Tag Archives: board certified plastic surgeon

 Vaginoplasty (Vaginal Plastic Surgery) Overview

Vaginoplasty is a cosmetic surgery procedure designed to improve the appearance of the vagina through a combination of surgical correction, fat reduction, and rejuvenation techniques. The appearance of the vagina may cause concern to some women in terms of sexual aesthetics or when it causes obstruction or discomfort in performing sexual or certain other activities.

Vagina may undergo changes due to developmental reasons, aging, or birth related trauma. If the labia are enlarged or torn, it may cause pain during sex, chafing, and generally make a woman feel self-conscious or unhappy.

What is a Vaginoplasty?

A vaginoplasty cosmetic surgery may include reduction in the size of labia minora and labia majora, or correction in the shape of the labia. A skilled surgeon may also combine innovative non-surgical techniques such as dermal fillers in some cases to rejuvenate the overall appearance of the vagina. It is important to ensure in vaginoplasty that enhancement in sexual aesthetics should not come at the cost of reduction in natural sensation in the area.

Therefore, such procedures should only be performed by highly trained surgeons who understand the vaginal anatomy. In some cases, apart from aesthetic improvements, vaginoplasty may also address functional issues such as repairing of torn vaginal tissue following childbirth.


In many cases, the vaginoplasty procedure will be performed with the patient under local anesthesia and IV sedation. The surgeon will excise the targeted amount of excess tissue from the inner and outer vaginal lips as per the surgical plan decided in advance. Once the loose skin and tissue is carefully removed, the labia will be re-draped to create a desirable contour. The surgeon will use fine sutures to repair the tissue delicately.

The technique involved in labial reshaping will usually be the wedge method or the trim method. The wedge method adopts a more conservative surgical approach. Only the central element of the labia minor is removed in this technique, while the lower and upper portions of the tissue remain untouched. This is a safer and less invasive surgical approach to vaginoplasty.

In a few cases, the surgeon may choose to follow the trim method. This involves removal of a greater portion of the tissue to achieve substantive aesthetic improvement. This technique may be employed to address the appearance of excessively large labia or in cases where the patient wants correction of the discolored appearance of the labial edge.

Clitoral Hood Reduction

Clitoral hood reduction may be performed as a part of vaginoplasty. It involves reduction in the amount of tissue covering the upper portion of the vulva. A small upside down “V” of tissue is excised from the vaginal area in order to expose the clitoris a little more. The procedure may help to improve a woman’s ability to achieve sexual satisfaction.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;http://coolsculptinginorlando.com/

breast aug plastic surgery cosmetic surgeonLabiaplasty’s acceptance as an effective aesthetics surgery to reshape labial lips continues to grow as more women choose to receive the procedure and share their experience with other women. In fact, many women are also electing to undergo this surgery at relatively younger ages before having children.

Dr. Susie Rhee is an expert in labiaplasty, which is also known as labia minora reduction surgery. Dr. Rhee receives patients from Orlando, Altamonte Springs, FL, and surrounding communities for labiaplasty and other cosmetic surgery procedures.

Customizing the Procedure

A number of surgeons still approach labiaplasty with a singular aim to surgically excise the excessive labial tissue. However, a plastic surgeon with advanced training will focus on adopting a customized surgical approach according to the patient’s specific labial condition and aesthetic needs. The surgeon’s goal should be to achieve the desired improvement in labial shape while preserving as much of the outer lip edge as possible in order to maintain natural sensitivity.

This can be achieved when the surgeon tailors the procedure according the patient’s needs, and performs a precise and targeted surgery. Labiaplasty may also be performed in conjunction with other cosmetic surgery procedures such as liposuction to achieve more effective outcomes in suitable cases.

Fantastic Candidates

Women who are bothered by one or more of the following conditions may make standout candidates for labiaplasty.

  • The inner labial lips hang underneath the outer labia majora.
  • The intercourse involves excessive pulling on the labial lips causing pain and discomfort.
  • The patient is having trouble with maintaining labial hygiene.
  • The patient finds it difficult to wear clothing of choice with confidence due to oversized labia
  • Pain is experienced during specific physical exercises.
  • The patient is unhappy with the poor aesthetic appearance of the labia.

Treatment Options

Surgical excision of labia majora may be the right treatment option if the patient has excessively large labia majora. In some cases, this procedure may also be combined with liposuction. On the other hand, for patients who are unhappy with the under-sized or small labia majora, a fat transfer procedure may be recommended.

If one of the portions of the labia minora is excessive, the surgeon may remove a small triangle of tissue to enhance the shape and size. Labia minora reduction may be combined with the removal of excessive clitoral hooding. This can be done simply by extending the incision between the minor and the majora.

Once the loose tissue has been surgically reduced and adequate hemostasis is attained, a customized closure of the labial reshaping procedure can be performed. In a few cases, laser treatment and dermal filler injections may also be combined with labiaplasty procedure.


Immediate recovery will take place in about three to five days, but proper healing of the treated area will take up to six weeks. During this period of healing, the patient should abstain from sexual intercourse. The incision area should be kept clean to minimize the risk of infection.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Rhee, please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Laser Treatments | Sclerotherapy | Varicose Veins | Orlando FLRecovery is an important aspect of any aesthetics or reconstructive surgical procedure. Particularly in case of elective surgeries such as labiaplasty, candidates are more concerned to learn about the recovery process and the estimated downtime in order to make a better informed decision.

Dr. Susie Rhee is a highly trained plastic surgeon providing labiaplasty and other procedures. During the initial consultation, Dr. Rhee will discuss various aspects of the procedure, including recovery. Sh e receives patients from Orlando, Altamonte Springs, FL, and surrounding communities for labiaplasty and other cosmetic surgery treatments.

Immediate Post-op Phase

Following the labiaplasty procedure, which is usually performed as an outpatient surgery, the patient will be moved to a recovery area for one to two hours. Trained staff will monitor the patient for vital signs and attend to her needs until she is in a position to leave.

The patient should arrange in advance for someone to drive her back home from the office of the plastic surgeon. Detailed recovery instructions will be provided to the patient, including advice on her daily routine, activities, pain management, and follow-up visits.

First Few Weeks after Surgery

The recovery process can vary from one patient to another depending on the extent of surgery performed and the patient’s natural ability to recover. In the first 48 hours, the patient may apply ice packs to the treated area to minimize swelling. Pain medications and antibiotics should be taken as prescribed by the surgeon. Patients in Orlando, Altamonte Springs, FL, and nearby areas have an opportunity to receive labiaplasty from Dr. Rhee.

Swelling and bruising is to be expected after the labiaplasty cosmetic surgery, and in many cases, the swelling may persist for about two to four weeks. If at any point, the patient feels acute pain that does not subside with prescription painkillers she should immediately contact the surgeon. Pain medications may cause constipation in some cases. Therefore, the patient may take a more fiber-rich diet to keep the stools soft.

In about a day after the surgery, the patient should be in position to walk lightly around her home. Shower may be taken on the second or third day after surgery. The surgeon may advise the patient not to use tight fitting clothes or thong undergarments for at least a month. Vigorous exercises and activities should be avoided for four to six weeks after the surgery.

More particularly, activities that involve bouncing or jogging should be avoided for at least six weeks. Sexual intercourse should also be avoided for a similar period of time. These restrictions will allow proper healing to take place in a timely manner and application of stress will be avoided in the incision areas.

Incision Care

The patient should take extra care to keep the incision site clean, dry and check it every day for any signs of infection. Absorbent pads may be used to absorb any drainage. In the first two weeks, tub soaking should be avoided. Dry and clean dressings over the incisions may be placed to minimize any moisture accumulation and prevent the chances of irritation from any undergarments and clothing.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Rhee, please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;http://coolsculptinginorlando.com/


Botox Injections by Board Certified Plastic Surgeon Dr Fiala Orlando Florida

Botox Before & After Photos

Botox is a proven and highly effective anti-aging non-surgical aesthetics treatment to reduce fine lines and wrinkles on the face. Tens of millions of patients around the world benefit from this treatment every year to achieve a more youthful looking face without have to undergo cosmetic surgery.

The FDA gave approval to Botox in 2002 for the cosmetic reduction of facial wrinkles. Ever since then, it has remained one of the top recommendations of leading cosmetic surgeons and aesthetic experts in the US and elsewhere. Board certified plastic surgeon Dr. Thomas Fiala provides Botox treatment to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Potent Muscle Immobilizer

Botulinum toxin, the key ingredient of Botox, is a powerful muscle immobilizing agent. It can relax the overactive muscle on the face that is causing a wrinkle. When applied in a controlled manner, this neurotoxin has unique properties to achieve highly desirable and near-instant aesthetic results in terms of reduction of facial wrinkles and lines.

However, even a slight error in the delivery of treatment may lead to severe side effects. Therefore, Botox injections must be administered only by a qualified and experienced provider to achieve desirable results. It is ideal for patients who are keen to avoid facial cosmetic surgery and yet wish to achieve a rejuvenated facial appearance.

FDA Warning

While the FDA has approved Botox for cosmetic anti-aging purposes, but it has also provided a warning on Botox label that says that the effects of botulinum toxin can potentially spread to other parts of the face that are away from the injection area, leading to symptoms of botulism.

At the same time, the FDA provides an assuring fact that no occurrence of a confirmed serious case of this type has been known when Botox injections are administered in recommended doses by a qualified provider. Effectively, the FDA warning underscores the importance of receiving Botox treatment from a trained and experienced provider. Dr. Fiala is a leading plastic surgeon providing Botox treatment to patients in Orlando, Altamonte Springs, FL, and nearby locations.

Importance of a Credentialed Provider

Michael C. Edwards, the President of the American Society for Aesthetic Plastic Surgery (ASAPS), stresses upon the critical importance of reviewing the credentials of a Botox treatment provider. Dr. Edwards says that if Botox injections are received from an unqualified provider, risks such as drooping brows on one or both sides will persist. If it happens, the appearance of the patient may worsen instead of improving.

Furthermore, if the Botox injectable is administered close to the mid eyebrow, it carries the risk of causing ptosis, which is a condition of sagging or lazy eyelid. Such risks become very rare when Botox treatment is provided by an experienced and qualified injector.

Choice of Botox Expert

Dr. Edwards recommends that patients should receive Botox treatment from a board certified plastic surgeon or other similarly qualified healthcare professionals who have a thorough understanding of the facial anatomy and the potential action of Botox treatment. It is best for a patient to choose a properly trained and credentialed surgeon for Botox injectable treatment.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Blepharoplasty (Eyelid Lift Plastic Surgery)

Blepharoplasty (Eyelid Lift Plastic Surgery) Orlando Florida | AlatmonteEyelid lift, clinically called blepharoplasty, is a cosmetic surgery procedure to make the eyes appear rejuvenated and more youthful. Eyes constitute a critical part of facial aesthetics and tired-looking eyes or wrinkles and lines around the eyelids can make a person appear older than their actual age. Eyelid lift plastic surgery can reduce the signs of aging effectively and by removing excess fat and skin from the eyelids.

Eyelid lift appears to be a simple procedure, but it requires special skills because it involves the eyes, which are a highly sensitive part of the face. Dr. Thomas Fiala is a very experienced and board certified plastic surgeon providing eyelid lift and other procedures at his state of the art practice. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding communities.

Lower Eyelid Surgery

Lower eyelid surgery is designed to remove excess fat deposits that commonly occur under the eye. In some cases, sagging skin in the lower eyelid area may also be tightened by excising loose skin. The goal in this cosmetic surgery procedure is to restore younger looking surface in the lower eyelid area. The surgeon may combine this surgery along with fat transfer or cosmetic fillers to address the hollows that may develop beneath the eyes.

Lower eyelid surgery procedure begins with the surgeon making an incision beneath the lower eyelash. The incision is placed discreetly to keep the potential scar inconspicuous. Through the incision, the surgeon will remove the excess fat, skin, and tighten underlying muscle. In some cases, the fat may be redistributed to reduce puffiness under the eyes. Eyelid aesthetics are restored as the incision heals around the eyelid’s surrounding natural creases.

Upper Eyelid Surgery

The goal in upper eyelid lift is to reduce loose skin and excess fatty tissue to correct the appearance of droopy or inflated upper eyelids. The procedure can restore the effects of aging in the upper lids to restore a refreshed eye appearance. The plastic surgeon will begin the procedure by placing tiny incisions in the natural creases of the upper lids. Loose skin that may be obstructing vision and giving a tired eye appearance will be trimmed away through the incision.

Muscle repositioning may also be performed to lift the eyelids. The remaining skin is lifted and reattached, and the incisions are closed with fine sutures. A skilled surgeon will ensure that an unnatural ‘wide awake’ look is avoided, which can happen in case of an overcorrection. Dr. Fiala provides this procedure to patients in Orlando, Altamonte Springs, FL, and nearby locations.


Due to aging, the support of the lower eyelids can sometimes become weaker. This can cause the lower lids to become more stretched or floppy. If the surgeon performs the eyelid lift procedure in this condition, there is a risk of a ‘pulled down’ eyelid that will not sit at the desired level. This risk can be minimized by performing an internal suture suspension procedure called canthopexy. Canthopexy will avoid any visible scarring on the outside because the tiny incisions may be placed inside the lower eyelid.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;http://coolsculptinginorlando.com/

Fat Grafting 

Breast augmentation currently ranks as the second most sought-after cosmetic surgery procedure in the US after liposuction. Thousands of breast implant procedures are performed every year in the country with outstanding results. However, in some cases, breast implants may develop post-op complications at any stage. One of the common complications is implant rippling.

The rippling effect can have an adverse impact on the breast aesthetics and overall appearance. A splendid plastic surgeon will usually recommend fat grafting procedure to reduce the appearance of rippling effect on the implant. Fat grafting is a less invasive procedure as compared to breast revision surgery. Board certified plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding areas for this procedure.



If the patient insists on choosing breast implants that are oversized for her breast anatomy, or the surgeon makes an error of judgment in such a choice, it can lead to stretching of the breast tissue. If the tissue turns out to be inadequate in covering the implant, rippling may occur in the implant. Implant rippling can be addressed by replacing the compromised implants with new silicone implants. However, breast replacement is a major procedure involving complications and high costs.

Instead of undergoing a major cosmetic surgery procedure such as breast revision, the patient may choose fat grafting procedure as a simpler and more efficient alternative. It is possible to add coverage and volume to the existing implant with fat grafting. The procedure will not fix the implant rippling condition, but it will make the effect substantially less conspicuous.

Fat Grafting Technique

One of the best benefits of fat grafting technique is that it allows for the placement of extra fat precisely in the desired location spots. Fullness and shape of the rippled implants can be improved when the harvested fat cells are placed over them. Women who have a relatively thin body profile can be outstanding beneficiaries of fat grafting and they typically have a higher risk of implant rippling.

The technique involves building of a type of padding over the rippled implants that causes thickening of the breast tissue. Upper pole of the breasts is volumized, which allows for better coverage of the underlying rippled implant. Marginal imbalances between the two breasts may also be rectified with fat grafting.

Choosing the Right Surgeon 

Fat grafting may appear to be a rather simple procedure because it is less invasive in nature, but the fact is that it is a highly sensitive technique. Consistent looking outcomes can be achieved only when the procedure is performed by an experienced plastic surgeon. Every component of the procedure from fat harvesting to fat purification to fat grafting is going to have an impact on the final outcome. Dr. Fiala provides this procedure to patients in Orlando, Altamonte Springs, FL, and nearby locations.

Even when this procedure is performed by a highly skilled surgeon, some amount of fat loss will occur during harvesting. However, the loss can be minimized in order to reduce the number of grafts required. An expert surgeon will be able to ensure that at least 70 to 90% of the injected fat survives.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Blepharoplasty (Eyelid Plastic Surgery) Before & After Pictures

Blepharoplasty | Eyelid Surgery Before After Photos | Altamonte Springs FLEyes are one of the most prominent features of the face. Signs of aging around the eyelids or any anomaly in the eye area will be conspicuously noticeable and make a significant impact on the facial aesthetics. The condition can easily be corrected with a relatively minor surgery called blepharoplasty. The surgery is less invasive, but still highly sensitive and intricate because it involves the eyes.

Prior to making a decision on blepharoplasty or eyelid cosmetic surgery, a candidate should review blepharoplasty before and after pictures. An experienced surgeon will usually ensure that these pictures are made available to a patient during the initial consultation process. Board certified plastic surgeon Dr. Thomas Fiala provides blepharoplasty and other procedures to patients in Orlando, Altamonte Springs, FL, and nearby locations.

What are Blepharoplasty Before and After Photos?

Before and after photos in case of blepharoplasty refer to a pair or group of images pertaining to a previous patient who has received the surgery successfully. The images include photos taken prior to the procedure and after the procedure at a time when swelling and bruising has disappeared and full effects of the surgery are visible. The surgeon will take these photos with the patient’s consent and make sure that these are used in a discreet way for other patients.

The only purpose of eyelid cosmetic surgery before and after photos is to serve as a useful aid for new patient who need to understand various aspects of the procedure. The surgeon will explain to them about the aesthetics of eyelid surgery and what it can or cannot do for them. The intent is to help new patients make an educated and well-informed choice about blepharoplasty. The surgeon never wants their patient to be caught off guard after the surgery or shocked about what has occurred.

This is a terrible situation for any surgeon and something they best hope to avoid. No one going into cosmetic surgery should be ignorant about what to expect on a fundamental basis. This is why pictures are showed and aspects are explained as best as possible and why the patient must sign off on the surgery before it begins, certainly verbally.


When a new patient walks into the office of a plastic surgeon to seek consultation on blepharoplasty, they may not necessarily have a clear idea about how the procedure may improve their eye appearance or meet their personal aesthetic goals. The surgeon will use a set of blepharoplasty before and after photos (briefly mentioned right above) to provide a better understanding of the potential effectiveness of this surgery.

Some patients may need lower or upper eyelid surgery, while some others may need a combination of the two. In some cases, an additional procedure such as brow lift may be recommended. In all such situations, the patient can make better decisions when these pictures are made available. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding areas for blepharoplasty.

Being Realistic

Most satisfactory outcomes in aesthetic procedures are usually achieved in cases where the patient is affirmative, has clear set of priorities and realistic expectations from the surgery. Blepharoplasty ‘before and after’ photographs will help to achieve these goals. Patients will know what to expect and what not to expect from the surgery, and will take a moderate view of the procedure.

Online Photos

The plastic surgeon may upload these pictures on their practice website. New patients may simply access these photos online and review the potential results even before they are ready to seek a personal consultation at the surgeon’s office.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Blepharoplasty (Eyelid Plastic Surgery) and Your Bank Account

Blepharoplasty Cost | Eyelid Surgery | Altamonte Springs | Orlando FLBlepharoplasty is a cosmetic surgery procedure designed to rejuvenate the appearance of upper or lower or both eyelids. During the initial consultation process, the surgeon will discuss various aspects of eyelid surgery, including its estimated price tag. The first concern of the surgeon is to ensure that the patient can make an informed choice.

Aesthetics procedures related to a sensitive area such as the eyes should only be performed by an experienced surgeon. Dr. Thomas Fiala is a dedicated plastic surgeon providing eyelid surgery at this state of the art private practice. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding communities.

Cost Aspect

For many patients who are seeking a cosmetic surgery procedure such as blepharoplasty, the financial consideration becomes one of the crucial determinants in deciding whether to open the door towards the surgery. In most cases, elective procedures performed with an aim to improve aesthetics are not covered under health insurance. If the procedure is not a health necessity, the price will become a major factor for many patients while choosing the procedure.

The overall cost of blepharoplasty will vary on the basis of factors such as the location of the practice, the type of surgical technique applied, the skills and experience of the plastic surgeon, and the reputation of the surgical facility where the procedure is performed. However, eyelid surgery will usually not affect your bank account as much as many other major cosmetic surgery procedures. Patients in Orlando, Altamonte Springs, FL, and nearby areas may get in touch with Dr. Fiala’s office to learn about the financial facts and other minute details of blepharoplasty.

Prices of Blepharoplasty

On average, cosmetic eyelid surgery may cost in the range of $6,000, though some surgeons may charge as low as $4,000, while others as much as $8,000. The type of eyelid surgery performed will also impact the actual price of the procedure. On average, upper eyelid surgery may impact your purse slightly lower as compared to lower eyelid surgery.

If a laser assisted blepharoplasty is performed, the monetary amount may go up by about $1,000 as compared to traditional surgery. The procedure becomes less invasive and more precise with laser techniques, and the extra stipulated cost is usually worthwhile. Surgeon’s fee is a key component of the overall price tag. For a sensitive procedure such as blepharoplasty, it is important to choose the right surgeon, and the surgeon’s fee should ideally be secondary consideration.

The financial impact of anesthesia used in eyelid surgery can vary from $500 to $800. The fee charged for the surgical suite can also range between $700 and $1,500, depending on the extent of surgery and other factors. Eyelid surgery is mostly performed on an outpatient basis, so the price tag for a surgical suite is usually lower.

Payment Options

Eyelid surgery costs may be paid through cash, check, or major credit cards in most cases. If eyelid surgery involves a medical correction along with aesthetic improvements, a part of the dollar amount may be covered under the patient’s health plan. Some surgeons will have a tie-up with medical care financing companies to make it convenient for the patients to obtain medical loans. Crowdfunding is something you may want to explore as well as a final resort if all other options have been exhausted.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Laser Vein Treatment for Varicose Veins

Laser Treatments | Sclerotherapy | Varicose Veins | Orlando FLLaser technology has revolutionized the medical aesthetics field by making a wide range of surgeries less invasive, more efficient and more precise. Varicose vein treatment may be performed through traditional methods such as injectable sclerotherapy, invasive surgery, or through advanced laser therapy. A state of the art cosmetic surgery or med spa facility providing vein treatments will usually include laser therapies.

A highly focused laser beam is passed through the diseased varicose and spider veins. The heat energy generated through laser in a concentrated area causes the vein to form scar tissue, which closes the targeted vein. As the closed vein loses its blood supply source, it gradually collapses and dies. Board certified plastic surgeon, Dr. Thomas Fiala, is a leading providing of laser vein treatment for patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Superficial Laser Treatment

If the patient suffers from tiny varicose veins and spider veins, usually in the facial area, the surgeon may recommend a superficial laser vein treatment. This simple treatment will be performed on the outside of the skin to remove spider veins and improve skin aesthetics. More than one laser treatment session may be required for this procedure.

In some cases, prior to carrying out the simple laser vein treatment, the cosmetic surgery and laser vein expert may first treat the larger feeder vein that may be causing poor blood circulation in the tiny veins. This will be done through endovenous laser surgery, sclerotherapy, RF treatment, or other procedures.

Endovenous Laser Therapy

Endovenous laser therapy is a moderately invasive procedure aimed at removing larger varicose veins in the legs. The procedure involves the passage of a laser fiber through as thin tube or catheter into the vein. The laser expert monitors the vein on an ultrasound screen during this process. Endovenous laser therapy is less painful as compared to stripping and vein ligation, and involves shorter recovery.

In most cases the plastic surgeon or the laser vein expert will perform this procedure with the patient under local anesthesia or mild sedation. Dr. Thomas Fiala is an eminent plastic surgeon receiving patients from Orlando, Altamonte Springs, FL, and surrounding locations for laser vein treatments.

Recovery Process

Following the superficial laser therapy for spider veins, no specific downtime is involved. The patient will be able to resume the normal daily routine immediately in most cases. Even with endovenous laser therapy, the recovery process is significantly easier as compared to traditional surgery.

In about two days following the endovenous procedure, the patient should be able to return to work or resume regular activities. Walking can be started almost immediately after the treatment. The laser expert will provide compression stockings, which may have to be worn for a few weeks to provide added support and promote healing.


In the last 20 years, simple laser treatment for spider veins has evolved as one of the safer and more effective treatment options. In case of endovenous laser therapy, the success rate is as high as 94 out of 100.

In other words, the desired results for certain varicose veins may not be achieved with endovenous laser treatment in about six out of 100 cases. In such cases, the surgeon may apply traditional surgery, sclerotherapy, or other invasive solutions to treat the targeted varicose veins.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;coolsculptinginorlando.com

Spending on Cosmetic Procedures Exceeds $12 Billion in the US in 2014: ASAPS Report

Aesthetic Procedures | Surgical | Non Surgical | Altamonte Springs FLConstant innovation in the field of cosmetic surgery and non-surgical aesthetic procedures has helped make these procedures more predictable, effective, and affordable. Each year millions of new American patients as well as repeat patients continue to seek treatments to enhance their physical appearance and reduce the signs of aging.

Board certified plastic surgeon, Dr. Thomas Fiala, provides stellar, acute, and fascinating cosmetic procedures. Dr. Fiala believes in adopting a holistic approach to every cosmetic treatment, and focuses on delivering results in the least invasive and a healthy manner. He receives patients from Orlando, Altamonte Springs, FL for a wide range of aesthetic surgery and non-surgical procedures.

Increased Acceptance of Aesthetic Procedures

The American Society for Aesthetic Plastic Surgery (ASAPS) has brought out its 18th annual multi-specialty data report that provides useful insights about the growing demand for aesthetic procedures in the country. As per the report, Americans spent over $12 billion on invasive and non-invasive cosmetic procedures in 2014.

One of the encouraging findings of the report was that aesthetic procedures are gaining popularity among men on a wider scale. In the last five years, the number of men opting for cosmetic surgery and non-surgical treatments has jumped by as much as 43%.

The topmost procedures in terms of year on year growth are buttock augmentation (up 86%), labiaplasty (up 49%), and non-surgical fat reduction (up 42%).

Most Popular Cosmetic Surgery Procedures

The most popular cosmetic surgery procedures for men and women combined in 2014 included the following:

  • Liposuction (342,494 procedures)
  • Breast Augmentation (286,694 procedures)
  • Eyelid Surgery (165,714 procedures)
  • Tummy Tuck (164,021 procedures)
  • Nose Surgery (145,909 procedures)

Liposuction can be performed both as a standalone surgery and in combination with other procedures for more effective outcomes. Improve qualities in breast implants have led to a greater popularity of breast augmentation procedure over the years. Abdominoplasty, eyelid surgery, and rhinoplasty continue to be listed among most requested procedures.

Most Popular Non-surgical Cosmetic Treatments

The most popular non-surgical cosmetic procedures for both men and women combined included the following in 2014:

  •     Botulinum Toxin (3,588,218 procedures)
  •     Hyaluronic Acid Based Fillers (1,696,621 procedures)
  •     Hair Removal (828,480 procedures)
  •     Chemical Peel (484,053 procedures)
  •     Microdermabrasion (417,034 procedures)

FDA approved Botulinum Toxin injectable treatments to reduce aging signs from the face topped the list of non-surgical procedures with nearly 3.6 million treatments in 2014. Hyaluronic fillers such as Juvederm and Restylane, and laser hair removal, chemical peel treatment, and microdermabrasion have also emerged as in-demand procedures.


Growth in Male Cosmetic Procedures

According to the ASAPS records, the number of men’s procedures since 2010 has gone up as follows:

Cosmetic Surgeries

  •     Blepharoplasty (up 34%)
  •     Male Breast Reduction (up 33%)
  •     Facelift (up 44%)

Non-Surgical Procedures

  • Botulinum Toxin (up 84%)
  • Hyaluronic Acid Based Fillers (up 94%)
  • Nonsurgical skin tightening (up 37%)
  • Intense Pulsed Light (up 44%)

The future bodes well for both surgical and non-surgical cosmetic procedures, considering the past and present market trends. Just think how sunny these numbers would be if the economy was not in a recession as well. If there more jobs for people, and there easily could be, this industry would only be looking brighter.


Plastic Surgery In Florida