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Newsletter - February 2010

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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
feb glam male sil

Looking Good: Not for Women Only!


Feb male silhouette profile
Rob, Age 44

Works in high-tech sales

This conversation took place the week before his surgery.

I am having my eye lids lifted because my lids are so heavy I can hardly see. I am also having liposuction performed because I want to redefine my jaw line.  I have been heavier, but I have lost weight. I go to the gym regularly and even though I have lost 25 pounds, I cannot shed the fat under my chin and it makes me feel like I have a fat face. I call it my turkey neck.  
For about two years I have been thinking of getting my eyes done. The need for the procedure is more than purely cosmetic.  My drooping lids actually impair my vision.   My sagging
lids and neck are due to genetics.  Both my grandmother and my mother  had the same conditions.  In fact my mother had her eyelids done because her vision was so impaired by her drooping eyelids that she could hardly see to drive. I feel like the same thing is happening to me.  I feel that the improvement in my appearance will help
me with my self esteem.  I believe that in my line of work it is important  for sales people to have a good face and a healthy body because it is a good representation of who you are and can make you more vital as a person.  --Rob

Postscript: We spoke to Rob four months after the surgery and he commented:  "I have to admit the discomfort and pain was a little more
than anticipated, but overall, I'm pleased. I look younger, more rested, healthier and all without looking plastic.  I will end up having more done.  
I will fight aging with every nickel and dime that I have."


Sammamish Special!
Sammamish Logo

Cleanse. Moisturize. Protect.

Dr. Gaboriau's  own private skin care line!
Buy the MoistuRiche moisturizer and get 25% off on any   second, different product.

LactiCleanse Creamy Cleanser
MoistuRiche Moisturizer
MelaGen Sun Block  Sensitive Skin
Sunscreen SPF 30
CEGA Eye Cream

Please contact the office to learn more!! These products  have been created and approved  by by Dr. Gaboriau.
Offer lasts from Feb 25th until March 31st!

Men's Hair Care at Sammamish Facial!

Feb towell dry
TOWELDRY is an innovative new brand of men's grooming products developed with one clear goal: to simplify life. We understand that men don't want to spend
a lot of time working on "their look." They just want to look good.  We now carry the shampoo for men with three types of hair: fine, medium and thick.


Alyria logo

Alyria offers the most
comprehensive and sophisticated skin optimizing system available. Alyria prides itself in its ability to provide its customers with healthier, younger-looking skin. For more information, visit
or talk to Raihana!
Here are a few of the benefits of Alyria products:
·    Reduces wrinkles and fine lines.
·    Restores skin's radiance.
·    Improves elasticity.
·    Evens out  and smoothes skin texture.
·    Clarifies acne-prone skin.
·    Enhances moisture retention.
·    Fades away dark circles.


Henri's Wine Pick of the Crop!

Feb garrison creek

Garrison Creek Cabernet Sauvignon Walla Walla Select 2002

This incredibly pure cabernet is from a vintage that
benefited from the extraordinary hot and dry eastern
Washington summer weather.  This cabernet resounds
with fruit that has fully ripened to its peak.  Black cherry predominates with just a hint of fragrant
woodsy cedar and key notes of spice. This wine is appealing and gentle from start to finish and I consider it to be one of the most elegant red wines I have ever had the pleasure to try. -Henri P. Gaboriau M.D., FACS


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! 425.898.1228

Issue: # 24                                         February 25,  2010

Dear Friends, Colleagues and Patients:
Greetings!   During these mid-winter months from day-to-day I cannot tell whether
there will be rain or thick morning fog or a gentle, warm sun.  The past few days I have been very encouraged by the sight of crocuses and daffodils coming up, which can only mean spring is not far away.  

In this issue of Face Forward, I want to talk about an interesting development. You might be surprised to know that many men are having more cosmetic procedures done than ever before. There are quite a few men who are
 seeking a slimmer waist or a stronger jaw line. In fact, according to the  American Society of Plastic Surgery, the numbers have gone up by  16 percent from the year 2002 to 2007.  Even in the current economic  downturn, there is still a steady 2% increase a year in the number of men who chose to have cosmetic procedures.  In my own medical practice, approximately 15% to 17% of my patients are men.

Aside from surgery, a greater number of my male patients are seeking  minimally invasive cosmetic procedures such as Botox®, cosmetic fillers, and laser hair removal.  You won't find many men discussing these things,  but in this issue of Face Forward, we have two men, "Rob" and "Gary," who are willing to share their experience so that you can learn more. This month we have a delicious new recipe-- my sweet vanilla and honey lamb
stew and my choice of a wonderful cabernet sauvignon to go with it!  We also have  some special skin care advice especially for men from our aesthetician Raihana!

Kindest Regards,

Henri P. Gaboriau M.D., FACS


Gary, age 61, Broadcast journalist

When I was 55, I was concerned about my chin and I was looking plumper in my face and neck.  In the summer of 2003, I had a chin implant and liposuction done on my neck. There was very little pain and the surgery left a little scar under my chin where they inserted a silicon implant, but it doesn't show.  I had a very speedy recovery   The most interesting thing in terms of recovery was I had to wear prosthetic device-a strap-- that supported my chin and neck.  I had to wear it in bed at night and right after surgery I had to wear it during the day for a couple of weeks.  I had the surgery done in late July going into August  so it was uncomfortable because it was so hot.  It was important to wear the strap as long as possible so everything would heal in place. The results looked terrific and have over time. Now I am now in my sixties and I would like to look ten years younger.   I have a plastic surgery wish list: eyelid work and possibly a facelift.  The benefits are not pure vanity.  My career is in the public eye and I have a peer group who are judgmental about physical appearance.  I am well aware that my appearance isn't everything, but I am conscious of maintaining a regimen, regular skin care, regular haircuts, and dental maintenance.  Cosmetic enhancement is just another part of my regimen. I don't want to be rejected for my age, of having anyone say "he looks too old." I want to be respected and valued for my talents and experience.   I think we live in a youth-oriented culture entrenched in advertising, which tends to leave older people behind or convey the impression that they should be left behind.  I am not willing to be left behind. --Gary


Men and Self-Esteem

In today's competitive world, many men are exploring ways  to stay healthy and fit as they age and this includes vitamins,  nutrition, exercise, skin care and cosmetic (plastic) surgery.  Men increasingly want to change the things about their  appearance that do not reflect their inner well being and high performance standards.  Men who have lost their jobs and are seeking new positions may want to enhance their  appearance so that they look less tired and more dynamic. The latest statistics available from the American Society of Aesthetic Plastic Surgery show that surgery is becoming increasingly popular with men as a way to deal with how they want to be viewed by the world.   --HPG

What are the most common Cosmetic Procedures that men have?
Liposuction, eyelid surgery, rhinoplasty, male breast reduction,
and hair transplants are the top five surgical cosmetic procedures
performed on men in the United States. According to the American
Society of Plastic Surgeons (ASPS), surgical improvements such
as a more balanced nose, a rejuvenated face, and a trimmer waistline are the most common aesthetic goals among men.

A note about Otoplasty and 'Male Breast' Reduction (Gynecomastia)
There are two physical conditions that can have an impact on a
man's overall sense of self-esteem for the simple reason that people have been known to pick on men who have male breasts or jumbo ears.

Otoplasty is a different procedure from other cosmetic procedures becauseI do not consider it to be truly cosmetic.  In the case of Otoplasty, the patient's ears are usually what we call "cupped" ears or "jumbo" ears. The ears are detached from the skull at a very wide angle, usually about 90 degrees.  There is a natural societal preference to have ears detached from the skull at an
angle of about 15 degrees. In the late 1980s, there was a groundbreaking British  Medical study that indicated children who suffered from ear malformations were picked on and bullied to a much higher degree than if the children had other
malformations or physical anomalies.  So this is a surgery that is recommended to be performed while a male is still young; however,  it is never too late! I am always concerned with the psychological aspects of any malformation and its correction is relatively straightforward.

If a man has a little extra fat on his chest or if he has full-fledged male breasts, then he might prefer to have a flat, manlier looking appearance. Breast reduction surgery involves using laser assisted liposuction (ProLipo Plus) to remove the fat and trimming excess skin to give him a more flat, masculine-looking chest.  The procedure is called gynecomastia, which is also the same name for the male breast condition, and it usually takes one to two hours to complete. Laser assisted liposuction with the ProLipo Plus is the perfect procedure for the condition since it  removes the fat and helps to tighten the skin as well.


BEAUTY Tip: Raihana Mahan

RE:  Healthy-looking skin for men

Taking care of skin is not only a female preoccupation. While for many men skin care is an afterthought, it is important
to adopt a proper skin regimen as a first line of defense against aging.

Shaving and ingrown hairs
After shaving the use of an Aloe Vera-based shaving cream that is oil free and following with a light astringent containing glycolic
acid helps prevent razor bumps. Men with thick, coarse or curly hair may be more prone to ingrown hairs. Instead of growing up and out, these hairs grow back down the hair follicle, causing irritation. A good daily exfoliation regimen with glycolic acid greatly reduces the number of ingrown hairs.

Oily skin
Men with oily skin should gently wash their face twice a day with an oil free cleanser, followed by an astringent with glycolic acid.
Astringents help reduce dilated pores which are the main characteristic of oily skin. After toning with the astringent, it is important to exfoliate with glycolic acid  in order to remove the buildup of dead cells on the surface of the skin and to clear out excess sebum that is trapped underneath. Always avoid scrubbing the face because it can cause the skin to secrete more oil.

Dry skin
The use of a moisturizer is highly recommended for men with dry, flaky and itchy skin. Sufficient daily water intake is vital to replace moisture lost through perspiration and will keep skin hydrated.

Dark circles underneath men's eyes may be caused by fatigue or
genetics. Vitamin K will help brighten the under eye area. Use
sparingly since the eye area is very sensitive. --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 Sweet Vanilla and Honey Lamb Stew

There are many ways to cook and prepare lamb. I do love a good hearty stew during these mid-winter months. My lamb stew is not spicy at all and is intentionally sweet and mellow to go with one of my favorite Cabernet Sauvignons from the Garrison Creek Winery in Walla Walla. This stew is very light and delicate enough to leave a lingering touch of sweetness.  --HPG

Prep Time: 10 minutes
Cook Time: about 1 hour and 30 minutes
Makes four-to-six servings                 


3 to 4 lbs leg of lamb, cut into 1 1/2" cube
2 tablespoons butter
1 Tbsp vegetable oil
2 cups water
1 cup chicken broth
1 to 2 tsp salt, or to taste
1 tsp of pure vanilla extract
1 tsp of dill
2 Tbsp Honey
1/4 tsp ground nutmeg
1/4 tsp pepper
4 cloves garlic minced
12 fingerling potatoes
8 very small white onions, peeled
2 cups of fresh mushrooms, sliced
1 cup milk
1/3 cup flour
Over medium heat, brown lamb in butter and oil in a large stock pot or Dutch oven. Add water, broth, and seasonings, honey and vanilla; cover and simmer for 1 hour. Remove surface fat. Add potatoes and onion; simmer, covered, until vegetables are tender, about 15 to 20 minutes. Combine milk and flour; stir until smooth. Add to simmering stew and simmer for about 1 minute, or until thickened. Taste and adjust seasonings.

This lamb stew is very different because it is not at all spicy and is
very balanced when accompanied by a good cabernet. I like to serve the stew with an assortment of mixed greens sautéed in olive oil then salted to taste. Another fine addition is eggplant peeled, sliced, breaded and sautéed in olive oil. Such wonderful textures and flavors to sample and savor!  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  © 2010



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