We are the first plastic surgery office in Central Florida to offer the new:

Attendees will enjoy light lunch & refreshments, 
& $100 towards their first injection. 
Space is Limited. Call today at 407-339-3222


These two new products are the “next-generation dermal fillers, designed to support your natural expressions”. Click the links below to learn more:


FIALA AESTHETICS | Contact us by Clicking Here or at 407-339-3222

*Some restrictions apply, ask for details. Injection procedure must be scheduled and completed within six months, or by September 29, 2017. Offer good while supplies last or schedule permits. Offer may not be combined with any other discounts, incentives or promotions. Patients must be candidate for procedures as determined by Dr. Fiala and/or deemed Medical Professional. 

Preparing for Tummy Tuck Plastic Surgery | Altamonte Springs | OrlandoPre-operative preparation is a vital part of any major cosmetic surgery procedure such as tummy tuck. Detailed preparation will lay the foundation for a successful surgery and significantly reduce the risk of complications. The preparation process will include pre- and post-surgery guidelines which should be carefully followed by the patient.

Dr. Thomas Fiala is a board certified plastic surgeon providing procedures such as tummy tuck in a state of the art surgical environment. Dr. Fiala and his team will guide the patient through the preparation process and beyond. Patients in Orlando, Altamonte Springs, FL, and surrounding locations have an opportunity to receive tummy tuck from Dr. Fiala.


Healthy Diet

A nutritious and balanced diet plan should be followed as part of the preparation process for tummy tuck surgery. It is important to have a strong immunity in order to mitigate the risk of infections during and after the surgery. The patient should increase the intake of lean proteins in order to support post-op healing. Chicken, fish, eggs, light cheese and yogurt should be a part of the diet for higher protein content.

While vitamin rich diet is important, the patient should avoid the intake of vitamin E for a few weeks prior to the tummy tuck surgery because it can add to the risk of complications. Patients who remain committed to a healthy diet before the surgery will find it easier to continue with good eating habits even later on, and will be able to extend the benefits of their aesthetics procedure.


Maintaining Fitness

At least a few weeks prior to the tummy tuck surgery, the patient should start a regular fitness and exercise regimen. This will improve the body’s metabolism and strengthen the muscle mass. Recovery is typically easier and smoother for patients who have good fitness levels. Regular exercise will allow the patient to have a more flexible and leaner body.

Patients who maintain fitness schedules prior to tummy tuck will gain minimal additional weight in the weeks following the surgery when they will have to refrain from pursuing a daily exercise regimen.

Long-term habits of fitness and exercises are instilled when the patient follows a good fitness routine in connection with tummy tuck. Experienced plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL and nearby areas for tummy tuck surgery.


Things to Avoid

If the patient has a history of smoking, the surgeon will require them to avoid smoking for a few weeks before the tummy tuck procedure, and continue to follow that restriction even after the procedure for a certain period. Blood vessels are constricted due to nicotine in tobacco smoke, which can increase the risk of complications and slow down the recovery.

Blood thinning drugs will also have to be avoided for at least two weeks before the surgery. As part of the preparation, the patient should also make advance arrangements for transportation and aftercare. Working people should apply for leave from their workplace for about one to two weeks to ensure they get adequate post-operative rest.

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 Risks and Safety | Altamonte Springs | Plastic SurgeryAbdominoplasty, commonly known as tummy tuck, is one of the major body contouring aesthetics procedures designed to create a tighter and flatter abdomen. The procedure should ideally be performed by an experienced and fully trained surgeon to minimize the risk of complications. In any case, the patient should know about the potential risks in order to make a well-considered decision.

During the pre-op consultation, the surgeon will educate the patient about all aspects of tummy tuck, and inform about the associated risks and side effects. The surgeon’s first concern will be to help the patient develop realistic expectations and be fully aware of the risks and benefits. Board certified plastic surgeon Dr. Thomas Fiala provides tummy tuck surgery to patients in Orlando, Altamonte Springs, FL, and surrounding locations.


Potential Complications

Adverse Reaction to Anesthesia

The surgeon will usually perform this procedure using general anesthesia. While the patient’s fitness to undergo anesthesia will be determined beforehand, in rare cases the patient may have a poor reaction to anesthesia. An anesthesiologist or nurse anesthetist will be presented in the surgery room to anticipate any problem early and address it effectively before it worsens.


Blood Clotting

If the patient has a tendency of clot formation, or in other rare cases, a blood clot may occur inside a blood vessel. The blood flow can be obstructed due to this condition, and in a few cases, the clot may travel to the brain, heart or lungs, posing a serious threat to the patient’s health.



To minimize the infection risk, the surgeon will ensure that the tummy tuck cosmetic surgery procedure is performed in a completely sterile operating environment. Following the surgery, the patient will be provided instructions to care for the incision areas, which they should diligently follow. The surgeon may prescribe antibiotics in some cases to further reduce post-operative infection risk.


Delayed Healing

In case of a full traditional abdominoplasty, it will usually take about four to six weeks for the pain, tenderness, bruising and swelling to resolve. But some patients may experience slow healing and may continue to have discomfort beyond six weeks. Smoking should be strictly avoided for a few weeks before and after the surgery to minimize the risk of slow healing.


Unfavorable Scarring

In a full tummy tuck cosmetic surgery, some degree of scarring is unavoidable. But an experienced surgeon will be able to minimize scarring by placing the incisions in inconspicuous locations. In a few cases, the scars may still be more apparent due to various reasons. Accomplished plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for tummy tuck.


Safety Information

According to a survey reported by the ASPS, tummy tuck surgery has a complication rate of less than five percent. Infection and hemorrhage are the most common risks, while hypoxia, fluid accumulation, hypotension, and pulmonary dysfunction are rare complications.

Although tummy tuck is a major surgical procedure, but the rate of complications is relatively lower than many other cosmetic surgery procedures.

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 ;

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 ; ;

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