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 The fine lines formed by this overactive muscle will now fade away as the muscle is no longer active.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


Non-Surgical Body Contouring | Medical Spa | Orlando | Plastic SurgeryAccumulation of stubborn fat tissue in certain pockets of the body can spoil the overall body contours. Over the last two decades, this condition has become more prevalent among both women and men due to poor dietary habits, sedentary lifestyles, and hereditary factors.

CoolSculpting is one of the most effective non-invasive body contouring treatments for such people, particularly if want to avoid cosmetic surgery. Fiala Aesthetics Medical Spa is a state of the art facility providing CoolSculpting procedure to patients in Orlando, Altamonte Springs, FL, and surrounding communities.


Innovative Cooling Technique

CoolSculpting is based on an innovative cooling process developed by Harvard scientists that will simply freeze the fat cells to their death and gradual removal from the targeted fat deposit area. Smoother body contour will be restored gradually as the unwanted fat cells are isolated, disintegrated, and removed by the body’s natural process.

CoolSculpting is an advanced, non-surgical med spa procedure designed to enhance contours in areas such as the thighs, buttocks, abdomen, back, breasts, flanks, calves, upper arms, knees, and neck. The innovative cooling technique involved in this procedure will expose the fat cells to very cold temperature. These cells respond much faster to cold temperature, and their function is disrupted.

The technique is highly precise and causes no harm to the surrounding healthy tissue. The patient will be able to lose fat without the involvement of any cuts, incisions, medication, or needles. Most patients will not experience any noteworthy discomfort with this treatment.


Healthy, Natural Looking Outcome

Unlike more aggressive surgical or non-surgical body contouring procedures, the outcome with CoolSculpting will be healthier, more natural looking, and sustainable. The results will not show immediately, but will continue to establish over several weeks and months. This becomes an advantage for people who do not want the results to appear sudden or obvious to others.

CoolSculpting technique is unique because it adopts a completely reverse approach of most other non-surgical fat reduction techniques such as laser, radio frequency, or ultrasound, which are all heat-based. The cooling process in CoolSculpting is gentle, and involves no heating, shattering or extraction of targeted cells. Double board certified plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for this treatment.


Little or No Downtime

CoolSculpting has increasingly emerged as the procedure of choice for working individuals and busy moms who want to get rid of unwanted fat pockets without facing the risks, discomfort and downtime involved in a surgery. CoolSculpting will involve little or no downtime.

The patient may, in fact, schedule a treatment session of CoolSculpting during lunch hour, and simply return to the workplace after the session.


Appearance of Results

Each treatment session of CoolSculpting can last from 30 minutes to one hour, depending on the surface area and location. Most patients will require multiple treatment sessions to achieve their aesthetic goals, but some may only need a single treatment to improve the contours. Results will be visible right after the first session, and will continue to improve with time.

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 ; ;

Blepharoplasty | Eyelid Surgery | Before and After Photos | OrlandoEyelid surgery, clinically known as blepharoplasty, is a rather delicate cosmetic surgery procedure that should only be performed by an expert. An experienced surgeon will discuss various aspects of the procedure during the pre-op consultation process. Many surgeons will also prefer to show blepharoplasty before and after photographs at the very first appointment.

The first goal of the plastic surgeon should be to educate the patient about eyelid surgery and help them make an informed decision. Some surgeons will encourage patients to review various before and after photographs and clarify all their doubts and concerns prior to proceeding with the surgery. Dr. Thomas Fiala provides blepharoplasty and other aesthetic procedures to patients in Orlando, Altamonte Springs, FL, and surrounding communities.


What are Blepharoplasty Before and After Pictures?

Before and after pictures in case of eyelid cosmetic surgery refer to a set of images pertaining to a previous patient who has received the same procedure with successful results. The set includes photos taken prior to the procedure and after the procedure at a time when swelling and redness has been fully resolved and final results of the surgery are visible.

The plastic surgeon will ensure that blepharoplasty before and after images are acquired with the patient’s permission and presented discreetly before new patients. The sole purpose behind this exercise is to familiarize new patients about different aspects of eyelid surgery and explain to them its potential effectiveness.

The advent of digital technology has changed the world. There is not one industry in the world that has not been affected in a good way with the use of digital technology. Websites can now show patients exactly what to expect. This is unprecedented. Plastic surgeon’s websites can help patients make the best determination on what is best for them. Now patients do not have to sit in surgeon’s offices for 30 minutes being explained what to expect and looking at unclear pictures taken by some old camera.

Digital photography is so much more superior and you can see the results of other patients’ surgeries before you drive anywhere. You can also just talk to the clinic over the phone for some basic information as well.



At the outset, blepharoplasty may appear to be a minor surgery performed on an outpatient basis. However, eyes are a prominent part of the face and it is important to make correct decisions about the procedure. Some patients may require only lower eyelid surgery, while others may require both lower and upper eyelid surgery.

In some cases, the surgeon may recommend a brow lift or another procedure in conjunction with eyelid lift for more harmonious results. It can be hard for a new patient to make all the right choices. This is where the surgeon will utilize eyelid surgery before and after photos to facilitate better decision making.

Board certified plastic surgeon Dr. Fiala recognizes the significance of before and after photos, and likes to provide them to patients wherever possible. He will also encourage patients to review magazines and websites to see what kind of improvements they may like to have in their eye appearance. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for a variety of aesthetic procedures, including eyelid surgery.


Being Realistic

When a new patient is presented with blepharoplasty before and after photos during the pre-op consultation, they will know exactly what the procedure can or cannot do for them. This allows the patient to form realistic expectations, and mitigates the risk of any disappointment occurring later on.


Online Image Gallery

The surgeon may choose to create a Photo Gallery section on their practice website. New patients can simply access blepharoplasty before and after photos online and then make up their mind about visiting the surgeon’s office for a personal 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 ; ;

Blepharoplasty | Eyelid Surgery | Cost | Plastic Surgery | Orlando FLCost is an important starting point for many people who are considering whether to undergo blepharoplasty or eyelid cosmetic surgery. In comparison to many other plastic surgery procedures, blepharoplasty will usually turn out to be less expensive. The surgeon will discuss the dollar amount aspect during the initial consultation.

Dr. Thomas Fiala is a double board certified plastic surgeon offering eyelid lift and various other procedures of the breast, body and face. Dr. Fiala will provide the cost estimate and help the patient make the right decision about eyelid surgery. He provides both surgical and non-surgical aesthetic procedures to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


Financial Factors

The sticker price of blepharoplasty cosmetic surgery will differ from one practice to another, and may even differ between two patients at the same practice. Some of the key factors that will influence the actual cost at a practice include:


Practice Location 

Practices located in leading urban centers and prime cities along the coasts will usually cost more because of the higher average costs of living in such regions. Smaller cities and interior regions generally offer relatively lower costs.


Surgeon’s Fee

 The plastic surgeon may charge a fee according to their skills, experience and recognition in the field of facial procedures. The American Society of Plastic Surgeons advises patients to choose the right surgeon for their needs, and treat surgeon’s fee only as a secondary consideration in such decisions.


Operating Room Costs

Whether the eyelid aesthetic procedure is performed at a hospital, ambulatory surgical center or a private surgical suite will make an impact on the costs. Eyelid surgery is an outpatient procedure, which will reduce this cost in any case. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for blepharoplasty.


Payment Options and Rebates  

The surgeon’s practice will generally accept the payment with check, cash or a major credit card. If a dual procedure involving both upper and lower blepharoplasty is performed, the procedure may become more cost-effective. Many surgeons also offer rebates if the procedure is combined with various other treatments such as a brow lift, facelift, or other non-surgical facial rejuvenation procedures.


Insurance Coverage

A health insurance plan will typically view blepharoplasty as an elective procedure, which is not medically necessary. Therefore, the cost will have to be paid by the patient. However, one important exception may be patients who seek this surgery to correct ptosis condition for safe and effective vision. Full or partial insurance coverage may be available for this treatment.

Patients may also consider non-surgical alternative treatments such as fractional laser skin resurfacing, Botox or Restylane dermal filler injections in case they feel the price of eyelid surgery is out of their affordable range.



Many innovative and convenient financing methods for cosmetic surgery procedures such as eyelid surgery are available today. The surgeon may have an arrangement with some of the leading medical care finance companies to help patients pay for their procedure with the assistance of a qualified lender. Alternatively, the patient may explore various financing options on their own.

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 ; ;

Blepharoplasty | Eyelid Surgery | Plastic Surgery | Orlando FLBlepharoplasty, commonly known as eyelid lift, is a cosmetic surgery procedure to rejuvenate the eyes by reducing the lines and wrinkles and removing the droopy or tired look of the eyes. Eyelid surgery may be performed on lower or upper eyelids, or both, depending on the patient’s needs. Ptosis correction may also be involved in a few cases. Brow lift, forehead lift, or other facial procedures can be combined with blepharoplasty, depending on the patient’s needs.

Eyes are not just a prominent part of the face from an aesthetic viewpoint, but also constitute the most sensitive area where a cosmetic procedure may be performed. Therefore, the patients should only choose a fully trained and experienced plastic surgeon to perform blepharoplasty. Dr. Thomas Fiala is a board certified plastic surgeon providing cutting edge eyelid surgery and other procedures. They receive patients from Orlando, Altamonte Springs, FL, and surrounding locations.



Women and men above the age of 18 are usually eligible for eyelid cosmetic surgery procedures, but most candidates are above the age of 30 who choose this surgery. If an individual is bothered by the appearance of droopy or tired looking eyes, puffy upper eyelids, dark circles below the eyes, or under eye bags, they may benefit from blepharoplasty. If an individual has baggy eyelids at a younger age due to heredity factors, they may choose this procedure once they have completed the age of 18.


Types of Eyelid Surgery

Upper Eyelid Surgery

Upper blepharoplasty is a relatively more common aesthetic eyelid surgery procedure. The surgeon will correct the inflated and droopy appearance of the upper lids by reducing excess skin and fatty tissue. Some patients may suffer from partial vision obstruction if the upper lids are heavily sagging. This condition can be corrected at the time of upper blepharoplasty. Weak underlying muscles may also be tightened or repositioned in some cases.


Lower Eyelid Surgery

If the patient is unhappy with the presence of excess fat tissue underneath the lower eyelid, they may choose lower eyelid surgery. The plastic surgeon will create a small incision to take out or redistribute excess fat in order to create a smoother and more even looking skin. If loose skin exists around the lower eyelid, it will be removed to create a tighter and younger looking skin above the cheek.


Transconjunctival Blepharoplasty

Some patients may only suffer from a limited problem of under eye bags, which can be corrected with this conservative procedure. Only the excess fat tissue from around the eyelids will be removed in this case, while the skin will not be excised. Tiny incisions will be made only within the lower eyelid, which will avoid any external visible scarring. Patients in Orlando, Altamonte Springs, FL, and nearby areas have an opportunity to receive eyelid surgery from Dr. Fiala.



Most patients are likely to experience mild irritation and soreness in the incision areas during the first three to five days. In about one week, healing should be completed to a point where the patient can return to their normal household activities or go back to work.

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 ; ;

Orlando, Florida Breast Augmentation Plastic Surgeon | Plastic SurgeryAccording to the American Society of Plastic Surgeons (ASPS), breast augmentation ranks as the second most popular cosmetic surgery procedure in the US today after liposuction. When the procedure is performed by a fully trained and experienced surgeon, it can produce highly desirable aesthetic outcomes. Some women may also require breast implants as a part of breast reconstruction following a mastectomy.

Leading plastic surgeon Dr. Thomas Fiala provides breast augmentation and various other aesthetic procedures for the breast, body, and face. Patients in Orlando, Altamonte Springs, FL, and surrounding locations have an opportunity to receive cutting edge breast surgery in a state of the art practice environment at Dr. Fiala’s office.


Customization and Innovation

Dr. Fiala believes that optimal results in breast augmentation cosmetic surgery can be created when the surgeon takes into account the natural breast anatomy and personal aesthetic needs of the patient to prepare a customized surgical plan. Therefore, they will closely engage with the patient during the pre-operative consultations and help her make the best decisions about the surgery.

They will discuss the choices in breast implant sizes, which range from 120 cc to 960 cc as well as choices in implant type, shape, projection and texture. Incisions in case of breast implant surgery may be placed beneath the breast crease, under the arms, around the areolas, or even around the navel in a few cases. Surgical placement of the implants may be made above or behind the pectoral muscle. Patient will be educated about these options, and the surgeon will help her make the right choices.

Dr. Fiala is a highly experienced plastic surgeon for a procedure such as breast augmentation. He will adopt highly innovative surgical techniques in order to keep the incisions smaller and discreet. His goal is to make the procedure less painful, less invasive and requiring reduced recovery time. Dr. Fiala will also try to ensure minimal visible scarring in each case of breast augmentation. They receive patients from Orlando, Altamonte Springs, FL, and nearby areas for breast augmentation and other aesthetic procedures.


About Dr. Thomas Fiala

Dr. Fiala is board certified by the prestigious American Board of Plastic Surgery as well as the Royal College of Physicians and Surgeons of Canada. With more than 25 years of education, training and experience behind him, Dr. Fiala is a pre-eminent plastic surgeon for procedures such as breast augmentation, breast lift, facelift, and rhinplasty.

Dr. Fiala’s passion for cosmetic surgery combined with his advanced training at the University of Michigan and Harvard have equipped him to perform complex breast procedures with outstanding results and the highest patient satisfaction.

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 ; ;

Plastic Surgery In Florida