Dr. Mildred Silva, MD is a family medicine specialist in Orlando, FL and has been practicing for 36 years. She graduated from University of Puerto Rico / Medical Sciences Campus in 1975 and specializes in family medicine, pediatric medicine, and more.

Casanova (Sexual Enhancement)

The Casanova Procedure is an alternative to enhance men’s sexual experience. The Casanova Procedure was developed by renowned Dr. Roger Y. Murray, Sexologist, Anti-Aging specialist, and distinguished author of “The Almost Complete Book of Sex”. It was designed to benefit and help anyone seeking a more satisfying sex life. Casanova Procedure is a non-surgical and non-invasive medical procedure that is safe and painless with quick recovery time and noticeable results.

The Casanova Procedure is designed to improve your appearance and performance by distributing your platelets and your growth factors to target locations. This process is part of an integrated approach to get proven results. The whole procedure from processing the blood and injecting the growth factors takes approximately one hour.

Your sex life may not be an integral part of your relationship, but studies have proven that it is beneficial to your health. A healthy sex life decreases stress and heart disease while increasing happiness and sense of wellbeing.


Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles and joints. In this way, PRP injections use each individual patient’s own healing system to improve musculoskeletal problems.

PRP has also been demonstrated to improve function and reduce pain in people who have tendonitis or chronic tendinosis conditions such as tennis elbow or golfer’s elbow.

Some of the key advantages of PRP injections are that they can reduce the need for anti-inflammatories or stronger medications like opioids. In addition, the side effects of PRP injections are very limited because, since the injections are created from your own blood, your body will not reject or react negatively to them.

Medical Weight Loss

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Hair Restoration

Platelet Rich Plasma injections a.k.a. PRP injections are an emerging modality for promoting new hair growth and increasing hair thickness in male and female patients with hair loss.

What are PRP injections and how do they work?

PRP or platelet rich plasma injections are an in office procedure that leverages growth factors released from platelets in your own blood to stimulate hair follicle activity and promote new hair growth. A small vial of blood is taken from a vein in your arm and processed to increase the concentration of platelets in a fraction of plasma. This platelet rich plasma is then injected into the scalp in areas of hair thinning.

Can PRP treatments be combined with other treatments for hair thinning and hair loss?

PRP injections are often combined with other treatments for hair thinning and loss including hair growth supplements, topical OTC treatments such as Rogaine and/or oral prescription medications to promote hair regrowth such as Propecia.

Is there any downtime or side effects associated with PRP injections for hair loss or thinning?

There is generally minimal downtime associated with PRP injections. Some potential side effects include bruising, soreness, headache or temporary swelling of scalp and forehead.

How many treatments are recommended?

While the number of treatments may vary depending on individual factors, an initial series of treatments is usually recommended at monthly intervals for three months followed by maintenance injections every six to twelve months. Patients usually notice results within two to three months.

Are there any pre or post treatment precautions?

You should not take aspirin, Aleve, Advil, Motrin or any prescription anti-inflammatory medication for one week prior to treatment since these medications reduce inflammation which may lessen your results. Cigarette smoking at any time will also diminish results. Following treatment you should not apply keratin hair fibers to your scalp or color or cut your hair for three days.

Are there any contraindications to PRP scalp injections ?

PRP is not recommended for advanced hair loss or hair loss associated with scarring. You should also not have PRP injections if you are pregnant or breastfeeding, have a platelet or blood disorder or are taking immunosuppressive medications such as corticosteroids, or biologic medications.