Orlando Plastic Surgeon
220 E. Central Pkwy., Ste. 2020
Altamonte Springs, Florida 32701 US
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20 years experience
2K expert answers
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"I went from 270 CC saline implants to 325 CC high profile silicone implants." "I would highly recommend him to anyone looking for a breast augmentation or a breast lift." "I asked for my breasts to look like they were in a push-up bra and they look even better than that!"

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4.9 out of 5 stars 4.9 stars from 82 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Breast Augmentation

By Far the Best Doctor with the Most Professional Staff in Orlando Area! - Orlando, FL

I've talked to just about every doctor in Orlando area and Dr Fiala and his staff was by far the most helpful, most professional. I never felt rushed, although I had way too many questions and concerns, they took their time to answer them all either in person, or via email, or they didn't mind taking the time to call me. I didn't know what I was looking for exactly other than I wanted a more...

5 out of 5 stars Breast Implant Revision

I Would Never Consider Another Doctor After Going to Him - Altamonte Springs, FL

After doing a lot of research, I found that he is literally the best surgeon in all of Florida. After meeting him, I was able to end my search. Not only does he look good all over the web, but he is great in person too. I never had any hesitation in choosing him. Other PS's in Florida made me feel like they were just after my money. Dr. Fiala only cared about how I felt and if I was happy. Even his aftercare was superb. He's very talented and knowledgable in what he does. The staff is very friendly, helpful, and provides stellar support. I asked for my breasts to look like they were in a push-up bra and they look even better than that! He's the best! Thanks to Dr. Fiala, I have perfect boobs!

5 out of 5 stars Tummy Tuck

Multiple Surgeries and Treatments - Altamonte Springs, FL

As an RN, I know the importance of selecting a physician who "fits" with you and your expectations. Dr. F was the 3rd physician I interviewed to discuss my desired surgeries. As soon as I walked into his office and met his staff, I felt at home. When Dr. F came in to discuss options, cost, etc. I never again thought of going anywhere else. That was over 3 years ago and I continue to recommend him to anyone that asks. I feel his clinical skills as well as bedside manner are the best around!

5 out of 5 stars Breast Implant Removal

Impressive - Altamonte Springs, FL

I highly recommend Dr. F being he is very professional, thorough, and very personable. His bedside manners are superb as well! And, just as important, his staff was wonderful in every way -Excellent communication, informative, and shining personalities! Dr. F and his staff quickly gave my husband and I peace of mind. Oh, and his office and surgical suite was immaculate! My husband provides IT support for many business and medical facilities in Orlando, and he mentioned how impressed he was -Super clean and well equipped!

5 out of 5 stars Breast Reduction

Best Cosmetic Doctor!

Dr. F is an excellent surgeon, he has Angelic hands!!! He has superior bed side manners, explains all procedures with lots of patience and will let you know if you need the procedure or not. The office and surgery suite is equipped with the all the bells and whistles. All staff is very professional and make u feel very comfortable. There is no other Dr. I would recommend like I recommend Dr. F!!! Go and see for yourselfs.

5 out of 5 stars Mentor Breast Implants

Got My Lady Lumps!!

Have not had surgery yet, but so far so good!

5 out of 5 stars Tummy Tuck

7 month update tt, lipo flanks.back & MR (African-American)

I can't think of anything wrong with Dr.Fiala or his staff. They were absolutely fantastic and just flat out amazing. LOVE THEM!

5 out of 5 stars Tummy Tuck

TT, MR and Lipo Done Yesterday 12/2 - Altamonte Springs, FL

I am a 44 y/o mother of 3 teenagers happily married for 21 years. I am 5'7 and weighed 165 on the morning of surgery. I exercise quite regulary but have struggled with my muffin top since I turned 40. It definitely has been very difficult to lose weight as I have gotten older. I have always been about 140-145 but the last 10 years have been a yoyo with my weight. This past summer I weighed in...

5 out of 5 stars Breast Lift

Finally! - Altamonte Springs, FL

The entire office is very sweet and helpful. They all seemed genuinely happy for me after the procedure was done. Dr. Fiala is very knowledgeable and patient.

5 out of 5 stars Mentor Breast Implants

Breast Augmentation - Altamonte Springs, FL

I found Dr. Fiala online and read all the great reviews on him. I do not know anyone personally who has been to him but I am taking that risk. Although I do have many other friends who went to other doctors they recommended I didn't feel as comfortable in those offices.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

Dr. Fiala is committed to fostering an atmosphere where patients feel comfortable to ask questions or express concerns. Each patient is treated with respect, dignity and understanding. We combine outstanding patient education and service with proven, effective surgical techniques.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Fellow, American College of Surgeons (FACS)

Consultation Fee

$100. Includes e-book by Dr. Fiala

Awards & Recognition

"Best Plastic Surgeon in Orlando," Orlando Magazine; ranked #1 2013, 2014, 2016
"Best Bet", Orlando Sentinel, 2015
Professional Recognition:
President, Florida Society of Plastic Surgeons, 2016
Faculty member, ASAPS annual meeting, 2013 - 2016
RealSelf Top Doctor

Hospital Privileges

Dr. Fiala has hospital affiliations at Orlando Regional Medical Center.


  • Undergraduate & Medical School

    BA, Biochemistry, Queen's University
    ARCT Music, Royal Conservatory of Toronto
    MD, Faculty of Medicine, Queen's University

    Graduate: MBA, University of Massachusetts, Amherst
  • Post-Medical School Training

    Residency: Plastic Surgery, University of Michigan
    Facial Cosmetic Surgery, JQ Owsley, San Francisco, California
    Microvascular & Plastic Surgery - Research, Massachusetts General Hospital

Treatments offered at Fiala Aesthetics

Blog Posts and Articles

Thomas Fiala, MD, receives "Top 100" designation for 2015

Thomas Fiala, MD, a board-certified plastic surgeon with an aesthetic practice in Orlando, Florida, has been selected for the realself.com Top 100 list for 2015.  This marks the third year in a row that Fiala has been selected for the prestigious list.  "Realself.com does an excellent job of educating prospective patients - which is something we strongly support", he said.Dr. Fiala specializes in cosmetic surgery of the face, breast and body, and is currently the president of the Florida...

Realself 100 honor for Dr. Thomas Fiala

Dr. Fiala is delighted to be named as one of the one-hundred top specialists in the real self 100 for 2014. "Since realself.com is one of the premier online information sources about plastic surgery, it means a lot to be selected out of the 6000 or so surgeons that participate on the site", he said.Dr. Fiala is a board-certified plastic surgeon in the Orlando, Florida metro area, with over 15 years experience. He specializes in cosmetic surgery of the face, breast and body.

"What the heck is ALCL? Should I be worried?"

If you're like most people, you've never heard of ALCL. Well, you will now, because the FDA has just issued a bulletin, drawing attention to this exceptionally rare disease. ALCL is a subtype of non-Hodgkin's lymphoma. ALCL is NOT breast cancer, but an entirely different disease. It can affect...

Most popular answers from Thomas Fiala, MD

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Moderate Vs High Profile Breast Implants to Retain Cup Size?

You are comparing a high profile and a medium profile implant. While the two implants have similar overall volumes, with about the same number of... READ MORE

Post Mommy Makeover Scar Treatment

This is what I recommend. Other surgeons will have different opinions. 1. Keep the incision taped for 3 weeks. Steri-strips or other medical tapes... READ MORE

Can Liposuction and Tummy Tuck Be Done at the Same Time?

Yes - it's very common to combine a tummy tuck with some liposuction, particularly of the waist or flank area. Although some surgeons will perform... READ MORE

Small Breast Implants - From AA to A?

Remember, breast implant volume (in cc's) is related to both the shape ("profile") and the diameter of the implant. A 100 cc implant has a very tiny... READ MORE

Yoga Restrictions After Tummy Tuck?

Many yoga poses are quite a strenuous abdominal workout. I ask my patients to refrain from yoga, abdominal crunches and sports that involve a lot of... READ MORE

Mommy Makeover Before and After Photos

The more photos you can see of your surgeon-to-be's work, the better. So look at both individual surgeries and combination surgery photos. Find ones... READ MORE

I'd love your opinions on a breast augmentation. Can a small pre op bust achieve a natural look? (photos)

Yes, even someone with a petite figure can obtain a natural result with breast augmentation.The keys points are:1) put the implant behind the muscle2)... READ MORE

After my Breast Lift no implant, my breast look deformed. Is this normal? (photo)

Hi. Immediately after surgery, the breast shape can look a little funny after a vertical breast lift, like what you had done. The lower part of the... READ MORE

Large Mons Pubis After Tummy Tuck?

At only 2-3 weeks post-op, it's way too early to tell. Typically, after TT, especially if you have been wearing an abdominal binder, gravity and... READ MORE

Synmastia or Just Really Close Cleavage? (photo)

Hi. From the photos, it does not appear to be true symmastia at this time, as the skin still appears correctly attached to the pre-sternal area.... READ MORE

Before and After Photos by Dr. Fiala

Thomas Fiala, MD has shared 120 before and after pictures with 420 helpful votes from the RealSelf community.

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Videos by Thomas Fiala, MD

Thomas Fiala, MD has shared 35 videos.

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How Much Cosmetic Surgery Can Be Done at One Time?

Dr. Thomas Fiala discusses how much cosmetic surgery can be performed at a single time in a safe environment. WATCH VIDEO

Is Liposuction Permanent?

Dr. Thomas Fiala discusses whether liposuction is a permanent procedure and if the fat can come back post surgery. WATCH VIDEO

Choosing an Operating Room: Where Should My Surgery Be Performed?

Dr. Thomas Fiala discusses operating room standards and also addresses where your surgery should be performed. WATCH VIDEO

Loose Skin After Liposuction: The Doctor's Suggestions

Dr. Thomas Fiala explains what you should do if you have loose skin after liposuction and tummy tuck. WATCH VIDEO

The Doctor Shares New Body Contouring Procedures

Dr. Thomas Fiala discusses new advances in body contouring procedures. WATCH VIDEO

Treatment Options for an Unsightly Neck

Dr. Thomas Fiala discusses what options are available to correct an unsightly neck. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.