Looking for a plastic surgeon in Lake Mary, Florida or in the surrounding areas?

Fiala Aesthetics Plastic Surgery, led by double board certified plastic surgeon Dr. Thomas Fiala and his team, provides state of the art cosmetic surgery procedures for the breast, body and face. Dr. Fiala and the entire staff at Fiala Aesthetics are dedicated to creating an environment where the patient feel completely comfortable and freely share their concerns.

Every patient is treated with the utmost understanding, dignity, and respect. A combination of patient education, highest medical and safety standards, and innovative surgical techniques help produce natural-looking and predictable results.

Dr. Fiala will only promise possible results rather than an outcome that cannot be delivered. Patients in Orlando, Altamonte Springs, FL, and surrounding communities have an opportunity to receive cutting edge cosmetic surgery procedures from the sagacious Dr. Fiala.

Advanced Surgical Techniques

Patients can choose from a variety of surgical options to sculpt and shape their figures. Two sought-after options are tummy tuck and liposuction. Several women prefer to combine these two options with a breast surgery procedure for a complete “Mommy Makeover.

Dr. Fiala has the skills and specialization to help patients achieve their aesthetic goals with the help of cutting edge techniques. The practice is well-known for mommy makeover and tummy tuck surgery procedure.

The perspicacious Dr. Fiala was the first surgeon in the Central Florida area to use the innovative intra-operative “T.A.P. Block” anesthesia technique. This enables patients to remain more comfortable with the effects sustaining for up to three days after a major cosmetic surgery.

Body Contouring Procedures

Dr. Fiala offers a wide range of plastic surgery options for the body. These include:

  • Liposuction
  • Brazilian Buttock Lift / Fat Transfer
  • Tummy Tuck
  • Mommy Makeover
  • Brazilian Buttock Lift / Fat Transfer

The reliable Dr. Fiala and his team will discuss the various alternatives available to the patient, address questions, and prioritize their goals.

Breast Surgery Options

Genetics, lifestyle, health, gravity, and hormones will impact the manner in which a patient’s breasts take shape and alter over the years. History and culture, of course, have an immense influence in establishing how satisfied a woman is with the shape and size of her breasts. The breast surgery procedures, which Dr. Fiala offers are as diverse as the types of breasts that women desire.

The practice is equipped to provide patients with an array of options customized to their needs. The focused Dr. Fiala is glad to be able to provide patients with several implant options from three FDA-approved manufacturers for the best in choice. They provide various breast enhancement plastic surgery procedures such as:

  • Breast Lift
  • Breast Augmentation with Implants
  • Breast Augmentation with Fat transfer
  • Breast Reduction
  • Combined Breast Lift and Augmentation
  • Breast Revision

Facial Surgical Procedures

Patient’s can enjoy brighter, younger looking skin with procedures for the face, chin, neck, or eyelids regardless of whether the signs of aging occur over time or are advanced due to the Florida sun. Dr. Fiala offers various options that can enable patients to look and feel younger while maintaining the natural features of the face.

These treatments include:

  • Laser Resurfacing
  • Signature Facelift and Neck Lift
  • Forehead Lifts
  • Upper and Lower Eyelid Lifts
  • Facial Fat Grafting
  • Chemical Peels
  • ThermiTight RF Neck Lift

The patient’s choice of a highly qualified and experienced plastic surgeon is perhaps the most crucial decision in the successful outcome of their surgery. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas in the majestic state of Florida.

For More Information on the Treatments and Procedures Offered, contact award winning Board Certified Plastic Surgeon Dr. Thomas Fiala at Fiala Aesthetics in Greater Orlando to Schedule Your Consultation:



Serving patients in and around Greater Central Florida: Orlando, Altamonte, Lake Mary, Maitland, Winter Park, Clermont, Casselberry, Lake Mary, Longwood, Celebration, Heathrow, Windermere, Dr. Phillips, Sanford, Deltona, Deland, Daytona Beach, Melbourne, Cocoa Beach, New Smyrna Beach, Tampa, Jacksonville, Sarasota and more.

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




Heathrow, Florida Plastic Surgeon

Dr. Thomas Fiala is a board certified plastic surgeon, who has been certified by both the American Board of Plastic Surgeons and the Royal College of Physicians and Surgeons of Canada. With a solid 25 years of education, training, and experience behind him,

The committed Dr. Fiala is one of the leading authorities in the areas of cosmetic surgery and non-invasive procedures. Fiala Aesthetics Plastic Surgery, led by Dr. Fiala, provides procedures for the body, breast, and face to patients in Orlando, Altamonte Springs, FL, and surrounding communities across the landscape.

Professional Recognition

Dr. Fiala specializes in state-of-the-art cosmetic technologies and techniques, including highly advanced laser technologies. He is a member of prestigious industry associations including ASAPS and ASPS.

The dignified Dr. Fiala became a Health-Grades Recognized Doctor in the year 2011, won the Most Compassionate Doctor Award in 2010, received Platinum Status on RealSelf, and was among America’s Top Surgeon’s in a list by the Consumer’s Research Council of America.

Individualized Care

Dr. Fiala is committed to offering the highest level of individualized care to his patients. He has an extraordinary ability to connect with patients and determine their needs to create outcomes that are customized to meet their objectives and desires.

The reliable Dr. Fiala strives to create an environment where patients feel free to express concerns and ask questions regarding the procedures. He enables them to arrive at the correct decision by providing them complete information on the potential advantages, limitations, and cost implications of various procedures.

Choosing a Board Certified Plastic Surgeon

In choosing a board certified plastic surgeon, the patient has an assurance that the surgeon would have undergone a certain minimum number of years of training specifically in the field of plastic surgery.

Board certified plastic surgeons usually invest in the best quality standards and practices, use the most advanced surgical techniques and technology, receive continuing education, and follow the highest levels of safety to produce optimal outcomes for their patients.

Combining Art and Science

The surgeon must unite the best principles of art and science to create aesthetically appealing and safe outcomes in a cosmetic surgery procedure. Dr. Fiala has a personalized and comprehensive approach towards aesthetic surgery. This enables him to create results that are sustainable, healthy, natural looking, and aesthetically desirable.


Dr. Fiala firmly believes that the best outcomes in any type of plastic surgery can be achieved when the surgeon creates a customized plan specific to the patient’s anatomical and personal aesthetic needs. He will not use a cookie cutter or off the rack approach towards any procedure. His primary objective in every surgery is to make the procedure less invasive, targeted with minimal risk, downtime, and discomfort.

Commitment to Patients

The pragmatic Dr. Fiala and his team take every decision regarding an aesthetic surgery procedure ensuring that the patient’s goals and preferences are met in entirety.

Dr. Fiala is dedicated to bringing about a positive transformational change in his patients lives through safer, proven, and efficient aesthetic surgery procedures. Fiala Aesthetics receives patients from Orlando, Altamonte Springs, FL, and other towns and suburbs in the marvelous state of Florida for plastic surgery and non-surgical 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.





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 Practice

Dr. Thomas Fiala is a double board certified plastic surgeon providing state of the art reconstructive and cosmetic surgery procedures. Dr. Fiala’s practice is founded on the belief that each patient’s need for aesthetics is unique, and every surgical or non-surgical procedure must be customized to meet that need. Patient satisfaction is the prime goal at Dr. Fiala’s plastic surgery practice in Florida, and every process and procedure at the practice centers around this goal only.

The practice is equipped with advanced surgical technologies, and Dr. Fiala and his experienced team make the best use of the latest and proven surgical techniques and procedures to deliver the highest satisfaction levels for each patient. Patients in Orlando, Altamonte Springs, FL, and other areas have an opportunity to receive treatments at Dr. Fiala’s practice.

About Dr. Fiala

Dr. Fiala is a well-known and highly experienced plastic surgeon for a wide range of procedures, including breast augmentation, breast lift, breast reduction, breast revision, body lift, facelift, eyelid lift, forehead lift, rhinoplasty, tummy tuck, liposuction, mommy makeover, and other procedures. He is also the medical director of Fiala Aesthetics Medical Spa, which is a leading med spa for some of the most effective and advanced non-surgical cosmetic and anti-aging procedures.

Dr. Fiala launched his plastic surgery practice in downtown Orlando more than 16 years ago, and since then has remained completed dedicated to his mission of transforming the lives of his patients through safe and effective reconstructive and cosmetic surgery procedures. He is the recipient of the prestigious “RealSelf 100” award as recognition for his contributions to the field of cosmetic surgery and non-surgical treatments.

Procedures Offered

A comprehensive range of plastic and cosmetic surgery procedures for the breast, body, and face are provided at Dr. Fiala’s practice in Florida. Patients have the advantage to avail of various non-surgical procedures as well at Fiala Aesthetics Medical Spa, which runs on the same high standards as maintained at Dr. Fiala’s plastic surgery practice.

Procedures for the Face

Facial plastic surgery is one of the most effective ways to reduce the signs of aging from the face, and improve facial profile and aesthetics. Dr. Fiala offers full and partial facelift procedures, nose surgery or rhinoplasty, brow lift eyelid lift, otoplasty or ear surgery, chin augmentation, cheek augmentation, lip augmentation, and other procedures for the face.

Procedures for the Body

Surgical procedures to improve body contours are provided at Dr. Fiala’s practice. These procedures may be recommended to patients who are keen to reduce stubborn fat pockets from certain areas of the body, or are bothered by conditions such as skin laxity and cellulite. Tummy tuck, arm lift, thigh lift, buttock lift, liposuction and body lift are popular body procedures available at the practice.

Procedures for the Breast

Breast surgery procedures have become highly popular in the United States. Dr. Fiala’s plastic surgery practice is equipped to provide state of the art treatments such as breast augmentation, breast reduction, breast lift, breast augmentation with lift, and male breast reduction.


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.

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





Every year, we look forward to seeing the statistics from ASAPS.  They act as a barometer, refelcting the total volume of procedures in the U.S., and also help us to identify trends in what’s popular, and what’s not.

Here are some highlights from their report.

1.  If you combine the surgical and nonsurgical cosmetic procedures, there were over 9 million procedures performed in the United States in 2011. Surgical procedures accounted for 18% of the total number of procedures and nonsurgical procedures made up 82% of the total number of procedures.  Women had 91% of the total. The number of cosmetic procedures for women has increased over 208% since 1997.

2.  From 2010-2011, there was almost a 13% increase in the total number of liposuction procedures, with over 300,000 procedures performed. For the first time in three years, lipoplasty has surpassed breast augmentation, returning as the most popular cosmetic surgical procedure in the United States.

3.  The top five cosmetic surgical procedures in 2011 were:
–  liposuction (325,332 procedures)
–  breast augmentation (316,848 procedures)
–  abdominoplasty (149,410 procedures)
–  blepharoplasty (147,540 procedures)
–  breast lift (127,054 procedures).
It’s interesting to note that rhinoplasty, which used to be a top 5 procedure, is no longer present.

4.   The top five nonsurgical cosmetic procedures in 2011 were:
–  Botox (2,619,739 procedures)
–  filler injections with restylane, juvederm (1,206,186 procedures)
–  laser hair removal (919,802 procedures);
–  microdermabrasion (499,427 procedures)
–  IPL laser treatment (439,161 procedures).

No surprises here.  Botox and fillers remain popular on the minimally invasive side of things, while breast augmentation, liposuction and tummy tucks are still very popular on the surgical side.

The drug Aromasin appears to cut the odds of breast cancer by 65 percent in high-risk postmenopausal women, new research has found. Unlike other anti-estrogen drugs like tamoxifen, Aromasin doesn’t seem to have an increased risk of uterine cancer or blood clots.Aromasin, an aromatase inhibitor, is currently approved for early breast cancer patients, but is not FDA approved as a preventative medication. Currently, the medication costs $300-400 per month, but will soon be available in generic form. Hopefully, the price will drop.

The new placebo-controlled study, conducted by Canada’s NCIC Clinical Trials Group with partial support from Pfizer, involved 4,560 women from Canada, the U.S., France and Spain with a median age of 62.5 years. The women were all post-menopausal and had at least one other risk factor for breast cancer.

After three years, researchers observed 11 invasive breast cancers in the women receiving Aromasin, compared with 32 in the group receiving the placebo, for a 65% reduction. There were also fewer precancerous lesions in the group receiving the drug.

“This may add another potential drug for these women,” said Dr. Jennifer Litton, a breast medical oncologist with the University of Texas M.D. Anderson Cancer Center in Houston. “Hot flashes, joint stiffness were more pronounced but it [Aromasin] doesn’t have the blood clot and uterine cancer risk.”

Here are my choices for the “Hot Topics” presented at the Boston ASAPS meeting:
1. “Stem Cell Facelift” – Dr. Peter Rubin reviewed the literature on the so-called Stem Cell facelift. It turns out that there really is no consistent technique for this method. Many advertised “stem cell facelifts” are simply regular facelifts with regular fat grafting and don’t involve any extra stem-cell work at all. Furthermore, to date, there is NO DATA that this technique is superior to facelift with standard fat grafting. Summary: as of today, the stem cell facelift can either be considered unproven and under development, or if you are a little more cynical, it might just be “marketing hype”.

2. Biofilms & breast implant contracture – as we’ve discussed here before, evidence continues to accumulate that there is a link between bacteria, which go on to form a slimy biofilm, and later development of a hard, contracted breast implant. Australian surgeon Dr. Anand Diva presented data from an animal study, showing that in their experimental model, once a biofilm was formed, that 80% of the animals went on to form a capsule around their implant. Furthermore, when an antibiotic-impregnated mesh was placed in the pocket with the implant, there were zero contractures, despite purposely contaminating the pocket with a dose of bacteria. The mesh, made by a company called TyRx, is currently in studies as a method to prevent infections around cardiac pacemakers. So far, no human studies have been done with breast implants and this mesh – but it’s clearly very interesting and exciting.

3. High Intensity Frequency Ultrasound (HIFU) – Dr. Mark Jewell presented his data on the Liposonix machine, which is claimed to reduce abdominal fat without invasive surgery or injections, but just an external treatment which focuses ultrasonic energy on the fat. It turns out that it works….but there are some limitations. In their study of 180 patients, an average reduction of 2.5 cm (1″) in abdominal circumference was seen after only one treatment. Some patients (good responders) had more than a 3 cm reduction in circumference. Treatment pain was rated as “none or mild” in 67%. Again, this machine is not FDA approved yet…but it’s available in Europe. Hopefully, we’ll get it one of these days!

Lots of cool stuff….more to come. It’s also been nice to catch up with friends from Boston and from Ann Arbor.

The American Society of Plastic Surgeons (ASPS) released their annual report on plastic surgery procedures this past week.

According to ASPS, 13.1 million cosmetic plastic surgery procedures, including both minimally-invasive or surgical categories, were performed in the United States in 2010, up 5 percent from 2009.

“The economy is showing signs of improvement and financially, things seem a little better for people this year,” said ASPS President Phillip Haeck, MD. “There’s some pent-up demand for cosmetic surgical procedures. People have waited a couple of years or more to have procedures, until their finances were at least somewhat back in order”, said Dr. Haeck.

Cosmetic surgical procedures increased 2 percent, with nearly 1.6 million procedures in 2010. The top five surgical procedures were:
• Breast augmentation (296,000)
• Nose reshaping (252,000)
• Eyelid surgery (209,000)
• Liposuction (203,000)
• Tummy tuck (116,000)

Interestingly, people are having more facelift surgeries, with a rise of 9 percent in 2010, with nearly 113,000 procedures. Facelifts have not experienced growth since 2007.

Breast augmentations increased 2 percent over the previous year, remaining the most popular cosmetic surgical procedure. Silicone implants are being used in 60% of all breast augmentations nationally. In our practice, this figure is more like 75%.

All surgical body contouring procedures also experienced growth in 2010 – breast lifts (up 3 percent), lower body lifts (up 9 percent), upper arm lifts (up 5 percent), and thigh lifts (up 8 percent). Many of those procedures are being requested following massive weight loss.

Cosmetic minimally-invasive procedures increased 5 percent, with nearly 11.6 million procedures in 2010. The top five minimally-invasive procedures were:
• Botulinum toxin type A (5.4 million)
• Soft tissue fillers (1.8 million)
• Chemical peel (1.1 million)
• Laser hair removal (938,000)
• Microdermabrasion (825,000)

“Injectables have remained robust despite the economy,” said Dr. Haeck. “Botox® and Dysport® injections are up 12 percent, while, interestingly, fat injections are up 14 percent, which could reflect how a patient’s own fat is being used in more creative ways to rejuvenate the face and body.”

Breast reconstruction is up 8 percent in 2010 and is new to the top five reconstructive procedures. I’m glad to see that efforts in educating breast cancer survivors about their reconstructive options are helping.

The report can be viewed in more detail here.

Plastic Surgery advice site RealSelf.com keeps a consumer-generated list of procedures, rated by whether or not the consumer felt they were “worth it” or not. (link) While it’s not scientific, it’s a good reflection of how consumers feel about things.

Here are the top five plastic surgery procedures (most worth it), as of today:

#1) “mommy make-over” – 94% approval
#2) lower body lift – 93% approval
#3) tummy tuck – 90% approval
#4) breast implant revision – 89% approval
#5) breast reduction – 87% approval

(Editors note: gastric bypass was rated tops overall, but since it’s a bariatric surgery operation, I didn’t put it on this list.)

List below are some of the “least worth it” procedures, according to the users of Realself.com

#138) “portrait” skin resurfacing – 11% approval
#137) thread lift – 22% approval
#136) blue peel – 25%
#135) ProFractional Laser – 25% approval
#134) silicone injections
#131) VelaShape – 28% approval
#128) Zerona fat reduction – 32% approval

No surprises in this rogues’ gallery. Although we used to use the Blue Peel, we now prefer the VI Peel. Works just as well for light to medium strength peeling, and you don’t have a blue tinge to your skin for the first few days!

I’m now participating in the discussion panels over at RealSelf.com, answering common patient questions. Hopefully, prospective patients will find these answers helpful, in addition to all the educational material on our own website. Here’s the link…

Q & A with Thomas Fiala, MD:

View all answers from Thomas Fiala, MD on RealSelf.com
Fiala Aesthetics | Plastic Surgery & Med Spa