Issue #34 August 2011

Dear Friends, Colleagues and Patients:

Greetings! Happy August Everyone!

This month we will address a topic that is very important to me; the psychological aspects of plastic surgery. Although it is rarely easy, some esthetic concerns can be more sensitive and difficult than others to discuss. These are concerns that often are the source of many self esteem issues. These require attention and understanding and here at the Center, establishing a relationship based on trust with our patients is a key priority.

Also, Raihana, one of our Medical Aestheticians, will highlight the different facials we offer here at the Center and the main benefits one can reap.

In this issue of Face Forward, we have exciting specials to offer you! I hope you will enjoy my recipe for my delicious Grilled Pork Tenderloin with Wild Berry Port Sauce, perfect for the summer time along with my wine selection.

I would like to take the opportunity to advise you that I will be on vacation at the end of the month of August, starting August 26th, and will be returning to the office on September 7th. Although I will be gone, our nurse practitioner, Janie Dufault Yakovlevitch, ARNP, will be in on Thursday, September 1st, for 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 a Facial and Receive 15% discount.

Call the office today to schedule an appointment with Raihana or Katie.
Offer valid until August 31st, 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 www.sammamishfacial.com

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 practicemanager
@sammamishfacial.com

Psychological Aspects of Plastic Surgery

"Esthetic concerns" require attention and in-depth understanding.

Continue reading >>

Facials

Facials are a series of treatments meant to improve the look, feel, and composition of the skin on the face, neck and décolleté.

Continue reading >>

Henri’s Grilled Pork Tenderloin with Wild Berry Port Sauce

"A memorable dish perfect for a summertime get-together with family and friends" -HPG

Continue reading >>


Psychological Aspects of Plastic Surgery

Some "esthetic concerns" are more sensitive than others in Plastic Surgery and quite often, more difficult to discuss. Often responsible for self esteem issues, these concerns require attention and in-depth understanding. However, when addressed properly and with the desired care, one could find self confidence once again. Here are some of the most common ones.

Large Ears

Also known as "cup ears", this is when the ears are almost perpendicular to the face. Such situation can be very distressing to a child, its parents or both. Such characteristic needs to be handled with care and cannot be ignored and downplayed by the parents. Teasing or bullying can happen and the child can show emotional distress over it. A frank discussion needs to take place between the parents and the child to assess the need for surgical correction. Otoplasty is a surgical procedure where the ears are "tucked back" and is performed while the child is under light sedation. The procedure takes approximately 1 ½ hour and the patient can go home right after the surgery. I usually prefer to perform the surgery before the child starts school (around 4 years old).

Gynecomastia

Commonly referred to as "man's breasts", these usually occur in adolescents and elderly males. Hormone imbalance and some medications are found to be the main etiologies. True Gynecomastia is swelling of the mammary glands and may need excision. PseudoGynecomastia is an increase of fat in that area and the best treatment is Laser Assisted Liposuction. Gynecomastia and PseudoGynecomastia can be very distressing to the patient. I often perform Laser Assisted Liposuction for this condition with the Sciton ProLipo System. The procedure is quite successful at achieving very noticeable reduction.

Rhinoplasty

Indications for Rhinoplasty can be multiple, but it is not uncommon to see in consultation a young adult with emotional distress usually due to a large, prominent nose. Even though the procedure is purely cosmetic in nature, the emotional impact of a successful surgery cannot be denied. My consultation usually lasts approximately 45 minutes. In addition to reviewing the potential risks and complications, I spend considerable time understanding the reasons behind the desire of the patient to change his/her nose, and what he/she is expecting to achieve via the surgery. To be successful, the surgery has to be in line with a realistic image of the patient's desired result.

"It would be a pleasure to further discuss these concerns with you, with trust and understanding. Call today to schedule a consultation." - HPG

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Facials
Besides a daily regimen, the skin needs extra pampering and rejuvenation once in a while. With regular and sufficient care, the fresh and youthful look of the skin can be prolonged. Facials are a series of treatments meant to improve the look, feel, and composition of the skin on the face, neck and décolleté.

The quality of the skin is the reflection of one's inner health. An evenly toned and younger-looking skin can only be achieved with a healthy lifestyle and balanced system from within. However, many external factors such as exposure to pollution, dirt and harmful sun rays can have a negative impact on the skin. In addition, as one matures, the body's metabolism system slows down resulting in age spots, fine lines and wrinkles, dark circles and puffiness.

There are innumerable cleansing, exfoliating, moisturizing and anti-aging products to choose from and these, certainly can help in the maintenance of healthy skin. However, the deep cleansing and nourishment of the skin can be achieved through facials.

Medical grade facials (facials available exclusively in doctor's offices), are indicated in the treatment of specific skin concerns such as hyper pigmentation, wrinkles, aging skin, acne and rosacea. These facials are meant to provide visible results rather than focusing on the relaxation and massage aspects.

Here are some of the medical grade facials offered at the Center:

  • European Facial
    Often considered a great "introductory" facial as it uses basic and uncomplicated steps to provide glowing, healthy-looking skin.  It is important to maintain this regimen every 4 to 6 weeks for optimal results.

  • Acne Facial (Deep Cleansing Facial)
    Targets specific acne concerns such breakouts and open and closed comedones. This treatment includes cleansing, steam, extractions, high frequency and facial masks. For optimal results, facial treatments are recommended every 6 to 8 weeks.

  • Microdermabrasion Facial
    Gently exfoliates the upper epidermal layer, known as the stratum corneum, buffering away dead and dull skin cells to reveal fresh, younger-looking skin.  The Diamond tip gently sweeps away the damaged surface cells, encouraging the skin's natural renewal process, in order for radiant and refined skin to shine through. The procedure is quick and relatively painless. This facial addresses skin concerns such as fine lines and wrinkles, sun spots, acne and acne blemishes as well as dull complexion. It is most effective to alternate this facial with glycolic acid peel facials or as directed by your licensed Aesthetician.

  • Glycolic Acid Peel
    Alpha-hydroxy acids (AHA), also known as fruit acids, loosen the glue-like substances that hold the surface skin cells together, therefore allowing the dead skin cells to peel off. The skin underneath has a fresher, healthier look with a more even color and texture. These peels help minimize the appearance of superficial scarring, fine lines, wrinkles, acne and skin pigmentation problems by peeling them away.

  • Hydra Facial
    Its ability to moisturize the skin separates the Hydra Facial from all other resurfacing procedures. This treatment removes dead skin cells and impurities while simultaneously bathing the new skin with cleansing, hydration and moisturizing serums. It will improve the appearance of fine lines, wrinkles, acne, hyperpigmentation, congested pores and uneven skin tone with no discomfort and no downtime.  It is most effective to get this facial in a series of 3 treatments every 2 weeks or as needed.

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Henri’s Grilled Pork Tenderloin with Wild Berry
Port Sauce

"A memorable dish perfect for a summertime get-together with family and friends" - HPG

Prep time:  15-30 minutes
Cooking time: 30-40 hours
Serves: 4-6

Ingredients:

Pork Tenderloin:

  • 2 whole pork tenderloins trimmed and silver skin remove
  • Salt and pepper to taste
  • 2 tablespoons of fresh rosemary chopped
  • 2 tablespoons of olive oil

Wild Berry Port Sauce

  • 2 cups of ruby port
  • 2 sprigs of fresh thyme
  • 1 shallot sliced thin
  • 2 teaspoons of finely chopped fresh peeled ginger
  • Zest of 1 large orange
  • 2 cups of mixed berries (strawberry, blueberry, raspberry, etc.)
  • Salt and pepper to taste

Directions

Pork Tenderloin

  • Preheat barbeque: 2 burners set to medium high (375F), and 2 other burners set to low setting (275F). Brush grill with oil to prevent sticking
  • Season the pork with salt and pepper, sprinkle evenly with rosemary and drizzle with olive oil.
  • Place the pork tenderloins directly on the grill over the medium high heat burners.
  • Cook for 3-4 minutes or until nice golden char marks are achieved.
  • Flip the tenderloin and continue to cook the pork until both sides are nicely charred. Roll tenderloin on its sides to get equal charring all over the loin and to provide more flavors.
  • Once the tenderloin is nicely charred, place the pork over low heat, close lid and cook a further 5 - 8 minutes, or until an instant read thermometer inserted in the thickest part reads (150F). Half way through cooking, turn the tenderloins.
  • Remove pork from the grill, loosely tent with foil and let rest for 15 minutes before serving.
  • Slice and serve with a spoonful of the wild berry sauce.

Wild Berry Port Sauce

  • To prepare the sauce, combine the port, thyme, shallot, ginger and orange zest in a medium sized saucepan.
  • Set the pan over medium heat bring to a boil then reduce to low heat and simmer.
  • Simmer until reduced by half. Strain the liquid using a fine mesh strainer.
  • Add the berries to the hot liquid and stir to release juices in the sauce without killing the tender berries.
  • Season to taste with salt and pepper and reserve sauce for later.

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Henri's Wine Pick of the Crop!

2005 Garrison Creek Cellars Syrah Block 50

This California wine offers powerful aromas of green apple, tangerine zest and honeysuckle.

Grown on a tall trellis, Syrah Block 50 of the Garrison Creek Cellars' estate vineyard "Les Collines" is a very special block. The true terroir of this unique part of the vineyard is fully expressed in this wine. The extended barrel and bottle aging practices of this vineyard have produced a soft and lovely wine.

This wine features an intense blueberry, black pepper and smoky oak aroma, followed by a full, soft palate and lingering fruit flavors. This delicious selection is to be enjoyed with friends!  

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SAMMAMISH CENTER
FACIAL PLASTIC & RECONSTRUCTIVE SURGERY
22840 NE 8th Street, Suite 103, Sammamish 98074 www.sammamishfacial.com
425.898.1228
Published by Sammamish Center for Facial Plastic and Reconstructive Surgery © 2010