Issue #30 January 2011

Dear Friends, Colleagues and Patients:

Greetings and Happy New Year! Hope you had an amazing holiday season surrounded by your loved ones. Wishing you a year filled with good health, happiness and serenity. May 2011 bring you all that your hearts' desire.

In this issue of Face Forward, we will review the causes of uneven skin tone, also known as hyperpigmentation, how it is developed and what it can do to one's perceived age. With cold days ahead of us and definitely less sun exposure, this represents the ideal time to treat this skin condition. Although many treatment options are available to treat uneven skin tone, Raihana's Beauty Tip will focus on 2 effective options that you could benefit from: Photorejuvenation and Glycolic Acid Peels.

This month's recipe will surely please you! My grilled halibut with tomato vinaigrette is healthy yet flavorful, just what many of us are looking for after the holiday season. To complete this great dish, you will also find my wine selection.

Don't forget to take a look at this month's specials!

I would like to take the opportunity to advise you that I will be on vacation as of February 7th, and will be returning to the office on February 14th.
Although I will be gone, our nurse practitioner, Janie Dufault Yakovlevitch, ARNP, will be in on Tuesday, February 8th, for Botox appointments and to follow-up with patients I have seen prior to my vacation. If you are interested in making an appointment with Janie, please call us at 425.898.1228.

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

Schedule one of the following peels and receive $50.00 discount!
  • Gloss Peel – To help even out pigmentation (reg.: $225.00)

  • Actinage Peel – To treat moderate to severe acne (reg.: $250.00)

  • Anti-Redness Calming Peel – To reduce rosacea and general redness (reg.: $250.00)

Offer valid until February 28, 2011

To learn more about
Dr. Gaboriau's Face, Heart and Mind Foundation
please click here

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

The Sammamish Center is proud to offer medical grade skin care products for all your needs.

This medical skincare line was designed specifically to address multiple skin concerns while providing ease-of-use. Selected by Dr. Gaboriau himself, each product is formulated with clinically proven ingredients and state-of-the-art technology to deliver visible results.

Alyria products incorporate the best ingredients and technologies that the world has to offer. Each product is formulated with proven ingredients in effective percentages and state-of-the-art technology, including patented delivery systems, to enhance the beauty of your skin.

Doctor-tested, recommended and sold, Alyria's advanced skincare products improve skin tone and texture, and noticeably reduce fine lines and even deep wrinkles.

For questions or comments please reply to

Causes of
Uneven Skin

Research has shown
that uneven skin tone
can add up to 10 to 15
years to a woman's
perceived age.

Continue reading >>
rejuvenation or

A non-ablative photo
rejuvenation system
that provides fast

Continue reading >>
Henri's Grilled
Halibut with

"After the holiday
season, many of us
seek lighter recipes in
order to get our diet
back on track."

Continue reading >>

The Causes of Uneven Skin Tone
Although wrinkles are the number 1 aging concern amongst women, the skin tone plays a role of great importance in the youthfulness of one's appearance. Actually, research has shown that uneven skin tone can add up to 10 to 15 years to a woman's perceived age.
Uneven skin tone, or hyperpigmentation, is the result of an over production of melanin. Melanin is what gives skin its color, helps to protect it against damaging UV light and absorbs heat from the sun. However, an overproduction of melanin can lead to a mottled, uneven skin tone and is primarily a result of the following:
  • Sun exposure: When skin is repeatedly exposed to UV light, sun damage occurs. Brown spots appear as a result of too much melanin being produced to help protect skin from UV light.
  • Hormones: Melasma is hormone-related hyperpigmentation caused by increased hormone stimulation. It is most commonly experienced by women who are pregnant (which is why it's also known as the "pregnancy mask") or taking contraceptives. It can also be a reaction to cosmetics or medications.
  • Post-Inflammatory Hyperpigmentation: Darkening of a scar such as acne lesions or skin injuries that have been exposed to the sun.
“A variety of solutions are available to treat uneven skin tone, from medical grade skin care products to non-invasive procedures. Call today to schedule an appointment and further discuss what option best suits your needs.” - HPG

Photorejuvenation or LHE
Fine lines and wrinkles, age spots, sun spots, acne and spider veins – medically known as rhytides, pigmented and vascular lesions, are outward manifestations of aging or sun damaged skin. Once accepted as a fact of aging, these skin imperfections can be safely and easily treated. New light based
techniques like LHE have provided today's cosmetic patients with comfortable, non surgical options.

LHE Skin Rejuvenation: A non-ablative photo rejuvenation system that provides fast treatments.

LHE is a comprehensive skin rejuvenation treatment that can meet several treatment goals simultaneously:
  • Improvement of skin tone, fine lines and skin texture

  • Removal of age spots and spider veins

  • Treating of mild to sever acne
With its optimal balance of light and heat energy, LHE has demonstrated a clinically proven ability to safely deliver more youthful looking skin and a high level of patient satisfaction. This treatment option is faster and safer while requiring no downtime, giving you the freedom to squeeze a quick appointment into your busy day!

Glycolic Acid and its Benefits:
Glycolic acid is derived from natural fruit acids (alpha hydroxy acids or AHAs) to rejuvenate the skin by encouraging the shedding of old, sun-damaged surface skin cells. Glycolic acid is the alpha hydroxy acid most frequently used for acid peel facial treatments. It works by stimulating new growth of skin and collagen by decreasing the bond that holds dead skin cells on the surface. This allows dead cells to be removed gradually, leaving behind a layer of smoother and softer skin.

Glycolic acids come in different strengths, 30%-70%. A gycolic acid peel is beneficial in treating the following skin conditions in order to reveal a brighter, smoother skin texture:
  • Uneven skin tone or sun damaged skin

  • Rough keratinized skin
  • Finely lined skin
  • Age spots on hands, face and other parts of the body
  • Hyperpigmentation

  • Certain acne prone skins
Henri's Grilled Halibut with Tomato Vinaigrette

"After the holiday season, many of us seek lighter recipes in order to get our diet back on track. This recipe does just that but without compromising the taste and flavors. Served with a simple salad, this meal is delightful!" - HPG"

Prep time: 30 minutes
Cook time: 30 minutes
Serves: 4


Tomato Vinaigrette:
2 ripe beefsteak tomatoes
1/4 cup of good quality white wine vinegar
1 teaspoon minced garlic
2 tablespoons minced red onion
1/4 cup good quality extra virgin olive oil
salt and pepper

Grilled Halibut:
4 x 5-ounce halibut fillet portions
olive oil, for brushing
salt and pepper


22840 NE 8th Street, Suite 103, Sammamish 98074
Published by Sammamish Center for Facial Plastic and Reconstructive Surgery © 2010