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Newsletter - November 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
autumn country pumpkin


Beautiful Eyes

The eyes, eyelids, and the areas surrounding the eyes are very complex and delicate areas, and need to be approached and treated with great care. nov 2009 woman beautiful eyes 
After carefully assessing your eyes and the level of improvement you desire, I must review the options available, find out what you
want to achieve, and offer recommendations for the best treatment possible.  I will personalize your treatment plan.
-Henri P. Gaboriau MD, FACS



Sammamish Holiday Special!!
Radiesse Day Thusday, December 10th

radiesse logo

Radiesse®  can be used for the treatment of facial lines and
wrinkles, such as the nasolabial folds and smile lines!!  Buy
one full 1.5cc syringe of Radiesse® and get a second one half-price.
Must be purchased on December 10th and used by Valentine's Day.  Can be shared with a friend!!  Call for more details.  425-898-1228.
radiesse injected
Radiesse®: How does it work? 
The longer lasting cosmetic filler Radiesse provides both immediate and extended results. Initially, the water based gel helps to fill the wrinkle, line or fold. As this gel begins to dissipate, the calcium based molecules form a scaffold that stimulates the production of collagen and promotes
tissue regeneration. 


Rejuvenation Kits!!!

november 2009 beautfiul skinDr.Gaboriau's new
deluxe skin care line has everything you need to rejuvenate your skin! Skin care regimen is very easy to use and includes: Toner, Cleanser, eye cream & moisturizer,
Retinol Gel, C + E + Ferulic Cream & Peptide Gel, and a Sunscreen. This kit includes only high quality medical skincare products and meets Dr. Gaboriau's evaluation and approval. Available in early December!!



Alyria logo

Sammamish Facial is now carrying the Alyria Skin Care Optimizing System!

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
·    Even out skin texture
·    Clarifies acne-prone skin
·    Enhances moisture retention
·    Fades away dark circles


Henri's Wine Pick of the Crop!

Kerloo Cellars Walla Walla Valley Syrah 2007

Kerloo Cellars Walla Walla Valley Syrah 2007 is a wonderful wine If you can find it!!  The last time I checked Kerloo Cellars in Walla Walla they only had 35 Cases Left!!  This Syrah has a hint of cloves, graham cracker crust, and cinnamon with a strong, surprising burst of berry pie!  It finishes a touch of perfume,
and chalky stone. This wine is delicious now and even better when
 it grows older!  I have bought several cases to enjoy on those long wintry nights for now and in the future!!  It is so wonderful that I am always searching for the right dish to accompany this fine wine.

--Henri P. Gaboriau M.D., FACS


Dr. Gaboriau's Days Out-of-the-Office

It is very important to let you know when I will be out of the office. I am here through November, but then Dec 2nd-9th I will be in Bordeaux, France. I have been invited to appear as a guest lecturer at the Symposium de l'esthetique.  Then after the first of the year, from January 8th to17th, I will be in Hawaii as a guest lecturer at the 29th Plastic Surgery Symposium. I will remind you again of these dates, but it is nice to know now in case you need to set up an appointment with me some time soon. Please keep in mind that while I am away in December, our nurse practitioner Janie Dufault
will be in the office to administer Botox and Cosmetic Fillers Thursday,
Dec 3rd and Tuesday, Dec 8th.  If you would like to make an appointment in advance, please phone us:  425 898 1228.
$12 per unit for BOTOX® administered by Henri P. Gaboriau MD $10 per unit for BOTOX®
administered by Janie Dufault ARNP, Nurse Practitioner


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!!  

Issue: # 21                                         November 28,  2009

Dear Friends, Colleagues and Patients:
Thanksgiving is the time to think about all of the wonderful dinners we have been able to share with friends and family through the years! 

In this issue of FaceForward, I would like to talk about the old proverb, "The eyes are the windows of the soul," because it is more often true than not. The appearance of the eyes can often leave impressions about your overall health and how when you are tired, as well as your real emotions and whether or not you are interested in something.

During the aging process, the eyes can become more fatigued in appearance and make you look tired when you are not at all and instead may be full of energy and vitality.  For many, the eyes are a way to achieve an appearance that is as youthful and as energetic as you may be feeling.  This area of focus is called Periorbital Rejuvenation and it is worthwhile for you to explore.

I want you to remember when I will be out of the office. Please see below for my exact dates and also note that our nurse practitioner Janie will be in the office some of the days when I am away.

Also, I want to mention that I am saddened by the death of a young woman in Washington State who suffered from acute Lidocaine toxicity after she underwent a liposuction procedure.  The investigation into her death is still going on, so I do not yet know all of the facts, but I have to emphasize how important it is
 to have a caregiver any time you undergo any form of surgery.  As you know, safety is one issue I cannot emphasize often enough. Please see my notes and recommendations below.

This time of year I love to cook spicy and robust dishes that make you feel warm inside, so I am giving you my recipe for my braised fennel sausage and saffron penne. The wine I have selected for this dish is a Syrah that had to be strong enough to
stand up to the saffron- Kerloo Cellars Walla Walla Valley Syrah 2007. We also have some skin care advice from our aesthetician Raihana! This month we are also happy to announce that we are carrying new rejuvenation kits from my own private-label skin care line.  Happy Thanksgiving Weekend!

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


Periorbital Surgical Options

Even with all of our communication o nline, most human interactions still take place face-to-face, which makes Periorbital Rejuvenation one of the most important areas of rejuvenation of the aging face.  Periorbital procedures, when performed correctly, easily can make patients look five to ten years younger.  If you feel that your eyes are not as energetic looking as they used to be, there are several different cosmetic procedures that you can explore:  Endoscopic Brow Lift, and Upper and Lower Blepharoplasty.

Surgical Remedies: Endoscopic Brow Lift, Upper and Lower Blepharoplasty
Eyes can look very tired at any age. There are genetic factors that cause eye tilt, bags and thick rolls beneath the lower lashes for patients who are as young as their 20s.  Older patients may be experiencing drooping eyebrows, wrinkled skin, puffiness and bags under their eyes. An eye lift can be a good solution for patients all ages.  

The Brow Lift raises the hairline by the same amount that the eyebrows are raised. The surgery can smooth forehead wrinkles, raise the eyebrows, and smooth the upper eyelid skin and remove the frown muscles that can make people appear to be angry. This surgery is often performed with minimal incision endoscopic surgery by using cameras on the end of small tubes placed through tiny incisions, or by incisions hidden behind the hairline.

Upper and Lower Blepharoplasty can remove excess skin and fat around the eye area.  Upper eyelid rejuvenation consists mostly of removing excess skin and fat. The upper eyelid incision removes excess skin, and is made precisely so that the healed incision is in the natural eyelid crease line.  Lower lid rejuvenation is not as common but it also removes excess skin and tightens the skin.  The incision is made just below the lower lash line. Depending on the patient, these surgeries correct hooding, heavy sagging, fatty deposits, puffiness, bags. droopiness and sad-looking Hound-dog eyes.


What other procedures can treat wrinkles around your eye?

Treatment can include medical-grade Cosmeceuticals & creams,
which are the new wave in skin care. See the news about
Alyria or Dr. Gaboriau's new private label Rejuvenation kits.
There are a few topical cosmetic-pharmaceutical creams that can enhance the healthy appearance of the skin.  Other treatments for wrinkles around the eyes include facials, peels, laser treatment, and even Botox.  Laser treatments can improve your eyes' appearance.

The Sciton Contour TRL ™ Laser procedure can give you healthier,
smoother, more vibrant skin and can improve a wide variety of skin conditions,
including wrinkles and fine lines around your eye. 

The ProFractional Laser procedure is quick and improves the appearance of your skin with little or no downtime. Botox can be a wonderful supplement to surgery, but rarely will replace what  surgery is needed to improve. Botox can be very effective in relaxing creases and  decreasing wrinkle lines, especially with crow's feet, that are due to muscle activity.



BEAUTY Tip: Raihana Mahan

Feed Your Skin!

Fish oil is from the tissues of oily fish. It is recommended for a healthy diet because it contains the  omega-3 fatty acids, and many other important acids.  Fish oil has a whole lot of health benefits from lowering cholesterol to reducing inflammation and helping mood disorders such as depression, but did you know that fish oil has a positive effect on your skin?  Help to keep your skin moist and glowing from the inside out.  I recommend that you take several capsules a day. But before taking any nutritional supplement or vitamin, first check with your physician to make sure that you don't have any allergies or other health concerns!

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 Braised Fennel Sausage with Saffron Penne

 My braised fennel sausage is so good that if you have any leftover you can use it to add to your holiday stuffing or just add it to any pasta dish. --HPG

Prep Time: 10 minutes
Cook Time: a ½ hour or so
Makes four-to-six generous servings                
Directions1.    2 tablespoons olive oil
2.    3 small onions, paper thinly sliced
3.    2 1/4 cups full-bodied red wine
4.    1/2 cup low sodium chicken stock
5.    1 1/2 pounds assorted Italian Fennel Sausage. (Mild and Hot)
6.    1 cups water
7.    5 tablespoons butter, cut into tablespoons
1.    Heat 1 tablespoon of the olive oil in a medium saucepan. Add the onions and cook until softened, 3 to 5 minutes. Add the wine and boil until reduced by half. Add the chicken stock and boil until reduced by one-third.
2.    Meanwhile, in a medium-sized skillet, heat the remaining 1 tablespoon of olive oil. Add the sausages and cook over moderately high heat until browned, about 3 minutes per side. Add the water and bring to a boil. Reduce the heat to low, cover and simmer until the sausages are cooked through, about 20 minutes.
3.    Bring the wine sauce to a boil. Remove from the heat and whisk in the butter, 1 piece at a time. Sausage is so naturally full of salt that there is no need to add more. Cut the sausages into 2-inch pieces and arrange an assortment on each plate. Top with the sauce and serve with the Saffron Penne.
Henri's Saffron Penne
1.    1/2 cup chopped parsley
2.    1/4 cup chopped basil
3.    1/4 cup olive oil
4.    1 teaspoon chopped tarragon
5.    1 teaspoon fresh lemon juice
6.    2 tablespoons butter
7.    6  pegs of garlic minced
8.    Pinch of saffron threads
9.    1 pound penne pasta
10.    1/4 pound shaved Pecorino cheese,
11.    1/2 cup sliced almonds, toasted until golden
12.    Freshly ground pepper
1.    In a blender, puree the parsley with the basil, olive oil, tarragon, and lemon juice.
2.    Melt butter in a large skillet. Add the garlic and saffron and cook over low heat until fragrant and a wonderful shade of golden brown.
3.    Cook the penne in boiling water until al dente. Set the skillet with the garlic over moderately high heat and add 1/2 cup of the pasta cooking water. Drain the pasta, add it to the skillet and toss well. Transfer the pasta to a bowl. Top with the cheese shavings, toasted almonds and herb oil. Sprinkle the penne with pepper and serve at once.

Braised sausage with saffron penne is pure comfort food and the ideal choice to make one of these nights when you want to celebrate the weekend after Thanksgiving!!  This dish goes especially well with my wine pick from Kerloo Cellars.  There is something about saffron that goes unusually well with a Syrah!  Bon Appetit!!  -Henri P. Gaboriau M.D., FACS


Special Medical Alert!!!

I was very saddened to hear the news of the death of the young woman who had just undergone laser-assisted liposuction.   The young woman was found alone in a hotel room where she had gone to recover after the procedure was performed.  The cause of death is still being investigated, but initial reports indicate that she died from acute Lidocaine toxicity.  This horrible tragedy could have been avoided if basic safety instructions had been followed. It is very important to note that no surgical procedure is ever completely safe and certain safety procedures must always be followed:

·    You must have a companion! The patient must always have a
dedicated caregiver for the first twenty-four hours after surgery.  Under no circumstances should the patient ever be left alone.

·    Know your physician! Before undergoing any surgical procedure,
a patient must do the necessary research and due diligence in selecting a physician who is board certified.

·    Understand the symptoms of acute Lidocaine toxicity!  While Lidocaine is very similar to the Novocain products routinely used in both medical and dental procedures, some patients are more sensitive than
others.  Here are the symptoms of poisoning:
·    Lightheadedness
·    Tingling sensation in the arms, hands or tongue
·    Nausea
·    Vomiting
·    Seizure

Even though the use of Lidocaine or Novocain is as common as getting a
filling for your tooth, both you and your caregiver must always know the symptoms of acute Lidocaine toxicity and also be on the lookout for any
sudden changes in your physical condition.  For your own safety, you must
always take certain precautions to protect yourself and your loved ones! --HPG



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



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