Thomas Fiala, MD, MBA, CPE
Thomas Fiala, MD, MBA, CPE, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery® and trained specifically in plastic surgery. ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. As your medical partner, Dr. Fiala is dedicated to working with you to achieve your goals.
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Meet Dr. Thomas Fiala
Dr. Fiala and the entire staff are committed to fostering an atmosphere where patients feel comfortable to ask questions or express concerns. Each patient is treated with respect, dignity and understanding.
The combination of outstanding patient education, proven, effective surgical techniques and the highest medical and safety standards deliver a predictable and natural looking outcome. Perhaps most importantly, we will never promise a result that cannot be delivered.
Dr. Fiala is the Past President of the Florida Society of Plastic Surgeons, and a voluntary member of faculty of the College of Medicine, University of Central Florida. He is active on multiple committees with ASPS and ASAPS, and is Vice-Chair of the Cosmetic Section, In-Service Exam Committee.
Dr. Fiala likes to meet and have a detailed discussion with all of his patients - so that he can fully understand the patient's goals. This in-depth session allows an opportunity for a detailed explanation of the various surgical options, and their benefits and trade-offs. We feel that a well-informed patient is more likely to have a smooth recovery and good outcome. Pre-operative education is a big part of preparing for surgery. Consultations are typically scheduled on Tuesdays and Thursdays of each week. Special arrangements can be made for out-of-town patients.
Breast Implant Removal
Breast Implant Removal
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Cosmetic Surgery & Computer Imaging
Laser Skin Resurfacing
Lip Augmentation / Enhancement
Male Breast Reduction
Spider Vein Treatment
Ask a Surgeon
Dr. Thomas Fiala participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Is it safeMommy Makeover
That's a lot of surgery at one time. Personally, it's much more than I would feel comfortable doing together. Here in Florida, if we are doing abdominoplasty (tummy tuck), we are limited on the amount of liposuction we can do simultaneously - but different states have different rules.
So many questions!!!Breast Lift
Hi. That's a big question - and usually that's exactly what is discussed at a consultation. It sounds like you are ready to take that step. If you are having back issues related to the breast weight, you might do better with a breast reduction rather than a breast lift. Fortunately, most patients do really well with breast reductions, and are back at work within 2 weeks, and feeling more comfortable, and more proportional. They are some of the happiest patients in plastic surgery! While all surgery has risks, most patients do well, as long as they are in good general health, aare not smokers, and follow the surgeon's post-operative directions.
Planning to recieve a reductionBreast Reduction
Hello Curious Cat: Yes, when we do a breast reduction, the breast is automatically "lifted" at the same time. You don't have to ask for a lift as a second stage. The extra skin and breast tissue are removed together. All the best!
Breast augmentation with fatBreast Augmentation
You would need an in-person consultation to determine exactly what is needed. But hypothetically, you could liposuction fat from the thighs and flanks (love handles) and transfer some of it to the breasts. It may take more than 1 surgery to get the size and shape you want, and typically you wouldn't get the rounded breast shape that one can achieve with implants. So, there are pluses and minuses to the technique - your surgeon can discuss with you in detail, versus using an implant.
Breast and moneyBreast Reduction
Yes - this is possible. Depending on the situation, you could potentially reduce, lift or augment one side to get a better match with the other. For example, if you had a C cup breast that you liked on one side, and a droopy DD on the other side - the DD could be reduced & lifted to be a closer match.
If there any kind of age limit or concernsBody Contouring
Hi Suzann. More important than your calendar age is your state of overall health. Do you have any problems with your heart or lungs? Are you a smoker? A diabetic? And so on. If you are in good shape, it should be possible for you to have a tummy tuck with a baseline level of risk. Best to discuss your particulars with a local Board-certified Plastic Surgeon.
Regarding anesthesiaTummy Tuck
Hi. Yes, fear of anesthesia is a big issue for many people. In our center, we only use board-certified MD anesthesiologists for all major surgeries. They are the most experienced & highly trained. Make sure you ask who your anesthesia provider will be, as this is not the case everywhere...
Capsular contracture and mini tummy tuckTummy Tuck
Hi BettyMarie: Yes, these procedures could potentially be done together. In general, in a healthy person, it's reasonable to combine procedures as long as the total time under anesthesia doesn't exceed 6 hours.
Breast procedureBreast Augmentation
Hi. You would be best to call your insurance carrier, and pose the question about coverage to them. Ask them to explain their coverage guidelines for "unilateral breast reduction". I would hope that, just like a typical breast reduction patient, that you would be able to have this covered, as a reconstructive procedure. They may, however, rule that it is a cosmetic problem, and say you have to self-pay.
18 and wanting a breast reductionBreast Reduction
Hi Sarah. Most insurances would cover this surgery, with the appropriate pre-authorization. But you'll have to check the specifics of your plan. It sounds like you are a good candidate for the procedure.
Breast Revision Recovery for body builderBreast Augmentation
This is a well-known situation for most plastic surgeons, known as a dynamic flexion deformity. Putting the implant over the muscle fixes this problem, but increases the issues & risks for other problems: hardness (capsular contracture) and implant visibility and ripples, particular for women who diet down to a very low body fat percentage for competitions. I always ask active body builders what implant position they would prefer, after explaining these choices.
I need a tummy tuckTummy Tuck
Unfortunately, the vast majority of insurance plans have no desire to cover cosmetic surgery, like a tummy tuck. It is typically a self-pay situation. Many practices do offer financing options, though.
Costs for surgery can vary pretty widely around the country, even for the same procedure. Here in Orlando, silicone gel breast augmentation is around $6000-$6500, less for standard saline implants. While there are always "cheap" options, don't gamble with your safety. Have a board-certified plastic surgeon, a licensed anesthesia provider, and an accredited facility for your procedure.
Is it safe to get breast implants, can they bust and harm you ?Breast Augmentation
Once your incisions are healed, your surgeon will advise you about your return to full activities. You'll still be able to swim and dive into the water, and do most sports once you reach that point.
Surgery for MinorsBreast Reduction
Yes. Unless you are an "emancipated minor", you will need the written signature / permission of one parent or guardian.
I'm conflictedBreast Reduction
Breast reduction patients are generally some of the happiest patients in plastic surgery. Even though the reduction means some incisions on the breasts, most women feel much better in terms of their posture, shoulder & neck discomfort, difficulty with exercise & getting clothes to fit, and general self-image. It is not uncommon to do this operation for young women, before they've had children. Try to get your weight under 200 lbs prior to surgery. All the best,
Does Having had a c-section affect a breast augmentationBreast Augmentation
Hi. Assuming your C-section incision has healed normally, without any infection issues - it should not present any problems for your upcoming breast augmentation surgery. All the best!
Breast Lift with Fat TransferBreast Lift
Congratulations on your weight loss. It would be unusual to get enough fat from an arm lift (with liposuction) in order to give a good volume to the breast. But certainly, the procedures are sometimes combined, as long as the total length of time under anesthesia doesn't get excessive. All the best,
Is 45 a good age for my first procedure?Facelift
Many women start noticing aging changes in their mid-40's. Improving these may involve some eyelid work, or some face or neck work. But without meeting you or seeing photos, it's hard to make any sort of procedural recommendations. Best to discuss in person with your local board-certified plastic surgeon.
Removal of old implants & replacementBreast Augmentation
The standard method of implant "clean-up" after a leaking silicone implant has been diagnosed is implant removal with capsulectomy. Capsulectomy removes the scar tissue around the implant that has been exposed to the silicone gel. Also, you will want to plan whether you want a new implant - what kind, shape and size- or not. (Some women elect to have the implants removed, and not replaced.) Best to discuss with your local board-certified plastic surgeon.