A Basic Facelift Overview

shutterstock_65619469Facelift ranks among the top five cosmetic surgery aesthetics procedures performed in the U.S. today. The procedure is designed to reduce the facial signs of aging and restore a more youthful appearance to the face. The plastic surgeon will remove loose skin and excess fat from the face, and tighten loose underlying tissue. Sometimes the fat may be redistributed to make the face appear more even, smoother and tighter.

Facelift procedure is often combined with neck lift in order to create better harmony in the overall facial profile. Upper face procedures such as brow lift, eyelid lift or rhinoplasty may also be performed in conjunction with a facelift to meet the patient’s unique aesthetic needs. Dr. Thomas Fiala is an eminent plastic surgeon providing facelift and other procedures to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Need for a Facelift

Facelift is an important cosmetic surgery aesthetics procedure to help people who are unhappy with the conspicuous signs of aging on the face. The following facial conditions can improve significantly with a facelift:

  • Deep wrinkles and creases around the mouth and nose.
  • Excess facial fat causing disproportionate facial contours.
  • Excess skin in the cheeks and jowls.
  • Unwanted fat pockets and loose skin beneath the jaw and chin that can give the appearance of a double chin.

A marvelous candidate for a facelift will be a person in stunning overall health, having a positive mindset, clear goals and realistic expectations, and a non-smoker or willing to quit smoking at least eight weeks prior to the procedure.

Procedure

As an experienced plastic surgeon, Dr. Fiala employs striking, exceptional, and highly advanced techniques to perform a facelift for his patients in Orlando, Altamonte Springs, FL, and nearby locations. He is expert in performing a state of the art facelift technique called the extended SMAS facelift. This procedure is designed to provide a youthful and rested contour to the face and neck, correcting skin laxity, and retaining the essential facial integrity entirely.

Results with this procedure appear more natural, and not conspicuously tight or distorted. The technique can take at least eight to 10 years off the patient’s face. Dr. Fiala makes sure that the incisions are placed discreetly within the hairline or hidden by the ear cartilage contours to minimize scar appearance. If the patient does not need much improvement in the neck and jaw line area, Dr. Fiala may apply a less invasive, short scar, mini facelift technique, which is called MACS-lift.

If a patient needs restoration of facial volume in the cheeks, temples or around the eyes, Dr. Fiala will perform facial fat grafting to add volume. Fat grafting can be combined with a facelift to achieve more comprehensive outcomes.

Recovery

Swelling will resolve in about three weeks after the facelift surgery, or in one to two weeks after a mini facelift. Pain medications are needed just for the first few days because the recovery does not involve significant pain in most cases. Most patients can go back to work in about 10 to 14 days.

 For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

 


Breast augmentation may be performed as a cosmetic surgery to enhance the size of breasts, or as a reconstructive procedure to restore breast aesthetics following a mastectomy. Dr. Thomas Fiala is an experienced plastic surgeon providing breast augmentation and other surgeries to patients in Orlando, Altamonte Springs, FL, and surrounding communities.During the initial consultation process, Dr. Fiala will make use of breast augmentation before and after photographs to explain various aspects of the surgery. His first goal is to ensure that the patient makes an informed choice about the procedure.

What are Breast Augmentation Before and After Images?

Before and after pictures in case of breast augmentation refer to a pair or group of images pertaining to an earlier patient who has been through the same procedure with successful results. The images include pictures taken prior to the breast augmentation cosmetic surgery and after the surgery at a time when the swelling and bruising has subsided and full effects of the procedure are visible.

The plastic surgeon will obtain these photos with the consent of the patient, and present them discreetly before new patients. The only purpose of these pictures is to educate new patients about various aspects of breast augmentation. Patients can have different aspirations about the aesthetics of the procedure, and these before and after pictures can serve as an effective visual aid to ensure that the patient knows exactly what the procedure can or cannot do for her.

Benefits

When a new patient in Orlando, Altamonte Springs, FL, or nearby areas visits the office of Dr. Fiala for breast augmentation, she may not necessarily have a clear idea about how the procedure may impact her overall appearance. Different options regarding the type of incisions, placement position of implants and the size and type of implants are available.

In some cases, the surgeon may recommend breast augmentation in conjunction with breast lift. In all these situations, it can get difficult for the patient to make the most appropriate decisions. This is where the surgeon may make use of breast augmentation before and after photos to help the patient make the right choices.

Staying Realistic

In any plastic surgery procedure, including breast augmentation, it is important that the patient should have a positive thought process, clear aesthetic goals, and realistic expectations. With before and after photos, it is possible to eliminate the scope for misunderstandings or the risk of false expectations, which can cause disappointment later on. With these photos, the patient will know clearly about what to expect and what not to expect from the breast augmentation procedure.

Photos Online

The plastic surgeon has a choice to upload the digital version of breast augmentation before and after photographs on their practice website. The photos can be a part of a separate website section called “photo gallery.” Through this section, a new patient who may be considering breast augmentation procedure, can simply access the pictures online from the privacy of her home or office. Thereafter, she may decide whether to visit the office of the plastic surgeon for a consultation.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

The Financial Realities of Breast Augmentation

Breast Augmentation Surgery Costs OrlandoBreast augmentation is one of the most popular cosmetic surgery procedures in the U.S. today. Advancements in surgical techniques and FDA approvals for high quality silicone implants have led to a larger number of women seeking this procedure to enhance their breast aesthetics. Dr. Thomas Fiala is a double board certified plastic surgeon providing breast augmentation and other procedures to patients in Orlando, Altamonte Springs, FL. At the time of the initial consultation, Dr. Fiala will address all issues related to the breast implant procedure, including its expected costs in order to help the patient make an informed decision.

Factors Impacting the Cost

Breast augmentation costs may vary from one practice to another, and in some cases, the cost may differ even at the same practice for two different patients. Several factors may be involved in determining the cost.

Practice Location

The cost of breast augmentation can be impacted by where the practice is located. The cost of living index between two regions can differ, which will influence the average cost of most products and services, including cosmetic surgery services. Therefore, the cost of breast augmentation in Orlando, Altamonte Springs, FL, and nearby areas may not be the same as the cost in, say, Newport Beach, CA.

Fee Charged by the Surgeon

The fee charged by a plastic surgeon may be a factor of their education, experience and recognition in the field of breast surgery. According to the American Society of Plastic Surgeons (ASPS), a patient should opt for the best surgeon for their needs, and such a decision should not primarily be governed by the fee charged by a surgeon.

Surgery Room and Anesthesia Expenses

A major aesthetics procedure, breast augmentation surgery may be performed using general anesthesia. The fee of the anesthesia team will depend on their skills and experience. The kind of technologies, experienced staff and personalized care and service are provided at a surgical facility will also determine the costs of the facility.

Cost of Implants

Breast augmentation procedure will involve the cost of breast implants. This cost will vary depending on the type of implants chosen for a particular patient. Silicone implants are typically more costly compared to the traditional saline implants. Some of the new highly cohesive silicone implant qualities may cost significantly more than saline implants. The cost may also be impacted by the size, shape, profile, and texture of implants chosen by a particular patient.

Average Cost of Procedure

The national average cost of breast augmentation in the US, according to the figures compiled by the ASPS for 2013, was $3,678. But this cost does not cover the costs of anesthesia, surgical facility costs, and other related expenses. The ASPS says that the cost will differ from one practice to another due to various factors involved.

At a reputed practice, the total cost of breast augmentation could range between $7,500 and $12,000. If the procedure is performed for aesthetic reasons, the cost will not be covered by health insurance. However, patients may explore a variety of financing options to make payments in convenient monthly installments.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

 

Breast Augmentation Surgery

Breast Augmentation Plastic Surgeon Orlando FLAugmentation mammaplasty, commonly known as breast augmentation or breast implant surgery, is a procedure performed by a plastic surgeon to increase the size and volume of breasts. The procedure involves surgical insertion of saline or silicone gel based implants in the breasts. Breast augmentation is usually performed as a cosmetic surgery, but in some cases, it may be a part of breast reconstruction following mastectomy.

The surgery produces highly effective results in terms of improvement in the aesthetics of breasts as per the patient’s requirements. Dr. Thomas Fiala, an eminent double board certified plastic surgeon, provides breast augmentation and other procedures to patients in Orlando, Altamonte Springs, FL, and nearby locations.

Who is a Suitable Candidate?

A patient may be considered a suitable candidate for breast augmentation for one or more of the following reasons:

  •   The patient is bothered by the naturally small-sized or under-developed breasts.
  •   The patient wishes to enhance the size purely for aesthetics, even if the breasts are normal sized.
  •   The patient has suffered loss of breast volume following a pregnancy, nursing, or weight fluctuations.
  •   The breasts are unevenly sized.
  •   Breast tissue has been lost due to mastectomy or breast injury, requiring an implants surgery to restore breast appearance.

Dr. Fiala is an experienced plastic surgeon providing this procedure to patients in Orlando, Altamonte Springs, FL, and other regions.

Choice of Implants

The selection of breast implants will impact the final results of breast augmentation cosmetic surgery. The patient will usually have a choice between saline and silicone breast implants. Implant sizes are also available from 120cc to 960cc. The right combination of implant type, size, shape, profile and texture will ensure most effective outcomes as per the patient’s unique aesthetic needs.

Procedure

Breast implants surgery may be performed using general anesthesia or IV sedation, as per the surgeon’s decision in a particular case. The incisions may be placed underneath the breast crease, around the areola, around the navel, or in the underarm. In any case, an experienced surgeon will ensure that incisions are placed discreetly to minimize the appearance of scars.

Through the incision, the surgeon will create a breast cavity for the placement of implants. The implant may be placed below the chest muscle, or between the muscle and tissue. After the implants are placed, the surgeon will close the incisions with sutures. The entire procedure may be completed in about two hours in most cases. In some cases, the surgeon may recommend a breast augmentation surgery in conjunction with breast lift to achieve more comprehensive results.

Recovery

For the first week, the patient is likely to experience mild pain and discomfort in the treated area, which can be managed with pain medications. Within a day or two, the patient will be able to perform light activities at home. But heavy lifting and vigorous exercises must be avoided at least four to six weeks. Most patients will be ready to return to work within a week to 10 days following the surgery.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

 

Dr. Thomas Fiala, M.D.- Orlando Cosmetic Surgeon

Fiala Thomas MD FACS Orlando Plastic SurgeonDr. Thomas Fiala is a highly experienced and double board certified plastic surgeon, providing cutting edge cosmetic surgery procedure procedures as well as non-surgical treatments. As a skilled and experienced platic surgeon in Orlando with an impeccable track record of performing a wide range of procedures, he is the first choice for many patients in Orlando, Altamonte Springs, FL, and surrounding communities.

In addition to his plastic surgery practice of about 16 years, Dr. Fiala also provides innovative and effective non-invasive and minimally invasive procedures to his patients through his state of the art Fiala Aesthetics Medical Spa.

Education and Training

This fantastic and hard working doctor belongs to an exclusive set of surgeons who have had the privilege to be board certified by both the American Board of Plastic Surgery and the Royal College of Physicians and Surgeons of Canada. Dr. Fiala began his academic pursuit as a plastic surgeon with a residency in plastic surgery at the University of Michigan.

He followed this with a research fellowship in plastic and microvascular surgery at Harvard University’s Massachusetts General Hospital. He also obtained another fellowship in facial cosmetic surgery, and trained with a facelift surgeon of national eminence, Dr. John Owsley.

Industry Engagements

Apart from committing himself to providing the highest standard of treatments and care to his patients in Orlando, Altamonte Springs, FL, and nearby areas, Dr. Fiala also devotes time to maintain active engagement with some of the eminent industry associations. Some of the leading national associations, where he is an active member, include the following:

  • The American Society of Plastic Surgeons
  • The American Society of Aesthetic Plastic Surgeons
  • The Florida Society of Plastic Surgeons
  • The American College of Surgeons

Surgery and Med Spa Services

Dr. Fiala has been providing a wide range of plastic surgery procedures through his independent practice in Florida for more than 16 years. At the same time, he has also established Fiala Aesthetics Medical Spa, which is a highly advanced facility for non-invasive and minimally invasive cosmetic and anti-aging procedures.

Some of the commonly performed surgical and non-surgical procedures at Dr. Fiala’s practice include Breast implants, breast reduction, breast lift, breast augmentation with lift, abdominoplasty, liposuction, thigh lift, arm lift, buttock lift, body lift, eyelid surgery, brow lift, dermal filler treatments, fractional laser resurfacing, IPL Photofacials, Laser Genesis, laser-based treatments for vein problems, laser skin tightening, and chemical peels, among others.

Customized Solutions

Dr. Fiala firmly believes that any plastic surgery procedure must be customized in accordance with the natural anatomy of the patient, their personal aesthetic goals and needs, and their general health condition. Best satisfaction levels in cosmetic surgery can be achieved when the surgeon approaches each case individually and creates a customized treatment plan tailored to the patient’s unique needs.

Recognition from RealSelf

He was recently honored with the prestigious “RealSelf 100” award. RealSelf is a nationally popular online community for doctors and patients in the United States. Recognition from this community is a glowing testimony to Dr. Fiala’s commitment to the field of cosmetic surgery and his dedication to his patients.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

Plastic Surgery Practice

Plastic Surgeon Orlando FLDr. 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.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

Orlando Plastic Surgeon Dr. Thomas Fiala

Dr. Thomas Fiala is a pre-eminent plastic surgeon in Orlando, leading a state of the art cosmetic surgery practice as well as a medical spa for non-surgical aesthetics procedures. Dr. Fiala enjoys a high reputation among his patients, and has an exemplary track record of successful procedures at his practice of more than 16 years. He receives patients from Orlando, Altamonte Springs, FL, and nearby areas like Daytona Beach, Merritt Island and Tampa, for both surgical and non-surgical procedures.

Academic Background

Dr. Fiala is one of few doctors in Central Florida who has been board certified by both the American Board of Plastic Surgery and the Royal College of Physicians and Surgeons of Canada. Dr. Fiala completed his residency in plastic surgery from the University of Michigan, with a research fellowship in plastic and microvascular surgery at Harvard’s prestigious Massachusetts General Hospital. He followed this with a fellowship in facial cosmetic surgery with a leading facelift expert, Dr. John Owsley.

Memberships

Dr. Fiala is an active member of some of the leading organizations in the arena of plastic surgery. The most eminent of these organizations include the following:

  • The American Society of Plastic Surgeons
  • The American Society of Aesthetic Plastic Surgeons
  • The Florida Society of Plastic Surgeons
  • The American College of Surgeons

Surgical and Non-surgical Expertise

In addition to running his own plastic surgery practice in Orlando for over 16 years, Dr. Fiala is also the founder and director of Fiala Aesthetics Medical Spa, which provides state of the art non-surgical treatments. Patients in Orlando, Altamonte Springs, FL, and surrounding areas have an opportunity to receive state of the art invasive and non-invasive solutions from him.

Dr. Fiala’s expertise includes the following procedures, among others: Breast augmentation, breast lift, breast reduction, tummy tuck, liposuction, body lift, arm lift, thigh lift, facelift, eyelid lift, forehead lift, facial filler injections, laser resurfacing, photofacial treatments, laser skin tightening, and chemical peels.

Personalized Treatment

Dr. Fiala believes in addressing the aesthetic needs and goals of each patient in a personalized manner, and provides customized solutions designed to meet those specific goals. Right from the initial consultation process, he remains keenly interested and attentive to the patient’s needs, aspirations and expectations, and prepares a treatment plan that is tailored to match those individual requirements. He draws his satisfaction when he is able to bring joy to the lives of his patients through desirable and sustainable outcomes.

RealSelf 100 Award

The highly popular RealSelf online community for doctors and patients has honored Dr. Thomas Fiala with the coveted “RealSelf 100” award. This is an acknowledgement of his dedicated and altruistic efforts to achieve high levels of patient satisfaction through state of the art aesthetic surgical and non-surgical procedures.

For more information of the treatments and procedures offered at this Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222(407) 339-3222 or visit www.plasticsurgeryinflorida.com ; http://coolsculptinginorlando.com/

Very quietly, almost under the radar, Allergan has changed the terms of their saline implant warranty.
It only affects patients who have received saline implants after July 1, 2014.  The changes do not apply to patients who receive gel implants.
Now, under their “standard plan”, they will continue to give lifetime replacement in case of deflation for both sides.  However, there is no more financial assistance for surgery costs.  Zero money to help patients with expenses.  This is the big change.
They have, however, now introduced a new “Premier” level of warranty, which costs $200 to purchase, and the patient must enroll within 45 days of surgery.  With this plan, up to $2400 of financial assistance is available during the term of the warranty.  So this would probably be used up with one operation.
Editor’s note:  While Allergan is certainly within their rights to change their warranty policies, I really dislike how they haven’t brought this to the attention of the plastic surgery community.  No emails, letters, announcements, messages from our rep – nothing.   I found about the changes quite incidentally today (9/16/14), so I am posting this immediately for the information of our upcoming patients.
As yet, there are no implant warranty changes announced by either Mentor or Sientra.
Getting a incision to look fantastic after surgery is a combination of several factors:
   a)  proper placement of the incision
   b)  tidy suture closure, done in multiple layers
   c)  avoidance of tension
   d)  … and a little bit of luck.
Recently, we’ve been using a new product at our office – and I wanted to share the early results with you.  It’s a special dressing, called “Embrace”, made by a start-up company called Neodyne.  Two plastic surgeons, Michael Longacre and Geoff Gurtner, are the brains behind the outfit.  (I know Geoff from surgical residency days.)
The dressing is a stretchy silicone material that is placed across the incision in the stretched position, then attached.  As the dressing retracts, it reduces the tension on the incision.  And when worn for 8 weeks after surgery, this off-loading of the tension not only causes less widening of the scar, it results in less thickening and a better cosmetic appearance.  This has been proven in several studies.
We’ve been recommending this dressing on all of our recent tummy tucks and body lift procedures.  And the early results have been impressive – it really works.  The people who use this product are seeing significant cosmetic improvements.
Here are some photos from the company – these are very similar to the results we are seeing.  The untreated scar is on the left, and the treated scar – from the same patient – is on the right.
The American Society for Aesthetic Plastic Surgery has released its report on plastic surgery in the USA for 2013, based on recent surveys of plastic surgeons, otolaryngologists and dermatologists.
Here are some of the highlights of the report:
  • Over 11 million surgical and non-surgical cosmetic procedures were performed in the US in 2013.   Over 85% of these were non-surgical, such as Botox, fillers or laser treatments.
  • Compared to 2012, there was a 6.5% increase in the total number of cosmetic surgical procedures.
  • The most popular surgeries were:  (#1)  liposuction and (#2) breast augmentation.  These two procedures reversed their order from last year’s report.
  • The most popular non-surgical procedure is: Botox, with over 3.7 million injections performed last year.
  • Buttock augmentation is on the rise, with 11,500 procedures being done this year, compared to only 7,200 the year before.  This procedure wasn’t even on the radar screen just a few years ago.
  • Women accounted for 90% of all surgeries.
  • The most common procedures for men are: (#1) liposuction, (#2) cosmetic eyelid surgery.
More details will be published shortly at the ASAPS website (www.surgery.org)
RealSelf
Plastic Surgery In Florida