Primary care doctor in Issaquah

A new model of care

Concierge Internal Medicine

A Trusting Relationship

Establishing a trusting relationship with your primary care doctor is paramount to maintaining excellent health.

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

When it comes to your primary healthcare, communication with your provider and time spent understanding your needs and concerns is essential. Early on, Dr. J came to realize just how difficult it was to have that kind of relationship with her patients under the constraints of what today might be called a traditional practice. Out of a mutual desire for a personal and accessible internal medicine – primary care practice in Issaquah, CloseCare (membership concierge model of practice) was developed.

CloseCare is an important asset for patients that also choose to get their primary care at TLJ Aesthetics MD. Medical patients have the added comfort of knowing that Dr. Jacobson’s training and background as a Registered Pharmacist gives her added insight into pharmacology and medication mechanisms, interactions, risks, and benefits, helping to ensure that when medications are needed you have the benefit of additional expertise on your healthcare team.

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Caring for You, Inside and Out

Early on in medical practice, Dr. Jacobson saw the connection between looking good and feeling good—and the connection between outer beauty and inner health. It’s not uncommon at TLJ to hear a patient utter “I know it seems vain, but…” However, after exploring solutions to cosmetic concerns, they discover an improved vibrancy and desire to be their best and healthiest self.

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

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Internal Medicine-Primary Care at TLJ Aesthetics

The Concierge Model

The concept of the “concierge” way of managing patients was born in the mid-’90s in Seattle Washington. Despite being a much more available option for patients, it is still largely unheard of and even commonly misunderstood.

The goal of concierge medicine was to create a model where patients and their doctors were able to develop a trusting relationship, where access is easy, appointments are un-rushed, and “everybody knows your name.”

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Best Eastside medical practice in Issaquah

Referrals to Specialists

We may occasionally refer a patient to a specialist when necessary. Although Dr. J is affiliated with local hospitals, referrals to specialists are only made to best suit your needs—not simply to promote an organization or hospital affiliation. This ensures you get the best specialty care when you need it. To Dr. J, this independence is one of the most important reasons for being an independent private practice.

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Aesthetic vs. Internal Medicine

At TLJ Aesthetics MD, we are truly caring for our patients inside and out by providing a unique range of services designed to meet the needs of each individual. You decide where along that spectrum of services we can best serve you. Some of our patients prefer to see us strictly for aesthetic care, others only internal medicine, while many prefer to take advantage of the full practice. Our internal medical program differs from more traditional clinics, where a patient panel size is on the order of 3,000 to 4,000 patients. In our concierge practice, known as CloseCare, the capacity of patients is only 200. This ensures we are able to keep the promises we make to you and ensure the care we provide is close, convenient, and intimate. We manage CloseCare through a membership structure, and not uncommonly there is a small waitlist to join. Aesthetic patients not participating in CloseCare simply see us for aesthetic concerns and feminine rejuvenation rather than full primary medical care; no membership of any kind is required.

Meet Terry Jacobson

Terry L Jacobson, MD, RPH, FACP

Dr. Terry Jacobson is a board-certified medical doctor specializing in internal medicine and aesthetic medicine. She is the founder of TLJ Aesthetics MD and has practiced internal medicine and primary care in Issaquah Washington since 1998.

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Dr. Terry Jacobson

Terry Jacobson


Start your journey to better healthcare.

Learn how comprehensive medical care can affect positive change in your life. See if CloseCare, our concierge internal medicine – primary care membership is a good fit for your ongoing health needs.

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Patient Testimonials

If you have had babies, you know that sometimes a good giggle or cough you might dribble a little. Menopause makes it even worse! My kids would bet to see if I had to run to the bathroom when I laughed, coughed, sneezed or make a fast move like on the tennis court PLUS not to mention being as dry as the Sahara Desert. If I had a cold, I would need to wear a pad. Well Dr. J and Kathy told me about the treatment. I had it done, happy to tell you, my Vijay jay is like I am 30 again!!!!! I play tennis, had colds and yes the Sahara desert isn¹t a problem any longer!!!!!

— Annie

Oh, how I love Dr. J and her team! I feel so lucky to have met Dr. J over 8 years ago through a client. Since day one she has made me feel like family and more than comfortable with needles. Haha 

— Ashley

There was a time when I thought getting anti-aging skin care treatments was self-indulgent and vain.  Well, then something happened- I got older and wasn’t happy with what I saw. What’s wrong with a little refresher I asked myself??  So, I started on this journey and I’m happy to report, it was a good decision.

— Bonnie

When it comes to my favorite team or subjects, you might say I get a little animated! Over time animation results in expression lines, making skin less smooth and a face more angry or tired looking.  The “#1” frown line between my brows really started to appear in my 40s.  I have to admit that when my wife suggested I try some “Bro-Tox” that is, Botox for men, I laughed, but thought, why not!  She gets it, right?!  So I went for it and found that my face looks fresher and smoother.  My suggestion?  Say YES to Bro-Tox!  Full disclosure, my wife, Dr. Jacobson, might agree with my suggestion!

— Jamie

I have had many compliments on how young I look and continue to have compliments from customers, clients and friends. I truly love my time with Dr. J, as we chat about business and all of her new machines and what the new technology on the Forefront of the Aesthetics field. Not to mention she’s an AWESOME Dr.!!!!!

— Jon

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