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Discover our full range of available services at Silva MD.

Bioidentical Hormone Replacement Therapy

Bioidentical hormones are compounds that have the exact chemical structure as the hormones that are produced by your own body. They are a safer and more effective alternative to synthetic hormones which have been linked to cancer and heart disease. Bioidentical hormones can help you age gracefully and reduce symptoms of perimenopause or menopause in women and andropause (low testosterone) or midlife crisis in men. Some symptoms of lower hormone levels are weight gain, low sex drive, hair loss, wrinkles, memory loss, insomnia, high cholesterol, hot flashes, headaches, heart disease, stroke, bone loss, body aches, fatigue, dry skin, anxiety and depression.

Hormone Pellet Insertion

anti-ageHormone replacement therapy via pellet implantation is a very effective methods of hormone delivery typically lasting three to five months for both men and women.

Pellets deliver consistent, physiologic levels of hormones without the peaks and valleys that are commonly seen with other methods of delivery such as topical or oral preparations.

Studies with bioidentical testosterone, delivered by pellet implantation, have been shown to be cardiac protective.  In addition, with optimal levels of testosterone, blood pressure, lipid levels, glucose or liver functions are not adversely affected and may even be improved in some cases.

 

 

Traumatic Brain Injury

Fatigue is the most common symptom of Traumatic Brain Injury (TBI), also known as Post-Concussion Syndrome. TBI can cause hormonal deficiencies leading to symptoms like depression, memory issues, personality changes, anger, sleep difficulties, weakness and loss of libido. TBI can also lead to Post Traumatic Stress Disorder (PTSD) and is caused by head trauma from sports injuries, war combat, abuse, or accidents such as cars, bikes or falls. Dr. Silva is a TBI certified specialist and prescribes a customized treatment of bioidentical hormones and supplements to support brain function and optimal health. Veteran discounts available for TBI consultations.

 

Sexual Medicine

Personalized treatment of sexual health concerns such as low libido, sexual dysfunction and delayed or inability to climax. Dr. Silva will customize your treatment plan to restore sexual health function and increase you libido to improve intimacy with your partner. Couples therapy encouraged. Ask about PRP to improve climax!

Personalized DNA Medicine

Everyone is born with certain epigenetic tags passed down to us from our parents. Expression of genes can be affected by various factors including lifestyle, nutrition, environment, stress and possible DNA defects. Improve your health by checking for possible DNA defects and have a plan to prevent illness so that you can live your best life.

 

 

 

 

Weight Loss

HCG Diet

This highly effective diet using “Human Chorionic Gonadotcoupletorsoropin” was first developed by Dr. Simeons in the 1950’s. The average female can lose 20-25 lbs. or 2 dress sizes in six weeks. Some people will lose more inches than pounds. The average male can lose 30-40 lbs. and several inches around the waistline in six weeks. The HCG diet consists of painless injections and a healthy diet with lean protein, fruit and vegetables. Chronic diseases such as high blood pressure, high cholesterol and diabetes are improved and even reversed once the diet is complete.

Dr. Silva evaluates all patients interested in HCG and the HCG is manufactured from U.S. regulated pharmacies. Dr. Silva closely monitors her patients and does not support the 500 calorie diet recommended with the original HCG Diet. People can maintain their weight loss because they learn healthy lifestyle changes during the diet and the decreased appetite can continue after the diet is over.

Vitamin B12 Injection Therapy and the “Shot Bar”

Vitamin B12 has numerous health benefits including improving digestion, supporting heart and brain function, boosting your immune system and helping you to lose weight by increasing your metabolism. Dr. Silva offers pharmaceutical grade methylated Vitamin B12 combinations to fit your specific needs. She will customize your B12 injections to help you with weight loss, energy, stamina, sleep, focus and concentration.

Cosmetic Medicine

Reduce wrinkles and lines with:

BOTOX®

BOTOX® Cosmetic (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe frown lines between the eyebrows and moderate to severe crow’s feet lines in adults.

XEOMIN®

Xeomin (incobotulinumtoxinA, also called botulinum toxin type A), is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity. Xeomin is also used to temporarily lessen the appearance of facial wrinkles (sometimes called “frown lines”) between the eyebrows.

Rejuvenate facial volume and contours with:

Bellafill®

In the world of injectables, Bellafill® is distinct. In addition to immediately adding volume to the skin to lift wrinkles known as smile lines, Bellafill® re-creates the firm structure of younger-looking skin by supporting production of your body’s own collagen providing natural and lasting results.

Bellafill is also the only dermal filler on the market approved for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over 21 years of age.

JUVÉDERM® XC

JUVÉDERM® XC is the smooth gel filler that your doctor uses to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you’ll get smooth and natural-looking results that last up to a year.

JUVÉDERM VOLUMA™ XC

JUVÉDERM VOLUMA XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA XC, however, adds volume to the cheek area.

 

Skin rejuvenation and scar improvement:

Rejuvapen Micro Fractional Treatment

The Rejuvapen Micro Fractional treatment is an FDA approved, safe, non-ablative, non-surgical, less invasive treatment solution to various problematic skin conditions, such as aging (Wrinkles, Lines, Stretch marks), scarring(acne, post-surgical injury, burns) and hyper pigmentation.

The micro needles penetrate the skin to increase the production of collagen in the dermal layer. Collagen is a major component of tissue and cell structure, with responsibility for skin strength and elasticity. Clinical studies have shown microneedle therapy to be more effective than ablative treatments like laser resurfacing, dermabrasion and micro dermabrasion. The creation of micro-channels within the dermal layers has shown to stimulate collagen and elastin synthesis, thereby increasing production levels to thicken skin, erase wrinkles and smooth scars.

Non-invasive Facial Smoothing & Body Contouring

Exilis ULTRA™

exilis_treatmentExilis ULTRA™ The only non-invasive Radio Frequency and Ultrasound technology for body contouring, skin tightening and facial rejuvenation. It is an exceptionally safe and effective aesthetic device that delivers highly controlled, volumetric heating to tissue for measurable cosmetic results. Scientifically proven, FDA approved and clinically tested, BTL Exilis ULTRA™ is the first noninvasive system to simultaneously transmit both radio frequency (RF™) and ultrasound energy.

Vanquish ME™

The Vanquish system is a non-invasive, non-contact Selective RF Technology that selectively heats adipose tissue to the point of apoptosis, while the surrounding tissue remains unaffected. The result is a safe and natural decrease in the adipose tissue layer.

Vanquish fat removal is a new, revolutionary procedure in permanent fat reduction and removal, offering painless and surgery-free treatments that requires no downtime. Vanquish is the fastest treatment in terms of time (large and multiple areas in just 30 minutes), as well as with results (seen in just weeks, not months), giving patients dramatic results. Studies have shown permanent reduction of two inches, up to four inches, in the abdomen after a series of four treatments over a four week period.

Zimmer Z-Wave™

High energy radial shockwaves improve collagen structure, skin connective tissue and blood circulation. Radial Pulse Therapy delivers pulses that are comfortable while helping to rid stubborn cellulite and improve the appearance of skin. Fat reduction is enhanced when used with Vanquish or Exilis treatments.

 

Platelet Rich Plasma Therapy

Platelet Rich Plasma (PRP) therapy uses your own concentrated platelets and growth factors from your own blood to stimulate bone growth and heal tissue. PRP is commonly used to improve sports injuries by decreasing inflammation and pain. Research shows that PRP helps to heal tendon and ligament injuries, muscle tears and cartilage damage from arthritis, trauma and aging. Dr. Silva will inject your shoulders and knees to improve your chronic pain and is a safer option than cortisone injections.

PRP Hair and Scalp Rejuvenation

Platelet Rich Plasma (PRP) is derived from the patient’s own blood serum. The patient’s blood is placed in a centrifuge where each part of the blood is separated. The platelet rich plasma is isolated and used to inject into the patient’s scalp. This PRP is rich in growth factors, multiple other wound healing and new hair follicle stimulating cells. PRP has long been used for enhanced wound healing and joint restoration but has now been found to actually stimulate new hair growth. Non-surgically, several studies have shown increased hair density at 4 months lasting for approximately 11 months. Non-surgical injections of PRP are generally performed twice a year.

PRP Facial Rejuvenation

PRP Facial Rejuvenation is the latest non-surgical procedure, which provides a gradual, balanced approach to a more youthful appearance. Dr. Silva offers customized treatments to help you achieve your desired results. By combining hyaluronic acid fillers with blood-derived growth factors, this treatment restores the shape and fullness of your skin, while repairing and strengthening specific tissues.

Injection Therapies

IV Therapy and Rejuvenation – Meyers Cocktail & Glutathione

IV Therapy delivers vitamins and minerals directly into your bloodstream. IV therapy bypasses the liver and the digestive tract so every nutrient and mineral is 100% absorbed. IV therapy promotes healing, energy, cell repair and wellness and is essential for anyone with digestion issues. It is also used to improve many health conditions such as heaches, anxiety, blood sugar problems, pain, immune issues, asthma and fatigue. Ask about glutathione therapy, Myers cocktail and other customized IV therapies to boost your immune system for wellness.

Vitamin B12 Injection Therapy and the “Shot Bar”

Vitamin B12 has numerous health benefits including improving digestion, supporting heart and brain function, boosting your immune system and helping you to lose weight by increasing your metabolism. Dr. Silva offers pharmaceutical grade methylated Vitamin B12 combinations to fit your specific needs. She will customize your B12 injections to help you with weight loss, energy, stamina, sleep, focus and concentration.

Customized Peels and Facials

HydraFacial®

The HydraFacial® resurfacing procedure thoroughly cares for your skin, providing cleansing, exfoliation, extractions, and hydration, including Vortex-Fusion® of antioxidants, peptides, and hyaluronic acid. The HydraFacial® is a non-invasive, non-surgical procedure that delivers instant results with no discomfort or downtime. The procedure is immediately effective.

The “HydraFacial” treatment is the latest advancement in non-laser skin resurfacing. HydraFacial is the only hydradermabrasion procedure combining cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin. The procedure does not cause any discomfort or downtime. It is soothing, moisturizing, non-invasive and non-irritating. The HydraFacial treatment improves the appearance of fine lines, wrinkles, congested and enlarged pores, oily or acne-prone skin, hyperpigmentation and brown spots.

Personalized Peels available:

Obagi Blue Peel

The Blue Peel is an in office procedure designed to improve the appearance and health of your skin. Using low concentration of the chemical trichloroacetic acid (TCA) mixed with a special blue base to slow penetration, the Blue Peel allows your doctor to monitor the appropriate depth to effectively remove the thin surface layers of aged and damaged skin from the face. These dead skin cells are replaced by healthier ones, allowing the skin’s own clarity and tightness to resurface. The procedure is performed by Dr. Silva, who has specialized training and experience with this effective and lower risk chemical peel.

Jessner’s Chemical Peel

Our classic Jessner peel works to improve skin tone and texture while stimulating collagen and reducing the signs of aging and sun damage. A Jessner peel is a popular medium-depth chemical peel that works to improve skin health by helping remove and heal skin damage that is more extensive than regular “wear and tear”. This skin care treatment is stronger than most superficial chemical peels, and therefore creates more temporary damage to the skin in the process. The Jessner peel consists of three main ingredients: Lactic Acid (assists in the exfoliation of the skin), salicylic acid (aids in penetration), and resorcinol (assists in the treatment of acne).

Glycolic Peel

Glycolic Acid is one of the most popular natural skin peeling treatments to restore youthful glow while firming and toning the skin. Glycolic produces minimal visible peeling which is why it is often called the “lunchtime peel”. We offer a range of glycolic acid peel strengths suitable for the first timer up to the professional.

Glycolic acid peels are recommended to shrink pores and improve the overall look of skin on your face and neck. Made up of a derivative of sugar cane, glycolic acid peels are a medium-grade form of chemical peel, meaning that they target the epidermis of your skin rather than penetrating down to the deeper layers.

Salicylic Acid Peel

Salicylic Acid chemical peels work to reduce bacteria, inflammation and excessive sebum from deep within the pore that can otherwise proliferate and create a rough, blotchy appearance. The multifaceted Salicylic chemical peel gently addresses many of the systemic root causes of acne blemishes. Aside from Salicylic Acid’s appetite for acne, its function as an anti-fungal agent can also provide substantial relief to those suffering from chronic yeast overgrowth (Candida). Salicylic Acid peels also provide marked improvements in skin tone, texture and clarity.

Salicylic Acid is a beta hydroxy acid and is the only oil soluble acid used in skin care.  This makes it particularly suited to acne prone skin and oily skin types. Salicylic Acid helps dissolve dirt, sebum and debris in your pores that cause blackheads, enlarged pores and acne breakouts.  It also helps reduce oil production and provides gentle exfoliation.

Lactic Acid Peel

Lactic acid peels are alpha hydroxy acids (AHA). Derived from milk, they are very mild chemical peels with little to no downtime. Because lactic acid is a natural human metabolite, there is less chance of an allergic reaction with this type of peel.

Lactic Acid is derived from sour milk, and is much milder on the skin versus Glycolic and Salicylic peels. Those with sensitive skin can apply this peel. Lactic acid peel helps eliminate germs, toxins and dead cells.

Alpha Beta Peel

The Alpha Beta Peel is a full spectrum peel because it combines an application of Beta Hydroxy Acid (Salicylic Acid) followed with an application of Alpha Hydroxy Acid (Glycolic Acid). Research shows that applying Salicylic Acid before applying Glycolic Acid will cause the Glycolic Acid to penetrate the skin more deeply – resulting in a totally unique and highly superior facial peel.

TCA Peel

TCA peels, trichloroacetic acid peels, are medium strength chemical peels that rejuvenate and repair your skin. They improve skin discoloration, reduce fine lines, and even out skin texture. They also cause your skin to physically peel, so they will require around a week of downtime. However, the results are usually well worth the wait!

Trichloroacetic (TCA) peel is a light chemical peel. Many people don’t relish the idea of two weeks in hiding while waiting for their new skin. Less drastic types of peels were introduced in the 1980s, using trichloroacetic acid (TCA). This procedure hurts when performed, but peels more superficially than when phenol is used. The epidermis and superficial dermis peel, healing in five to eight days. The more superficial the peel, the fewer wrinkles are removed. TCA concentrations range from 15% to 50%, alone or in combination with other chemicals. Higher concentrations result in deeper peels. The TCA peel is useful for pigmentation irregularities, such as sun damaged skin and discoloration from pregnancy. It helps wrinkles and other sun damage. Acne and large pores are improved. Even some premalignant conditions can be corrected.