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

Thursday: 8:30am - 5:00pm
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 45-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Oral medications: For acne would either be antibiotics (doxycycline, tetracycline, etc.) or accutane. Most of the rest of acne treatment is done with topical (externa... 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
Release of ....: ...Inflammatory chemicals from the burn wound, such as histamines and prostaglandins.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No toxins: There are no toxins in eye bags. They are most frequently just prominent fat pads under the skin. Sometimes they can occur with allergies or sinusit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes: Accutane is a powerful anti-acne medication. Much stronger than everything that's otc.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Two chemicals....: ...That both help acne, but are entirely unrelated in their structure. Benzoyl peroxide is usually applied as a cream, like in clearasil (benzoyl per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Refirme is..: An fda-approved device, which uses radiofrequency energy and infra-red energy for a skin firming effect. Juvederm is an injectable filler. Totally d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
There are numerous: Skin care products available to help with oily skin. Neutrogena has several good cleansers. You may want to try some with salicylic acid.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes: Especially if they are above-the-muscle. Even with behind-the-muscle implants, it's harder to see everything. Other imaging methods - like ultrasoun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes: It is certainly safe to have an implant exchange- and the recovery is often easier than the first time around.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Hand deformity...: ...Needs urgent care to get it back to full function. See a hand surgeon who has a dedicated hand physical therapist.
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: ...But it will make you sun-sensitive. Use it as directed, usually at night-time, after washing your face and drying thoroughly. Micronized version ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes: Yes - this is certainly possible, and I have several patients with pacemakers and defibrillators. We have the pacemaker tech come see you pre and pos... 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
Brazilian butt lift: Is the fat grafting technique to the buttock. A lower body lift is the skin lifting and stitching technique.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Not yet: There are no FDA-approved medications designed for breast augmentation. However, there are some medications, like certain birth control pills, that m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Have you tried: Minoxidil and Propecia (finasteride) yet?
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Start with...: Over-the counter stuff. (yes, they're medications, but not prescriptions.) get a good acne wash with salicylic acid, and some benzoyl peroxide cream... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Depends on product: Avoid thick, oil-based products. Look for something labelled "non-comedogenic".
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Not at the same time: While liposuction can be used in many different areas of the body, it's neither safe nor recommended to try to have "total body liposuction" in one op... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
The pattern: Both lasers use the same wavelength beam. Standard co2 treats 100% of the skin surface, and fractional treats... A fraction of it. Fractional lasers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes..: Because they see a lot of bare skin!
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
With many good: Over-the counter products, like benzoyl peroxide gel, there's no need to concoct anything yourself. Keep your face clean. Don't pick. Benzoyl perox... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
A comprehensive: Evaluation by a good dermatologist! that way you can select from a variety of treatments.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Looking bigger: No - there's nothing to make you bigger all over. Facial fillers or fat grafting can be used to fill in hollow or sunken areas of the face. Breast i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Laser resurfacing: Improving the texture and smoothness of the skin through the application of laser energy. There are two types: ablative and non-ablative. Ablative ... 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
Did you know: That the laser in the zerona is the same wavelength as a typical laser pointer? I don't think the zerona works, without the benefit of the supplement... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Maybe: If you have some earlier-than-usual changes of facial aging, it might be appropriate. But, it is an earlier age than most people typically have it. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Nothing good.: Weight loss helps some women. If your breast size doesn't change with weight loss (20 lbs loss = 1 cup size down, approx.), then the next step is to ... 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
This should: Be evaluated. It's not a normal part of gynecomastia.
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 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 43-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No pills...: 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 35-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Titan: Titan is an infra-red skin tightening treatment using the cutera laser platform - it's not really a facelift. Repeat treatments can be done - but wai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
No.: If the upper blepharoplasty is done correctly, the idea is to take out the extra upper eyelid skin that is redundant, but not to take out so much that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Possible: The vast majority of women who have breast augmentation make a scar that fades with time to a thin pale line. But, if you have made keloids with prev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Personally, : Personally, i don't particularly like the look of pectoral implants for men, but that's personal opinion more than a scientific answer. If you do dec... 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 male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Yes: It sounds like a brow lift would be a reasonable option. You also might try using Botox first, to soften the wrinkles non-surgically.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
If your tummy: Is really a "stretched out mess" - then a mini tummy tuck probably won't be powerful enough to repair it, and you'll need a regular or extended tummy ... Read More
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 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 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 38-year-old member asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
When performed by...: An expert, the risks are small. They include: scarring that is worse than expected, numbness of the skin in the lifted areas, bleeding, infection, ne... 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
Depends on the : Location where it was injected, as well as individual variation/metabolism. In my experience, it lasts the longest in the lower eyelid / tear trough ... 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
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 female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
They both work well.: "coke versus pepsi." both fillers are excellent, and are very similar. We use more juvederm.
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 female asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Synergy: This combination is really quite powerful. The implant gets the chin profile to where it should be, and the lipo contours the fat pad. I'm a fan!
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Thomas Fiala
Plastic Surgery 35 years experience
Freeze the fat: A non-surgical method of subcutaneous fat reduction by the application of cold temperatures.
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
Dr. Martin Fried
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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