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Newsletter - September 2008

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

The  Laser  Maze

What is the difference between Lasers and Light-based therapies (IPL)? What we call (IPL) Intense Pulse Light or Photo Rejuvenation or Photo Facial-they are all light based therapy. They are not laser therapies per se. The difference between the Laser and the IPL is the spectrum of the light. Lasers are usually one wave length and they are more precise.  Lasers have more narrow "indications" than any type of (IPL) Intense Pulse Light or Photo Rejuvenation or Photo Facial light therapy.


Spotlight on Lasers

Lasers that do skin resurfacing (CO2 Lasers and Erbium: YAG  Lasers) were created to do skin resurfacing-to remove the upper layer of the skin epidermis and part of the dermis, which, in this process, also removes sunspots and small to moderate wrinkles.  Laser resurfacing will stimulate the creation of new skin or new epidermis.


Vascular Lasers

great legs

Some lasers are strictly vascular and only treat spider veins.  This can be a much more effective treatment than light based therapies..


Spotlight on (IPL) Intense Pulse Light or Photo Rejuvenation or Photo Facial

The broad spectrum of light and can treat Rosacea, spider veins sun spots or hyperpigmentation and fine wrinkles at the same time while it tightens the skin.


Henri's Wine Pick of the Crop!  

Cambria 2005 Late Harvest Viognier Tepusquet Vineyard, Santa Maria Valley, California Wine

Deep orange blossom and honeysuckle aromas envelope the rich, full texture of this wine. Citrusy with candied orange and heady floral flavors, the finish is full, lingering, and the perfect accompaniment to my French Squash soup!

--Henri P. Gaboriau M.D.     


New Hours in September

The medical office/reception desk:
Monday: 8:00 a.m. - 6:00 p.m.
Tuesday: 9:00 a.m. - 5:00 p.m.
(Day is usually reserved for major surgeries only)
Wednesday: 8:00 a.m. - 6:00 p.m.
Thursday: 8:00 a.m. - 6:00 p.m.
Friday: CLOSED
Saturday: CLOSED
The Medical Spa:
Hours are extended, but vary, so call to check




Issue: # 7                                                      September 2008

Dear Friends, Colleagues and Patients:

Greetings!  Welcome to the fall season!  This month I have a few important announcements.  Please note that for the time being we have cancelled our event "Feeling Good, Looking Good" that was previously scheduled for Wednesday, October 15.  I am sorry if you are disappointed, but it was not working out at this time. We will definitely be planning ahead in the spring, so stay tuned. 
Another thing that I want to note is a warning about skin cancer.  Now that summer is over, please take a careful look over your face and body to note any unusual changes in moles, bumps, bruises, birthmarks or other signs of skin discoloration. If you ever have any question at all, immediately call your physician to set a time for an examination. It is never an overreaction to make an appointment to get a medical opinion, but it could be too late if you don't take the time to get early intervention and treatment.
No matter what season, take extra good care of your skin!  In this newsletter, I am going to devote some extra time to The Laser Maze. There are so many different kinds of lasers that it can create confusion.  I thought it would help you if I show how lasers differ from one another. Laser treatment can be very useful for a wide variety of skin problems including rosacea, hyperpigmentation, broken blood vessels, wrinkles and sunspots, to name a few.  If you are ever considering any type of skin therapy, it is essential that you are seen by a physician who is well-versed in all the variations of skin and the many types of treatments that are available.
Now that summer is over, we are back to our usual office hours.  Please scroll below for more information. This month we are happy to include a wonderful food tip from Sammamish-based nutritionist Deborah Enos.   I have also included my recipe for a hearty fall Squash soup and my wine pick of the month. 
Please come by for a visit soon!
Kindest Regards,
Henri P. Gaboriau MD


Manage Your Skin!  

A medical doctor must look at the skin of the patient and find out what the patient wants to achieve.  The doctor must analyze the patient's skin and decide the best treatment possible. Most of the time, the patient needs a combination of treatments: IPL Intense Pulse Light Therapy, and superficial skin resurfacing through a Micro Peel, followed by the tightening of the skin with the use of a Profractional laser. The key is to find a physician who is well-versed in skin and who knows all of the best treatment options that are available. 



Coming Soon!
Tunable Fractional Resurfacing 

This new laser will soon arrive at our facility!
ProFractional Treatment Goals Can Include:
·    Removing visible signs of skin damage
·    Rejuvenating dermal collagen matrix for improvement in wrinkles, scars, pigmentation, tone and texture
·    Providing quick, effective treatments and short downtime
·    Customizing solutions to suit each patient's individual needs


What about Titan and Thermage?

IPL and Lasers are different from Titan and Thermage. Titan and Thermage are not lasers and work on a different kind of technology. They go underneath the skin and reach the level of the deep dermis to stimulate the collagen and to tighten the skin.  They do not do anything to remove redness, rosacea, spider veins, sun spots or hyperpigmentation. They are limited in scope.

How are Titan and Thermage different from the Profractional Laser?
Titan and Thermage are not lasers. Profractional is a laser. Now as technology evolves and gets better, the new Sciton Profractional Laser can basically do two things. First, it can remove the sunspots, hyper pigmentation, and do a micro peel. Second, at the same time it can tighten the skin by stimulating the collagen the same way (Titan and Thermage stimulate collagen.)



Deborah Enos, Certified Nutritionist

Nutrition Tip

Ginger! How to incorporate herbs and spices into your eating plan:                   According to certified nutritionist Deborah Enos,
"Ginger works well for nausea and upset stomach. It's also an anti-inflammatory, which means it may be useful in fighting heart disease, cancer, Alzheimer's disease and arthritis. Plus, it's high in antioxidants that fight all kinds of diseases. You can brew some ginger tea (available in supermarkets), or suck on some hard ginger candy.  You can also grate up fresh ginger and use as a marinade on meat, fish and vegetables.  Interesting tidbit: The health benefits of ginger were documented 2,000 years ago."                                                                                                                        


Henri's Recipe for French Squash Soup

Spectacularly warm and satisfying! Choose the bread of your choice!

25 min | 40 min prep | SERVES 4

 * 2 lbs cooking butternut squash peeled and cut into 1 inch pieces
    * 1 lb sweet potato, peeled and cut into 1 inch pieces
    * 2 tablespoons melted butter
    * 1 tablespoon brown sugar
    * 1 teaspoon salt
    * 1 teaspoon black pepper
    * 2 tablespoons olive oil
    * 1 small yellow onion chopped
    * 1 scotch bonnet pepper or habanero pepper, seeded and chopped
    * 2 tablespoons minced garlic
    * 1 tablespoon grated fresh ginger
    * 2 tablespoons snipped fresh thyme
    * 1/4 teaspoon ground nutmeg
    * 1 cinnamon stick
    * 6 cups stock (chicken or vegetable)
    * 1/4 cup heavy cream
    * 1/4 cup unsweetened coconut milk
    * 1/2 cup toasted pumpkin seeds for garnish

 ·    In a mixing bowl, toss squash and sweet potatoes with melted butter, brown sugar, salt and black pepper.
·    Spread mixture onto a greased roasting pan.
·    Bake at 350F for 1-1 1/2 hours, or until tender.
·    Saute onion in oil in a large pot until tender, about 5 minutes.
·    Add the scotch bonnet, garlic, and ginger and cook just until fragrant.
·    Add the thyme, nutmeg, and cinnamon stick, mixing everything thoroughly.
·    When it becomes slightly brown, add the roasted vegetables and stir to mix, then the stock, stirring to keep blending everything.
·    Bring mixture to a boil, then reduce heat, cover, and simmer for 30 minutes, stirring occasionally.
·    Remove soup from heat and allow to cool for 15 minutes.
·    Puree approximately 1/3 of the soup in a blender until it is smooth then add back to soup and stir well.
·    Add heavy cream and coconut milk and blend.
·    Reheat if necessary.
·    Serve piping hot, garnished with roasted pumpkin seeds.

Although this batch of soup can feed four to six, it can be made the day before and refrigerated until the time comes to heat and serve. You can serve the soup with your crusty bread of choice.  I prefer Macrina's Volkorn bread because it is so dense and so rich with many types of flour and seeds. During the Fall, we should enjoy all the variations of squash!! This meal is so simple and so satisfying on those rainy nights!

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