the art of restoration

Dr. Scott Spiro discusses his individualized approach to body contouring after major weight loss and the role of surgical planning in restoring shape, proportion, and balance. The article also explores how nonsurgical treatments such as XERF can support skin quality and complement long term results.

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Select Surgeons 2026

Additional Articles

from skin surface to structure

Dr. Scott Spiro presents his “skin surface to structure” philosophy, an integrated approach to facial rejuvenation that considers skin quality, volume loss, and the deeper anatomical changes associated with aging. The article explores how his Customized High SMAS Deep Plane facelift and neck lift may be complemented by fat grafting, medical-grade skin care, laser treatments, microneedling, and injectables to support balanced, natural-looking results.

younger looking vibrant skin

Dr. Scott Spiro discusses the addition of HydraFacial MD to his West Orange practice and its approach to exfoliation, extraction, and skin hydration. The feature also highlights his board-certified surgical training and comprehensive approach to aesthetic care for the face, breast, and body.

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exploration of robotic direct to implant breast reconstruction

Dr. Scott Spiro and coauthor explore the feasibility of robotic direct-to-implant breast reconstruction following nipple-sparing mastectomy. Using a cadaveric model, the authors examine how robotic visualization, instrument precision, and remotely positioned access could help reduce incision-related tension while supporting accurate implant and acellular dermal matrix placement. The research presents an early proof of concept for advancing minimally invasive approaches to implant-based breast reconstruction and identifies areas for continued study and surgical refinement.

reconstruction of the lower extremity after grade iii distal tibial injuries using combined microsurgical free tissue transfer and bone transport by distraction osteosynthesis

Published in Annals of Plastic Surgery, this clinical study by Dr. Scott A. Spiro and colleagues examines an advanced limb-salvage approach for patients with severe Grade IIIB and IIIC distal tibial injuries. Five patients with extensive soft-tissue and bone loss underwent lower-extremity reconstruction combining microsurgical free-tissue transfer with bone transport through distraction osteosynthesis. At follow-up ranging from 17 to 34 months, all five patients were walking, fully weight-bearing, and free of pain, without requiring below-the-knee amputation. The study highlights the role of coordinated plastic surgery, microsurgery, and orthopedic reconstruction in preserving function after complex traumatic leg injuries.

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Dr. Scott Spiro in the Media & Medical Publications

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the art of restoration