Issue #36 November 2011

Dear Friends, Colleagues and Patients:

Greetings! Wishing you and your loved ones a very happy Thanksgiving! May this special holiday bring you lots of love, peace and happiness.

In this issue of Face Forward, rhinoplasty and septoplasty, commonly known as a nose surgery, will be our main topic. Whether it is for aesthetic or medical reasons, many solutions are available and amazing results can be achieved!

Make sure to review our "Beauty Tip" section! Raihana, one of our Medical Aestheticians, highlights the causes of sun damage and the solutions we can offer you to achieve younger-looking skin again.

After reviewing this month's specials, take a look at the recipe for my simple yet delicious Tagliatelle with Mushrooms, Lemon and Breadcrumbs recipe.

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

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your next Micro Laser Peel/ProFractional treatment.

Offer valid until November 30th, 2011.

Schedule a Light and Heat Energy treatment (IPL) and
Receive $50 discount!

Consult our aestheticians to find out what advantages you could reap from this treatment!

Offer valid until November 30th, 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 practicemanager

All You Need to Know About Nose Surgery

Rhinoplasty and septoplasty, is probably the most challenging surgical procedure in the arena of Facial Plastic Surgery

Continue reading >>

Sun Damage

Sun damage, also known as photo damage, refers to how the sun alters the look and feel of the skin.

Continue reading >>

Henri's Tagliatelle with Mushrooms, Lemon and Breadcrumbs

"This terrific dish is simple to make. Make the sauce and breadcrumbs ahead of time and boil the pasta just before you need it… Enjoy!" -HPG

Continue reading >>

All You Need to Know About Nose Surgery

Nose surgery, also known as rhinoplasty and septoplasty, is probably the most challenging surgical procedure in the arena of Facial Plastic Surgery. Reasons to undergo such procedure include Cosmetic, Reconstructive and Functional.

Cosmetic Aspects

  • A bump, also referred to as a bony hump, is a very frequent request for cosmetic rhinoplasty. Such issue can be dealt fairly easily by rasping the bump without the need of extensive surgery.
  • A large tip, also called bulbous tip, may require a more aggressive approach.
  • A deviated nose, due to trauma or from birth, may need to address both the nasal bones and the tip.
  • A small or short nose may need the use of implants, either cartilage or prosthetic.

Surgical approaches are either "closed" (no external incisions) or "open" (with external incision). To determine what is best for your needs, a thorough examination is required to address all of your concerns and decide which approach is best suited for you. My Rhinoplasty consultation runs easily for 45 minutes in order to cover all questions you may have.

Reconstructive Surgery

Cancer of the skin of the nose (involving the cartilage underneath the skin) is unfortunately very common and can be very devastating if left untreated for a long time. If you see a small lesion on your nose that has not been healing for several months, please have it checked at once. Reconstruction of the defect (after removal of the skin cancer) can be as simple as closing it. However, it requires a skin graft of some sort. I like to discuss all reconstructive options with you prior to the excision of the lesion. When performed correctly, the resulting scars heal very well.

Functional Aspects

Many patients suffer from difficulties to breathe through their nose without realizing that it could be fixed. The most common culprit is a deviated septum. The septum is a vertical piece of cartilage that separates both nasal cavities. Septal deviation has many origins. The most common one is trauma to the nose. Also, up to 70% of individuals have a deviated septum without knowing it. The surgery (septoplasty) will remove the deviated part of the septum and straighten it again, thus opening up your nasal cavities, allowing you to breathe better.

"Septoplasty – Rhinoplasty are usually performed while you are under anesthesia. It usually takes between 1 to 3 hours. You will wake up with a cast on your nose and the recovery is usually 7 to 10 days." - HPG


Sun Damage
Sun damage, also known as photo damage, refers to how the sun alters the look and feel of the skin. Sun damage is a form of extrinsic aging, which creates premature aging of the skin.

There are several symptoms of sun damage from hyperpigmentation, dull skin tone, wrinkles, loss of firmness, enlarged pores to more serious conditions such as skin cancers. These conditions can affect all skin types.

Whether we call them age spots, sun spots or solar lentigos, they amount to the same thing: an unsightly reminder of too much time spent in the sun. Exposure to ultraviolet rays triggers increases in melanin, the pigment that gives color to skin and hair, forming patches of hyperpigmentation, adding many years to one's perceived age.

Time and patience are required to treat hyperpigmentation. However, with a daily skin care plan formulated with medical grade ingredients, sun damage can be faded.

Collagen is an abundant protein fiber produced in the body that is responsible for supporting and connecting its tissues. Sun damage significantly affects this essential protein, which is particularly important to the health and youthful appearance of the skin. Unprotected sun exposure will affect the collagen with the resulting effects of wrinkles and leathery skin texture.

Solution? Prevention is key! A sunscreen should be part of one's daily skin care regimen… winter like summer. It is crucial to choose a sunscreen that contains both UVA and UVB protection.

However, there are several ways to improve the condition of existing sun damaged skin:

  • Laser Resurfacing (with our Laser Joule system)
  • Intense Pulsed Light Therapies also known as photo-facials
  • Chemical Peels
  • Microdermabrasions
  • Hydra-facials
  • Customized Skin care Regimens

At our Center you will be seen by Dr. Gaboriau as well as one of our Medical Aestheticians, who will customize a Skin Care Treatment plan specifically created to treat your skin issues. Such Skin Care Plan may involve Photo-Facial and at-home Skin Care regimen.


Henri's Tagliatelle with Mushrooms, Lemon and Breadcrumbs

"This terrific dish is simple to make. Make the sauce and breadcrumbs ahead of time and boil the pasta just before you need it… Enjoy!" - HPG

Prep time:  10 minutes
Cooking time: 15 minutes
Serves: 4


  • 12 ounces of tagliatelle or linguini
  • 1/4 cup of olive oil
  • 1 tablespoon of chopped garlic
  • 1/2 cup of fresh breadcrumbs
  • 2 tablespoons of chopped parsley
  • 2 leeks, white and light green part only, sliced
  • 1 pound of mixed mushrooms (such as oyster, brown and shiitake or simply use regular ones) , quartered
  • 1 teaspoon of grated lemon rind
  • 3 tablespoons of lemon juice
  • 1/4 cup of chicken stock
  • 1/2 cup of packed basil leaves
  • 1 tablespoon of extra-virgin olive oil


  • Bring a large pot of salted water to boil and add the pasta. Cook according to package directions or until al dente. Drain, reserving 1/4 cup of the pasta cooking water.
  • Heat 1 tbsp. of olive oil in a small skillet over medium heat. Add 1 tsp. of chopped garlic and bread crumbs and sauté until breadcrumbs are crisp, about 2 minutes. Stir in 1 tbsp. of chopped parsley, season with salt and transfer to a bowl. Reserve.
  • Heat remaining 3 tbsp. of oil in a large skillet over medium-high heat. Add leeks and sauté for 1 minute or until slightly softened. Add mushrooms and remaining 2 tsp. of garlic and cook another 3 minutes or until mushrooms are limp and exuding some juice. Stir in lemon rind and 2 tbsp. of lemon juice. Add stock and basil leaves and cook for 30 seconds or until the basil has just wilted. Season well with salt and pepper.
  • Toss the tagliatelle with mushroom mixture. Stir in reserved pasta cooking water, remaining 1 tbsp. of lemon juice, remaining 1 tbsp. of parsley and extra virgin olive oil. Toss with breadcrumbs.
  • Divide pasta between 4 individual serving plates and serve immediately.


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