Aesthetic Center in Issaquah

Aesthetic Center in Issaquah

Bringing Two Paths Together

TLJ History

Since 1998

TLJ Aesthetics MD is a convenient combination of Aesthetic Medicine, non-surgical and minimally invasive cosmetic treatments and Internal Medicine.

Dr. Terry Jacobson founded TLJ Aesthetics MD in 1998. Here, patients choose from a spectrum of services depending upon their needs and desires.

Aesthetic Medicine includes non-invasive and minimally invasive, non-surgical cosmetic treatments. Early on, Dr. Jacobson saw the connection between looking good and feeling good—between outer beauty and the desire to be your healthiest self. Internal Medicine is an option for patients at TLJ through a membership concierge model of service.

Aesthetics & Internal Medicine

Green Leaves

Aesthetic Medicine

Dermatologic care and Aesthetic Medicine have been a very prominent part of TLJ Aesthetics MD. Dr. J and her team observed that when her patients were making efforts in improving their skin and aesthetic beauty, in turn, healthy lifestyle choices seemed to follow.

Over the years, Dr. Jacobson has had the privilege of training personally under the very cosmetic physicians and surgeons that develop aesthetic devices and treatments and who write the protocols that are now standard medical excellence at TLJ. Patients trust that their safety and comfort are our top priority.

Your treatments are provided directly by a medical provider (one that diagnosis, treats, and prescribes for medical and cosmetic concerns), an extra measure taken to ensure you are in the most qualified hands.

Green Leaves

Internal Medicine

Communication and time spent understanding the needs and concerns of her patients have always been an essential part of her practice. Early on, Dr. J came to realize just how difficult it was to have a good relationship with her patients under the constraints of what might be called a traditional practice.

Out of a mutual desire for a personal and accessible internal medicine practice, CloseCare (membership concierge-style of practice) was developed and continues to be an important part of TLJ Aesthetics MD for her patients that choose to also get their primary care at TLJ.  Her medical patients also have the added comfort of knowing that her training and background as a Registered Pharmacist gives her added insight into pharmacology and medication mechanisms, interactions, risks, and benefits.

While Dr. J is affiliated with local area hospitals, referrals to specialists are made to those that are best suited to your needs, rather than their organization or hospital affiliations. This ensures you get the best specialty care if ever needed. To Dr. J, that is one of the most important reasons for being in an independent private practice.

At TLJ Aesthetics MD, Dr. Jacobson and her team are truly – Caring For You, Inside and Out.

Where along the spectrum of services do you prefer to receive your care? The choice is always yours.

Concierge Medicine

Establishing a trusting relationship with your primary care doctor is paramount to maintaining excellent health. Traditional primary care practices can sometimes feel like an assembly line of patients with time to spend only on the top one or two items of concern—not the approach TLJ Aesthetics MD ever envisioned when taking care of patients. That’s why CloseCare, a membership-concierge model of practice, was developed.


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What are my options for types of services provided at TLJ Aesthetics MD? 

Our patients choose among the spectrum of services we provide along a spectrum of Aesthetic Medicine, Internal Medicine - Primary Care, or a combination of the two. Many of our patients have a primary care physician outside of our practice and choose only Aesthetic Medical services.

Is membership mandatory if I wish to receive Aesthetic services at TLJ?

No. Membership is not necessary to receive cosmetic services.

Aesthetic treatment must be expensive, yes?

TLJ Aesthetics MD has an optional Beauty Secrets Rewards Program that provides perks and savings on treatments.

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Is membership mandatory if I wish to receive Internal Medicine - Primary Care at TLJ? 

TLJ Aesthetics MD has, as one component of the practice, a membership concierge model we call CloseCare. While all of our internal medicine - primary care patients are all CloseCare members, our aesthetic medical patients are not required to be a member of that service.

If I opt to become a CloseCare patient to receive the concierge internal medicine benefits, do I also receive any aesthetic benefits as part of that program?

Yes. As a CloseCare patient, you receive savings on Clinical Skincare products and virtually all aesthetic treatments we provide our patients at TLJ Aesthetics MD.

What is Internal Medicine - Primary Care?

Internal Medicine is medical and preventative care for adults. At TLJ, our patients are typically 16 years of age and older. Some exceptions apply when an entire family is part of CloseCare. Internal Medicine is considered one of the practice specialties known as Primary Care.

What are typical things that an Internal Medicine doctor treats?

Practices vary in areas of interest and expertise in internal medicine.  At TLJ Aesthetics MD, here are some examples:

Preventative Care
Women's Health (annual exams, pap smear, hormone replacement therapy, contraception, urinary incontinence, vaginal dryness)
Skin cancer screening, detection, biopsy
Skin concerns including but not limited to rosacea and acne
Anxiety, depression
Heart Disease
Thyroid Disorders

If I am interested in addressing Women's Health issues at TLJ, is that considered Internal Medicine or Aesthetic Medicine? 

Women's Health concerns fall under the category of internal medicine at TLJ. However, feminine rejuvenation (a treatment that addresses urinary incontinence, vaginal dryness and/or laxity, laxity of labia and orgasmic function) is a common service we provide for both Internal Medicine and Aesthetic Medicine patients. At TLJ, you simply get the added benefit of many years of medical experience treating these issues when you elect to receive feminine rejuvenation treatments with us.

Can I get my annual physical, pap at TLJ? 

Yes; our CloseCare patients are provided a one-hour complete physical annually (including pap when appropriate).

How is the concierge service, CloseCare, billed? 

CloseCare benefits are those outside the scope of insurance plans and agreements. As such, our patients are responsible for insurance coverage, copays, & coinsurance costs at TLJ. In addition, there is an annual fee for membership. (with annual, semi-annual, and monthly payment plans available per patient preferences).

If Internal Medicine, concierge style, is not for me, can I still get my aesthetic treatments at TLJ?

Of course! You choose along the spectrum of services we provide. We are here to guide you so you make the right decision for you.

Is there a waiting list for CloseCare membership?

Typically, there is a short waiting list for participation in CloseCare. Connect with us to determine our current status.

Are Aesthetic Medical services typically covered by insurance or out of pocket expenses? 

TLJ Aesthetics MD provides many general dermatology services as well as aesthetic/cosmetic treatments. Depending upon your insurance coverage or terms of Health Savings Accounts, some of your skincare treatments may be eligible for payment through these benefits. Most treatments considered cosmetic are not typically a covered benefit and payment is the responsibility at or ahead of the time of service at TLJ.

Green Leaves

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Beauty Secrets

Learn about ways you can save on your aesthetic treatments at TLJ.

Beauty Secrets Membership