Aesthetic Team

The Aesthetic Center staff offers the most advanced non-surgical products and procedures for your individual facial rejuvenation.

Meet Our Aesthetic Team

Darlene O’Farrell

Patient Liaison

As Patient Liaison, Darlene is responsible for consulting with you and answering any questions or concerns you may have. Darlene believes “information is powerful in helping us make the best decision for ourselves.”

Darlene joined the Larrabee Center in 1997 and worked as a makeup artist, helping women apply makeup after laser treatments. She was also an integral part of building our skincare division, which involved bringing on new procedures and products to the Larrabee Center.

Lauren Jackson-Gross

Director of Skincare – Master Aesthetician / Certified Laser Technician & Trainer

Lauren Jackson-Gross has been with the Larrabee Center since August 2003 and brings over eighteen years of aesthetics experience to your skincare treatment. Lauren graduated from the Euro Institute of Skin Care and has advanced training from the Laser Training Institute and the Dermal Institute in California. Her advanced training and experience include extensive laser treatments, product training, and treatments for sun-damaged, maturing, and acneic skin. She stays on the cutting edge of skincare through continuing education.

Lauren possesses a passion for proper skincare and the dramatic changes it provides. She tries each and every skincare treatment offered at the Larrabee Center, as well as each product that the Larrabee Aesthetic Center may offer you. Her hands-on approach gives her the ability to describe to you the effects of each treatment and every product she recommends.

As with Dr. Larrabee and the other members of our aesthetics team, Lauren is an educator. She not only shares her knowledge and expertise by educating other aestheticians, she has a passion for educating her patients in regards to overall good skin health.

As an aesthetician, Lauren sees skin as a canvas. She looks past the pigment, acne, and other imperfections and visualizes what is really possible – clear, luminous skin. She analyzes skin texture, epidermal thickness, vascular condition, and overall skin health. Lauren believes that surgery takes care of many of the concerns with the aging face, but only proper skin care can correct the texture and condition of the skin.

Lauren’s repertoire of treatments includes: Ultherapy, Fraxel, IPL (fotofacial), chemical peels, microdermabrasion, and laser hair reduction. She always looks forward to meeting with you and discussing your individual skincare needs.

Maryln J. Wilson, R.N., B.S.N.

Aesthetic Injection Specialist

Whenever Maryln Wilson was asked as a young girl, “What do you want to be when you grow up,” she responded, without hesitation, “A nurse!” Maryln is a Seattleite—born and raised in the Emerald City and a graduate of Roosevelt High School.

To begin her lifelong dream, she travelled east of the mountains to wheat and wine country and attended Walla Walla College (now University) where she received her Bachelor of Science Degree in Nursing. Following her collegiate experience, she attended Loma Linda University to pursue graduate studies in Nursing Education and also worked in the Loma Linda University Medical Center Neonatal Intensive Care Unit.

With her return to the Pacific Northwest, she began her association with multiple plastic/reconstructive surgeons’ practices which provided her with a fundamental knowledge of aesthetic medicine, surgery, and patient care. In addition to her almost thirty years of clinical and surgical work, she had the opportunity in 1980 to develop her knowledge and skill as an aesthetic nurse injector.

Over the last thirty-plus years, Maryln has been involved with the evolution of injectables, including Botox, Xeomin, Dysport, Restylane, Perlane, Juvéderm, Radiesse, and Sculptra.

Maryln has been a part of the Larrabee Aesthetic Team since October 2010.

Svitlahna Kasko, R.N., B.S.N.

Specialized Aesthetic Nurse

Svitlahna Kasko has always known she wanted to help people. Her desire to become a nurse pushed her to graduate with her bachelors in nursing from Seattle University at the young age of 20. She began her career in the emergency room at Swedish medical center. She then sought out more opportunities and began working with the Larrabee Center August 2019 as a recovery nurse.

Her love for aesthetic nursing has always stemmed from making people feel good in their own skin. She sees what people strive for, so she dove into training with injectables and skincare. With her passion growing in this field, Svitlahna decided to further her knowledge and education and is pursuing her doctorate degree at Washington State University. Svitlahna is a snow fanatic and enjoys snowboarding on her days off as well as traveling the world! 

3 Things You Should Know About HydraFacials-Featuring the Larrabee Center

In my twenties, my biggest forays into skincare had been testing vitamin C serums and buying a jade roller, so booking my first in-office treatment was a big step. But with my 30th birthday approaching, I wanted to start the next year feeling and looking refreshed. Plus, I’d be celebrating in Las Vegas with family and friends, so I wanted my skin to be camera-ready for the inevitable photos. Read full article…

The Beauty of Experience

The procedures we perform in facial plastic surgery require both art and craft. Experience benefits our patients and helps us improve both our technical skill and artistic judgment. Extensive science is behind the “10,000 hour rule” that it takes that amount of practice to become expert in a given skill. This practice, however, must be “deliberate practice” to develop specific skills, and at least initially, under the supervision of a skilled mentor.
Continue reading The Beauty of Experience

The Larrabee Center Celebrates Veteran’s Day

On this Veteran’s Day we are proud to recognize the military fellows we have trained over the years. We have had especially close relationships to Madigan and Tripler over the decades and have taught residents at both hospitals. Dr. Larrabee trained at Letterman General Hospital in San Francisco and then was Chief of Civic Action and Disaster Relief for the Southern Command in the Panama Canal Zone. He received the Army Commendation medal for that service.

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1992 – 1993 Fellow was Capt. Craig Cupp, MD. He taught in San Diego at the Naval Hospital
2000 – 2001 Fellow was Jennifer Lee Henderson, MD. She taught in Washington DC.
2005 – 2006 Fellow was Scott B. Roofe, MD. He taught at Tripler in Hawaii and is now at Ft. Bragg NC.
2007 – 2008 Fellow was Joseph Shvidler, MD. He taught at Madigan Hospital here in Washington
2014-2015 Fellow was Scott Bevans MAJ, US Army. He is teaching in San Antonio on active duty.

Plastic Surgery in Asian Patients

Seattle is a gateway to the Pacific and the Asian Rim countries.  As a facial plastic surgeon I have worked extensively in Asia performing surgery and on broader educational programs.  In recent years, I have lectured in Hong Kong and mainland China plus performed surgical procedures such as facelifts and cleft lip palate repairs in China. I have been invited by the Chinese University of Hong Kong to be their Distinguished Scholar lecturer for 2016 and also to lecture in Hangzhou, China in the spring of 2016.

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We are proud of our work with cleft children in China and honor Joseph Wong who began these missions. You can read my article to honor Joseph Wong in JAMA Facial Plastic Surgery

The Larrabee Center Is Proud to Support the Local Asian Community

We also support the Asian members of our local community. The Larrabee Center was a major sponsor for the ACRS 40th Anniversary Gala.   The Asian Counseling and Referral Service (ACRS) is a nationally recognized nonprofit organization offering a broad array of human services and behavioral health programs to Asian Pacific Americans in King County. ACRS is the largest multiservice organization serving all the different Asian Pacific American communities – immigrants, refugees and American born – in the Pacific Northwest. This is a wonderful organization and we are proud to support its mission and our good friend and fellow board member Derek Edmonds.

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Serving Seattle’s Asian Community

The Larrabee Center is fortunate to have a large number of Asian patients. We have tailored our skincare program and non-surgical laser treatments to be able to specifically treat Asian skin. We have worked over the years to develop surgical expertise in Asian eyelid surgery and Asian rhinoplasty. Both require different technique than in the average Caucasian patient.  Our surgical experience in Asia and working with Asian surgeons in their own countries has helped refine our understanding of these patients. We will address our specific techniques for Asian eyelids and noses in future blogs.

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Patient photos from China Cleft missions

Dr. Patel in Honduras

facial fracture
Dr. Patel repairing a mandible fracture
Dr. Sapna Patel Our UW Facial Plastic Surgery Fellow for 2015-2016
Dr. Sapna Patel Our UW Facial Plastic Surgery Fellow for 2015-2016

Sapna A. Patel MD, our University of Washington facial plastic surgery fellow for this year, just completed a mission trip to Balfate, Honduras on March 12-20, 2016 at the Hospital Loma de Luz in Balfate, Honduras. Here are some of her insights from that trip as well as some personal impressions about her mission. The model of combining education with surgery and commitment to follow-up is one we have embraced over the years.

Dr. Johnson grabbed my attention, “Hey, can you come see this patient with me? The other attending recommended a lip switch flap for reconstruction.” Imagining an elderly man with squamous cell carcinoma of the lip, my breath was taken away as there sat a petite, young blind girl whose face was consumed by a disease that I had only read about in textbooks, xeroderma pigmentosum.

The Honduran sun had transformed her beautiful face into one consumed by malignancy – a fate predestined despite all the medical and surgical care we could provide. “She wants to touch your hands,” said her caretaker. I slowly approached, as her hands reached out to my fingers, tears rolled down my face. During my ten years of medical training, I had never felt so moved by a patient. The intraoral bleeding from her dehisced excision site was treated with a simple bolster and figure of eight stitch, realizing that less is more for Deleny. Deleny’s story was echoed in every patient we saw, and it outlined the reality of healthcare in Honduras. The town of Balfate is served by missionary doctors and families providing for the local population. Together, they put this city on the map and made the Hospital Loma de Luz a tertiary care center for patients in the region. More impressive than the organization and high standards for patient care was the selfless dedication displayed by the physicians and surgeons on the front lines. For most Hondurans, aside from the hospital in the capital city of Tegucigalpa, no real options exist.

During our week-long mission trip, we performed a variety of cases from maxillomandibular fixation, gold weight placement for eyelid paralysis, scar revision from a machete wound, cleft palate repair, total parotidectomy, complex thyroidectomies, and even a rhinophyma excision. Each case we saw and the surgeries that we performed affirmed my confidence and knowledge in facial plastic and head and neck surgery. The challenges we faced humbled me each time; I had never done a parotidectomy without a facial nerve monitor. We may not have had the sharpest instruments or the best dissector, but each case was done without reservation to provide the best care possible. We planned accordingly and brought down our needed instruments, including arch bars, an eyelid gold weight, and a lacrimal set, providing sub-specialized care to a population that didn’t have access to it elsewhere. At the end of the week, we reviewed each patient’s case, and could rest assured knowing that our sister team from the Eastern Virginia Medical School would be able to provide follow-up in the fall, creating a continuity of care unlike most mission trips.

These missions, combining surgery with education and organized for excellent ongoing care, provide a good model for humanitarian assistance from the developed to less developed world. On our last day in Balfate, we visited the Children’s Center, which like many organizations in the community is run by a missionary family. As we walked through, there she was sitting on her chair, so innocent and welcoming. She touched my hands and hair, and tears filled my eyes yet again. Deleny had not had any further bleeding. She led us to her shoes and motioned for us to come outside with her. We sat in the shaded area on the porch, as she crawled in our arms wanting to listen to music; her sense of touch, smell, and hearing remained, while the rest were consumed by the disease. We may not have cured her cancer, but at age six, her smiling face as she listened to music reminded me that sometimes the smallest things have the greatest impact. While we are proud of what we accomplished, we also recognize that our team members benefited so much from the experience and will be bringing those new insights back to our home practices.

About Us

Over two decades, Larrabee Center has become an internationally recognized center for aesthetic surgery and complementary procedures. Our core strength is the quality of our staff, who all share a passion for excellence. We opened our Aesthetic Center in 2010 to provide the most advanced rejuvenation techniques and products for our patients.

The Surgeon’s Art

Artistry is central to the specialty of facial plastic surgery. The surgeon must first visualize the patient’s desired outcome and then create it. Most surgical training is directed towards the scientific craft of facial plastic surgery, but its art is equally important. We believe the study and practice of the arts train the mind to concentrate and really “see” more deeply. The selection of photography and poetry below demonstrate those connections to the arts through paths taken and new directions explored.

POEMS

Dr. Larrabee trained at Charity Hospital, New Orleans. A poem he wrote was published in The Journal of the American Medical Association (JAMA) after the hospital was closed because of Hurricane Katrina. Dr. Larrabee’s poem “Charity Hospital, New Orleans” describes the experience of training there.  A signed copy is presented at graduation to select surgical residents from Tulane Medical School. Click here to read the poem.

Two more poems published in the Lancet were written during Face to Face missions to aid victims of the war in former Yugoslavia. “Dubrovnik” was written by Dr. Larrabee and given to a friend after experiencing the peace and calm in that area. It has since been published in the Lancet. Click here to read the Poem.

The poem “American Voices” was written for some of the women Dr. Larrabee treated in the Face to Face Domestic Violence program. It was published in The Lancet.  Denise Levertov was Dr. Larrabee’s friend and mentor. Dr Larrabee’s son Gregory had reflux esophagitis, sometimes called colic, which he outgrew but not before inspiring this Lancet poem.

Dr Larrabee came of age in Nebraska, Wyoming, and Utah.  The Lancet poem “On the Road” remembers that mental geography.

Most of the poems in Dr. Larrabee’s Chapter book, Racing the Train, have been published in well known, and some not-so-well-known, literary journals.  The cover design is by his son Shane, who was then in high school.

Dr. Larrabee was inspired at Christmas in 2014 to write this poem. Click here to read the poem.

While at Camp Orkila in Eastsound, WA, Dr. Larrabee was inspired to write this poem. Click here to read his poem on Camp Orkila.

Dr. Larrabee wrote another Christmas poem in 2015. Click here to read the full poem.

In 2008, Dr. Larrabee donated a series of photographs to the Swedish Medical Center Foundation. Click here to read the SMCF’s letter of thanks to Dr. Larrabee.


PHOTOGRAPHS

Dr. Larrabee’s book Roslyn is both a history and a photographic celebration of a small town in Washington – best known as the site of the television show Northern Exposure.  Professional photographer, Robert Adams, called the book “just right.”

The Gobi Desert/China and Lanahou Hospital were cover photographs on the Archives of Otolaryngology – Head and Neck Surgery and the Archives of Pediatrics.  Both were taken on Smile China cleft lip palate missions.

This Chicago River photograph was taken on a break during a meeting of the American Board of Otolaryngology – Head and Neck Surgery.

This cover photograph from the Archives of Otolaryngology- Head and Neck Surgery is a sunset over the Adriatic Sea taken during a Face to Face mission to Croatia.

Many of Dr. Larrabee’s published photos are from his travels to Latin America as a public health physician.

For years, Dr. Larrabee traveled to Alaska to consult with patients and to experience this land.

 

Dr. Larrabee donated a series of photos to the Swedish Medical Center. One of the donated photos of scenic Kirkland, WA, shown below, was featured on the cover of a medical journal.

Mail0001 (1) Scan10001 Scan10006 Rome fountain Scan10008 Scan10002 Scan10007 kirkland photo by Dr. LarrabeePeru On the Road from  The Lancet Oban, Scotland MLK Spindrift London Station Lancet Poem Balkan Wars Lakeview Cemetary Spindrift Lake Union Lake Atitlan, Guatemala Lake Atitalan, GuatemalaIsle of Skye Spindrift Guatemala City Gregory Teanaway French church Face to Face British Museum Dubrovnic during Balkan Wars Lancet Poem Youth and Age New York Wayne F. Larrabee  Morning Flight Alaska in Spindrift The Troll, Fremont Neighbood, Seattle The Intereurban Spindrift Stonehedge Spindrift Photo Silence (France) Sascha Sascha Bristlecone San Juan Islands- Kai Reflux  Gregory Lancet Poem Racing the Train West Wind Review

 

 

 

 

 

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Click on the links below to read scholarly articles written by Dr. Larrabee.

The Art of the Smile

Humans have the most complex array of facial musculature in all the animal kingdom, and correspondingly the most elaborate and subtle mechanisms for controlling those muscles. Facial expression has evolved as one of our most important social skills, and our ability to both recognize and communicate our feelings through often tiny facial movements is unparalleled, and is of enormous, irreplaceable value in strengthening our social bonds. 


Click here to read more.


Osteotomy Techniques to Correct Posttraumatic Deviation of the Nasal Pyramid

The use of osteotomy techniques is an effective way to ensure a successful outcome when surgically correcting posttraumatic nasal deviations. The right technique will depend on your unique situation. In general, perforating osteotomies will preserve more soft tissue support than linear osteotomies. Sequential osteotomies, occasionally combined with intermediate osteotomies, are useful in straightening an extremely deviated nasal pyramid.


Click here to read more.


Clefts In China

A clinical study was conducted to evaluate the methodology, surgical reconstruction techniques and cost of cleft lip-palate deformity procedures in Western China. The study included 46 procedures performed on 42 patients in Lanzhou, China. Patients ranged in age from 6 months to 18 years.


Click here to read more.


Ptosis Repair and Cosmetic Blepharoplasty

Sagging of the upper eyelid is a common condition impacting elderly people. This condition is often accompanied by excess skin, which may mask its presence. This sagging can be repaired as part of a blepharoplasty procedure. This approach typically produces the best functional and cosmetic result.


Click here to read more.


The First Composite Face and Maxilla Transplant

This study evaluates the world’s first successful combined face and maxilla transplant, performed at the Cleveland Clinic in December 2008. Based on the results of this procedure, near-total face and maxilla allograft transplant presents a novel method for reconstructing massive facial injuries with significant involvement of the facial skeleton.


Click here to read more.


Computerized Three Dimensional Facial Analysis

Three-dimensional facial analysis has many possible applications for the facial plastic and reconstructive surgeon. The system can be used to evaluate the facial contour of any population of patients, and it may be used to compare pre- and postoperative results as well as other aesthetic variables associated with facial plastic surgery.


Click here to read more.


Facial Analysis for Rhinoplasty

Excellent rhinoplasty results require careful patient evaluation, an understanding of facial aesthetics and the ability to set appropriate surgical goals for the patient. This article discusses some basics of facial analysis, including methods that use photography, computers and cephalometrics to study patients pre- and postoperatively.


Click here to read more.


Otoplasty

Otoplasty is a challenging procedure. This article discusses the ways in which the surgical techniques used in otoplasty can be creatively combined to address the specific problems experienced by each individual patient. Combining these techniques based on the unique needs of the patient is the most effective way to achieve a natural and symmetrical appearance.


Click here to read more.


Preoperative Facial Analysis

Facial plastic surgery requires an intimate knowledge of normal facial structure as well as the ability to diagnose structural differences in patients desiring a change to their facial form. In order to adequately evaluate the face, there must be an agreed-upon concept of what is attractive in a particular society. This article discusses the ways in which an evaluation of anatomic deficiencies is crucial to preoperative planning before facial plastic surgery. Age, gender, race and culture are all crucial factors which must be addressed during this preoperative phase of the procedure.


Click here to read more.


Rhinoplasty in the Aging Patient

This article discusses the anatomy of an aging nose, the special psychological and medical needs of an aging rhinoplasty patient, and some of the surgical approaches to rhinoplasty that will achieve the best possible outcomes in older patients. In addition, the aesthetic goals for rhinoplasty in older patients are often subtly different from the goals for younger patients. These differences in aesthetic goals should be discussed during the preoperative planning phase in order to establish clear expectations for the outcome of the procedure.


Click here to read more.


Finite Element Analysis of Skin Deformation

This study reviews the theoretical and experimental mechanics of skin and soft tissues, and proposes a mathematical model of skin deformation based on the finite element method. This model can be used to simulate would closures and the deformation of a strip of skin.


Click here to read more.


Global Burden of Surgical Disease (Co-Authored by Dr. Larrabee)

This article describes the progress of global surgery initiatives, outlines research priorities, reviews metrics that asses the cost-effectiveness of surgical services, and discusses approaches to building surgical capacity to reduce the global surgical burden of disease.


Click here to read more.


Cleft Craft (Foreword by Dr. Larrabee)
Click here to read more.


Claus Walter- Regensburg Address

Read a transcript of renowned facial plastic surgeon Dr. Claus Walter’s address at the Regensburg Conference in Germany. It discusses the development of the European Academy in relation to his professional life.


Click here to read more.


Dr. Larrabee founded the International Federation of Facial Plastic Surgery Societies (Federation) when he was president of the AAFPRS. In this article, he describes the history of the Federation and how it has developed over the years to become a strong force in the international education of facial plastic surgeons.

Click here to read more.


Joseph Ka Hoi Wong was born in Guangzhou, China, to two loving parents, Hsi Huang and Ching Lam. He came to Canada at the age of 17. He completed his medical degree at the University of Toronto, his residency in otolaryngology at the University of West Ontario, and spent a year in Tokyo, Japan, on a fellowship with the renowned cleft lip and palate surgeon Takuya Onizuka, MD. Joe later established a busy and respected private practice in facial plastic surgery and continued throughout his career to be active in academic teaching.

Click here to read more.

Our Fellowship

Dr. Larrabee believes training the next generation is a core mission of our Center.  The obligation to teach those who will care for patients in the future has been recognized since Hippocrates.  Dr. Larrabee directs the University of Washington Fellowship in facial plastic surgery.  The fellows have already completed their residency training and work as junior faculty and teachers at Harborview Medical Center, Children’s Hospital, the UW Medical Center, the VA Hospital and the Larrabee Center.  We have one of the most competitive fellowships in the country and are proud of our graduates who have gone on to great careers in academia, the military, and private practice.

We are also proud to have educated many surgeons from around the globe who came to observe and learn our techniques.

We welcome the opportunity to follow their success both personally and professionally!

1987 – 1988 Fellow was Donna J. Millay, MD

1988 – 1989 Fellow was Robert F. Nemeroff, MD

1989 -1990 Fellow was Deam M. Toriumi, MD

1990 – 1991 Fellow was Douglas J. Kibblewhite, MD

1991 – 1992 Fellow was Brock D. Ridenour, MD

1992 – 1993 Fellow was Capt. Craig Cupp, MD

1993 – 1994 Fellow was David A Sherris, MD

1994 – 1995 Fellow was Gary Nishioka, MD, DMD

1995 – 1996 Fellow was Raffi Der Sarkissian, MD, FACS

1996 – 1997 Fellow was Maurice M. Khosh, MD

1997 – 1998 Fellow was Neal D. Goldman, MD

1998 – 1999 Fellow was Rudolph J. Triana, MD

1999 – 2000 Fellow was Henri P. Gaboriau, MD

2000 – 2001 Fellow was Jennifer Lee Henderson, MD

2001 – 2002 Fellow was Sam Peyvan Most, MD

2002 – 2003 Fellow was Stella Desyatnikova, MD

2003 – 2004 Fellow was Carlo P. Honrado, MD

2004 – 2005 Fellow was Dewayne T Bradley, MD

2005 – 2006 Fellow was Scott B. Roofe, MD

2005-2006 Fellow was Bryan Thomas Ambro, MD

2006 – 2007 Fellow was Holger G. Gassner, MD

2006-2007 Fellow was Amir A. Rafii, MD

2007 – 2008 Fellow was Toby Pincock, MD

2007 – 2008 Fellow was Joseph Shvidler, MD

2008 – 2009 Fellow was Amit Bhrany, MD

2008-2009 Fellow was Amar C Suryadevara, MD

2010-2011 Fellow was Richard Zoumalan, MD

2011- 2012 Fellow was Richard J. Wright, MD

2012 – 2013 Fellow was Cody A Koch, MD

2013 – 2014 Fellow was Farhad Ardeshirpour, MD

2014-2015 Fellow was Scott Bevans MAJ, US Army.  He is active duty, will follow our year with a year of head and neck reconstruction at the UW.  He will then return to the military to teach at one of their major hospitals and perform trauma and reconstructive surgery for our military members.

Visiting International Surgeons  – Observerships

Tuan Pham – Perth, Australia

Lucas Patrocinio – Uberlandia, Brazil

Sun Y – Hangxhou, China