bulging bags appearance.

Treatment involves addressing all of these issues. The mini lateral cheek lift is a key component. It is done by dissecting the lower lid tissues down over the cheek. Then using the upper lid incision, the muscle pennant tissue is elevated and sutured through to the bone,( lateral orbital wall). Fat is separated from the three fat pockets and teased apart in order to redistribute the fat across the rim, thereby creating a far more powerful effect.  The results can be truly amazing.

Coolsculpting – finally a non-invasive procedure that really works!

We’ve built a large following around coolsculpting. The process of cryolipolysis (or freezing fat) can be done in office in a non-invasive manner with essentially no down time. The beauty of the process is that physiology dictates that it is virtually impossible not to work! Permanent fat reduction is always achieved. The percentage of reduction may vary from patient to patient. The process is very well tolerated and the applications allow for treatments over many body areas. My two nurses Marybeth and Maria have really been the driving force for its success. They are the technical experts who guide patients through the simple in office treatment. I encourage you to come in for an evaluation and then subsequent treatments.

Good luck with it!!

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