Nova Cosmetic Center Vein Centers of America
Jan V. Karlin, MD 
NOTICE OF PRIVACY PRACTICES

Date of last revision: 01/08/2009
Effective: Immediately 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.



The Practice (the "Practice"), in accordance with the federal Privacy Rule, 45 CFR parts 160 and 164 (the "Privacy Rule") and applicable state law, is committed to maintaining the privacy of your protested health information ("PHI"). PHI includes information about your health condition and the care and treatment you receive from the Practice and is often referred to as your health care or medical record. This Notice explains how your PHI may be used and disclosed to third parties. This Notice also explains your rights regarding your PHI.
 

HOW THE PRACTICE MAY USE AND 
DISCLOSE YOUR PROTECTED HEALTH INFORMATION
 

The Practice, in accordance with this Notice and without asking for your express consent or authorization, may use and disclose you PHI for the purposes of:



(a) Treatment - To provide you with the health care you require, the Practice may use and disclose your PHI to those health care professionals, whether on the Practice's staff or not, so that it may provide, coordinate, plan and manage your health care. For example, before starting on anti-aging therapy the physician may need to know the results of your latest physical examination.



(b) Payment - To get paid for services provided to you, the Practice may provide your PHI, directly or through a billing service, to a third party who may be responsible for your care, including insurance companies and health plans. If necessary, the Practice may use your PHI in other collection efforts with respect to all persons who may be liable to the Practice for bills related to your care. For example, the Practice may need to provide your insurance plan with information about health care services that you received from the Practice so that the Practice can be reimbursed. The Practice may also need to tell your insurance plan about treatment you are going to receive so that it can determine whether or not it will cover the treatment expense.



(c) Health Care Operations - To operate in accordance with applicable law and insurance requirements, and to provide quality and efficient care, the Practice may need to compile, use and disclose your PHI. For example, the Practice may use your PHI to evaluate the performance of the Practice's personnel in providing care to you.
 

OTHER EXAMPLES OF HOW THE PRACTICE MAY USE YOUR 
PROTECTED HEALTH INFORMATION
 

(a) Advice of Appointment and Services -The Practice may, from time to time, contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may use and disclose medical information to contact you. This contact may be by phone, in writing, e-mail, or otherwise, and may involve the leaving of an e-mail, a message on an answering machines, or otherwise which could (potentially) be received or intercepted by others.



(b) Directory/Sign-In Log - The Practice may, from time to time, maintain a sign-in log at its reception desk for individuals seeking care and treatment in the office. The sign-in log is located in a position where staff can readily see who is seeking care in the office, as well as the individual's location within the Practice's office suite. This information may be seen by, and is accessible to, others who are seeking care or services in the Practice's offices.



(c) Family/Friends - The Practice may disclose to a family member, other relative, a close personal friend, or any other person identified by you, your PHI directly relevant to such person's involvement with your care or the payment of your care. The Practice may also use or disclose your PHI to notify or assist in the notification (including identifying or locating) a family member, a personal representative, or another person responsible for your care, of your location, general condition or death. However, in both cases, the following conditions will apply:



(i) If you are present at or prior to the use or disclosure of your PHI, the Practice may use or disclose your PHI if you agree, or if the Practice can reasonably infer from the circumstances, based on the exercise of its professional judgment, that you do not object to the disclosure.



(ii) If you are not present, the Practice will, in the exercise of professional judgment, determine whether the use or disclosure is in your best interests and, if so, disclose only the PHI that is directly relevant to the person's involvement with your care.
 

OTHER USE & DISCLOSURES WHICH MAY BE PERMITTED OR REQUIRED BY LAW
 

The Practice may also use and disclose your PHI without your consent or authorization in the following instances:



(a) De-identified Information - The Practice may use and disclose health information that may be related to your care but does not identify you and cannot be used to identify you.



(b) Business Associate - The Practice may use and disclose PHI to one or more of its business associates if the Practice obtains satisfactory written assurance, in accordance with applicable law, that the business associate will appropriately safeguard your PHI. A business associate is an entity that assists the Practice in undertaking some essential function, such as a billing company that assists the office in submitting claims for payment to insurance companies.



(c) Personal Representative - The Practice may use and disclose PHI to a person who, under applicable law, has the authority to represent you in making decisions related to your health care.



(d) Emergency Situations - The Practice may use and disclose PHI for the purpose of obtaining or rendering emergency treatment to you provided that the Practice attempts to obtain your Consent as soon as possible: The Practice may also use and disclose PHI to a public or private entity authorized by law or by its charter to assist in disaster relief efforts, for the purpose of coordinating your care with such entities in an emergency situation.



(e) Public Health Activities - The Practice may use and disclose PHI when required by law to provide information to a public health authority to prevent or control disease.



(f) Abuse, Neglect or Domestic Violence - The Practice may use and disclose PHI when authorized by law to provide information if it believes that the disclosure is necessary to prevent serious harm.



(g) Health Oversight Activities - The Practice may use and disclose PHI when required by law to provide information in criminal investigations, disciplinary actions, or other activities related to the community's health care system.



(h) Judicial and Administrative Proceeding - The Practice may use and disclose PHI in response to a court order or a lawfully issued subpoena.



(i) Law Enforcement Purposes - The Practice may use and disclose PHI, when authorized, to a law enforcement official. For example, your PHI may be the subject of a grand jury subpoena, or if the Practice believes that your death was the result of criminal conduct.



(j) Coroner or Medical Examiner - The Practice may use and disclose PHI to a coroner or medical examiner for the purpose of identifying you or determining your cause of death.



(k) Organ, Eye or Tissue Donation - The Practice may use and disclose PHI if you are an organ donor to the entity to whom you have agreed to donate your organs.



(l) Research - The Practice may use and disclose PHI subject to applicable legal requirements if the Practice is involved in research activities.



(m) Avert a Threat to Health or Safety - The Practice may use and disclose PHI if it believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to the health and safety of a person or the public and the disclosure is to an individual who is reasonably able to prevent or lessen the threat.



(n) Specialized Government Functions - The Practice may use and disclose PHI when authorized by law with regard to certain military and veteran activity.



(o) Worker's Compensation - The Practice may use and disclose PHI if you are involved in a Worker's Compensation claim to an individual or entity that is part of the Worker's Compensation system.



(p) National Security and Intelligence Activities - The Practice may use and disclose PHI to authorized governmental officials with necessary intelligence information for national security activities.



(q) Military and Veterans - The Practice may use and disclose PHI if you are a member of the armed forces, as required by the military command authorities.
 

AUTHORIZATION
 

Uses and/or disclosures, other than those described above, will be made only with your written Authorization.
 

YOUR RIGHTS
 

You have the right to:



(a) Revoke any Authorization or consent you have given to the Practice, at any time. To request a revocation, you must submit a written request to the Practice's Privacy Officer.

(b) Request special restrictions on certain uses and disclosures of your PHI as authorized by the law. In general, this relates to your right to request special restrictions concerning disclosures of your PHI regarding uses for treatment, payment and operational purposes under the Privacy Rule, Section 164.522

(a) and restrictions related to disclosure to your family and other individuals involved in your care under Privacy Rule, Sections 164510

(b). Except in certain instances, the Practice may not be obligated to agree to any requested restrictions. To request restrictions, you must inform the Practice of what information you want to limit, whether you want to limit the Practice's use and disclosure, or both, and to whom you want the limits to apply. If the Practice agrees to your request, the Practice will comply with your request unless the information is needed in order to provide you with emergency treatment.



(c) Receive confidential communications or PHI by alternative means or at alternative locations as provided by Privacy Rule, Section 164.522

(b). For instance, you may request all written communications to you marked "Confidential Protected Health Information." You must make your request in writing to the Practice's Privacy Officer. The Practice will accommodate all reasonable requests.



(d) Inspect and copy your PHI as provided by federal law (including Privacy Rule, Section 164.524) and state law. To inspect and copy your PHI, you must submit a written request to the Practice's Privacy Officer. The Practice can charge you a fee for the cost of copying, mailing or other supplies associated with your request. In certain situations that are defined by law, the Practice may deny your request, but you will have the right to have the denial reviewed as set forth more fully in the written denial notice.



(e) Amend you PHI as provided by federal law (including Privacy Rule, Section 164.526) and state law. To request an amendment, you must submit a written request to the Practice's Privacy Officer. You must provide a reason that supports your request. The Practice may deny your request, if the information to be amended was not created by the Practice (unless the entity that created the information is no longer available), if the information is not part of your PHI maintained by the Practice, if the information is not part of the information you would be permitted to inspect and copy, and/or if the information is accurate and complete. If you disagree with the Practice's denial, you will have the right tot submit a written statement of disagreement.



(f) Receive an accounting of disclosures of your PHI as provided by federal law (including Privacy Rule Section 164.528) and state law. To request an accounting, you must submit a written request tot he Practice's Privacy Officer. The request must state a time period, which may not be longer than six (6) years and may not include dates before April 14, 2003. The request should indicate in what form you want the list (such as a paper or electronic copy). The first list you request within a twelve (12) month periods will be free, but the Practice may charge you for the cost of providing additional lists. The Practice will notify you of the costs involved and you can decide to with draw or modify your request before any costs are incurred.



(g) Receive a paper copy of the Privacy Notice from the Practice (as provided by the Privacy Rule Section 164520(b)(1)(iv)(F)) upon request to the Practice's Privacy Officer.



(h) Complain to the Practice or to the Secretary of HHS (as provided by Privacy Rule Section 164.520(b)(1)(vi)) if you believe your privacy rights have been violated. To file a complaint with the Practice, you must contact the Practice's Privacy Officer. All complaints must be in writing.

To obtain more information about your privacy rights or if you questions you want answered about your privacy rights (as provided by Privacy Rule Section 164.520(b)(2)(vii)), you may contact the Practice's Privacy Officer as follows:



Name: Heather Jahangani

Address: 7600 Dr. Phillips Blvd.
Suite 74 & 58

Orlando, FL 32828


Telephone No.: 407-226-0609

 

PRACTICE'S REQUIREMENTS
 

The Practice:


(a) Is required by federal law to maintain the privacy of your PHI and to provide you with this Privacy Notice detailing the Practice's legal duties and privacy practices with respect to your PHI.


(b) Under the Privacy Rule, May be required by State law to grant greater access or maintain greater restrictions on the use or release of your PHI than that which is provided for under federal law.

(c) Is required to abide by the terms of this Privacy Notice.



(d) Reserves the right to change the terms of this Privacy Notice and to make the new Privacy Notice provisions effective for all of your PHI that it maintains.



(e) Will post a copy of the current notice in the Practice. The notice will contain on the first page, at the top of the first column, the date of the last revision and effective date. In addition, each time you visit the Practice for treatment or health care services you may request a copy of the current notice in effect prior to implementation.



(f) Will not retaliate against you for filing a complaint.

Have you ever woken up in the morning and just wish those wrinkles would disappear?Thanks to the magic of BOTOX® Cosmetic, now they can. BOTOX® Cosmetic diminishes the appearance of fine lines and wrinkles by relaxing the muscles behind it.

Click on the links below to learn more about Botox Cosmetic:

Botox Cosmetic Before & After Gallery or Contact Us Today!

For some years now, liposuction has been one of the most popular cosmetic procedures performed. According to the American Society of Plastic Surgeons and the American Academy of Dermatology, thousands of men and women take control of their shape each year with this safe and effective cosmetic procedure. If diet and exercise have failed to reduce areas of unwanted fat, then liposuction may provide the help you want. The procedure is designed to improve body shape and remove unwanted fat from areas such as the face and neck, upper arms, abdomen, thighs, buttocks, hips, knees, calves, ankles and male breasts. Liposuction is not a substitute for dieting and exercising properly, and it is not a weight loss procedure. It is extremely effective in removing fat in areas that just do not respond to traditional weight reduction methods.

Click on the links below to learn more about Liposuction Procedures:

Liposuction Body Sculpting Before & After Gallery or Contact Us Today!

Nova Cosmetic Centers is Orlando's #1 Volume BOTOX® Cosmetic Injector.

Have you ever woken up in the morning and just wish those wrinkles would disappear?

Thanks to the magic of BOTOX® Cosmetic, now they can. BOTOX® Cosmetic diminishes the appearance of fine lines and wrinkles by relaxing the muscles.

The lines that appear between your brows (glabellar lines), forehead, and crows feet actually result from muscle movement and the passage of time. You may have heard the expression "wearing your emotions on your sleeve," but in reality you wear them on your face. If you're angry or annoyed, for example, you knit your brows together.

Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you're frowning. After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men's, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent.

You've probably heard a lot about BOTOX® Cosmetic. It's been in the news, in fashion, health, and beauty magazines, and on TV. Your friends may even be talking about how it works.

This could be what you’ve always been looking for—a procedure that can temporarily smooth those moderate lines between your brows with no surgery and no recovery time. An improvement can be seen within one to two weeks, lasting for up to four months. Results may vary. Maximum benefits of BOTOX Cosmetic® are reached between 10 to 14 days. Once the muscle relaxes and the skin softens, you will have a more relaxed and youthful appearance. 

$500 Off Full Face Thermage™
 
$50 Off the 2nd area of BOTOX®
 
Save $150 via Dysport® Challenge
 
Purchase 1 area of Liposuction and
receive 50% off the 2nd area

20% Off All Cellulite Packages
  
10 % Off All Skin Care Kits
 
Dermal Filler Specials
$50 Off 1st Syringe
$100 Off 2nd Syringe
$150 Off 3rd Syringe

Offer expires: July 31, 2010

SkinMedica is based on the science of the skin's own healing abilities. As skin ages, elasticity decreases, lines appear and overall skin health diminishes. To counteract the effects of time, our skin care products contain restorative ingredients that work below the skin's surface to regenerate the health of the skin.

Our scientifically proven recovery compounds include essential ingredients ranging from vitamins C and E to retinol to NouriCel-MD®, our patented blend of growth factors, soluble collagen, antioxidants and matrix proteins. The impact is clear - fine lines are reduced, age spots and discoloration fade, and skin texture and elasticity is improved.

TNS RECOVERY COMPLEX

For normal, dry, oily, combination, aging and sensitive skin
Recommended uses:
• Anti aging skin care
• Sun damaged skin treatment
• Skin care after procedures

TNS Recovery Complex, containing the key ingredient NouriCel-MD®, rejuvenates sun damaged and aging skin.

Directions:Apply a single pump each morning and evening to face, neck, and décolletage (the exposed skin between the neck and bust line) after cleansing and toning and prior to moisturizing.

TNS ESSENTIAL SERUM
Appropriate for all skin types
This anti-aging serum  combines the renowned growth factor serum, TNS Recovery Complex in one chamber and APS Corrective Complex™, a potent mixture of antioxidants, peptides and other innovative anti-aging ingredients, in the other chamber. Together these products work synergistically to transform and regenerate your skin for a more youthful appearance.
Directions: Before the first application lightly tap the top of the pump several times in the palm of your hand. Remove the cap and press on the very center of the pump to dispense both of the products onto the back on your hand. Blend the two products together and apply to the face. Use morning and night after cleansing and toning.

DERMAL REPAIR
For normal/combination or dry skin
Recommended uses:
• Anti aging skin care
• Skin moisturizer
• Sun damaged skin treatment

Dermal Repair vitamin enriched facial cream intensely hydrates and replenishes dry skin with antioxidants and hyaluronic acid. Dermal Repair skin cream helps to reduce the appearance of age spots as it provides skin protection against harsh environmental conditions.
SENSITIVE SKIN CLEANSER
For sensitive or inflamed skin following laser resurfacing, microdermabrasion, or chemical peels
Recommended uses:
• Sensitive skin care
• Skin care after procedures or peels
• Skin cleansing

Sensitive Skin Cleanser is a gentle, non-irritating, creamy skin cleanser containing soothing botanical extracts, including cucumber and chamomile

TNS BODY MIST
For normal, dry, oily, combination, aging and sensitive skin
Recommended uses:
• Anti aging skin care
• Sun damaged skin treatment
• Skin brightening treatment

TNS Body Mist, containing the key ingredient NouriCel-MD®, rejuvenates sun damaged and aging skin. NouriCel-MD is an unparalleled physiologic combination of elements that are found naturally in the skin. TNS Body Mist spray helps to reduce the appearance of fine lines and wrinkles, enhances skin texture, reduces the appearance of age spots and blotchiness, and improves skin elasticity.
VITAMIN C COMPLEX
For normal, dry, oily, combination, aging and sensitive skin
Recommended uses:
• Proactive skin care
• Anti aging skin care
• Antioxidant skin care

Vitamin C Complex is a fragrance-free,  formula containing 15 percent stabilized vitamin C in water- and fat-soluble forms to provide extraordinary antioxidant protection. Recommended for natural skin care defense against exposed skin.
ENVIRONMENTAL DEFENSE SUNSCREEN SPF 30
For compromised, post-procedure skin and extended sun exposure
Recommended uses:
• Proactive skin care
• Solar skin care
• Sun protection

This state-of-the-art sunscreen product formulation offers skin the ultimate defense against ultra violet (UV) rays, environmental pollutants and free radical damage.
Active Ingredients:
• Z-COTE® MAX™ → The next generation in micronized zinc oxide (physical sunscreen) provides maximum UVA and UVB protection in a single ingredient. Because it is transparent, Z-COTE® MAX™ is invisible on the skin and won't stain clothing. In addition, since zinc oxide is a U.S. Food and Drug Administration (FDA) category I skin protectant, it is considered skin friendly, and provides long-lasting UV protection.
• Parsol® MCX (octinoxate) → An FDA approved organic sunscreen (chemical sunscreen) provides excellent UVB absorption to help prevent sun damage to the skin.
Key Ingredients:
• Green Tea Extract and Caffeine → Provide super-antioxidant and UV protective qualities.
• Hyaluronic Acid → An essential natural moisturizing factor, able to hold up to 40 times its weight in water, provides instantly hydrating and skin soothing properties.
• Vitamin E → One of the most active, natural, free radical scavengers known; provides super-antioxidant properties.
• Ceramide 3 → A plant-derived, skin-identical lipid that helps to rapidly restore the skin's lipid barrier and greatly influences the water-holding capacity of the skin.

Let us help you look your best. Nova Cosmetic Centers treatments are not just for women. Women may talk about their looks more often, but men are concerned about their appearance as well. More and more men are discovering the benefits of cosmetic treatments. Our team of professionals at Nova Cosmetic Centers offers convenient, safe and effective cosmetic treatments to achieve your individual goals.

We have flexible hours and Saturday appointments for your convenience. You can have a procedure performed during a lunch hour or break in your day and head right back to the office or other activities.

Whether you wish to remove unwanted back or shoulder hair... reduce fine lines and wrinkles… loose a few inches…reduce redness or flushing associated with rosacea... or just proactively maintain a more vibrant and youthful appearance, Nova Cosmetic Centers has the treatments and skincare products to help you meet your objectives.
If you're considering any of the services we offer we invite you to ask the expert or schedule a free consultation. 

Popular treatments for male clientele include:
• Facial Cosmetic/Plastic Surgery
• Eyelid Surgery
• Facelift
• Facial Implants
• Rhinoplasty

Body Cosmetic/Plastic Surgery
• Liposuction
• Tummy Tuck
• Underarm Sweating
• Gynecomastia (male breast reduction)
• Vaser Hi Def
• Smart Lipo

Anti-Aging
• Hormone Replacement
• Human Growth Hormone

Hair Removal
• Laser Hair Removal

Skin Rejuvenation
• Photofacial
• Fractional Laser (Skin Resurfacing)
• Age Spot Removal
• IR Treatments(Skin Tightening)
• Thermage (Skin Tightening)
• Chemical Peels
• Microdermabrasion

Non-Surgical Face and Body Contouring Procedures
• Age Reversing Facials
• Micro-Current Facials
• IR Treatments(Skin Tightening)
• Thermage (Skin Tightening)
• LipoDissolve (Body Contouring)
• NovaTrim (Endermologie)
• Mesotherapy
• No Needle Mesotherapy(Dermawave)

Vein Therapy
Varicose Veins
Spider Veins

Injectables
• Botox
• JUVÉDERM® Injectable Gel
• Restylane®
• Radiesse™
• Sculptra®
• Perlane®
• Acne Therapies

Skincare Products for Men
Increasingly more men are realizing that healthy and beautiful looking skin requires an on-going commitment to daily skin care and healthy living. Recognizing this, Nova Cosmetic Centers  offers physician grade skin care products and custom designed regimes to help ensure that your skin remains healthy and vibrant long after your visit.
We look forward to helping you archive your individual goals. 

Plastic and Cosmetic surgery for men is one of our specialties at Nova Cosmetic Centers. We understand men have distinct needs before, during and after their cosmetic procedures. We provide men with excellent experiences as we enhance their appearance and lifestyle. Call 407-226-0609 today for a complimentary consultation.

Mommy Makeover

Starting a family can be one of the best times in a woman’s life.  But the after effect of what happens to your body can be one of the worst things. Women on average gain 25 to 30 pounds during pregnancy and as the baby grows, so does the abdomen. This stretching of the abdomen may cause separation and weakness of the abdominal muscles and unsightly stretch marks. The increase and decrease in volume of the breasts can leave them deflated and sagging. The mommy makeover can help to enhance and restore your body after the pregnancy. Cosmetic procedures like tummy tucks, liposuction, and breast augmentation as common procedures that are combined to regain your youthful body image.

What is a cosmetic surgery mommy make over?

The mommy makeover is a combination of procedures designed to restore a woman’s body post child birth. The procedures could be all or a combination of the following, liposuction, tummy tuck, breast augmentation and/or breast lift. These procedures counteract what has been done to the body during pregnancy.

Preparing for the mommy makeover

Have you lost all the baby weight?
You want to be at a stable weight and lose all or most of the baby weight before surgery, this will help to maximize your results.

Are you still breast feeding?
You will have to be finished breast feeding before having breast surgery.

Are you planning on having more children?
If the answer to this question is yes, you may want to wait on your cosmetic surgery. The muscles in the abdomen can re-separate and weaken.

Hand rejuvenation is more popular than you may believe. The majority of people associate age with the way someone's face, skin, and body may appear. Although very commonly our patients come to use with concerns about how their hands are aging, "My hands give away my age!" We have a variety of treatments that can help them restore the youthful appearance of their hands.

Our hands are one of the first places that start to show visible signs of aging, sun exposure and natural aging cause this appearance. The most common signs of visible aging are loss of fatty tissue, making hands appear bony and uneven pigmentation ("age spots"). Hand rejuvenation treatments help to bring back a more youthful appearance. To help patient achieve this, we recommend a variety of options to the patient's individual needs.

Who is the best candidate for Hand Rejuvenation treatments?
Anyone who is unhappy with the appearance of their hands and are looking to achieve a more youthful appearance.  The best candidate is a healthy individual that has real expectations and goals for improving the appearance of the hands. 

What are the different Hand Rejuvenation Treatments?
There are various treatment options for hand rejuvenation. 

Injectable Fillers: Dermal Fillers (Such as Radiesee, Juvederm, Restylane, Sculptra, etc.) are injected into the hands to give the skin a more plump and youthful appearance. 

Sclerotherapy: Injecting hand veins is similar to injecting leg veins.  A sclerosing agent is injected into the veins, irritating the veins, and causing them to turn white and disappear. 

Microdermabrasion: Light skin polishing, using small crystals to remove the first layer of skin.

Chemical peel: A chemical solution is applied to the skin to remove the damaged outer layers of the skin, removing discoloration and age spots.

Laser Skin resurfacing: Using laser light energy for dark spots and unsightly spider veins. 

To learn more about these treatments, or to see the best options for you, schedule a free consultation. 

Serotonin-Plus Weight Loss Program^®

Nova Cosmetic is proud to introduce its new weight loss program, the Serontonin Plus Weight Loss Program

Nova Cosmetic is proud to introduce its new weight loss program, the Serotonin Plus Weight Loss Program^®.

Before	After

  Frequently Asked Questions

Serotonin occurs naturally in the brain and is commonly known as "the mood chemical". Serotonin imbalance and deficiency have been linked to a number of clinical disorders including depression, premenstrual syndrome, migraine headaches, eating disorders, fibromyalgia and chronic fatigue syndrome. Although present in small amounts in the human body, serotonin plays an incredibly important role in so many vital physical and emotional functions.

Serotonin is made inside the body from the amino acid, tryptophan. This amino acid is found in various food sources, and high amounts are found in carbohydrates, chocolate and other sweets. When a person ingests chocolate, the body converts tryptophan into serotonin.

As a real life example, during a woman’s menstrual cycle, serotonin deficiency may occur. Although many women do suffer from serotonin deficiency, men can suffer from this condition too. When this happens, the body will send out a signal that it needs more serotonin in the form of a food craving. When the craving occurs, this will motivate the person subconsciously to want to eat chocolate or other sweets that can supply the tryptophan. The affected person does not realize that the body is serotonin deficient; they only know they really want that handful of Hershey Kisses^®. Of course, the result of giving in to this craving is weight gain, adverse cholesterol effects and other harmful effects from excessive eating of carbohydrates.

The Serotonin Weight Loss Programm^® is made up of a variety of foods that are found in your regular grocery store. There aren’t any types of food that are eliminated from your diet; you get a mixture of proteins, carbohydrates, fruits and vegetables. The Serotonin Weight Loss Program will help you learn how to eat to maintain your weight loss for the rest of your life!

The Serotonin Weight Loss Program^® is a unique, medically supervised program that brings in the “best” of all approaches to weight loss. Serotonin Formula offers individualized weight loss programs to fit every weight loss need. Whether you have 10 pounds or 150 pounds to lose we offer effective, safe and responsible weight loss. The program utilizes Serotonin Formula™, a patented serotonin supplement to help suppress appetite and carbohydrate cravings and an FDA approved prescription appetite suppressant, when needed. As the medication and supplement are helping the person reduce caloric intake, the Serotonin Plus Weight Loss Program^®, along with the nutritional and exercise counseling, are providing guidance in behavioral modification. In this way, maintaining your weight is easier once your weight loss goal is achieved.

Call (407) 226-0609 to schedule your complimentary consultation to see how the Serotonin Plus Weight Loss Program^® can help you finally achieve your weight loss goals!

The Practice:

(a) Is required by federal law to maintain the privacy of your PHI and to provide you with this Privacy Notice detailing the Practice's legal duties and privacy practices with respect to your PHI.

(b) Under the Privacy Rule, May be required by State law to grant greater access or maintain greater restrictions on the use or release of your PHI than that which is provided for under federal law.

(c) Is required to abide by the terms of this Privacy Notice.

(d) Reserves the right to change the terms of this Privacy Notice and to make the new Privacy Notice provisions effective for all of your PHI that it maintains.

(e) Will post a copy of the current notice in the Practice. The notice will contain on the first page, at the top of the first column, the date of the last revision and effective date. In addition, each time you visit the Practice for treatment or health care services you may request a copy of the current notice in effect prior to implementation.

(f) Will not retaliate against you for filing a complaint.

As the aging process begins, the connective tissue thins and collagen and elastic fibers break down. These changes in the support structures appear as sagging, deep creases, folds and wrinkles that can appear in your thirties.Contour Threads™ is a safe, conservative and effective procedure that offers subtle, natural-looking results. These specially designed sutures are fashioned from clear polypropylene, a material that has been safely used in the body for many years in other medical products.

Click the following links for more information:

Breast Augmentation Before & After Gallery 

or Contact Us Today!

LipoDissolve is the current newest treatment for body sculpting. It is a safe way to eliminate unwanted fat on any part of your body. LipoDissolve is administered through a series of micro-injections to permanently dissolve the fat.

Click on the links below to learn more about LipoDissolve:

LipoDissolve Body Sculpting Before & After Gallery or Contact Us Today!

• You think those stubborn frown lines between your brows make you look tired or upset.
• It seems like something that you could do to help maintain your appearance.

Do you have embarrassing dark spots on your face?

It may be melasma.  If it is, you are not alone.  Millions of women suffer from this skin condition.  Many use cosmetics to cover their dark, brown spots, unaware that there is an FDA-approved medication to help fade them.

What are all the dark spots on your face?
Brown or gray-brown spots on your cheeks, upper lip, nose, forehead, or chin are typical signs of melasma.  This discoloration frequently occurs on both sides of the face. 

Experts believe melasma is caused by hormonal changes that occur when a woman begins taking birth control pills or hormone replacement therapy.  It can also occur during the second or third trimester of pregnancy, which is why it is sometimes called the “mask of pregnancy.”  Talk with your doctor to find out if the discoloration on your face is melasma. 

What is melasma?
Melasma is a darkening of the skin caused by excessive production of melanin-the pigment that causes skin to tan.  That’s why the sun, which increases melanin production, makes melasma worse.  Melasma only occurs in areas of skin that are exposed to the sun.  It can be mild, moderate, or severe. 

Who gets melasma? 
Melasma is a common skin condition that occurs predominantly in women.  In fact, about 6 million American women are estimated to have melasma.  Anyone can have it, though it seems to be more common in people with light brown skin, especially Hispanics and Asians.

Will your melasma just fade away? 
Sometimes it does.  If your melasma does fade without treatment, the dark patches can take a long time to lighten.  Even if melasma fades after the delivery of a baby, it can return with each future pregnancy.  If you are taking birth control pills and then stop, the discoloration on your face may start to clear gradually. 

What are the treatments available to fade melasma?
Fortunately, you don’t have to live with melasma.  Tri-Luma Cream is the only FDA-approved triple combination therapy for melasma.  No topical treatment has been proven more effective than Tri-Luma Cream for treating melasma.  It can start to work in as little as 4 weeks, and is proven safe for long-term use (6-12 months).

Follow these steps:
Keep the cream away from the corners of your nose, mouth, eyes, and open wounds. Do not use more Tri-Luma Cream or apply it more often than recommended by your doctor. 
Do not cover the treated area with anything, like a bandage, after applying Tri-Luma Cream.  If your skin gets too irritated, stop using Tri-Luma Cream, and let your doctor know. 

You may use a moisturizer and cosmetics during the day. 

Do you really need to wear sunscreen every day?
Yes.  Many people underestimate the amount of time they spend in the sun and are unaware of the need for daily sunscreen.  Use a sunscreen of at least SPF 30 and wear a wide brimmed hat.  It only takes a small amount of sunlight to worsen melasma.  Even if you avoid sunburn, your melasma can get worse. 

If you do get sunburned, stop using Tri-Luma Cream until your skin is healed.  Minimizing your exposure to sunlight, even during daily activities, can help prevent further darkening of existing melasma as well as the formation of new patches.  This is especially important for women who take birth control pills or hormone replacement supplements, and for people who have had melasma in the past. 

If you are in the sun for long periods of time, you should wear a hat to protect  your face.

After completing treatment with Tri-Luma Cream, continue to protect your skin from sunlight. 

Besides sun, what should you avoid while using Tri-Luma Cream?
Heat, wind, and cold. Heat, wind, and cold tend to dry or irritate normal skin.  Skin treated with Tri-Luma Cream may be more likely to react to them.
Also avoid other skin care products and medicines.  Avoid products that may dry or irritate your skin.  These may include soaps and cleansers that are rough or cause drying; certain astringents, soaps, and toiletries containing alcohol, spices, or lime; or certain medicated soaps, shampoos, and hair permanent products.  Do not use any other topical medicines with Tri-Luma Cream unless you have consulted your doctor.  The topical medicines and products you have used in the past may cause redness or peeling when used with Tri-Luma Cream. 

How fast will Tri-Luma Cream lighten your melasma? 
Some patients had improvement of their melasma after only 4 weeks.  In about 8 weeks with Tri-Luma Cream, you should see significant lightening of your melasma.  But, remember that everyone’s skin is different.  If your melasma recurs, see your doctor to determine if additional treatment with Tri-Luma Cream is right for you. 

What have other patients said about Tri-Luma Cream?
In a study of 1076 people with melasma, most patients treated with Tri-Luma Cream reported improvement in their quality of life. 
64% were less embarrassed
61% felt more attractive
60% felt younger
56% put less effort into hiding their skin
52% used fewer cosmetics

How successful have patients been with Tri-Luma Cream?
Samantha, an actual patient with melasma, had no idea that she had the condition.  She noticed some dark areas on her face and was surprised when people commented on them, wondering if she had been bruised.  When 2 bleaching creams recommended by he doctor had no effect, she was disappointed.  Finally, she saw her dermatologist, who diagnosed melasma and prescribed Tri-Luma Cream.  After her 8 weeks of treatment, Samantha had changed both inside and out.  She said her patches were barely visible and she began to “feel normal again.”  She felt “a mask had been taken off her face.”

She recommends that other people with dark spots consult their doctors.  To hear Samantha’s story in her own words, visit www.triluma.com, click on “About Melasma,” and scroll down to “Melasma Video Library.”

We are providing a different approach to traditional cosmetic procedures, and our philosophy reflects that new approach - making positive things happen by helping people look good and feel good about themselves. We sincerely care that each and every visit is extremely satisfying, so we include only highly skilled and experienced therapy specialists as part of our team. It is our mission to deliver the greatest results...at a great value!

All of Nova’s products and services are designed to maximize your physical image. From head to toe ... from the inside out. Thanks to the marvels of modern aesthetic procedures, like our fabulously effective LaserLight® Hair Elimination, we can enhance your best features and fix those nagging imperfections.

Our Medical Supervisor, Jan V. Karlin, M.D., personally directs and supervises all medical procedures for Nova Cosmetic Center.

Dr. Karlin's initial consultation is so thorough that patients often view him as an artist translating their desires and needs into realistic goals.

A Talented Surgeon With A Natural Ability For Obtaining Symmetry, Balance And Harmony.

• Plastic and Cosmetic Surgery 
• Phlebology Specialists
• Hormone Replacement

Contact our plastic / cosmetic surgery office in Orlando, Florida (FL) for a consultation.

Several factors can contribute to loss of shape or youthful appearance of the breasts. These include: pregnancy, breast feeding, natural aging process and even heredity.

If you feel you have lost the youthful, supple appearance of your breasts, a procedure called Mastopexy, or Breast Lift, can be performed to raise and re-shape your breasts to your desire.

Click the following links for more information:

Breast Augmentation Before & After Gallery 

or Contact Us Today!

Are you tired of those "Love Handles" that just won't go away? Mesotherapy has revolutionized the treatment of fat and cellulite providing dramatic results without surgery. Love handles, saddle bags, bulging stomachs, lower lids, necks and other fatty disfigurements may all be eliminated with Mesotherapy. Unlike Liposuction, an invasive surgical procedure, there is no general anesthesia or surgery, and there are no ugly bandages to hide. Mesotherapy works great for both men and women.

BOTOX® Cosmetic is the only treatment approved by the FDA for the temporary relief of moderate to severe frown lines between the brows in people 18 to 65 years of age. With one simple ten-minute treatment, results can be seen within a couple of days and can last for as long as three to four months. Individual results may vary.

Your eyes are your window to your soul because the reveal so much about you. Unfortunately, your eyes can also be deceiving if signs of aging have altered them. Instead of looking rested, alert and in-charge, you may appear to be tired, run-down, angry or unhappy due to drooping eyelids or puffy bags under the eyes. If you feel that your eyes make you look older, sad or fatigued, you may want to consider the benefits of cosmetic eyelid surgery, also called Blepharoplasty.

Click the following links for more information:

Eyelid Lift Before & After Gallery or Contact Us Today!

A woman's displeasure with her breast size is not always about aesthetics. Some women not only feel that their breasts are too large but have discomfort and physical complications because their overly large breasts. Breast reduction surgery transforms heavy pendulous breasts into smaller and lighter versions. This transformation can also mean the end to chest, shoulder and neck pain, skin irritations, deep bra strap indentations and extreme self-conscious that afflict overly large breasted woman and girls.

Click the following links for more information:

Breast Augmentation Before & After Gallery 

or Contact Us Today!

DermaWave No Needle Mesotherapy™ is used to treat and smooth cellulite, or dimpled skin on the thighs, buttocks and abdomen. Cellulite, as most know is the unsightly dimpling and rippling of the skin in the thigh and buttocks area. Unfortunately about 80% of women are affected by this. Many solutions have been suggested for the treatment of cellulite but yet no solution has provided adequate results until now. Nova is one of only two exclusive providers in Orlando to be able to offer the New Derma Wave No-Needle Mesotherapy.

Click on the links below to learn more about No Needle Mesotherapy Body Sculpting:

No Needle Mesotherapy Body Sculpting Before & After Gallery or Contact Us Today!

You may look in the mirror and see a marked improvement after treatment with BOTOX® Cosmetic, in the moderate to severe frown lines between your brows and the crow’s feet around your eyes. BOTOX® Cosmetic will not radically change your facial appearance. You can still frown or look surprised but without all the wrinkles and creases.

BOTOX® Cosmetic temporarily reduces the contractions of the muscles that cause those persistent lines that have developed over time around your eyes and between your brows.

Over the next few days, you may see an improvement that can last for as long as three to four months. Results may vary. If you do not continue treatments, the frown lines between your brows and around your eyes will gradually return.

Clarisonic

Clarisonic Skin Care Brush uses patented sonic technology and a two-way oscillating brush system  to gently, yet effectively loosen dirt and oil to clear pores and remove the superficial layers of dead skin. The Clarisonic Skin Care brush effectively removes makeup residue left behind from manual cleansing. Clarisonic is waterproof and rechargeable therefore it is safe to use in the shower or bathtub. Safe to use on all skin types including Rosacea, Seborrhea, Acneic, and Reduces appearance of fine lines and wrinkles.

Clarisonic benefits include:

Cleans Pores and Reduces appearance of pore size
Thoroughly cleanses for better product absorption
Reduces appearance of fine lines and wrinkles
Helps to Reduce blemishes, dry patches, and areas of oil buildup
Safe for use on all skin types

Clarisonic Products:

Normal, sensitive, and delicate replacement brush heads
Clarisonic Brush Head -Spot Therapy For Body: For use on the all areas of the body except for face. Exfoliates the skin for softer, smoother, and healthier looking skin.

Clarisonic Spot Therapy Kit: Includes Spot Therapy brush head for gently exfoliating all areas of the body, including feet. For increased skin brightness and exfoliation of the body, the Spot Therapy kit comes with a 6oz.Refining Skin Polish which contains jojoba beads. Also included in the Spot Therapy kit is a travel bag to hold all contents.

Clarisonic PRO Skin Care System (contains 5 items): The Clarisonic PRO features three adjustable speeds for a gentle sonic micro-massage which will leave the skin cleaner and healthier. Gentle enough to use twice daily. Exfoliates the skin to allow better product absorption. Removes 6 times more makeup that regular cleansing leaves behind. Clarisonic PRO Skin Care brush will help reduce oily areas, dry skin patches, blemishes, and appearance of fine lines and wrinkles.

Kit includes:
Cordless White Clarisonic Pro with variable speed settings
Sensitive brush head
Charging cradle
Refreshing Gel Cleanser
Gentle Hydro Cleanser
Nourishing Care Cleanser

Clarisonic PRO Skin Care System -Grey (contains 5 items): The Clarisonic PRO features three adjustable speeds for a gentle sonic micro-massage which will leave the skin cleaner and healthier. Gentle enough to use twice daily. Exfoliates the skin to allow better product absorption. Removes 6 times more makeup that regular cleansing leaves behind. Clarisonic PRO Skin Care brush will help reduce oily areas, dry skin patches, blemishes, and appearance of fine lines and wrinkles.

Clarisonic PRO Skin Care System-Pink (contains 5 items): The Clarisonic PRO features three adjustable speeds for a gentle sonic micro-massage which will leave the skin cleaner and healthier. Gentle enough to use twice daily. Exfoliates the skin to allow better product absorption. Removes 6 times more makeup that regular cleansing leaves behind. Clarisonic PRO Skin Care brush will help reduce oily areas, dry skin patches, blemishes, and appearance of fine lines and wrinkles.

With every purchase, Clarisonic will make a donation to help fund the fight against breast cancer.

Kit Includes:
Cordless Pink Clarisonic Pro with variable speed settings
Sensitive brush head
Charging cradle
Refreshing Gel Cleanser
Gentle Hydro Cleanser
Nourishing Care Cleanser

Clarisonic Brush Heads: Clarisonic brush heads are precision-designed to oscillate bi-directionally at a sonic frequency. The brush heads should be replaced every 3-4 months. Clarisonic brush heads are made from soft elastomeric material that is resistant to bacterial attachment.

Normal
Sensitive
Delicate

Click the following links for more information:

Face Lift Before & After Gallery or Contact Us Today!

If you’re searching for a non-invasive therapy for those parts of your body that seem to resist firming and shaping, consider NovaTrim®. Our exclusive body contouring system features the patented Endermologie® therapy that is far beyond outdated body wraps. With this super technology we’re waging war on cellulite, and winning. You’ll experience a series of invigorating, enjoyable treatments that break up fat so your body can eliminate it quickly and naturally.

Click on the links below to learn more about NovaTrim Body Sculpting Procedures:

NovaTrim Body Sculpting Before & After Gallery or Contact Us Today!

Additional questions you might have before you schedule your first BOTOX® Cosmetic treatment consultation may be: How long will it take? Will it hurt? How long will the results last? Following is what you can expect from the moment you arrive until your procedure is done.

The day of your consultation. Allow time before your appointment for filling out forms. You will have an opportunity to ask any questions you have and in addition, you will be asked about your expectations for treatment and if you have any allergies or any condition that wouldn't make you a good candidate for BOTOX® Cosmetic.

Following is what you can expect should you decide on BOTOX® Cosmetic treatment.Before the procedure. You will be seated in a reclining chair, much like you find in a dentist's office, and an anesthetic cream will be administered.

The procedure. First there will be a determination as to where to administer the injections by examining your ability to move certain muscles in the area you want treated. Several tiny injections of BOTOX® Cosmetic will then be administered directly into the muscles that cause those moderate to severe lines between the brows and/or around the eyes. The entire BOTOX® Cosmetic injection procedure takes approximately ten minutes and discomfort is usually minimal and brief.

The benefit of a BOTOX® Cosmetic treatment is that it's a simple, ten-minute, non-surgical process. A few tiny injections, and within days there can be a noticeable improvement in the moderate to severe frown lines between the brows as well as a marked improvement to crow’s feet around the eyes. Results may vary but generally last for as long as three to four months and there’s no recovery time. You can even be done during your lunch break!

• You think those stubborn frown lines between your brows make you look tired or upset.
• It seems like something that you could do to help maintain your appearance.

When we look in the mirror, we often tend to focus on our imperfections. Many people feel their faces are out of balance and wish to have changes made to achieve facial balance or facial harmony. Facial reshaping of the bony contours allows you to enhance or reduce areas of your face with surgeries providing safe and dramatic results that can address your concerns about facial harmony. The surgeries discussed here are often done in combination with other procedures, such as eyelid surgery or a facelift. If you feel your facial features are understated or not proportionate, the facial reshaping procedures may be what you need to restore confidence in your appearance.

Click the following links for more information: 

Facial Implants Before & After Gallery or Contact Us Today!

Physical appearance is one measure of our health and vitality. A flat stomach is one of the most desired attributes. Unfortunately for some, no diet or exercise can reduce sagging or excess skin and bulge of the abdomen. Sometimes events such as pregnancy or weight gain combined with weight loss cause the skin and sometimes the underlying muscles to stretch to an extent that they never return to their original shape. Abdominoplasty, also called tummy tuck, can restructure the stomach area by decreasing excess skin and fat and tightening the abdominal muscles.

Click on the links below to learn more about Nova's Tummy Tuck procedure:

Tummy Tuck Before & After Gallery or Contact Us Today!

Do not use BOTOX® Cosmetic if you:

• have an infection where BOTOX® Cosmetic will be injected
• are allergic to any of the ingredients in BOTOX® Cosmetic
• are pregnant or think you might be pregnant.