The Art of Rejuvenation:
Spiro Plastic Surgery

In the modern landscape of aesthetic medicine, the days of the singular quick fix are fading. The most discerning patients now understand that true rejuvenation is not merely about skin tightening or filling a line; it’s about architecture, biology, and a holistic strategy that spans from the cellular level to the surgical suite.

For 29 years, Spiro Plastic Surgery has led this sophisticated approach, redefining the patient experience by creating a symbiotic ecosystem of care. At the helm is Scott A. Spiro, MD, FACS, whose reputation for surgical excellence sets the tone for the practice. His philosophy—that plastic surgery is a blend of medical science and high art—is not only practiced in the clinic but broadcast to listeners on his podcast, “The Artist in the O.R.,” which covers the full scope of plastic surgery and medical spa treatments offered.

However, the secret to the clinic’s renowned “natural” results lies in a powerful triad of expertise: the surgeon, the nurse practitioner, and the skin care specialist working in tandem. It is a collaboration that bridges the gap between the operating room and the med spa, championed by nurse practitioner Mikayla Barbarossa and skin care specialist Rebecca Pierce.

Applied Anatomy

For Barbarossa, the injector’s needle is an extension of the surgeon’s scalpel. Unlike many practitioners who only see the face from the outside in, her unique position involves assisting Dr. Spiro in the operating room. This backstage pass to human anatomy has fundamentally altered her approach to nonsurgical aesthetics within the med spa.

“Assisting in surgery means that I am actively involved in procedures from start to finish—handling tissue, understanding anatomy, and seeing firsthand how structure, support, and healing all work together,” Barbarossa explains. “Assisting in surgery has directly impacted my aesthetic work because I don’t just view the face at the surface level; I understand what’s happening beneath the skin. It allows me to approach my treatments with a surgical mindset: thoughtful, strategic, and always prioritizing long-term outcomes and safety.”

This deep understanding of the “why” behind aging drives Barbarossa’s assessment process. She analyzes the four major structures of the face: skin, fat pads, muscle, and bone. As she notes, aging has a cascade effect: bone loss, muscle weakness, and fat-pad descent all contribute to the visible changes on the surface. Consequently, her treatment plans are rarely one-dimensional, consisting of sophisticated blueprints that often combine neuromodulators, biostimulators, and lasers.

In an era dominated by viral social media beauty trends, the team at Spiro Plastic Surgery acts as a voice of reason and integrity—values that are central themes on “The Artist in the O.R.” A core philosophy passed down from Dr. Spiro is rejecting the “flavor of the month” in favor of what is anatomically correct and aesthetically balanced. “This is the most valuable lesson I’ve learned from Dr. Spiro: He emphasizes doing what’s right for the patient, not just what’s popular or currently trending,” Barbarossa says.

The Foundation of Beauty

If Barbarossa is the architect of nonsurgical structure, Pierce is the master of the canvas. As the practice’s skin care specialist, she advocates for long-term skin wellness. “Quick fixes can create temporary improvements, but they will not change how our skin functions,” she shares. “It’s important to remember that our skin is living tissue, and that skin is going to be with us throughout our entire life, so we have to care for our skin with a long-term mindset.”

Pierce’s role is critical in the surgical setting. She prepares the skin to respond, heal, and look its best before a patient ever meets the needle or the knife. “When the skin is prepared, better results are expected,” she notes.

In addition to rigorous preprocedure protocols to strengthen the skin barrier and improve hydration, she also promotes postprocedure care that focuses on calming inflammation. “The most common mistake is usually patients getting back into things too fast,” Pierce says. Her goal is to take the guesswork out of recovery, reminding patients that “calm skin will always heal better.”

The Collaborative Difference

What sets Spiro Plastic Surgery apart is its seamless integration of these disciplines: a fully integrated loop in which skin health, injectables, and surgery inform one another. Pierce utilizes a sophisticated combination of advanced treatments such as Diamond Glow (a medical-grade exfoliation and infusion therapy), microneedling, and chemical peels to create the healthiest possible foundation for Barbarossa’s work.

“Working closely with Dr. Spiro and Barbarossa gives patients the benefit of collaborative care,” Pierce explains. “We are able to align skincare, injectables, and surgical treatments into one plan that supports our patients’ goals at every stage.”

This synergy ensures that when a patient sits in the chair, they are entering a partnership. “Feeling nervous is completely normal,” Barbarossa says. “I think it takes bravery to come into the office, sit in front of a mirror, and explain what about yourself is making you unhappy. I want the patient to feel comfortable and confident in their decision and in the treatment we choose to perform.”

A Valentine to Yourself

As we enter the month of February, the conversation naturally turns to romance, but at Spiro Plastic Surgery, the focus shifts inward. This Valentine’s Day, the most enduring love affair is the one you cultivate with yourself. Whether it’s the confidence gained from a subtle refresh, the glow from a facial, or a transformative surgical journey, self-care is the ultimate act of affection. Trends fade, but the way you feel in your own skin is forever.

To learn more about integrated aesthetics, listen to Dr. Spiro’s podcast, “Artist in the O.R.,” now streaming on all major platforms, with full episodes available on YouTube and Spotify. For more information, you can also follow @spiroplasticsurgery and @spiromedicalspa on Instagram.

Photograph by Gabe Rhodes