Innovation & Advancements

Board certified plastic surgeon, Dr. Thomas Fiala, has been an early adopter of many advancements in operative techniques and patient care systems, designed to reduce complications, improve safety, and help patients have an optimal surgery and recovery with less pain and nausea.  Here are just a few of them:

  • Use of comprehensive surgical checklists for all patients.  Proven by NASA and pilots everywhere.
  • Multi-modality analgesia techniques:  by using pre- and post-op medications proven to reduce post-op pain and nausea, without having to rely only on narcotics.
  • Use of advanced anti-nausea medications (Aprepitant, Zofran) for those patients with a past history of postoperative nausea or motion sickness.
  • Long-acting nerve blocks:  ultrasound-guided nerve blocks for the abdomen and chest areas are routinely used, which significantly reduce post-op pain.  Dr. Fiala is a pioneer in the area of TAP blocks with Exparel for tummy tuck and abdominal liposuction, PECS blocks for breast lift, reduction and complex revisions, and ESP blocks for flank procedures.
  • Pre-operative nutritional support:  reduces wound healing problems, especially for gastric bypass patients.
  • Caprini scale screening of all patients:  to identify and treat those at high risk for DVT.
  • Use of TXA to reduce bleeding & bruising during major surgeries.  Optional use of TXA for patients with a history of “easy bruising”.
  • A MRSA-decolonization protocol for patients at risk.
  • An intra-operative warming blanket for all patients to prevent hypothermia.
  • Sequential compression devices for all patients to reduce DVT risk.
  • Keller funnel for all breast implant placements.
  • Avoidance of routine benzodiazepine use.
  • Use of high-resolution ultrasound for breast implant follow-up screening in the office
  • …and more.

Comparing your options?  Check and see how many of these safety and quality items are routinely performed at other facilities!


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, Tampa, Jacksonville, Sarasota and more.

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





Fiala Aesthetics | Plastic Surgery & Med Spa