Board-certified plastic surgeon Dr. Thomas Fiala has been voted the #1 Best Plastic Surgeon in Orlando, Florida by the readers of Orlando Magazine. This is the sixth time in seven years that Dr. Fiala has occupied the #1 spot in the annual Best of ORL issue.

In addition to recognition for the readers of Orlando Magazine, Dr. Fiala has received several awards from, including the Compassionate Doctor Award, the On-Time Doctor Award, and the Patients’ Choice Award, multiple times each. A realself Top Doctor with several positive reviews on platforms including, Real Patient Ratings, and Google, Dr. Fiala is an honest, effective, and committed plastic surgeon who truly cares about the health and happiness of each patient he sees.

If you are looking for a board-certified, award-winning plastic surgeon in the Orlando area, please call Fiala Aesthetics at 407-339-3222 and schedule a consultation today. Dr. Fiala welcomes patients from Winter Park, Lake Mary, and throughout the state of Florida.

Orlando's Best Plastic Surgeon CTA | Fiala Aesthetics

Our Services

Dr. Fiala offers a comprehensive range of breast, body, and facial plastic surgery procedures. Among the most popular are:

  • Breast Augmentation. Dr. Fiala performs breast augmentation using the Keller funnel “no-touch” technique, which has shown to greatly reduce risks for complications. In addition, Dr. Fiala was one of the first plastic surgeons in Central Florida to offer the “rapid recovery” technique for dual-plane implant placement for enhanced safety and comfort, and among the first to utilize the proportional sizing method, which helps ensure contours that ideally complement the natural curves of the body.
    Breast augmentation is sometimes combined with breast lift surgery, another of our popular procedure.
  • Tummy Tuck Surgery. Offering mini, standard, and extended tummy tuck options, Dr. Fiala can produce personalized results that address the exact concerns of each patient. A leader in the research and development of the ultrasound-guided “TAP bloc,” Dr. Fiala is able to significantly reduce postoperative discomfort for tummy tuck patients, helping our patients feel more comfortable in the days following surgery.
    Liposuction is often used during abdominoplasty to remove stubborn fat deposits, and both liposuction and tummy tuck surgery are typically included in our popular mommy makeover procedure.
  • Facelift and Mini-Facelift. Dr. Fiala is one of the few plastic surgeons in Central Florida to have completed additional fellowship training exclusively in facelift surgery, making him uniquely suited to produce remarkable results for people of all ages. Offering several options, including facial fat transfer for the most natural-looking results, Dr. Fiala can take years off of your appearance to help you look and feel your absolute best.
    Facelift is commonly performed with eyelid surgery and brow lift for complete facial rejuvenation.

AAAASF-Accredited Surgical Suite

All of Dr. Fiala’s plastic surgery procedures are performed in our private, AAAASF-accredited surgical suite and attended by qualified nurses and other medical professionals who hold patient safety as their top concern. During your initial consultation, we would be happy to answer any questions you may have about the techniques utilized by Dr. Fiala along with the steps put in place to keep you comfortable and safe while in our care. We want to make sure you are fully confident in your choice of Fiala Aesthetics for your surgical procedure.

Contact Board Certified Plastic Surgeon Dr. Thomas Fiala at Fiala Aesthetics in Orlando to Schedule and Appointment:

For more information of the treatments and procedures offered at Fiala Aesthetics Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us here.

Serving patients in and around Greater Central Florida: Orlando, Altamonte, Lake Mary, Maitland, Winter Park, Clermont, Casselberry, Lake Mary, Longwood, Celebration, Heathrow, Windermere, Tampa, Jacksonville, Sarasota and more.

Botox is Currently Approved to Treat Crossed Eyes | Orlando Med SpaStrabismus, commonly known as crossed eyes, occurs when both eyes are not able to align on the same point at the same time, and appear to be pointing in different directions. This condition not only causes aesthetic issues but also medical problems for the eye. The weak eye will turn in toward the nose and away from the target that it was required to focus on.

Dr. Thomas Fiala is a renowned cosmetic surgery expert providing state of the art surgical as well as non-surgical solutions, including Botox. Botox is a proven and effective treatment for crossed eyes. Board certified plastic surgeon Dr. Fiala provides Botox to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


Problems with Strabismus

Crossed eyes or strabismus, in the early stages, can lead to disorientation or double vision because the eyes do not align together. A child with strabismus will involuntarily reject the image of the incorrectly aligned eye.

As a result, the related nerve connections between the brain and the eye may not develop. This can lead to the eye remain permanently turned, which is called lazy eye. Such conditions can cause both aesthetic and vision issues.


Botox Treatment

Botox therapy for strabismus is a way to correct this problem without involving cosmetic surgery or another invasive procedure. Botox is injected directly into the targeted extra-ocular muscles, which causes the muscle to relax and as a result, the misalignment of the eyes is reduced. The usage of botulinum toxin to treat crossed eyes was reported first more than 35 years ago, and is believed to the first ever use of this toxin for medical purposes.

Today Botox injections into the muscles that surround the eyes are an established therapeutic option for the management of strabismus. The impact of the toxin will last only for about three to four months in terms of muscle relaxation. However, the improvement in alignment may be long lasting in many cases. If the muscle pulling in the opposite direction or the antagonist muscle is overactive, it will be stretched upon injecting with Botox. This may permanently lengthen the muscle by adding tissue during the stage of toxin paresis.



After the target area has been numbed locally, the provider will inject Botox directly into the selected eye muscles. A specially designed needle electrode connected to an EMG apparatus as well as to a syringe containing Botox solution may be used. The provider will ask the patient to move the eyes just before Botox is injected.

This will create an EMG signal that will deliver instant feedback on the correct placement of the needle. This intervention can be completed in just one to two minutes, if the provider has adequate expertise in performing this technique. Experienced plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for Botox treatment.



Botox must be administered in highly controlled and precise dosage, depending on the individual situation. The efficacy of multiple treatments may reduce if the patient shows immunoreaction.


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 ; ;

Botox is Currently Approved to Treat Crow's Feet | Orlando Med SpaBotox is an injectable treatment to reduce the signs of aging and enhance facial aesthetics. Botox treatment for frown line reduction was originally approved by the FDA in 2002. Ever since then it has continued to rank among the most popular procedures for people who want to achieve facial rejuvenation without involving cosmetic surgery.

In 2013, the FDA approved Botox for the cosmetic reduction of canthal lines, commonly known as crow’s feet. This approval has encouraged thousands of new patients to seek youthful enhancement of the area around the eyes with Botox. Dr. Thomas Fiala is a board certified plastic surgeon providing Botox treatment to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


FDA Approval

Crow’s feet or lateral canthal lines are minor wrinkles and fine lines that radiate from the outside corners of the eyes. The skin in this area is very delicate and sun exposure, environmental factors and aging effects can cause the appearance of these lines before wrinkles appear in any other part of the face. Botox is a tried and tested treatment for the aesthetic reduction of crow’s feet.

Botox can serve as a non-surgical replacement for facial cosmetic surgery or other invasive options to reduce crow’s feet. The FDA approved Botox in 2013 for the cosmetic reduction of canthal lines. With this treatment, the eyes can appear more youthful and well-rested. Leading plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for Botox treatment.


How does Botox Work?

Botox has a unique property to block communication between the nerve and muscle in the area where it is injected. The procedure can be performed using fine needles and without any need for anesthesia. The Botox provider will inject the medication directly into the overactive facial muscles that are causing the formation of canthal lines.

Once the medication reaches the wrinkle forming muscle, it will stop receiving signals from the nervous system, and go into a relaxation mode for a temporary period. The fine lines formed by this overactive muscle will now fade away as the muscle is no longer active. This effect can last for about three to six months, and the treatment may be repeated in the future for prolonged benefits.


Research Study

The manufacturer of Botox Cosmetic, Allergan Inc., earned the approval from the FDA after various clinical tests and studies to demonstrate its safety and effectiveness in treating crow’s feet. A major study conducted by Allergan with more than one thousand adult participants in two groups showed the success of this treatment. One of the groups with 833 participants was treated for crow’s feet with Botox, while the other group was left untreated.

The group that had received Botox treatment showed conspicuous improvement in the appearance of eyes and reduction of crow’s feet in comparison to the other group. In addition to the controlled studies, positive feedback from thousands of patients over the last two years has led to a growing acceptance of Botox as an effective non-surgical solution for crow’s feet.


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 ; ;

Botox is Currently Approved to Treat Excessive Sweating | OrlandoAxillary hyperhidrosis, commonly known as excessive sweating, is a medical condition affecting over a million Americans. An individual suffering from this condition may be sweat up to four times more than others in order to keep a normal body temperature. The condition can hamper the daily activities, cause itching or discomfort, and create embarrassment in social settings.

Botox, which ranks among the leading facial anti-aging alternatives for cosmetic surgery, can be used successfully as a treatment for excessive sweating in the armpits. The FDA has approved Botox for the reduction of underarm sweating, and the benefits can last up to two years.

The same Botox injections that are used for aesthetics purposes are used to treat this medical condition. Dr. Thomas Fiala is a well-known board certified plastic surgeon providing Botox treatment to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


Approval from the FDA

The FDA approved Botox in 2004 for the treatment of axillary hyperhidrosis when it cannot be controlled with topical creams or anti-perspirants. Botox is injected into the skin to treat severe underarm sweating symptoms. Individuals in the age group of 18 or higher are eligible to receive this treatment if they have not found relief with topical medications.

Patients should note that the FDA has approved Botox for excessive sweating only in the underarm area. The FDA has stated that it is not yet determined whether Botox can be used safely and effective for excessive sweating in areas other than the armpits. The treatment approach for Botox as an aesthetics procedure in place of cosmetic surgery is similar, but the provider must correctly determine the patient’s sweating condition before using Botox as a solution for excessive sweating.


How does Botox Work?

The primary ingredient of Botox is botulinum toxin A, which acts as a nerve immobilizer to treat the problem of excessive underarm sweating. The neurotoxin will block the chemical signals from the nerves that stimulate the sweat glands. In absence of the nerve signals, the overactive sweat glands will stop their function, and the severe sweating will be reduced.

Patients can be reassured that excess sweat in such a treatment is not collected in the body. The sweat simply does not get produced in the areas treated with Botox. However, the other parts of the body will continue to sweat as before.



The treatment provider will assess the extent of the problem, and prepare multiple Botox injections. Botox will be injected into the targeted area in the armpits with the help of fine needles. In about four weeks, the patient will start experiencing a considerable reduction in underarm sweating.

In exceptional circumstances, if the results are not visible or any other complication arises, the patient should immediately get in touch with the Botox provider. Dr. Fiala is an experienced plastic surgeon receiving patients from Orlando, Altamonte Springs, FL, and nearby areas.



Studies have shown that Botox can provide relief for about six to seven months from underarm sweating, but individual results can vary.


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 ; ;


RealSelf 100 award winners featured in NYC Times Square.

Along with only 100 other leading Plastic Surgeons and Dermatologists, Dr. Thomas Fiala was awarded the Top 100 Social Influencers in Aesthetic Medicine. Recognized for Enduring Commitment to Consumer Education.

The RealSelf 100 Award is granted to physicians who demonstrate an enduring commitment to patient education and positive patient outcomes as reflected in patient reviews posted to RealSelf. The full list of awarded doctors is available at

“When we started RealSelf, many doctors questioned why they should ‘give away’ their expertise ‘for free’ on the web,” said Tom Seery, RealSelf founder and CEO. “Now, nine years later — and with over 1 million doctor answers on our platform — we are proud of the standard this select group has set. They’re leading the way by empowering millions of consumers to gain access to the information they need to make smart and confident health and beauty decisions.”

realself 100 dr fiala

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,,

About RealSelf
Since its founding in 2006, RealSelf has created the world’s largest community for learning and sharing information about cosmetic surgery, dermatology, dentistry, and other elective treatments. Our extensive collections of reviews, photos, videos and doctor Q&A make RealSelf a trusted resource for consumers who are looking for help beyond the beauty counter.

Botox is Currently Approved to Treat Chronic Migraines | OrlandoBotox is one of the most popular non-surgical injectable procedures designed to reduce mild wrinkles and fine lines from the face. In addition to its aesthetics benefits, Botox also offers several medical benefits for suitable candidates. Patients who want to avoid cosmetic surgery or other invasive options may consider Botox.


The FDA approved Botox in 2010 for the treatment of chronic migraine headaches in adults. Botox has proved to be a highly effective solution for people who desperately need relief from persistent migraine problem. Dr. Thomas Fiala is a leading board certified plastic surgeon providing Botox for the prevention and treatment of chronic migraines to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


Approval from the FDA 

The FDA issued a statement while confirming the approval of Botox for migraine treatment that chronic migraine is one of the most debilitating forms of headache. A chronic migraine patient will typically experience these headaches for more than 14 days in a month and usually for several hours a day. This problem can seriously affect the work, family and social life of the patient. Therefore, it is essential to have different treatment options available.

The FDA stated that Botox injectable treatment has shown to be very effective in the prevention of chronic migraines. This severe form of headache cause intense throbbing or pulsing pain. As much as 12 percent of the American population suffers from this condition. Botox is a highly potent medication, which should only be administered by an expert, whether for aesthetic or medical purposes.


How does it Work? 

To treat the chronic migraine condition, the provider will administer Botox injections at intervals of about 12 weeks. During each treatment session, multiple injections will be placed in affected areas around the neck and head. The treatment goal is to mitigate the symptoms of future headaches. The FDA recommends that a patient suffering from chronic migraine condition should consult with a physician to determine whether Botox is a suitable treatment in their case.

According the Botox manufacturer Allergan, the FDA’s approval for Botox applies to patients who have a history of this pain and suffer frequently from this headache every month. Only a qualified Botox provider should administer the injections for this treatment.

Results with Botox can last for about three months in terms of relief from migraine headaches, but the effectiveness can vary from one patient to another. Dr. Fiala is a highly experienced plastic surgeon receiving patients from Orlando, Altamonte Springs, FL, and nearby areas for Botox.


Appropriate Diagnosis

Allergan says that one of the challenges with treatment is that patients of chronic migraines often tend to wrongly self-diagnose their symptoms as an ordinary headache and treat them with medications for fast but temporary relief. It is important for such patients to get carefully evaluated and treated appropriately by an expert. With the FDA’s approval of Botox to prevent migraines, it is now possible to significantly reduce the number of days and hours spent in pain resulting from migraines.


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 ; ;

Time to Vote for “Best Of Orlando”


We are now running for this year’s Orlando Magazine’s Best of Orlando 2016 Awards. These prestigious awards recognize the best professionals in their field, and we need your help to win! Plastic surgery is a constantly developing field, and we are at the forefront of the treatments. We always strive to keep abreast of all new developments and offer our patients all the best treatments possible. Because of this, we honestly believe we are one of the best plastic surgery clinics in Orlando.

We are asking all of our happy former patients to get behind our cause and vote for us under the “Best Plastic Surgeon” in the Health & Beauty category. Please put “Dr. Thomas Fiala” in the box. Ballots will close on May 1st, so we appreciate it if you can take a few minutes to vote for us today.
To vote now you can simply click here:

Vote for Best of Orlando 2016


Facelifts: Before & AfterFacelift cosmetic surgery procedure is designed to take several years off the patient’s face and restore a younger looking and rejuvenated facial appearance. Various surgical techniques may be used to perform a facelift as per the unique aesthetic needs of a patient. During the initial consultation, the surgeon will discuss all aspects of the procedure and explain the potential effectiveness of a facelift surgery.

Dr. Thomas Fiala is an eminent, board certified plastic surgeonproviding facelift and other procedures. Dr. Fiala likes to ensure that every new patient receives access to facelift before and after photographs in order to understand the procedure better. He provides facelift to patients in Orlando, Altamonte Springs, FL, and surrounding areas.

What are Facelift Before and After Pictures?

Before and after pictures in case of a facelift cosmetic surgery refer to a pair or group of images belonging to a previous patient who has undergone the same procedure with successful results. The images include photos take prior to the surgery and after the surgery at a stage when the swelling and bruising has disappeared and full effects of facelift have been established.

Facelift ‘before and after’ photos will be taken with the patient’s consent, and the surgeon will present them before new patients in an appropriate manner. The only purpose of the surgeon here is to educate new patients about different aspects of facelift and help them make the right decision. The photos serve as a useful visual aid in explaining to a new patient about what the procedure can or cannot do for them.


When a new patient is considering facelift surgery, they may not necessarily have a clear idea of how the procedure may impact their overall appearance and personality, or how it may help them achieve their specific aesthetic goals. Some patients may need only a mini facelift or a maintenance procedure, while others may need a full traditional facelift.

In some cases, the plastic surgeon may recommend a combination of facelift with neck lift or upper face procedures such as forehead lift. In all such situations, the patient is in a better position to make appropriate choices when facelift before and after photos are available to them. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby locations for facelift and other procedures.

Realistic Expectations

Most satisfactory results in plastic surgery are typically achieved when the patient has a clear idea about the procedure and has formed realistic expectations. Therefore, an experienced surgeon will try to ensure that the patient reviews the facelift before and after pictures carefully to know exactly what the procedure can or cannot do for them. This mitigates the risk of any disappointment or misunderstanding occurring from the patient’s side at a later stage.

Photographs on the Website

The plastic surgeon may provide facelift before and after photos on their practice website for free access to all. New patients can simply review the images in the privacy and comfort of their home or office even before they are ready to visit the surgeon for a facelift consultation.

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 ; ;

Facelift Surgery Overview | Orlando, Altamonte Springs, FloridaRhytidectomy, commonly known as facelift, is a cosmetic surgery procedure to reduce the appearance of wrinkles and other telltale signs of aging from the face. When performed by an experienced surgeon, a facelift can produce a rejuvenated facial appearance and natural looking results with negligible scarring.

Several facelift surgical techniques are available today to customize the procedure according to the patient’s needs. Dr. Thomas Fiala is a board certified plastic surgeon providing state of the art surgical and non-surgical aesthetics procedures. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for facelift surgery.

Suitable Candidates

An ideal candidate for facelift cosmetic surgery will have some amount of skin elasticity to achieve the best results. Skin tightening will take place during the procedure to minimize the impact of wrinkles, which can be best achieved when the skin has some level of suppleness and flexibility.

The underlying facial bone structure should be well-defined in order to provide support and add to satisfying results. The surgeon will also try to determine that the patient is in wonderful health and has realistic expectations from the surgery.

Full Facelift

The plastic surgeon may recommend a full traditional facelift procedure for patients seeking optimal or comprehensive results. The procedure involves reduction of sagging skin around the cheeks, deep creases beneath the eyes, excess fat and skin below the chin, lines around the mouth, and correction of jowls.

A full facelift will involve a longer incision running alone the temple, around the ear, and going down to the neck. Through the incision, the surgeon can remove or redistribute excess fat tissue, trim away loose skin, and tightening underlying facial muscles as needed. New, tighter skin will be re-draped smoothly over the face and the incisions will closed with sutures.

Mid Facelift

A mid facelift procedure involves lifting and tightening of the weak tissue around the cheeks and underneath the eyes. The surgeon will place the incisions similar to the ones used in a traditional facelift, but limited only to the mid face area. The incisions can be slightly deeper to enable lifting of muscles.

Facial implants or fat grafting technique may be combined with this procedure to achieve enhanced facial contours and build more defined cheekbones. Dr. Fiala provides facelift and other procedures to patients in Orlando, Altamonte Springs, FL, and nearby locations.

Mini Facelift

A mini facelift, which sometimes nicknamed as a “weekend facelift” is a minor procedure involving smaller incisions. It is mainly aimed at addressing the lower cheeks, jaw, and neck. The incisions will be placed along the hairline and behind the ear. The surgeon will lift the muscles, eliminate loose skin and remove excess fat deposits through the incisions. The procedure involves minimal scarring, less discomfort, and a shorter recovery period.


Recovery process will vary according to the extent of surgery and technique involved. Most patients will be able to return to work or resume their regular activities in about a week or 10 days. While strenuous activities should be avoided in the first few weeks, but light activities and walking should begin almost immediately.

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 ; ;

Fiala Aesthetics | Plastic Surgery & Med Spa