Botulinum Toxin (Botox) Candidates | Altamonte Springs Plastic SurgeryBotox, clinically known as botulinum toxin type A, is a safe, concrete, and effective treatment to temporarily reduce facial wrinkles and fine lines from specific areas. While this FDA approved treatment has a very high success rate and an excellent safety profile, it is critical to choose the right candidates to administer Botox successfully.

A dedicated aesthetics treatment provider will carefully determine candidacy of the patient before recommending them Botox injections. In some cases, Botox may be used in conjunction with another aesthetic surgical or non-surgical treatment for more effective results. Board certified plastic surgeon Dr. Thomas Fiala provides Botox injections to patients in Orlando, Altamonte Springs, FL, and surrounding locations.



Women and men in the age group of 18 to 65, who are in good general health and having no history of neuromuscular diseases, will usually make fantastic candidates for Botox treatment. They should have a goal to eliminate or mitigate mild to moderate facial lines and wrinkles with Botox, while being fully aware of the potential risks and complications of Botox injectable treatment.

Candidates for Botox will typically wish to avoid facial cosmetic surgery, even while knowing that the outcomes of Botox will last for a few months, and the treatment may have to be repeated periodically to maintain results. Working people and busy moms are generally more interested in choosing Botox because they want a procedure that involves minimal to no downtime and has a much reduced risk of complications.

Younger people may make good candidates if they have an onset of signs of facial aging and they wish to prevent or delay the appearance of more conspicuous facial lines and wrinkles. Many candidates prefer to choose Botox before an important public function or social event such as a wedding because the procedure is quick and efficient and the results are near-instant.

Individuals who are bothered by the appearance of deep facial creases or folds, such as nasolabial folds, they may not benefit much from Botox, and should instead choose dermal filler injections. Botox candidates will have wrinkles or lines caused due to overactive facial muscles, but if the creases are caused due to soft tissue laxity, a dermal filler injection may be a better solution.

A good candidate will also have a positive frame of mind, clear aesthetic priorities and realistic expectations. They should recognize that the results with Botox may not be as dramatic or long lasting as a facial cosmetic surgery, and should focus on the subtle aesthetic improvements and natural looking outcomes that Botox can provide.


Who should Avoid Botox?

Individuals with one or more of the following conditions may not make good candidates for Botox:

  • Allergy to one of the ingredients of Botox
  • Suffered side effects of Botox or one of its variants previously
  • Having an untreated skin infection in the injection site
  • Suffering from a muscular or nerve disorder
  • Having asthma or breathing issues
  • Having bleeding problems
  • Suffering from muscle weakness in the forehead
  • Having recently undergone facial surgery

Women who are pregnant or breastfeeding should also avoid Botox. Highly successful plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for Botox.

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 ;

fhddhfTummy tuck is a major cosmetic surgery procedure that will involve a series of steps. The steps may slightly vary in each case depending on the specific surgical technique chosen. The surgeon will discuss with the patient about the procedure steps during the initial consultation to keep them informed and help to relieve them of any pre-surgery anxiety.

The patient should feel free to clarify any concerns or doubts about the tummy tuck aesthetic procedure at the outset. A well-informed patient will be in a position to make better decisions and feel more confident about the surgery. Dr. Thomas Fiala is a board certified plastic surgeon providing tummy tuck and other procedures to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Placing the Incisions

Following anesthesia, the tummy tuck cosmetic surgery procedure will begin with the surgeon placing incisions in pre-determined discreet locations. The number and length of incisions will vary according to the type of technique and the degree of correction involved.

For example, in circumferential tummy tuck, the incision will be made around the entire waist line, including the back. A partial tummy tuck, on the other hand, will only involve a small incision below the navel.

Repositioning the Navel

A full traditional tummy tuck surgery will usually involve repositioning of the navel to match with the newly sculpted abdomen. In some cases, the navel may have to be detached and replaced in the new position. Alternatively, the surgeon may sculpt a new navel instead of reattaching the original one. Such intricate and artistic steps can be best performed by a skilled and experienced plastic surgeon.

Tightening Underlying Muscles

If the underlying abdominal muscles are weak or separately, it may cause the tummy to protrude. The surgeon will tighten these muscles to create a firmer and flatter abdomen. The abdominal skin will be separated from the abdominal wall through the incisions, and then the muscles will be pulled tighter together. Muscles will be sutured to provide a more toned look to the abdomen and make the waistline appear narrower.

Removal of Excess Skin

Once the weak muscles have been tightened, the surgeon will pull the abdominal skin downward to make it appear tighter and smoother. Excess skin will be trimmed away at this point. Liposuction may be needed in some cases at this stage to reduce stubborn fat deposits before the skin is pulled taut. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for tummy tuck surgery.

Reducing Stretch Marks

Tummy tuck surgery is not designed to remove stretch marks, but in many cases, it is possible to reduce their appearance depending on the location of incisions. If the stretch marks are under the navel, these may be removed along with the loose skin. Other stretch marks may also improve after the surgery.

Incision Closure

The incisions will be closed with dissolvable or removal sutures once the surgery is completed. Temporary drain tubes may be placed below the skin in the incision areas to collect excess fluid. Sutures and incisions may be removed together in about 10 days.

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 ;

Tummy Tuck Candidates | Orlando Plastic Surgery | Altamonte SpringsOne of the common aesthetic problems for both women and men today is the accumulation of excess fat and skin in the abdominal area. Poor physical fitness, overweight issues and genetics may cause this condition. Abdominoplasty or tummy tuck cosmetic surgery is a proven and effective way to get rid of loose skin and unwanted fat tissue in the midsection.

During the initial consultation, the surgeon will carefully determine the patient’s candidacy for tummy tuck. Dr. Thomas Fiala is a board certified plastic surgeon providing tummy tuck surgery. Dr. Fiala provides this procedure to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Who should receive Tummy Tuck?

Any man or woman who is in good general health and feels unhappy with the appearance of sagging skin or folds in the midsection area, or has weak underlying abdominal muscles due to weight fluctuations or lack of exercise, may make a good candidate for tummy tuck cosmetic surgery.

Many women may suffer from separated abdominal muscles and stretched tissue in the midsection following a pregnancy. They can also benefit from tummy tuck surgery. Patients should know that tummy tuck is not a weight loss surgery, but a body contouring procedure. Some candidates may benefit from tummy tuck combined with liposuction surgery to sculpt the abdomen.

Characteristics of a Candidate

People with the following characteristics will typically make suitable candidates for tummy tuck surgery:

  • Not suffering from any specific health condition that could interfere with the surgery or delay the recovery
  • Unhappy with the unsightly appearance of loose skin or sagging contours in the waist region
  • Stubborn fat deposits in the midsection that do not respond to diet or exercise
  • Non-smoker or committed to stop smoking for a certain period of time as per the surgeon’s advice
  • Having clear aesthetic goals and realistic expectations
  • Committed to maintaining an active and balanced lifestyle in the long run and following the surgeon’s recovery instructions

Experienced plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for tummy tuck.

Recommendations for a Suitable Candidate

To achieve safe and successful results with tummy tuck surgery, the candidate’s personal commitment and discipline plays a significant role. A fantastic candidate should follow these recommendations before and after the surgery:

  • Stop smoking for a few weeks before and after tummy tuck as per the surgeon’s instructions
  • Make full disclosure of current health issues and past medical records
  • Avoid using any prescription or non-prescription medications and herbal supplements without the surgeon’s knowledge
  • Have no plans for a pregnancy in the short-term after tummy tuck
  • Have no plans for undergoing a weight loss program in the short-term after tummy tuck
  • Have clear and personal reasons for choosing tummy tuck without being under the undue influence of another person

A few candidates may require tummy tuck surgery even when they maintain a reasonably active and healthy lifestyle because they are genetically predisposed to having fat accumulation in the waist area.

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 ;

Mommy Makeover Procedures | Orlando Plastic Surgery | Cosmetic SurgeryA mommy makeover is one of the most comprehensive cosmetic surgery procedures for women who want to restore their pre-pregnancy figure. It usually combines multiple aesthetic procedures to achieve an enhanced physical appearance in several areas of the body. During the initial consultation, the surgeon will discuss various procedures that may be included as a part of a mommy makeover.

Based on the patient’s personal aesthetic goals and her anatomical needs, the surgeon will create a customized mommy makeover surgery plan. Board certified plastic surgeon Dr. Thomas Fiala provides mommy makeover to patients in Orlando, Altamonte Springs, FL, and surrounding communities.

Key Procedures

Some of the major procedures that are typically included in a mommy makeover plastic surgery are described as below:

Breast Augmentation

If the woman’s breasts have deflated or lost volume following a pregnancy and breastfeeding, she may require breast augmentation as part of a mommy makeover. This will involve surgical insertion of saline or silicone implants to increase the size of the breasts as desired.

Breast Lift

If the pregnancy and breastfeeding has resulted in overstretching of the breast skin and consequent sagging of breasts, the surgeon may recommend breast lift. The procedure will involve excision of loose skin from the breasts to restore tighter and perkier breasts.

Breast Reduction

In some cases, the woman may develop oversized breasts following pregnancy and breastfeeding. To make the breasts proportionate to the rest of the body, breast reduction cosmetic surgery may be performed as part of mommy makeover.


Liposuction is one of the common body contouring procedures that is included in mommy makeover. The procedure is designed to reduce excess fat tissue from specific fat pockets in the hips, thighs, abdomen, flanks, upper arms, breasts, or other areas.

Tummy Tuck

The abdomen will typically take the maximum toll in a pregnancy. A woman may choose tummy tuck surgery as a part of mommy makeover to restore tighter, firmer and flatter abdomen. Stretch marks may also be reduced in some cases when tummy tuck is performed.

Body Lift

Lower body lift surgery can be performed to tighten loose skin in areas such as the buttocks and thighs. Thigh lift and Brazilian butt lift are two of the popular procedures that may be performed as part of a mommy makeover surgery.

Non-Surgical Procedures   

The surgeon may sometimes recommend a combination of plastic surgery and non-surgical aesthetic procedures. Laser, RF, or ultrasound based treatments are more popular because these can produce desirable results in a less invasive manner.

Cellulite reduction may also be performed as part of mommy makeover using non-invasive techniques. Dr. Fiala is a profound plastic surgeon receiving patients from Orlando, Altamonte Springs, FL, and nearby areas for mommy makeover surgery.


Recovery period after a mommy makeover surgery will depend on the number of procedures and the extent of surgery performed. Most women will go through a downtime of one to two weeks, after which they can resume normal activity. Strenuous exercises should be avoided for at least one month.

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 ;

ThermiVa Vaginal Rejuvenation Treatment | Orlando | Altamonte SpringsVaginal rejuvenation has increasingly emerged as a procedure of choice for thousands of women across the United States. However, many of the women may be reluctant to choose cosmetic surgery or another invasive treatment to enhance sexual aesthetics. ThermiVa is a unique, non-invasive procedure that is designed to meet the needs of such patients without involving any cuts, incisions or needles.

Dr. Thomas Fiala is a board certified plastic surgeon providing state of the art surgical and non-surgical procedures for the body, breast, and face. Dr. Fiala has introduced the cutting-edge ThermiVa procedure for vaginal rejuvenation without surgery. He provides ThermiVa to patients in Orlando, Altamonte Springs, FL, and other locations.


Radio Frequency (RF) Technique

ThermiVa treatment is based on proven and highly effective RF technology, which can produce healthy and desirable vaginal rejuvenation outcomes in a completely non-invasive manner. ThermiVa can correct vulvar looseness and vaginal sagging with a precise and focused RF exposure, which does not cause any harm to the surrounding healthy tissue and nerves.

The ThermiVA RF system is pending FDA approval for vaginal tightening and the company has also filed for a patent with the USPTO. The procedure is designed to deliver targeted and controlled amounts of RF energy directly to the affected vulvo-vaginal region. Without any involvement of cosmetic surgery, enhancement of vaginal aesthetics can thus be achieved.

RF energy creates deep heat in the loose tissue to cause tightening of the external labia and reducing laxity of the vaginal interiors. The gentle layers of heat help to contract the targeted tissue to a tighter bundle. ThermiVa system additionally supports the production of new collagen to produce longer lasting results. Therapeutic effects of RF energy in tissue and muscle healing are also well-established.


Improving Orgasmic Function

Some patients have reported that ThermiVa treatment led to an improvement in their sexual or orgasmic function. The tightening and rejuvenation of the vagina can sometimes enhance sensitivity, support stronger and more coordinated muscular contractions, and increase the ability to achieve orgasms in a relatively shorter time period.


Distinguishing Features

A number of features in ThermiVa treatment set it apart from various other surgical and non-surgical vaginal rejuvenation procedures. Experienced plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for ThermiVa treatment.

  • The procedure can be performed in-office.
  • Total duration of the treatment session is about 30 minutes.
  • Supports correction of the loose vulvo-vaginal tissue.
  • Promotes the generation of new collagen in the body.
  • Treats both vagina and labia majora at the same time.
  • Creates smoother, softer, and tighter vaginal skin.
  • The gentle heat process is customized according to the patient’s tolerance level.
  • No cases of burns or blisters have been reported.
  • No stinging or pinching sensation during the treatment.
  • The procedure involves no downtime.
  • No restrictions are imposed on sexual activity.

Conditions such as vaginal or vulvar dryness and mild to moderate urinary stress incontinence can also be addressed with ThermiVa vaginal rejuvenation procedure.

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 ; ;

breast aug plastic surgery cosmetic surgeonLabiaplasty’s acceptance as an effective aesthetics surgery to reshape labial lips continues to grow as more women choose to receive the procedure and share their experience with other women. In fact, many women are also electing to undergo this surgery at relatively younger ages before having children.

Dr. Thomas Fiala is an expert in labiaplasty, which is also known as labia minora reduction surgery. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding communities for labiaplasty and other cosmetic surgery procedures.

Customizing the Procedure

A number of surgeons still approach labiaplasty with a singular aim to surgically excise the excessive labial tissue. However, a plastic surgeon with advanced training will focus on adopting a customized surgical approach according to the patient’s specific labial condition and aesthetic needs. The surgeon’s goal should be to achieve the desired improvement in labial shape while preserving as much of the outer lip edge as possible in order to maintain natural sensitivity.

This can be achieved when the surgeon tailors the procedure according the patient’s needs, and performs a precise and targeted surgery. Labiaplasty may also be performed in conjunction with other cosmetic surgery procedures such as liposuction to achieve more effective outcomes in suitable cases.

Fantastic Candidates

Women who are bothered by one or more of the following conditions may make standout candidates for labiaplasty.

  • The inner labial lips hang underneath the outer labia majora.
  • The intercourse involves excessive pulling on the labial lips causing pain and discomfort.
  • The patient is having trouble with maintaining labial hygiene.
  • The patient finds it difficult to wear clothing of choice with confidence due to oversized labia
  • Pain is experienced during specific physical exercises.
  • The patient is unhappy with the poor aesthetic appearance of the labia.

Treatment Options

Surgical excision of labia majora may be the right treatment option if the patient has excessively large labia majora. In some cases, this procedure may also be combined with liposuction. On the other hand, for patients who are unhappy with the under-sized or small labia majora, a fat transfer procedure may be recommended.

If one of the portions of the labia minora is excessive, the surgeon may remove a small triangle of tissue to enhance the shape and size. Labia minora reduction may be combined with the removal of excessive clitoral hooding. This can be done simply by extending the incision between the minor and the majora.

Once the loose tissue has been surgically reduced and adequate hemostasis is attained, a customized closure of the labial reshaping procedure can be performed. In a few cases, laser treatment and dermal filler injections may also be combined with labiaplasty procedure.


Immediate recovery will take place in about three to five days, but proper healing of the treated area will take up to six weeks. During this period of healing, the patient should abstain from sexual intercourse. The incision area should be kept clean to minimize the risk of infection.

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 ; ;

Laser Treatments | Sclerotherapy | Varicose Veins | Orlando FLRecovery is an important aspect of any aesthetics or reconstructive surgical procedure. Particularly in case of elective surgeries such as labiaplasty, candidates are more concerned to learn about the recovery process and the estimated downtime in order to make a better informed decision.

Dr. Fiala is a highly trained and board certified plastic surgeon providing labiaplasty and other procedures. During the initial consultation, Dr. Fiala will discuss various aspects of the procedure, including recovery. He receives patients from Orlando, Altamonte Springs, FL, and surrounding communities for labiaplasty and other cosmetic surgery treatments.

Immediate Post-op Phase

Following the labiaplasty procedure, which is usually performed as an outpatient surgery, the patient will be moved to a recovery area for one to two hours. Trained staff will monitor the patient for vital signs and attend to her needs until she is in a position to leave.

The patient should arrange in advance for someone to drive her back home from the office of the plastic surgeon. Detailed recovery instructions will be provided to the patient, including advice on her daily routine, activities, pain management, and follow-up visits.

First Few Weeks after Surgery

The recovery process can vary from one patient to another depending on the extent of surgery performed and the patient’s natural ability to recover. In the first 48 hours, the patient may apply ice packs to the treated area to minimize swelling. Pain medications and antibiotics should be taken as prescribed by the surgeon. Patients in Orlando, Altamonte Springs, FL, and nearby areas have an opportunity to receive labiaplasty from Dr. Fiala.

Swelling and bruising is to be expected after the labiaplasty cosmetic surgery, and in many cases, the swelling may persist for about two to four weeks. If at any point, the patient feels acute pain that does not subside with prescription painkillers she should immediately contact the surgeon. Pain medications may cause constipation in some cases. Therefore, the patient may take a more fiber-rich diet to keep the stools soft.

In about a day after the surgery, the patient should be in position to walk lightly around her home. Shower may be taken on the second or third day after surgery. The surgeon may advise the patient not to use tight fitting clothes or thong undergarments for at least a month. Vigorous exercises and activities should be avoided for four to six weeks after the surgery.

More particularly, activities that involve bouncing or jogging should be avoided for at least six weeks. Sexual intercourse should also be avoided for a similar period of time. These restrictions will allow proper healing to take place in a timely manner and application of stress will be avoided in the incision areas.

Incision Care

The patient should take extra care to keep the incision site clean, dry and check it every day for any signs of infection. Absorbent pads may be used to absorb any drainage. In the first two weeks, tub soaking should be avoided. Dry and clean dressings over the incisions may be placed to minimize any moisture accumulation and prevent the chances of irritation from any undergarments and clothing.

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 ; ;

shutterstock_102010213Labiaplasty is a proven, standout, and concrete aesthetics surgery procedure designed to improve the shape and appearance of the labial lips. The procedure must be performed by a trained expert in order to achieve the desired appearance without compromising the natural sensitivity of the labial tissue.

Dr. Fiala is a board certified plastic surgeon providing labiaplasty and other procedures. Dr. Fiala will discuss the estimated costs of labiaplasty during the initial consultation in order to help the patient make an informed choice. He receives patients from Orlando, Altamonte Springs, FL, and surrounding communities.

Factors Impacting the Cost

The dollar amount of labiaplasty cosmetic surgery can vary from one practice to another and even from one patient to another at the same practice. The following factors will influence the monetary figure in most cases.

Practice Location

Location of the practice is one of the major factors in determining the cost of a surgical procedure. The average prices are typically higher in major urban centers and cities along the East and West Coasts, as compared to smaller cities and towns in the country. For instance, the cost of labiaplasty in Orlando, Altamonte Springs, FL, and nearby areas may not be the same as the dollar amount in, say, Arizona.

Surgeon’s Fee

The fee charged by the plastic surgeon can vary according to their qualifications, experience and reputation in the field of labiaplasty. The American Society of Plastic Surgeons (ASPS) recommends that patients should choose a board certified plastic surgeon to receive this procedure. Factors such as the surgeon’s fee should be secondary while choosing the right surgeon for this procedure.

Anesthesia and Operating Room Costs

If labiaplasty is performed with the patient under general anesthesia, the overall sticker price can be impacted according to the fee charged by the anesthesiologist. Whether the procedure is performed at an accredited ambulatory center, a hospital or an in-house surgical suite of the plastic surgeon will also make a difference to the overall impact on your checking account.

Extent of Surgery

The overall length and complexity of the labiaplasty cosmetic surgery procedure will make a difference to its costs. Some patients may need only a margial tissue reduction from the labial lips, while others may need a more detailed reshaping of the labia minora and majora, along with correction of asymmetry and rejuvenation of the clitoral hood. If the labiaplasty procedure is combined with liposuction, fat transfer or dermal filler injections, the overall dollar figure of the surgery will increase.

Average Known Cost

Depending on various factors as discussed above, the average stipulated cost of labiaplasty can vary substantially between two surgeons and even two patients at the same practice. The prevailing cost of the surgeon in the US may range from $4,000 to $8,000, including all major cost components.

Insurance Aspect

Labiaplasty is usually considered as an elective procedure, and the cost may not be covered by the health insurer. However, if the patient is able to show medical necessity due to pain, discomfort, infections, or movement restriction, full or partial insurance coverage may be available. Patients should explore various financing options to pay for the surgery in convenient & sensible monthly installments.


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 ; ;

The drug anastrozole cuts breast cancer incidence in half among high-risk post-menopausal women, according to an study just published in the Lancet.

Anastrozole, also known as “Arimidex”, is a type of drug known as an aromatase inhibitor.  It works by reducing the production of estrogen, like its better-known cousin, Tamoxifen.

In the study, nearly 4000 post-menopausal women at increased risk for breast cancer were randomized to receive daily anastrozole or placebo for 5 years. During the 5 years of average follow-up time, breast cancer developed 53% less often among anastrozole recipients (2% vs. 4%). The researchers estimate that 36 women would need to receive Arimidex to prevent one cancer during a 7-year period.

The researchers say their results “strongly support” anastrozole for preventing breast cancer in high-risk women. The once- daily pill is relatively inexpensive, since the patent has expired. And it works better than tamoxifen in this group.

 Now, if they could only come up with something for pre-menopausal high risk women….
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