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Newsletter - August 2009

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Face Forward
Health & Beauty News and Tips
"Beauty is the promise of happiness." -Stendhal

Face Forward 
Health & Beauty News and Tips
Melanage Beautiful skin
The Good News About Melsama!


Late Summer

Conditioning for long lustrous lashes!latisse lashes
Latisse Kits
Buy one and get one free!
New and FDA approved Call for consultation and evaluation. Only good while supplies last!

HydraFacial - $50.00 off ($125.00 instead of $175.00)



Please join us on twitter!!  twitter 2

For the latest specials and announcements, follow me@HenriGaboriauMD.



What are the signs of Melasma?

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Melasma is a skin condition that appears as tan or
dark facial skin discoloration. Usually both sides of the face are affected. The most common places for
Melasma to appear are on the cheeks, the bridge of
nose, the forehead, and the upper lip. Most patients
can be diagnosed simply by a skin examination. --HPG


Treatment and management-- Melanage

Treatment and management of Melasma require the
professional intervention of a plastic surgeon or dermatologist.
Avoidance of sun and irritants, the habitual use of sunscreens,
the application of approved depigmenting creams containing agents such as tretinoin, steroids, and glycolic acid are available in combination with hydroquinone to achieve a depigmenting effect.

It takes several months to see a substantial improvement.

We now offer a new Melasma treatment procedure called
Melanage. If you feel that you may have Melasma, then please research our website
http://www.sammamishfacial.com .  
Call our office 425.898.1228 to make an appointment to learn more about treatment and management plans.



Sammamish Office Hours

The Medical office:
Monday: 8am- 6pm
Tuesday: 9am - 5pm
(Day is usually reserved for major surgeries only)
Wednesday: 8am- 6 pm
Thursday: 8am - 6pm
Friday: CLOSED
Saturday: CLOSED
The Medical Spa:
The spa is open from Monday through Saturday.
Hours are extended, but vary, so call to check!




Please join us!!
If you are on Facebook, please search for Sammamish Facial
and click to become a fan. In the future, we will be using Facebook as a way to communicate to our clients to announce
events and special prices for our many aesthetic services.  Also, if you like to write, please add a thought or two on the
discussion board.  We are always happy to hear from you!!  


Henri's Wine Pick of the Crop!

Edward's Block Founder's Reserve Sauvignon Blanc

Edward's Block Founder's Reserve Sauvignon Blanc has the overall character of fresh citrus with special emphasis on a freshly squeezed grapefruit chargeand a refreshing, zesty lime aroma.  This world-class, exclusive Sauvignon Blanc is a fantastic late summer apéritif or a wonderful companion to my cinnamon-glazed salmon--Henri P. Gaboriau M.D., FACS

Issue: # 18                                                  August 31,  2009

Dear Friends, Colleagues and Patients:

During these last days of summer I take the time to enjoy the sun and the sight of berries ripening and ready to be picked all alongside roads, hiking trails and private walkways.  The sight of so many types of berries makes me feel like they are the most special gift of all during summer in the Northwest.  

 I have some important news to share:  I once served in the military service de Sante des Armees (Army's Department of Health) at the Hospital of the Invalides, Paris, France. So I have special compassion for the Veterans who are now returning from the wars in Afghanistan and in Iraq.  I have been accepted by the American Academy of Facial Plastic and Reconstructive Surgery to perform plastic surgery pro-bono on the veterans who have been facially disfigured due to injuries sustained in combat.  I have been selected to be one of the 150 physicians who are donating our service to these brave men and women.  If you are interested in learning more, please see
http://www.aafprs.org .

In this issue of Face Forward, I would like to share the good news about Melasma.  Melasma is a skin condition that appears as tan or dark facial skin discoloration. We now offer a new Melasma treatment procedure called Melanage that
has worked very well for our patients.  Whenever I see a patient who has Melasma, I am most interested in learning what is causing the condition.  I may recommend to my patients that they are seen by a Naturopath in order to assess whether the Melasma is being created by a hormonal imbalance. So in this issue of Face Forward we are also including information by Naomi Bryant, ND, who is a Naturopath with the Sammamish-based NaturoMedica.  For more information about Melasma, please scroll below.

This month, I have picked my very special "Summer Cinnamon-glazed Salmon" to be the main treat along with my Tarragon and Salt-coated Potatoes! The wine I have selected is a white-very special reserve Sauvignon Blanc. We also have a beauty tip from our wonderful aesthetician Raihana! Please keep in mind that I will be on holiday from Monday, August 31st until September 8th, but the Medical Spa will still be opened while I am away. The medical office/switchboard will be closed on Monday, 8/31 and part of the day on Wednesday, 9/2, but we will be checking messages!

Please stop by to visit me in September!

Kindest Regards,
Henri P. Gaboriau M.D., FACS


Melasma and your Ethnicity

People of Hispanic, Asian, Indian, Middle Eastern, and Northern African descent tend to have a higher incidence of Melasma than people from other ethnic groups. The precise cause of Melasma still has not been found.  There are genetic factors--people with a family history are more likely to develop Melasma themselves.


What are the causes of Melasma?

Interestingly enough, Melasma can afflict any ethnic group and has been recorded in numerous instances among people who have a very fair complexion. Some birth control pills may cause Melasma. Hormonal changes such as peri-menopause or an increase in stress levels may also cause Melasma. Melasma triggered by pregnancy is called chloasma, or the "mask of pregnancy."
When we diagnose Melasma in our patients. we also recommend that they seek additional medical help to determine what has caused the condition.  We often recommend that our patients seek a naturopathic evaluation at NaturoMedica, which is located very close to our offices.  Please see


Treating the Skin From the Inside Out

NaturoMedica physicians collaborate with
Dr. Henri P. Gaboriau

Naomi Bryant ND

By Dr. Naomi Bryant
Hyperpigmentation, acne, rashes, and redness are common skin conditions.  They are also some of the most difficult to treat. Frequently, topical treatments are used successfully for these conditions, only to have the spots and bumps eventually return.  Skin health reflects the health of the entire body. 

At NaturoMedica, our approach to skin health is treating from the inside out. We design a treatment plan based on an individual's specific needs. We find that addressing underlying hormonal imbalances, nutritional deficiencies, food sensitivities, and total body inflammation enhances the benefits of topical treatments and makes them last longer. 

Here is an example of how we collaborate with Dr. Gaboriau so that patients can benefit from a collaborative approach to skincare. 

NaturoMedica doctor Tammy McInnis referred Lisa R.  to Dr. Gaboriau to treat her Melasma.  (Dr. Gaboriau is known to be an expert on treating Melasma.)   At the same time Dr. McInnis worked with Lisa R to address some of the underlying causes of this skin condition. Lisa reported, "Dr. Tammy worked to resolve my hormone imbalance.  I had a cortisol (stress hormone) test which came back as excessive and I received treatments for my thyroid, which was out of balance.  With the correction of my hormones and starting a special diet that Dr. Tammy suggested, my melasma is gone!  I have since lost 25 pounds and I am seeing such a dramatic difference in my health."

Lisa's success story is just one example of the positive results that patients achieve utilizing the combined expertise of NaturoMedica physicians and Dr. Gaboriau!


BEAUTY Tip: Raihana Mahan

RE: Late Summer Skin

Your skin does have different needs during the late summer than it has during other months.  Your skin is oilier and because you sweat more, you may see more clogged pores and breakouts. So, when it is hot, you'll want to use a light, oil-free moisturizer with sunscreen instead of heavy or thick moisturizing creams.  

A good way to protect your skin and to keep your pores clear is to have a HydraFacial! The HydraFacial is a new breakthrough in aesthetic technology that takes its name from the root word Hydrate.  The HydraFacial  moisturizes the skin while the
HydraPeel™ tip simultaneously removes dead skin cells and impurities. Many of our patients have reported that the HydraFacial has made a difference in their skin after only one treatment. And best of all, it only takes about 15 minutes!--RM

Our wonderful Aesthetician Raihana Mahan is a Licensed Aesthetician and professional make-up artist in the State of Washington and has extensive experience as a beauty advisor for several cosmetic lines. As a graduate of the Euro Institute, Raihana has a wide range of knowledge and skills, both technical and holistic. Her areas of expertise include skin analysis, Ayurvedic skin typing, aromatherapy, nutrition, detoxification, European facials, microdermabrasion, chemical peels, photofacial therapy, laser hair removal, acne treatments, facial and body waxing, and lash and browtinting.  Raihana is excited to offer the new HydraFacial™ to our many patients.


Henri's Summer Cinnamon-Glazed Salmon

Prep Time: 20
Cook Time: 22 minutes
Serves 4 to 6                             
1 salmon fillet (2 lb)

Salmon Glaze
1    Tablespoon ground cinnamon + 1 tsp for dusting
1    Tablespoon honey
1    Teaspoon Dijon mustard
4    Tablespoons butter
1    Teaspoon grated lemon peel
1/4     Teaspoon salt

1.    Prepare salmon by rinsing in cold water.  Add salmon, skin-side down, to the top of a broiler pan.
2.    In a small pan or pot, melt butter and add grated lemon peel, honey, mustard, tablespoon of cinnamon and butter.  Bring to a low simmer until well blended.
3.    Drizzle honey-cinnamon-butter sauce over salmon and baste until evenly coated.
4.    As added measure, gently sprinkle a fine layer of cinnamon dusting on the top of the entire salmon.
5.    Broil in the oven on high for 22 minutes until the salmon is fork tender and crusty brown on top.  Broiling temperatures vary by stove, so be very careful to watch that the salmon is not burned or overdone.
6.    Serve with broiled tarragon & salt-coated new potatoes.

Henri's added surprise-
Broiled Tarragon and Salted New Potatoes!!
Steam two small sacks of new potatoes for 20 minutes.
Drain and add the potatoes to a baking tray.
Baste with olive oil and moderately sprinkle with salt.
Bake for 15 minutes at 400 degrees F.
Place the pan under broiler for 3 to 5 minutes or until potatoes are golden brown.
Add a few drops of lemon juice.
Sprinkle with ½ tablespoon of chopped fresh tarragon and toss until evenly coated.
Serve warm.

I think tarragon is underused as a spice.  My other favorite spice is rosemary and it is similar to tarragon because a little touch goes a long way and adds a fresh and surprising burst of flavor to potatoes. This side dish really livens-up my Cinnamon-glazed salmon, which is so simple to make and so wonderful to taste that you will ask yourself and wonder why you haven't seen anything quite like this recipe before. Bon Appetit!!  -Henri P. Gaboriau M.D., FACS


About Henri P. Gaboriau M.D., FACS
Originally from France, Dr. Henri P. Gaboriau obtained his first medical degree at the School of Medicine in Paris. He then transferred to Tulane University School of Medicine in New Orleans, La., where he received his second medical degree in 1994. He stayed at Tulane Medical Center to do his residency in the field of Otolaryngology/Head and Neck Surgery. Following his residency, Dr. Gaboriau moved to Seattle to do a Fellowship in Facial Plastic and Reconstructive Surgery at the University of Washington.  In 2000, he opened the Sammamish Center for Facial Plastic and Reconstructive Surgery and is currently the director of this facility. Dr. Gaboriau is expert in all aspects of Facial Plastic and Reconstructive Surgery, and has over 12 years of experience and expertise that ranges from the traditional face-lift, eyelid surgery, and nose surgery to the advanced endoscopic forehead lift.  (For his complete bio and list of credentials, please see http://www.sammamishfacial.com).

For questions or comments, please reply to practicemanager@sammamishfacial.com

22840 NE 8th Street, Suite 103, Sammamish 98074

Published by Sammamish Center for Facial Plastic and Reconstructive Surgery LLC  © 2009