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Dr. Thomas Fiala

Plastic Surgery
Altamonte Springs, FL
35 years experience male

Locations

Fiala Aesthetics

Altamonte Springs, FL

Address

220 E. Central Parkway, Suite 2020, Altamonte Springs, FL
Directions

My office hours

Saturday: Closed
Show more

Insurances accepted

No Value

About

Bio

Professionally: I am a plastic surgeon with 16+ years of experience running a successful cosmetic surgery practice in the Orlando, Florida area. I trained in plastic surgery at the University of Michigan, and did a research fellowship at Massachusetts General Hospital in Boston, and a facial aesthetic surgery Fellowship in San Francisco. I am dual-certified in Plastic Surgery and General Surgery. Our practice has recently been voted "Best in Orlando" by the readers of "Orlando Magazine". I also write a top-rated patient-oriented blog about what's new in plastic surgery, called " PSB :the Orlando Plastic Surgery Blog ", which has been honored by PSP magazine as one the "top blogs in plastic surgery". You can find it at our website , or if you Google "plastic surgery blogs". I am a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgeons, the Florida Society of Plastic Surgeons and am a Fellow of both the American College of Surgeons and the Royal College of Physicians and Surgeons of Canada. Additionally, I am a classically-trained pianist and audio recording enthusiast. I play keyboards in a local band, "The Painted Ladies", and our debut recording is now available on iTunes.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Plastic Surgery

Surgery - Plastics

Licenses

United States: Florida

Doctor Q&A

1.0K Answers
1.2K Agrees
The number of answers this doctor has agreed with.
A 48-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Depends: There are a number of methods - so your surgeon will discuss it with you. I've tried a number of products over the years - all of them are soothing e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Not really: To improve excess fat, one could try weight loss, liposuction, CoolSculpting or Vanquish - but none of these really tighten the abdominal skin or repa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No easy fix: Currently, surgery is the only method - either with implants or fat transfer. Push up, padded bras and external prosthetics give the illusion of bigg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Implants last...: ...on average, about 12-14 years. If you have a silicone implant, and are worried about it, an ultrasound of the breast is a good screening examinati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
It depends: Implants for reconstructive problems, like breast reconstruction after mastectomy, would be covered. Implants for purely cosmetic concerns, like want... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No "natural" techniq: There aren't any pills or creams that are yet proven to give permanent breast size increases. Fat grafting does work - using your body's own natural ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Scar treatments: There are a couple of scar treatments to do: 1) massage your scar daily. Firmly. 2) use a silicone -based scar product on the scar - like silicon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Both ENT & plastic: Surgeons are well versed in treating the nose, although ps tend to deal more with the cosmetic, and ENT tend to deal more with the functional airway i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
If weight loss: Doesn't help, see a plastic surgeon about a gynecomastia reduction surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No: Lightening agents, like hydroquinone, work on pigment. Darker areas will get lightened, but there will be little, if any effect, on whitish colored s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
If your main issue: Is flushing, you'll get a much quicker response from miravaso cream.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Better have the...: Worrisome area examined by your family doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
There are a number..: Of skincare products that can somewhat help rosacea - for example, rosaclear by obagi is one. Best to see a paramedical aesthetician, typically at a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Would be rare: Those operations are low risk for pulmonary embolism. If you have a family history of pulmonary embolism, or have had one yourself, or have certain i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Certainly: The ha gel family (restylane, juvederm, etc.) all work well. They are also reversible, in case you're not happy with the result.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Unfortunately,: There isn't a good way to control where the weight loss comes from. Some of it will be from your breasts, as well as other areas.
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Is it just a nervous: Habit, one of her characteristic expressions, or does it happen without her thinking about it/ controlling it? If it's the third one, i'd suggest a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
You would know it,: If you were bitten, because both of these spiders have toxins with obvious effects on humans.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Never too early...: ...To start preventative maintenance. Of all the skin care products, sunscreen and Retin-A are the two allstars.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Blepharoplasty: If you don't have sinus issues or allergies, then go see your friendly neighbourhood plastic surgeon. Eye bags are often really prominent fatty depos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Needs an evaluation: If you have active acne, the first step would be to get this under control. Best to see a dermatologist for this. Once that's done, the wrinkle trea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Strong when new: New implants are very durable. There's a video on youtube of a surgeon driving over a gel implant with his car - and the implant doesn't leak. How... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Different fields: While both fields have some overlap, dermatology is the medical treatment of diseases of the skin - and some minor surgery. Plastic surgery is the su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Unfortunately...: Only surgery with implants or fat transfer can reliably increase the breast size. While exercise can increase your pectoral muscles, it doesn't reall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No spot reduction: There's no exercise plan that can spot reduce your trouble areas - all you can do is lose weight overall, which will gradually make those areas smalle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Two types: One group of risks has to do with the surgery itself - the risk of bleeding, infection, ugly scars, numbness. The other group of risks has to do with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
High hopes: In 15 years of practice, I have not had a mini tummy tuck covered for any patient, ever. They're considered self-pay, cosmetic operations.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No: It's not safe. Take care of your heavy drinking problem first. Once you are healthy, consider the tummy tuck.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
About a month: Most (80% or so) of the swelling settles down in about 4 weeks. Then, we have to wait for the skin to re-drape, which takes another 4-6 months. So, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No magic...: There's no reliable way to do this with creams, pills, hormones, or other magic. The only methods that work are augmentation with implants or with fa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Trade-offs: Scientific studies suggest that texturing does reduce the chance of capsular contracture when implants are above the muscle. But, unless you're a bod... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No: Do not use sculptra in the lips. It can be very lumpy. Use juvederm, restylane, (dermal fillers) belotero or one of the other ha gel fillers.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Most times, yes: Often an "outie" is a sign of an umbilical hernia which is beneath the belly button, causing the bulge. While this can often be fixed at the time of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Have you considered: Micro-pigmentation? This is, essentially, a tattoo process for the lips, and can also done for eyeliner and eyebrow pigmentation.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Get it checked: Severe pain like you describe isn't typical. Get it evaluated, to make sure you don't have a complication that needs treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Stop tanning: - it can make hyperpigmentation worse. Go see a dermatologist or plastic surgeon for some prescription hydroquinone cream or triluma cream.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Usually not: When the implant is inserted into the pocket, there is a little bit of air that remains in the tissues. Sometimes patients hear a squishy noise for t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Freeze the fat: Eseentially, a suction cup with two cooling plates is placed on the fold of fatty tissue, and a bit of suction draws the fold of tissue into the appli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes-partially: It's a good moisturizer, but probably won't change the wrinkles very much more than any other moisturizer. If the wrinkles are expression lines ("cro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Pick a proportional: Size. I find the combination of measuring your frame, and then having your try on several sizer implants that could potentially work nicely for you -... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Depends...: ...On how you define "recover". 2 weeks off work. 1 month to feel "normal", energy wise. 3 months before you can do full abdominal work-outs again.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
These are rare...: But can occur with any surgery: major anesthetic complication, heart attack, pulmonary embolism, anaphylactic reaction to medication, etc. Usually, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Choices: Depending on the details of your situation, you might benefit from: 1) liposuction (or coolsculpting) 2) tummy tuck 3) a combination of both. Bes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Doubtful: That this would have any lasting effect.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Only if necessary: The "hump" on the nose is part bone, and part cartilage. For people that are having this fixed, you have to trim down both the cartilage part and the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes...: ...Because you'll waste your money, be more likely to get irritation, and unlikely to get more of a result.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Depends: These are benign. If it bothers you, it is easily removed with a minor procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Retinoids: Really do work well for reducing acne, and improving fine wrinkles and pigmentation issues. But i would not use oils along with them, due to the conc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Mesotherapy : Mesotherapy is not fda approved. On that basis, its not recommended, as there simply isn't good data showing that it is both safe and effective.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

12
Recommendations
403
Thank you notes
Nov 7, 2014
He is an expert on Chemical peel, Laser skin resurfacing, Laser resurfacing, Tummy tuck. I would go to him myself next time I am in Florida- I wonder if I get an AARP discount- ha ha
May 30, 2015
Your dedication and commitment to providing quality health consultation on HealthTap is greatly admired and a true benefit to your patients.
Oct 27, 2014
Dr Thomas G. Fiala is very skillful plastic surgeon very knowledgeable passionate physician up to date in his field
HealthTap member
This was very helpful. Thanks! Before and after pictures are not a true indication of anything. A poor selling tool, at most.
HealthTap member
i didnt try minoxidil 15% can it regrow my hair faster ? have any probablity to loose my hair when i stop using?
HealthTap member
Thank you, your answer was very helpful! That's a relief. My husband and I are planing to ttc and i was worried

Education & Training

Medical/Graduate school

Queens University School of Medicine
Graduated 1988MD

Medical/Graduate school

Queen's School of Medicine, ON
Graduated 1988MD

Residency

Kingston General Hospital

Residency

Massachusetts General Hospital

Residency

Ronald Reagan UCLA Medical Center

Residency

Edmonton General Hospital

Residency

UNIVERSITY OF MICHIGAN HEALTH SYSTEM

Awards

2013, Best of Orlando (#1 plastic surgeon)
2012, Best of Orlando
2012 People's Choice

Affiliations

American Association for Accreditation of Ambulatory Surgery Facilities
American Society for Aesthetic Plastic Surgery
American Society of Plastic Surgeons
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