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Newsletter - June 2008

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



People of Hispanic, Asian, Indian, Middle Eastern, and Northern African descent tend to have 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. Melasma has been triggered by pregnancy and is called chloasma, or the "mask of pregnancy." Some birth control pills may also cause Melasma.

Melasma has the characteristic appearance of tan or dark facial skin discoloration, and most patients can be diagnosed simply by a skin examination. 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.

If you feel that you may have Melasma, then please call our office to make an appointment to learn more about our treatment and management plans.


Mark Your Calendars!!!

Coming Soon in October 2008!!!
"Feeling Good, Looking Good!"
A Major Event to Educate You in What's New in Health, Beauty and Wellness!
Details in the next issue of Face Forward!!


Chalone Monterey Chardonnay

Henri's Wine Pick of the Crop!

Chalone Vineyard Monterey, CA 2006
Elegant and fruit-focused, Chalone 2006 Monterey County Chardonnay captures the bright pear, apple, citrus and stone fruit character of grapes grown in Monterey County along California's Central Coast. Just excellent with French Lemon Chicken and Risotto!!!
 --Henri P. Gaboriau M.D.   


Sammamish Center Offers
"A Spectacular Gift of Beauty for you!"

New Pricing on BOTOX® and Cosmetic Fillers*
$12 per unit for BOTOX®-administered by Henri P. Gaboriau MD
$10 per unit for BOTOX®-administered by Janie Dufault ARNP, Nurse Practitioner.

Henri P. Gaboriau, M.D.
22840 NE 8th Street, Suite 103, Sammamish 98074

Sammamish Center Also home of the Medical Spa

Starting March 1st now open some Saturdays by appointment only.
*Significant discounts for cosmetic fillers.
Call for details.  425.898.1228.


Issue: # 4                                                         June 2008

Dear Friends, Colleagues and Patients:

Greetings! Now that we are quickly moving into the long summer days ahead, I want to mention some important facts about sun block. I know you have already heard me mention the importance of wearing sun block. However, It is something that I feel is so important that I cannot say it frequently enough.  Any time you go outdoors, always wear sun block even on days that are overcast or gray.

When you are buying a sun block, check for the sunscreen that has the widest range of protection. Most of the time, sunscreen products are graded for their UVB (Ultra Violet B) protection, which is identified by the SPF (sun protection factor) number on the label, SPF 15, SPF 30, SPF 50-plus and so forth. It is also very important to be protected from damaging UVA (Ultra Violet A) rays.  It is important to have both forms of protection.  Sunscreen products that offer UVA protection will carry a one-to-four-star rating.  A sunscreen product that carries high ratings for both will offer you the best overall protection.

We now offer a new Melasma treatment procedure called Melanage. Melasma is a skin condition that appears as tan or dark facial skin discoloration on the face. 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. For more information about Melasma, please consult with your Doctor.

This month we are continuing to offer you education about the different kinds of cosmetic fillers.  Last month we profiled Radiesse®.  In this issue of Face Forward, we focus on Juvederm
(tm). Cosmetic Fillers often get good results when they are used in conjunction with BOTOX®, but it is not necessary at all to have both types of treatments.  If you are interested in BOTOX® or any of the cosmetic fillers, you should really talk to your doctor-- a board-certified plastic surgeon or dermatologist-- to ensure the safety of the product and how it is administered to your face.  This month we are also happy to include another nutrition tip from prominent West Coast Author and Nutritionist Deborah Enos, CN, as well as one of my favorite French recipes, and my wine pick of the month.  Please drop us a line even if you just want to say hello!


Kindest Regards,


Henri P. Gaboriau MD


There are many different types of dermal fillers.

The current generation of dermal fillers includes Juvederm(tm) Ultra, Juvederm(tm) Ultra Plus, Radiesse®, Restylane®, Perlane® and Sculptra® and they are all slightly different in how they are made and in cost.  During your medical evaluation, your plastic surgeon or dermatologist will assess the overall appearance of your face and make a careful assessment about which filler is the best one for you. 


Spotlight on  Juvederm(tm)

Juvederm(tm): What is it?
Juvederm is a crystal-clear gel produced by using stabilized, nonanimal hyaluronic acid and water. The hyaluronic acid closely resembles the hyaluronic acid that occurs naturally in the body.

How does it work?  By replenishing nature's supply of hyaluronic acid, Juvederm revitalizes and plumps up the skin, instantly diminishing the appearance of lines and giving a softer look. One of the great advantages of Juvederm is that the effects are long lasting but not permanent. How long Juvederm lasts depends on lifestyle, age, and the injection technique of the practitioner.

Ask your Doctor about Juvederm and if it is the right filler for you.




Deborah Enos, Certified Nutritionist

Nutrition Tip

Change what you eat for breakfast and get a raise at work!

According to Deborah Enos, certified nutritionist and author, "Eating the right breakfast keeps your energy high during the morning and also keep you more focused throughout the work day.  Starting your day with a meal that includes some carbohydrates and some protein will help create a substance in your body (catecholamines) that will make your mind alert and sharp.  For most of us, if we are able to increase our energy and our focus during the day, then we are more productive at work and work more effectively.  If you want your hard work to get more recognition at the office, then eat a better breakfast!" 


Henri's Recipe

Recipe for Henri's French Lemon Chicken
"Country French Cooking at its Best!" 
-Henri P. Gaboriau M.D.

Total Time:  1 HR 30 MIN* maybe less time depending on your oven.

Serves: 2 TO 6                   

INGREDIENTS           1        whole chicken             
1/2     cup butter (softened)
2        garlic cloves, minced
2        teaspoons lemon zest (grated from a fresh whole lemon)
1/2     teaspoon salt
1        tablespoon chopped fresh rosemary
1/4     teaspoon fresh ground pepper
          olive oil to completely baste the chicken

1. Combine all ingredients to make the butter mixture.

2. Loosen the skin of the roaster around the breast.   

3. Place the butter mixture under the skin. 

4. Butter the bottom of a roasting pan.

5. Place the roaster in a roasting pan.
6. Put salt and pepper on top of the roaster and brush a little olive oil on the outside.
7. Preheat oven to 450; when it is preheated place the roaster in the over and immediately turn the temperature down to 325.   

8. Roast until juices run clear. (Use a thermometer to check for doneness. Usually takes an hour and a half.

"Remove from the heat and let stand for about 15 minutes before carving. Although the portions can feed six, I really think this is the perfect amount for two very hungry and active people! You can serve the chicken with small roasted potatoes or squash, but my favorite accompaniments to the roast chicken are two side dishes that are main courses unto themselves: mushroom risotto and baby carrots glazed with butter, ginger and a touch of honey." Bon Appetit!!"  -Henri P. Gaboriau M.D.


About Henri P. Gaboriau MD
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