Thomas Fiala, MD, FACS, FRCSC

My experience with Dr. Fiala was great and still is after my surgery for breast implant removal /Liposuction he is a good listener/understanding my concern and made me feel comfortable .
he made sure that i'm happy with the work he did and for the most part is trustworthy
i'm very happy with Dr.Fiala and the staff they are super great :))
thank you

Had it done 2 yrs ago, recently lost over 20 pounds and have to have them lifted again.

He said he would do it for free any revisions I would need and would have to still pay the anesthesiologist and for the Operating room.

Very happy with my results

It started so many years ago! I had a terrible experience with another doctor... more like a butcher. I met Dr Fiala hoping he could fix the damage. He sure did! I have done multiple procedures & all of them perfection! I HIGHLY recommend Dr. Fiala. He is a true artist.

I decided on surgery after consultation with Dr Fiala. He listened to my concerns giving me his full attention. Even with all the extra stress that Covid has brought into our communities, this office has been professional and patient and would not hesitate booking here for my next adventure:)

Updated on 26 Jul 2020:
My concerns were upper eyes, puffy bags and texture. Had CO2 done 5 years ago. Time again. Have tried microneedling and fractionals along the way.. Will be posting updates as we go. The CO2 is a trying recovery with necessary ointment that constantly needs applying so skin doesn't dry out before peeling and shower time was devine getting ointment out of hair lol!

Updated on 26 Jul 2020:
Had general anesthesia. HUGE difference from CO2 procedure done 5 years albeit I added the blepharoplasty this time. Didn't feel bad at all and no redness which was shocking. Was comfortable and truly didn't feel any pain, just greasy. Easy day, office was great.

Updated on 26 Jul 2020:
Day 3 & 4 itching started as the peeling began. No pain but a discomfort. Bottom right eye really red. Dr office called to check and asked I email pic and was immediately called back to say it was fine and call if anymore concerns. Benadryl saved me.

Updated on 26 Jul 2020:
I tried posting a day of surgery but not sure what happened. I dont know what I'm doing lol. To be clear, I had surgery on Monday July 20th is the time frame. No way would be ready to go out in public yet but able to work from home this week.

Updated on 28 Jul 2020:
Most of flaking and peeling from CO2 done. Areas tender under jawline and red but healing well. Eye lids are sensitive and today stitches are supposed to come out which i hope doesn't hurt. Lids feel numb but tender which is a strange sensation.

I had an amazing experience at Dr. Fialas office, last March I had an implant leak from augmentation 15 years ago, and my doctor was no longer available. At 56 I was quite nervous about breast surgery again and finding the right doctor. I read Dr. Fialas reviews and went to see him. He was awesome and made me feel totally at ease and all his staff was great before and after my surgery. My results are great. I highly recommend them and have told many of my friends.

I had a couple of procedures done with Dr Fiala... and I couldn’t be happier with my results, I went for my initial consultation after calling 5 or 6 different places.
I was really nervous about having surgery, even though I’d wanted it for years, but the minute I spoke to the receptionist at Fiala, I was totally positive that this was the surgeon for me, I was on the phone for a good 15 mins and just in that one phone call, I was put at ease, I went in a week or so after for the consultation with Dr Fiala and he sat and listened to what I wanted, he was willing to answer every question and not once did I feel like I was being pushed a certain way, he told what was do-able and what was not, he gave me a very good idea of what to expect from going into surgery until I would be on the road th healing and beyond..
My day of surgery came and again Dr Fiala was there to guide me through exactly what he was going to do, all the staff there were so caring, they really do love what they do and it shows.
Woke up a few hours after and can’t even remember the next few hours, I had the best sleep on the way home .....
For each follow up appointment ALL the staff are so lovely, they greet you like family, I think all of them there know my first name too, which is so important, having that closeness with the staff at the surgery..
I’ve seen many post about what Dr Fiala will perform surgery wise and what he won’t, this man has been number one in Orlando for many years and it’s because he’s a professional and knows that what we think we want isn’t necessarily what we should do.. from speaking to him and having surgery there, I will always trust his judgement.
I’m so happy with my results, I feel fabulous when I look in the mirror for the first time in many years.
I’ll agree it’s not cheap, but when it comes to plastic surgery, it’s a little different than shopping around the mall for a deal, I want the best person to work on me, I want someone that has been around for a long time, Someone that is respected and recognized as a top surgeon in his field of practice.. I want to be seen as more than just daily business .. and that is exactly what I got at Fiala.. I have no words that can even come close to how amazing this team are.. I totally recommend Dr Fiala ...

I’ve had breast implants since I was 18 years old. I’ve had the first pair that I needed revisions of the scar with a different plastic surgeon, since he put them in using the Areola, that leaked in 20 years, didn’t know it until I had an mri . Then had them done a second time in 2008 went to big but they looked good. Know I’m tired of the feeling of them being to heavy and getting in the way all the time plus they’ve been in over ten years. I decided to have an explanation and an lift. I’ve been looking for about 2 years and I found Dr. Thomas Fiala, he and all his staff made me feel comfortable and did an ultrasound of my breast to see if there were any leaks, there weren’t. He went that extra mile plus his before and after photos were really good! I scheduled the date for the end of June. I’ll post pictures at another time

I’m about 9 months post-op from a breast augmentation and I could not be happier. I consulted with about 5 other doctors before choosing Dr. Fiala. His expertise and office staff made the choice easy. I have a small frame and was afraid of looking to “top heavy” but also wanted to go up a few cup sizes. The end result couldn’t have been better! I’m a small D, 120lbs and 5’6, and my implants look so natural. I can dress sexy when I want but still look conservative in every day wear. So happy with my choice!

I am writing this review to help others make a decision that is right for them. Currently I am 31 years old (next month), 5’ 4.5” and 171 lbs... full MomBod despite recently losing 17 lbs since Jan 1. I have been researching implant extraction for 2 years and going over a plethora of reviews and pictures. My original plan was to wait until I was done having children since I’m not sure if I would like more or not. I have two children (2 and 4 y/o) who I breastfed for 15 months each. However, I had a recent health scare which required a mammogram and breast ultrasound (all results came back negative) and I have a family history of breast cancer and ovarian cancer. Given that, I decided now was the time to remove my implants.
In July 2007 I was 19 years old (5’3” and 120 lbs) and decided to get 425 cc Saline sub-muscular implants with incisions under the breasts. 6 months later I had a crescent moon nipple lift because my left nipple was 1.5-2 cm lower than the right, even though the implants and pockets were level (according to my plastic surgeon at that time). Prior to augmentation I was a full A/small B cup and my implants made me a full D. They were fun while they lasted and my only complaint was after a few years I began to feel a random dull stabbing feeling (I could never tell if it was the breast or chest wall area) and it wasn’t in relation to my menstrual cycle. I discussed with a doctor who told me to speak to my plastic surgeon. My PS couldn’t do much other than suggest it might be scar tissue breaking up and to speak with my regular doctor. The regular doctor was pretty useless; I saw other doctors over the next few years and it was more of the same. Since it didn’t occur often (only 1-2x/year) I decided to let it go and if it occurred more frequently then I would seek more medical help. Within this past year, I started to experience more of that same pain and finally found an amazing OB/GYN who ordered a mammogram and ultrasound. Again, all results were negative but my mind was made up my implants were coming out sooner than later, for peace of mind.
Other reasons I decided to remove my implants are the following. I don’t want to deal with having to replace them every 10-15 years. I don’t want to get bigger implants or lifts every time to fill excess saggy skin. It’s taken me a long time to feel secure in the skin I’m in and the way my post-baby body is. If my natural breasts are droopy and I’m insecure I’ll just invest in a great push-up bra and swimsuit top. Furthermore, when I spoke to the breast ultrasound tech and she could tell I was adamant about removal she added that it’s better to do it now vs later because she has seen a few patients 75+ y/o who have serious health concerns (cardiac issues, etc) that can’t find a plastic surgeon willing to remove implants that cause them pain because they are considered too high risk for surgery. While I wonder why their health insurance (assuming these patients have it) won’t cover something that seems medically necessary, it was a very good point the tech brought up. What happens when all of us augmented ladies become seniors and might find ourselves in a similar situation?? Lastly, I figure now is the time to remove them because I still have age on my side so if my body is going to absorb some of the droopiness after removal then it’s better to do it sooner than later, in my opinion.
I now live in Central Florida and after meeting with many plastic surgeons I made a consultation with Dr. Fiala. He was kind, excellent bedside manner, thorough, and took an ample amount of time answering all of my questions. He even quietly waited as I looked over my long list of questions/concerns to make sure I was able to bring it all to his attention. This was something I did not experience with all of the plastic surgeons I met. I know this sounds harsh but if I’m being 100% honest most plastic surgeons present themselves as stereotypical ‘used car salesmen’ by always trying to up-sell. I even had one PS suggest I get a Mommy Makeover... nice way to play on the MomBod insecurities. Let me assure you that Dr. Fiala is NOT THAT type of plastic surgeon! I told him that I preferred not to have a lift and he agreed that it’s not necessary. He did say that due to the low location of my nipples I am a candidate for a lift but that we can remove the implants without a lift and should I decide in the future that I’d like one I can do so later. When I asked approximately how much natural tissue I have left he said he thinks I have a full B/small C, which I was stunned. (If I had that much tissue when I was 19 I highly doubt I would’ve augmented my breasts). Anyway, I’d like to add that Dr. Fiala’s staff (from the receptionists, nurses, and schedule coordinator) have all been nice, reassuring, and knowledgeable.
For my procedure Dr. Fiala and I decided to remove the implants under general anesthesia and if the capsules were not thick or presented themselves as problematic then we would leave them. Since I had no preference about having a capsulectomy, I asked him why some people think it’s necessary to have one and he explained in length it was for health concerns. He added that there has yet to be a proven link between implants and some of the health issues patients bring up but, in no way was he dismissive of those patients; he just explained what current research says. He did add that if he has a patient who insists on having a capsulectomy he would do so but most patients don’t need one. He said he would cauterize the capsules to help them close/heal faster and the capsules should fully close in several (6-7) months. Dr. Fiala explained my incisions would be under the breast and only a few centimeters wide. I was under anesthesia for only an hour. From what I remember and my husband was told, everything went great during surgery. I did vomit twice afterwards, which has never happened from anesthesia before, but, I’m certain it’s because I drank too much water in recovery. I was very thirsty and even the recovery room nurse was a bit stunned I drank my water as fast as I did. She looked away for barely a minute to explain post-op instructions to my husband and that’s when I managed to drink my water. When I asked for more she said “let’s hold off and see how that sits.” Oops on my part. Before I forget, I did ask Dr. Fiala to remove a mole under my left breast that was hidden in the fold of the breast but I remember being very visible before augmentation. Since it’s wrapped in dressing, I can’t currently report on how it looks.
As far as recovery, I’m 1 day post op and so far so good. I would like to add that for anyone considering extraction please expect the worst results. Anything better than the worst will be a pleasant surprise. After all my research I was fully expecting my breasts to look heinous (concave, super droopy, inverted nipples, you name it). So far I am pleasantly surprised. Of course they’re not as full on top and droopy but I was 100% expecting this; after all, I breastfed for 30 months total and was removing 425 cc of saline implants. Unfortunately I can’t take off my surgical bra until my 1 week post op but from what I can see, it looks very good. I don’t see any concave effect in my breasts and when I peek at my nipples they’re not inverted looking. Also, I’m surprised at how much tissue there is but we will see how that changes as my swelling diminishes. As far as pain, I’m comfortable while taking only Ibuprofen and Tylenol and occasionally icing my chest. I don’t need the heavier drugs to be comfortable. I haven’t been to the gym in forever but it feels comparable to the soreness after a heavy chest day. The biggest nuisances about my recovery is having to wear a surgical bra and not remove any dressings until my 1 week post op appt. That, and not being able to lift my kids (25 lbs and 40 lbs) for 2 weeks. Therefore, showering will be an adventure and I will have to be creative comforting crying children. I also am not allowed to lift my arms above my head or extend my arm across my body so I’m dependent on my 6’ 1” husband to grab items that are too high and to do another things due to my limited mobility. All in all, I’m a happy camper and can’t report on much more until my 1 week post op appt. I will try to update then.
I hope this lengthy review helps some you! Also, when researching a PS make sure to look at ALL of their work. Breast implant removal, breast augmentation, tummy tucks, rhinoplasty, etc. I noticed some plastic surgeons seem to have better work in some areas but not all. I wanted to make sure my plastic surgeon had beautiful work no matter what area of the body they’re operating on; Dr. Fiala has beautiful work in every thing I searched!

Updated on 9 May 2019:
I saw Dr. Fiala today for my 1 week post op appointment. Once again, Dr. Fiala had exceptional bedside manners, was reassuring, kind, and allowed me ample time to address all of my questions and concerns to him. Recovery is also going great. The biggest hurdle I’ve experienced is how much bigger my belly looks with my smaller breasts (but that’s expected with my MomBod and just gives me more motivation to get back in the gym when I’m cleared to resume all activities). Even with that said, I am so thrilled and beyond happy with the results I currently have and I’m only 1 week post op.
During this past week I’ve had to keep my dressings and surgical bra on, not move my arms over my head and across my chest (my husband has had to wash my hair), 10 lbs weight limit restriction, and sleep at an incline. About 2 days ago the adhesive on my dressings made my skin extremely itchy and start turning red. I wasn’t surprised by this since I have extremely sensitive skin (eczema) and most bandages have this effect on me. I called Dr. Fiala’s office and they told me/confirmed how to care for them (change the dressing, keep steri-strips on, and don’t get the incision area wet). At my appointment they removed the steri-strips as well as my stitches then applied new steri-strips on my incision lines; I’m supposed to leave them in place until my 2 week post-op appt. Dr. Fiala informed me that I can shower normally, lay/sleep on my back and sides if I feel comfortable doing so, and to maintain my 10 lb limit restriction until my next appt. Obviously, I am supposed to wear a compression bra 24/7 too.
As far as the days after surgery, those went well. I only needed to take Ibuprofen, Tylenol, and the prescribed antibiotics to feel comfortable. Occasionally I had to ice my chest when I felt some discomfort but it was only mild to moderate discomfort, at most. My surgery was on Friday and in addition to providing an emergency contact number, Dr. Fiala’s staff called Monday morning to check in. The staff has been extremely pleasant this entire time. When I called Tuesday to explain my skin’s reaction to the adhesive tape I was put in contact with a nurse right away; all of Dr. Fiala’s nurses have been knowledgeable and kind. He has an AMAZING team working with him. Also, I’d like to add after my surgery was completed Dr. Fiala spoke to my husband immediately, was detailed in description, and allowed my husband to address any concerns/questions he had. Dr. Fiala has been extremely professional and caring in every single encounter my husband and I have had with him. You definitely feel and know you’re in good hands with him.
As far as my post-op results, there is some drooping; which, is completely 100% expected considering I had no lift, had 425cc implants, and breastfed over 30 months cumulatively. Even with my droopy breasts I am thrilled. I wish I had them removed sooner! I have very slight bruising near the incision and the incision line is tiny. The biggest “blemish” near the incision line is the now-removed mole under my left breast that I asked Dr. Fiala to remove. It was a decent-sized, large mole and even after removal that area is very clean and small looking. Dr. Fiala explained that he did remove the old incision line when he was closing me up so I can’t wait to see what I will look like when I’m completely healed. On a side note, when I was in the shower washing my hair this evening I noticed that natural breasts move around a lot more than augmented breasts, which I wasn’t expecting since my breasts moved easily even when I had implants (at one point during a breast examination I had an OBGYN say how natural my augmented breasts felt). I know that may sound ridiculous to some but I wasn’t anticipating extra bounce; I am thrilled by it though.
Again, I have absolutely NO REGRETS removing my implants, and doing so without a lift. I wish I did this earlier but I am so glad with all of my research in 2 years I found Dr. Fiala. I cannot recommend him enough!

Dr. Fiala and his staff were so kind and passionate about my treatment & making sure I was comfortable and always taken care of. I never waited More than 5 minutes at any given time at any appointment. They always made me
Feel like I was at home with how clean and cozy and welcoming the office and staff always were. I’m recommending everyone I know to Dr. Fiala. I’m so in love with my results it has changed the way I feel about myself and I could not be happier.