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….

In an effort to eliminate the “Pill Mill” situation here in Florida, the State has passed a major new law, which totally reforms how doctors are allowed to prescribe pain medications. As of July 1, 2011, most physicians who are not pain management specialists are no longer authorized to dispense Schedule II or Schedule III controlled substances (i.e. pain medications) at all, with these few exceptions:

– In connection with specified surgical procedures, in certain time frames
– In the health care system of the Department of Corrections
– In approved clinical trials
– Methadone, in a licensed treatment program
– For hospice patients

Not to worry, our surgical patients can still get prescriptions for pain medications for a recent surgery. Additionally, there are also limitations on the amount of medication that can be prescribed at one time.

Now, in order to receive a prescription of pain medications for the treatment of chronic pain, (as opposed to acute post-operative pain) the following items must be completed:

– a written medical history and physical exam
– Written individualized treatment plan for pain management
– Written controlled substance agreement
– Regular follow-up appointments at least every 3 months

These requirements won’t be an issue for real pain management specialists, who do these things already as a matter of routine. Doctors that prescribe pain medication for the treatment of chronic pain must have this status designated on their state practitioner profile, and must meet certain requirements. They will probably be subject to more inspections from the Department of Health.

Editor’s note: I think this law will tighten up a lot of loose prescribing habits. While it means no more office dispensing of pain medications, that is not something I ever did anyways – and if it helps get Florida’s rampant drug problem under control, I’m certainly willing to put up with the special prescription pads and other minor inconveniences that are now required.

Plastic Surgery In Florida