Thomas Fiala, MD, FACS, FRCSC Reviews, Before and After Photos, Answers

Procedures I'm known for

Dr. Fiala is one of the pioneers of using the ultrasound-guided TAP block technique during tummy tucks and mommy makeovers. This method greatly enhances the recovery for the patient, making the first 3 days after surgery dramatically less painful than all previous methods. It has been referenced in multiple plastic surgery publications as a "best practice". Dr. Fiala has been awarded "Best Plastic Surgeon" in Orlando, by the readers of Orlando Magazine for each of the past four years.

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1. Picking the Size: Most of our patients want a new breast look that fits their frame, and looks proportional. So, it's important to measure the breast dimensions, and to use one's experience to recommend an appropriate implant. 2. Implant choices: Patients have a choice of all FDA-approved smooth implants, including standard saline and standard silicone, gummy bear (cohesive silicone) and structured saline implants. We'll help you with the selection. 3. Placement: Typically, I'll use a dual-plane approach, with an infra-mammary incision. Newer studies show this approach has the lowest rate of complications, including capsular contracture. 4. Avoiding capsules. I like to use the 14-point plan, described by Deva and associates. It includes a number of technical things, including using an introducer sleeve (Keller funnel), betadine washout of the pocket, delicate dissection of the pocket and careful hemostasis for every case.

Dr. Fiala is known for expertise in tummy tuck and liposuction. He is one of the pioneers & developers of the TAP block technique with Exparel, to minimize post-op pain, and has presented this technique at national plastic surgery meetings. Keys to a good result: 1. Low incision placement. 2. Release of lax tissue during tissue elevation phase. 3. Strong muscle plication,l for the flattest possible muscle layer. 4. Artistic umbilicus creation. 5. Maximal excision of lateral skin excess, without excessive tension centrally.