Facelift surgery is used to remove sagging and loose skin from the neck, jawline, and midface, and to gently lift underlying muscle and tissue for a firmer and more youthful appearance. When done correctly, by a skilled plastic surgeon who has the experience and training necessary to perform complex aesthetic procedures, facelift surgery can produce natural-looking, life-like, and completely believable results. When performed by unskilled and inexperienced surgeons, however, facelift surgery can look tight and painful, unnaturally stretching the skin and producing a fake or done-up look. Continue reading

Women today have more choices for breast implants than ever before. With all the benefits that come with each type of implant, there are naturally some disadvantages, risks and complications of breast implants to keep in mind, too. Silicone breast implants have long been one of the most popular implants chosen among women because they look and feel so natural.

Silent Rupture in Silicone Breast Implants

While all types of implants can leak, silicone breast implants can sometimes leak without the patient having any symptoms, or noticing any changes externally. This is known as a “silent rupture”.  Some women go months or even years not knowing that their implant has ruptured. The FDA currently recommends MRI scans every two years to check for these silent ruptures, but because MRI’s are expensive and may not be covered by insurance, many women choose not to check on their implants.

High Resolution Ultrasound Technology

In an effort to help women check their implants more regularly, Dr. Thomas Fiala of Fiala Aesthetics now offers the new, high-resolution ultrasound (HRUS) technology that detects ruptured silicone gel implants with convenience and ease in his office. HRUS technology is fast, affordable, convenient, and very accurate, meaning that more women are likely to get tested. In Dr. Fiala’s experience, women are often relieved to know what is going on with their silicone implants, without having to worry about paying for an expensive MRI out of pocket.

Women in the Orlando area with silicone breast implants placed between 2000 and 2015 who are interested in ultrasound to verify whether or not their silicone implants have silently ruptured may contact Dr. Fiala’s office at 407-339-3222 to schedule an in-office High Resolution Ultrasound scan. 

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.

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 Vitals.com, 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 doctors.com, 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.

The “best age” for a mommy makeover is really whatever age you are when you decide to restore your body to its pre-pregnancy state.  Outside of being a healthy adult, there are no age restrictions regarding the mommy makeover procedure.  There are, however, some practical considerations.

Woman holding child and wondering when is the best age for a mommy makeoverIf you are not finished with having a family, it is best to postpone things, until you are finished having children. It is very likely that changes made during the mommy makeover procedure would be undone with subsequent pregnancies, making the procedure best for women who are satisfied with the size of their families and do not plan on having more children.

The best way to learn if now is the right time to undergo a plastic surgery procedure is by talking with Dr. Fiala about your desires, your future plans, and your ultimate goals.  During your consultation, he will take time to listen carefully to where you are and where you would like to be, and provide you with honest information about those options that will be best for your needs now, and into the future.

Breast & Body Procedures Combined

During mommy makeover surgery, breast and body procedures are often combined to correct issues brought about by pregnancy. These can include excess fat accumulation throughout the body, stretch marks and sagging skin, separated abdominal muscles, and breast deflation.  Drooping breast tissue and nipple displacement are also common results of pregnancy and nursing.

To address these issues and restore the body to its pre-pregnancy shape, Dr. Fiala typically offers a “three-in-one” mommy makeover procedure which includes:

  • Tummy tuck surgery to remove excess skin and fat from the abdominal area and hips. This procedure can also be used to address abdominal muscle separation, which is common after multiple pregnancies, and to reposition the belly button. When excess skin is removed, stretch marks may also be eliminated, allowing tummy tuck surgery to provide comprehensive results to the midsection of the body.
    Why Choose Us:
    At Fiala Aesthetics, the “TAP block” technique is utilized to minimize pain after tummy tuck surgery.  This revolutionary technique, which Dr. Fiala helped to develop, provides optimal comfort during the initial stages of recovery.  The extended abdominoplasty method is used to dramatically tighten the abdominal skin.
  • Breast augmentation to restore lost volume, shape, and symmetry to the breasts.  In some cases, breast lift surgery is combined with augmentation to restore the breasts and the nipples to a more youthful and perky position.
    Why Choose Us:
    Dr. Fiala prefers dual plane placement for breast implants – which reduces complications while producing optimal results.  Inframammary incisions help protect against a loss of nipple sensitivity, and the various implant options, including “gummy bear” implants, allow for complete personalization and the most natural-looking results.
  • Liposuction to sculpt the waist and lower back and produce an “hour-glass” figure.
    Why Choose Us:
    Dr. Fiala offers SAFElipo, a comprehensive body contouring technique that has been shown to preserve vascular integrity and minimize risks and complications, all while maximizing skin retraction for enhanced results.

These options are commonly included in the mommy makeover procedure at Fiala Aesthetics, but others may be offered, depending on the circumstances.  During your initial consultation, Dr. Fiala will determine which treatments will be of most benefit in helping you reach your goals.
Why Choose Us:
Dr. Fiala brings two decades of experience into every procedure he performs and his results speak for themselves. Please review our before and after gallery to see pictures of real patients who Dr. Fiala has helped reach their goals, and take time to read our reviews on realself.com, doctor.com, realpatientratings.com, and google.com to see how real men and women have benefited from our exceptional customer care, attention to detail, and commitment to patient satisfaction.

To schedule a consultation with Dr. Fiala, please call 407-339-3222.  Located in Altamonte Springs, Fiala Aesthetics welcomes moms from all surrounding areas, including Orlando and Winter Park.

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.

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.

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.

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.

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.

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.

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.

See plastic surgery procedure and treatment price list.

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.

Voted the #1 Best Plastic Surgeon in Orlando, Florida by the readers of Orlando Magazine.

 

 

 

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Fiala Aesthetics | Plastic Surgery & Med Spa