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Young woman in pretty panties on blue backgroundFollowing abdominoplasty, there will be some limitations to physical activity. This allows your body to recover appropriately and helps reduce the risk of unwanted consequences such as poor incision healing, infection, and discomfort.

By and large, normal activities can be resumed within a few weeks of tummy tuck surgery. Some things, like more progressive forms of exercise, may need to be avoided for up to eight weeks. During your follow-up visits, Dr. Fiala can address any questions you have about recovery and provide you with individualized guidance to help ensure you are only adding those activities that are safe at each stage of recovery.

Follow-up visits are included in the cost of tummy tuck surgery at Fiala Aesthetics. These visits give us an opportunity to carefully evaluate your level of recovery at each stage and to make personalized recommendations and modifications that help ensure you experience the most rewarding recovery possible.

Call us at 407-339-3222 to schedule your consultation and learn more.

Driving Restrictions After Abdominoplasty

Most patients are able to drive short distances within two weeks of abdominoplasty. This can, of course, vary from patient to patient, making it important that you only resume specific activities when given the go-ahead by Dr. Fiala. Taking up activities like driving may need to be delayed longer if your surgery was more involved or if multiple procedures were performed, and long-distance driving may need to be avoided for six weeks or longer.  All of this will be discussed in greater detail during your time in our care.

During tummy tuck recovery, limitations on more advanced or demanding activities are necessary for proper recovery. However, mild exercise is both encouraged and important for successful healing. As soon as 24 hours after your procedure you can begin to take short walks, gradually increasing their length with each day. Walking helps improve the body’s healing response and can help reduce swelling, discomfort, and issues brought about by inactivity such as constipation. It can also provide a foundation for a healthy lifestyle.

As with mild exercise, eating and drinking appropriately will help with the healing response. Keeping hydrated and choosing foods that are healthful to the body can help improve the recovery experience. Processed foods, foods and drinks high in sugar, and snack foods can activate an inflammation response that works to delay and interfere with incision healing.

Before your procedure, Dr. Fiala will cover pre and postoperative care instructions – including medications, supplements, and habits that will need to be put on hold – to help ensure the most pleasant recovery period. During your follow-up visits, this advice can be restated, expanded on, or modified to meet your specific needs.

Please call Fiala Aesthetics at 407-339-3222 to schedule a consultation at our Altamonte Springs office. We welcome patients from all metro Orlando areas including Lake Mary, Maitland, Winter Park, and Eatonville.

Breast augmentation complications are uncommon, but can be reduced by adopting scientifically-proven “best practices”.  By staying “ahead of the curve” on developments in this field, Dr. Fiala offers a breast augmentation procedure that incorporates these updates, for the patient’s benefit – with a quicker recovery and low rate of complications.

Types of Breast Implants

Silicone implants on hand and natural brestWith patient safety in mind, Dr. Fiala has chosen to only offer smooth breast implants. There is preliminary evidence suggesting this type of breast implant may dramatically reduce the risk of ALCL, a rare type of lymphoma that has recently been linked to breast augmentation with textured-surface implants.

While all of the breast implants available through our office are smooth, we offer a comprehensive range of silicone and saline breast implants in different sizes and shapes, using FDA-approved manufacturers. Depending on your specific needs and desires, Dr. Fiala may recommend options including:

  • Standard saline and structured saline implants
  • Silicone and cohesive silicone (“gummy bear”) implants

These implants are precisely shaped to produce natural-looking and highly complementary results and give patients a wide degree of choice to obtain their desired post-operative size and appearance.

Breast Augmentation Implant Incision and Placement Options

Although there are three common breast augmentation incision options, they are not created equal.

  • Periareolar – around the nipple
  • Inframammary – underneath the breast crease
  • Axillary – in the armpit

Of these options, Dr. Fiala prefers the inframammary incision for several reasons.  Multiple studies have shown that this breast augmentation incision has a lower overall risk of postoperative complications, including capsular contracture, a painful hardening of scar tissue around a breast implant, infection, interference with breastfeeding, and sensory changes.

Dual Plane Breast Implant Placement

Dr. Fiala has found that the dual plane method of breast implant placement often offers the most reliable and pleasing results for the average patient.  With this placement option, the implant is mostly covered by muscle, except in the lower, outer portion of the breast, where the implant is subglandular, since the pectoral muscle doesn’t typically extend to that area.

Proven benefits offered by this breast augmentation technique include:

  • lower risk of capsular contracture, compared to subglandular placement
  • good visibility for post-operative mammograms
  • natural looking appearance
  • better implant coverage and less rippling for slender patients
  • less distortion of the breast when the patient is actively flexing, compared to traditional submuscular placement.

Keller Funnel/No-Touch Technique

Breast Augmentation DressingDr. Fiala uses the Keller funnel and “no-touch” techniques for the placement of breast implants to reduce risks of both capsular contracture and infection. The funnels and implant pockets are irrigated with a betadine-containing solution to further reduce these risks. Fiala Aesthetics was one of the first practices in the Orlando area to adopt the use of the Keller funnel for every single implant, whether saline or silicone.

Dr. Fiala utilizes multi-modality anesthesia techniques to reduce pain and nausea during and after your procedure. He now offers PECS I and PECS II ultrasound-guided nerve blocks as well, which allow our patients to wake up with significantly less discomfort than standard techniques.

Fiala Aesthetics was one of the first plastic surgery practices in Florida to offer a rapid recovery program for dual plane breast implant placement. With this method, restrictive dressings are replaced with a comfortable and supportive bra, and prescription opioids are replaced with anti-inflammatory medications and muscle relaxants.

Many women find they are able to resume most normal activities within just a few days with this strategy, though more demanding exercises may need to be avoided for one month. Dr. Fiala will help you determine when it is safe to resume different activities during your follow-up visits.

Contact Us Today

Breast augmentation is our number one procedure. But while Dr. Fiala performs 200-300 breast augmentation surgeries every year, his dedication to each individual patient never waivers. At Fiala Aesthetics, your needs and desires are always taken into account and are considered just as important as your safety and comfort. All of this leads to happy patients who are able to enjoy personalized results from a plastic surgeon who truly cares about their long-term happiness.

If you are considering breast augmentation in the Orlando area, please call 407-339-3222 to schedule your consultation with Dr. Fiala.

Even in central Florida, winter isn’t a favorite season for most. However, it is the perfect time for plastic surgery. The shorter days and colder temperatures are conducive to recovering fully and comfortably before showing off your new body come summer. Whether you’ve been thinking about a cosmetic procedure for some time now, or have an area of your body you’d like to alter or enhance, consider making an appointment soon so you can take advantage of plastic surgery during the winter months.

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Attending a string of parties and family gatherings. Kissing that special someone under the mistletoe. Counting down the new year. The holiday season is full of important moments, and you want to look your best for all of them. At Fiala Aesthetics, we have three treatments that can help elevate your look this winter: BOTOX® Cosmetic, fillers, and the HydraFacial.

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Loose, sagging skin around the stomach area can be a burden physically, as well as mentally and emotionally.  The good news is that a droopy midsection doesn’t have to be a permanent part of life. A tummy tuck, or abdominoplasty, at Fiala Aesthetics Plastic Surgery can reconstruct the flat, contoured appearance to your abdomen that you once had to restore your figure and your self-esteem. Continue reading

Cosmetic surgery procedures have grown in popularity over the decades. An increasing number of people realize that cosmetic surgery is a science that can enhance a person’s beauty.

The fundamental objective of plastic surgery is to improve the physical appearance of an individual by making modifications to targeted body areas.

Fiala Aesthetics Plastic Surgery, led by the judicious board certified plastic surgeon Dr. Thomas Fiala, provides various aesthetic and reconstructive surgery procedures to patients in Orlando, Altamonte Springs, FL, and surrounding locations.

Location Influences Choices in Plastic Surgery

While the world believes that beauty lies in the eye of the beholder, interestingly, the place of residence of a person seems to impact their plastic surgery choices. Choices among popular cosmetic surgery procedures often differ vastly from one region to another across the country as a study by the American Society of Plastic Surgery indicates.

Buttock implants are the most favored surgical procedure in the Southeast while Midwesterners receive the most lip reduction surgery, according to the society’s report. Hair transplants are very popular in the South while male breast reduction dominates in the Northeast.

The West is home to body-obsessed Hollywood. Therefore, it comes as no surprise that breast augmentation is the most popular surgery in this region. Contrarily, breast implant removal is the most sought-after in the south.

Weather, Technology and Culture

Why do these differences exist? Doctors highlight that weather, technology, and culture are some of the most critical factors in people’s choices in plastic surgery.

For instance, the desire to have bigger breasts may vary between regions depending on the weather conditions.

Residents of warmer regions such as southern California and Florida are more exposed. This creates a lot of focus on looking great with that level of exposure.

But the idea receives a lukewarm response in Ohio. Midwesterners are not as body conscious due to being bundled up in layers of clothes for a large part of the year (the snow piles up 5 feet high sometimes!). This does not put as much pressure on them to look good as it does on people who want to enjoy the beach around the year.

This does not imply that people in Ohio do not want to look desirable. However, they don’t have the same pressure to look amazing on a daily basis as someone in California and Florida would have due to the difference in the weather conditions. Ohio is very cold. People are covered up for about half the year as already stated.

Female patients sometimes ask plastic surgeons to give them a more natural appearance. These surgeons would undertake proportionately more breast implant downsizing procedures. Patients typically want something that looks natural but still allows them to look appealing in a swimsuit or while outdoors.

Corporate Mindset Makes a Difference

Breast augmentation does not even feature in the top five most sought-after cosmetic surgeries in some cold northeastern cities. Northeasterners favor male breast reduction surgery the most.

The northeast has a significant corporate mindset, especially in men. They want to feel very confident in their interactions at work, as some experts explain. While hair transplant is the most sought-after procedure in the south, it does not even make it to the top five most popular procedures in other regions.

In totality, plastic surgery is more popular in the west, northeast, and south in comparison to the Midwest and southeast. Proven plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas in the fabulous Sunshine State for various plastic surgery procedures.

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

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.

Patients who have undergone mastectomy for the treatment of breast cancer and are considering breast reconstruction cosmetic surgery should acquire as much information as they can about the procedure.

They should choose an experienced cosmetic surgeon who can explain to them the various treatment options available as well as address their questions and concerns.

Patients should make sure that all their questions are answered adequately by their cosmetic surgeon before the reconstruction procedure.

The patient should ask the plastic surgeon for clarifications if she does not understand something. It is an astute idea to make notes in advance or ask a partner or friend to accompany her to the consultation to enable her to remember what was said as well as ask pertinent questions.

Fiala Aesthetics Plastic Surgery, led by board-certified plastic surgeon Dr. Thomas Fiala, provides various aesthetic and reconstructive surgery procedures to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Key Questions to Ask

In addition to the questions below, the patient can write down any more concerns or questions that she may have. The answers to these questions can assist her in making the right decision.

  • Is breast reconstruction surgery a suitable option in my case?
  • What is a good time to get the breast reconstruction cosmetic surgery done?
  • What are the advantages and limitations of undergoing breast reconstruction surgery simultaneously with my cancer surgery (immediate reconstruction) versus waiting (delayed reconstruction)?
  • Will the breast reconstruction create interference with my post-operative chemotherapy?
  • Will breast reconstruction cause impediments in radiation therapy?
  • What are the various types of breast reconstruction options that may be suitable in my case?
  • What are the strengths and limitations of each option?
  • In your opinion, what is the most appropriate reconstruction technique for me and why?
  • What is the average cost of each option? Will I be able to receive insurance coverage?
  • What is the recovery duration associated with each option?
  • What outcomes can I anticipate?
  • Will the reconstructed breast be the same as my other breast?
  • Is it advisable to consider cosmetic surgery on the other breast as well as to enable both the breasts to look similar?
  • Is it possible to get the nipple reconstructed? What is the procedure for this?
  • How will the reconstructed breast(s) feel to the touch?
  • Will I have any sensation in the breast(s) after reconstruction?
  • What are the potential risks involved?
  • If the flap technique is used, will it involve scars, pain, and changes in the body areas from where the tissue is sourced?
  • In case I choose to get breast implants, how long will they sustain?
  • Over time, what breast changes can I anticipate?
  • What impact will aging have on the reconstructed breast?
  • What changes will occur in the breast (s) upon weight gain or loss?
  • What will wound care at home involve?
  • Will you place surgical drains?
  • How much assistance will I require at home for the care of my drain(s) and incision area (s)?
  • Will I need to do specific exercises after the reconstruction? If yes, when can I begin these exercises?
  • How much activity can I undertake at home in the first few days after the surgery?
  • If I get lymphedema (inflammation) in my arm, what do I need to do?

Experienced plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for various plastic surgery procedures.

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

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.

According to cosmetic industry experts, patients often describe the process of choosing the most suitable plastic surgeon for their needs to be somewhat confusing.

One of the problems with cosmetic surgery is that there are other specialists such as podiatrists, dermatologists, primary care physicians, and gynecologists who may perform cosmetic surgery procedures after undertaking short weekend courses in complex plastic surgery.

Only a Matter of Time

Once these medical practitioners start performing procedures on patients, the outcomes are left to chance. The first few times, they might get lucky and not face any problems.

But down the road, there may be an unfortunate complication which could result in disfigurement, infection, scarring, or other extreme consequences. Correcting the poor results may require costly revision surgeries.

Fiala Aesthetics Plastic Surgery, led by committed board certified plastic surgeon Dr. Thomas Fiala, provides various aesthetic and reconstructive surgery procedures to patients in Orlando, Altamonte Springs, FL, and surrounding communities and neighborhoods in this section of Florida.

Choose an ABPS Board Certified Plastic Surgeon

When a patient seeks a surgeon for a procedure such as a brain tumor removal, they would research meticulously and choose a neurosurgeon with board certification.

Similarly, it is vital to identify a plastic surgeon with board certification for any cosmetic surgery procedure that a patient may be considering. Patients should choose a plastic surgeon certified by the American Board of Plastic Surgery.

The ABPS states that there are around 6,800 surgeons that have received board certification and are practicing in the US today. The American Board of Medical Specialties which is the most prestigious certifying body recognizes the ABPS as the only specialty board for plastic surgery.

Doctors need to undertake a minimum of six years of surgical training after medical school with at least three years of plastic surgery residency training to receive ABPS certification.

Following this intense period of training, the surgeon must clear a comprehensive written and oral examination. Furthermore, the board requires surgeons to furnish documentation of cases completed since finishing their training.

The board requires detailed information such as how the surgeon is charging patients and lays down strict protocols for case submissions.

The board wants to ensure that the surgeon is billing ethically, and understand the reason behind the decisions that the surgeon takes as well as how they care for patients after surgery. Doctors must also take renewal exams every ten years to retain board certification.

Avoid Plastic Surgery Tourism

Specialists warn people against participating in the current trend of plastic surgery tourism. In this type of tourism, patients travel to locations abroad to receive plastic surgery for less than it would cost in the US.

The saying “You get what you pay for” seems to ring true with this trend. These surgeries usually do not offer desired results and leave patients with disfigurement causing infections.

Ask Questions

Experts state that it is a good idea to prepare a list of questions before meeting the surgeon for an initial consultation. Patients can ask about their credentials, surgical facilities, techniques used and recovery duration. The surgery should ideally be performed in an accredited office space or hospital.

Cordial plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas across the horizon for various plastic surgery procedures.

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

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.

Breast reconstruction cosmetic surgery is a complicated procedure. Similar to any other surgical procedure, breast reconstruction also involves certain risks.

During the pre-operative consultation process, the surgeon will explain the possible risks associated with the procedure to the patient to enable her to make a well-considered choice.

Fiala Aesthetics Plastic Surgery, led by prudent board certified plastic surgeon Dr. Thomas Fiala, provides various aesthetic and reconstructive surgery procedures to patients in Orlando, Altamonte Springs, FL, and other towns and cities in this part of this fascinating state.

Short-Term Risks

Poor Response to Anesthesia

The surgeon will usually perform the breast reconstruction cosmetic surgery with the patient under general anesthesia. Patients who have heart, circulation or nervous system related pre-existing medical conditions are at a higher risk for developing complications.

The patient should unhesitatingly discuss her entire health history with the surgeon so that proper decisions can be made. The usual side-effects after the patient gain consciousness are dizziness, nausea, and blurred vision.

Infection

Every surgery has an inherent risk of infection, including breast reconstruction surgery. The surgeon will prescribe antibiotic drugs to prevent or treat infections. The patient should reach out to her surgeon promptly if there is a persistent infection following the reconstruction procedure.

Some signs of infection after this surgery are excessive redness or color change around the breast incision, discharge of pus or fluid from the site of the surgery, or high fever. Maintaining a sterile environment can mitigate infection risks.

Bleeding

The patient may face a heightened risk of bleeding during or after the reconstruction procedure if she has a history of bleeding or is currently taking blood thinners or other drugs that can impact blood clotting.

The surgeon will instruct the patient to not use specific medicines for a minimum of two weeks before the surgery to mitigate the risk. The patient should contact their surgeon immediately if she experiences excessive bleeding during the recovery phase.

Long-Term Risks

After a breast reconstruction surgery with implants, the patient may experience complications because of deflation, capsular contracture, damage to the implant, or leakage at any stage. Complications with the flap technique involve a more extended recovery period and blood clotting.

Patients should evaluate their options cautiously and choose the most appropriate surgical technique in discussion with their plastic surgeon. Sometimes patients may experience vascular complications in the long-run such as:

  • Restricted flow of blood to the reconstructed breast
  • Relocated tissue failure which leads to dead tissue
  • Decreased abdominal strength
  • Weakness in the arm, back or shoulder

Scarring

The scarring will differ based on the breast reconstruction techniques used. In flap reconstruction, the patient will experience more scarring than in an implant reconstruction procedure as each of these techniques involves distinct incision sites.

In the flap reconstruction technique, scars may develop in donor sites such as the navel, back, abdomen, buttocks, or another region along with the breasts and nipples. But a skilled surgeon will manage to keep the scars in discreet locations.

Accomplished plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and other communities and neighborhoods in this part of north Florida for various plastic surgery procedures.

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

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.

I am delighted to announce the results of the Orlando Magazine “Best of Orlando” competition.  In the plastic surgery category, we have been honored with a first place finish for 2018.

For more details about this, or other results in the poll, please visit Orlando Magazine’s Best of 2018.

The “Best of Orlando” poll is really the only local poll that matters.  On behalf of our entire team, thank you to those that voted for us.  Positive reviews like this really energize us, and help us to continue the kind of work we’re known for.

This year’s result is the fifth time in six years that we have been voted as the very Best Plastic Surgery practice in Orlando & the Central Florida Region – not just named to the list, but #1 on the list.

RealSelf
Fiala Aesthetics | Plastic Surgery & Med Spa