Primary Care

Happy patient on a conversation
Dr. inspecting the patient
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A Trusting Relationship

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

Typical medical issues managed in our practice include, but are not limited to:

Heart Disease
Women’s Health
Depression/ Anxiety
Prevention/ Annual Physical
Urgent Care

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 in 2007.

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.

More recently, a second concierge program was developed in our practice,  Women’s Health and Wellness at TLJ.  This program was specifically designed for women over 40 and focuses on issues around the menopausal transition which starts, for many women, around 40. Dr Jacobson saw the need to educate women about hormones and critical health care decisions to be made during this delicate period of a woman’s life.  Evidence based medicine and education are desperately needed for women. Choices made about hormone therapy or lack thereof, can impact women now and later in life and we are happy to be part of that learning curve.

In this program TLJ can serve as primary care or a supplement to your primary care.  But, always, it is concierge style!  

Consider Women’s Health and Wellness at TLJ similar to CloseCare… but just for women.

At TLJ Aesthetics MD, we are caring for you, inside and out.

One of the treatment area
Two people walking

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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CloseCare and Women’s Health & Wellness at TLJ

Internal Medicine- Primary Care – Women’s Health at TLJ Aesthetics MD


Dr. shaking hands with the patient

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.”



Team at TLJ Aesthetics MD

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.


A woman getting kybella

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 about 300. 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 Dr. Terry Jacobson


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.

Dr. 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.

Feel Good


Women's health
Women’s Health

Women’s Health

Dermatological Care
Dermatological Care

Dermatological Care

Hormone Replacement
Hormone Replacement

Hormone Replacement