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Newsletter - January 2009

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

cenotes caves 
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Health & Beauty News and Tips
Winter Skin Care Guidelines!


Your Face Needs Extra Care in Winter!

Skip the drying soaps.
If you have sensitive skin, consider avoiding rinsing your face with tap water, which can contain harsh minerals that are especially drying to the skin. Instead, do like the French and cleanse skin in winter with a cleanser that does not require rinsing. You can also rinse with special water that contains selenium and chamomile, which soothes your skin.

A Humidifier in Seattle!
I never thought I would be saying this in Seattle, but if the dry cold persists much longer, consider getting a humidifier! With the indoor heat blasting at an all time high, and the windows are closed, the air in homes and in our offices can become very dry, making even the most normal skin dry and flaky.  If you already have a predisposition for eczema, the itching and dryness can grow far worse.  So use a humidifier to put moisture back into the air.  Shop around and compare prices to see that there are an abundance of relatively inexpensive humidifiers available at most drug stores.

Apply a heavy layer of moisturizing sunscreen!
Before going outside in winter, apply a layer of moisturizing sunscreen with an SPF of 15 or higher to the face, hands, and any other skin that may be exposed. This will act as a barrier to help protect against the harsh elements. Sunscreen is important in winter as the sun's reflective powers are great all year round - 17% on the sand and 80% on the snow.  This means if you are a skier or snowboarder, you need more far more protection on the slopes than you do in the summer on the beach!

Exfoliate on a Weekly or Semi-weekly Basis.
Use a scrub in the shower and exfoliate facial skin with a mild scrub made for the face. Moisturizer is much more effective on newly exfoliated skin. It's best to scrub skin when it's dry, then to  apply the exfoliating scrub to dry skin before you mix it with warm water.  For the best results, massage the scrub in for a good five minutes, then rinse and remove with a soft wash cloth.


NEW Deluxe Skin Care Kits!  

Dr. Gaboriau is now offering his own skin care line!
This Deluxe Skin care line has everything
you need to establish your own skin care regimen:
·    Cleanser
·    Retinol gel
·    Eye cream
·    Glycolic pads (weekly use)
·    Anti-oxidant day cream.
This kit includes only high-grade medical skin care products.  Easy instructions are included. Even if you have never had a skin regimen, there is everything you will need to create your own.


Introducing two of the latest, non-invasive cosmetic procedures done with our Sciton Contour TRL ™Laser

Known as the "Weekend" Skin Peel, The MicroLaserPeel™ procedure can give you healthier, smoother, more vibrant skin.  The MicroLaserPeel is the perfect step between microdermabrasion and full skin resurfacing.  Skin conditions such as wrinkles, scars, acne scars, keratoses, or pigmentary problems have been very successfully treated with a MicroLaserPeel.
The ProFractional Laser procedure is quick and improves the appearance of your skin with little or no downtime. ProFractional can improve a wide variety of skin conditions such as wrinkles and fine lines, post-traumatic scars, acne scars, age spots, sun spots, freckles, and aging and sun-damaged skin.


Henri's Wine Pick of the Crop!

2006 Bogle Petite Sirah California

"This Petite Sirah has a luscious boysenberry bouquet along with touches of black pepper, herbs,  ripe fruit and berries. Its heady finish lingers with earthy oak and lush fruit. The firm tannins make this a wine that can develop for years to come, but is perfect now with my beef stew and which has a unique balance of a hearty tomato and cinnamon sauce."
-Henri P. Gaboriau M.D., FACS




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!


Issue: # 11                                                     January 2009

Dear Friends, Colleagues and Patients:

Greetings!  Best wishes for a healthy and happy new year.  Earlier this month, I was away on assignment and teaching on the Yucatan Peninsula in Mexico.  While I was there, I had the opportunity to experience a truly once-in-a-lifetime watery exploration of the Cenotes Caves!  These caves and caverns are an epicenter for divers from around the world. I am happy to say that as a technical diver I have had sufficient training and experience to be able to dive 140 feet below the surface to explore magical-looking ancient stalactite and stalagmite formations among the Cenotes, which are the natural, spring-fed pools that lead to the underwater limestone formations beneath the jungle. The water in the caverns remains a constant 75F year round and a wetsuit is required in order to maintain body heat while in the caverns. The experience is one I will always treasure.

During these last two weeks, the cold weather seems to be staying with us, so I am continuing to provide you with more information so you can take good care of your skin. This month, I am focusing on the new Sciton laser treatments which have shown very good results for many of our patients.  We have the story of Pamela S. , who reported great success with the MicroLaserPeel and Profractional Laser treatments. For Pamela's complete story, please scroll below.

We are excited to announce that my interview for the Discovery Channel will soon be aired. The program is called "I've been bitten" and it features one of my patients who was severely mauled and bitten by a dog.  In the program, I discuss what types of reconstructive surgery I performed on my patient to aid her recovery and to help speed her healing process. Stay tuned and we will keep you posted for the exact air date. This month's newsletter includes a wonderful nutrition tip from Sammamish-based nutritionist Deborah Enos.   I have also included my wine tip for the month and my recipe for hearty Beef Stew, which is true comfort food during these cold winter nights.

If you ever have questions about any aspect of taking care of your skin, please call us or stop by for a visit.  I would love to see you!!

Kindest Regards,

Henri P. Gaboriau M.D., FACS


Pamela M--My Experience with the Sciton Laser

I am 52 years old and very fair skinned.  When I was in my twenties, I sunned a bit and tended to burn slightly before turning to tan.  Despite my skin's early exposure to the  sun, it was in good shape.  I have an oily complexion which tends to protect my skin and keep it from lining-up too much and wrinkling. I also have good bone structure,  but since I was about 45 I could see that my skin was losing elasticity and wrinkling,  especially around my mouth.  I had deep lines under my eyes but no crow's feet or deep creases in my forehead.  I thought about having a facelift, but kept putting it off due to the expense and the downtime.

I heard about a plastic surgeon named Dr. Gaboriau through my friend Valerie who had a facelift because her face was damaged by a dermatologist who incorrectly administered Thermage.  I have always been wary of Thermage because I have heard of other people getting bad results. Dr. Gaboriau was able to undo the damage to Valerie's face by giving her a mini-facelift.  Valerie looked so great afterward that I decided to see Dr. Gaboriau for a consultation. 

Dr. Gaboriau told me about two new laser procedures done with a Sciton laser that could give me good results without having a facelift. I trusted Dr. Gaboriau immediately because he didn't try to sell me on an expensive surgery and instead offered an  alternative treatment that could still get good results. He explained that the first laser  procedure, the MicroLaserPeel, removed the outer layers of the skin.  The Profractional
treatment actually penetrated the skin to the dermis level to tighten the skin and to increase the production of collagen. Dr. Gaboriau could perform both procedures during the same session by using the Sciton Laser. Unlike the price of a face lift, the cost was very affordable and the downtime was only about three to four days. 

Dr. Gaboriau very carefully explained what I needed to do to prepare for the treatment, what to expect during the procedure and during the healing process afterwards. On the day of the procedure, I wore loose comfortable clothing to the facility.  The nurse, "Janie," applied a thick layer of white numbing cream, which I wore for about 45 minutes. I also wore a protective eyeshield.  The first procedure was the MicroLaserPeel and tiny electrical pin pricks zapped my face so gently they could hardly be felt at all. When the  Profractional procedure began, I could hear the intensity of the laser increase. Dr. Gaboriau asked me every step of the way if I was okay and tolerating the higher level of the laser while it penetrated the deeper layer of skin below the surface.  My face began to feel hot and flushed. Throughout the procedure, Janie applied cooling gauze pads that had been soaked in ice water.   The entire procedure only seemed to last about a half hour.  Afterwards, my face looked like
I had an outbreak of "measles" and I wore a thick coat of cream to speed-up the healing  process.  That night my face felt hot and tight as if I had a sunburn. I slept with my head  upright on the pillows and continued to apply a fine layer of Aquafors moisturizer. 

The Recovery Process
Day Two
By the second day, my bad case of "measles" has diminished. Only two tiny pockmarks are left. My face still feels hot, drawn and tight like mild sunburn on the mend.  It feels good to wash my face with lukewarm water to remove the moisturizer, then to reapply it.  I am  still not ready to go back to work or even to take a trip to the grocery store!!

Day Three
On the 3rd day in the morning, I really look puffy, but the redness has reduced somewhat.  There are two white streaks just below my cheekbones that resemble arrows.  I don't see any signs of peeling yet but just wait, the day is not over!! It is only 6am and I decide to take a
2 mile walk. I don't wear any moisturizer on my skin.  It is dark outside and the cool, damp air feels good on my skin.  I bring a small container of moisturizer with me just in case my skin tightens too much.  After I return from my walk, my skin does not feel too tight at all. I take a shower using warm water and I'm careful that the water is not too hot.  I am also careful not to get shampoo on my face. When I get out of the shower and dry off my skin. I can see the peeling action has begun.  My skin feels as tight and as drawn as a drum. I apply some moisturizer and can see the outer layer of skin is peeling away. The third day is a long day.  Every time I look in the mirror I see some sign that I am heeling. By noon I am shedding skin like an old snake. I use a warm cloth to gently wash away the moisturizer. With it comes a small, steady flaking of patches of skin. The redness is diminishing by the hour. 

Day Four
On the fourth day, everywhere I go, I see flakes of skin.   In the morning I go for my usual 2 mile walk.  I haven't yet put on moisturizer and I can feel scaly peeling patches all over my face. My face has returned to a closer shade of pale.  There are a few small, stray crusty marks like little bruises of extra skin that still needs to shed. My face does look tighter. No doubt.  Since I am still shedding, I am not inclined to put on makeup. In the early afternoon, I moisturize then remove it before washing my face and hair.  By the late afternoon, I brave a trip to the grocery store and do not suffer from any stares.  There really isn't anything all that unusual to cause a sensation.  As a matter of fact, I am looking pretty good!

Day Five and Beyond
The next day is day five and I am totally back to normal, wearing makeup and resuming all my usual work and exercise activities.  No one comments on my face, but I do hear compliments  about what I am wearing.  People can see something is something different about me, but they just cannot pinpoint the precise change in my appearance. I can see a distinct improvement. My face looks smooth and glowing, and as if I have dropped ten years.  Dr. Gaboriau told me the Profractional treatment would take several months to show the full results after the collagen had a chance to work beneath the surface in the dermis.  Each week, my face looks progressively tighter, plumper, and the lines around my mouth and eyes have seriously diminished.  By the 3rd month my face looks smooth, supple, and my skin is glowing.  I would gladly undergo this procedure again any time!!! ---PM


Nutritionist Tip: Deborah Enos, CN

RE: Feeling a bit under the weather after your holiday

According to certified nutritionist Deborah Enos and author of
The One-Minute Wellness Coach,  "If you're feeling a bit under
 the weather after your holiday celebrations, the fastest way to
 recover is to make sure you stay hydrated.  When you over-indulge in alcohol or caffeine, your body can get very dehydrated; once dehydrated your body will actually have symptoms similar to the flu.  The best antidote is to drink more decaffeinated beverages and eat fluid filled foods such as fruits and veggies.  The vitamins and minerals in the fruits and veggies can also help your body replenish necessary electrolytes lost during dehydration."


 Henri's Incredible Edible Beef Stew

This meal is so tempting and satisfying on these cold winter nights!

30 min prep| 90+ min simmer | SERVES 4 to 6


  • 1/4 cup olive oil
  • ½ cup of flour
  • 3  pounds stew beef, cut into 1-inch pieces
  • 1 cup of fine red wine (any zinfandel will work well!)
  • 1 very small can of (6oz) tomato paste
  • 3 cups of water (more may be added later)
  • 1 tablespoon sugar
  • 1 ½ tablespoon ground cinnamon
  • 2 tablespoons (1/4 stick) butter
  • 3 pounds potatoes, peeled, cut into 1/2-inch pieces (about 7 cups)
  • 1 large onion chopped.
  • 3 cups 1/2-inch pieces peeled carrots
  • 1 tablespoon of parsley for garnish
  • Salt and Pepper to taste


1 Heat olive oil in heavy large pot over medium-high heat. Dredge the beef loosely in the flour and sprinkle with salt and pepper to taste. Add beef to the hot oil and sauté until brown on all sides, about 8 minutes. Add red wine, tomato paste, sugar, cinnamon and water until it achieves a thick, sauce-like consistency. Stir to combine. Bring mixture to boil. Reduce heat to medium-low, then cover and simmer 1 hour, stirring occasionally. Watch to make sure the sauce is not too thick and add gradual increments of hot water per taste.

2 While the meat and stock are simmering, melt butter in another large pot over medium heat. Add potatoes, onion and carrots. Sauté vegetables until golden, about 20 minutes. Set aside until the beef stew has simmered for 90 minutes.

3 Add vegetables to beef stew. Simmer uncovered until vegetables and beef are very tender, about another 40 minutes. Tilt pan and spoon off fat. Transfer stew to serving bowl. Salt and pepper to taste. Cool slightly. Sprinkle with parsley and serve. Serves 4 to 6.

My beef stew is healthy, hearty and satisfying on those cold nights when you feel a need for true comfort food.  Sometimes, I vary the menu and add different kinds of potatoes--small red or white new potatoes. I have also added potato fingerlings. I cannot explain why,  but sometimes I like to have a small dish of petite pois peas served on the side.  These days, I think peas have been all but eliminated from our menus, so it is hard to explain why they were once the rage and caused a sensation among the French royalty in the 18th century!!  I also prefer to serve some sourdough dinner rolls on the side, but just about any bread will work with this wonderful stew.  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  © 2008