TLJ Aesthetics MD of Issaquah

TLJ Aesthetics MD of Issaquah We specialize in aesthetic medicine, menopause, & concierge primary care. One convenient beautiful Issaquah location for over 25 years.

Text to make an appointment or for more info: 425-651-6799 For additional links : https://lnk.bio/M3oQ
We are a medical office dedicated to improving the signs of aging, sun damage and acne. Dr. Terry Jacobson provides injectable treatments including: Botox, Juvederm, Voluma, Radiesse, Restylane, Dysport, Belotero. Lasers, intense pulsed light, radio frequency, spider vein treatments. We offer select clinically effective home products and tools as well. Complimentary skin consultations available to customize your care to get the fresh and natural appearance you desire.

11/27/2025

Happy Thanksgiving! So thankful for all our beautiful people!

We’ll be back in the office Monday, December 1st! 🍁
Text for an appointment:
📱 425.651.6799




11/25/2025

Topical estrogen for cosmetic use?  NOT SO FAST....
It’s all over social media but... this is not a new topic of conversation.  It’s old... over 40 years old.

Here’s the skinny:
In October 2025, the Journal of the American Academy of Dermatology published a review concluding:
•    “Given the heterogeneity across studies, confident conclusions about efficacy cannot yet be drawn.”
•    “Larger, long-term trials are needed to assess safety — particularly endometrial risks in women with an intact uterus.”

In short:
Evidence for cosmetic benefit is weak and inconsistent.

There are known risks, including:
o    Worsening melasma
o    Risk of blood clots
o    Endometrial proliferation and uterine cancer
And note: combining topical estrogen + progesterone (a practice we sometimes see) does not protect the uterine lining — increasing cancer risk.

TLJ Takeaway:
Topical estrogen isn’t a proven or safe shortcut. The gold standards — vitamin C, retinol, and tretinoin — deliver consistent results for collagen and rejuvenation. From there, we often incorporate TriHex Technology and other advanced treatments for even better skin health.

Stay smart, stay informed — and don’t let the hype guide your skincare decisions.

Text our office and learn about TLJ Menopause & Weight Loss Management. Always evidenced based. Always patient centric.
📱 425.651.6799

Caring for you, inside and out ❤️



11/17/2025

Menopause Monday True or False!
Click on video for content.
Don’t be misled, misguided, or misinformed. And never be dismissed.

Feel Great. Look Radiant. Be Healthy.

Text our office and learn about TLJ Menopause & Weight Loss Management. Always evidenced based. Always patient centric.
📱 425.651.6799

Caring for you, inside and out ❤️



11/14/2025

Holiday Gift Cards are back!
Here’s the deal!

🎁 For every $100 gift card, receive a $20 bonus card — to give or keep!
🎁 VIP Members receive even more cheer: for every $100 gift card, get a $25 bonus card!

VIPs include:
Beauty Secrets
Hydrafacial Program
Radiance Program – NEW!
Concierge Medicine Program
Menopause & Weight Management Program - NEW!

Gift cards can be redeemed any time after Christmas!
HO HO HO!

Not a VIP yet? Join the program that fits your needs and enjoy even more perks this season!

Text our office to reserve yours! Don’t forget to put YOU on the gift list!
📱 425.651.6799




11/13/2025

You may have heard the FDA issued warning about RF Microneedling.  ALERT! This is not the TRADITIONAL microneedling we do at TLJ. So don’t get confused. 🤓

We are LOVING the combination of SkinPen (the most advanced technology) Microneedling and Rejuran Healing Essence & skin boosters!

But back to RF Microneedling...  Why have we never adopted this procedure at TLJ?  A few reasons:

1) The risk outweighs the reward.
We get the same tissue firming and tightening with less invasive methods in our practice.
2) Very little safety data /experience.
For us, there was not enough proof of safety.
3) We don’t follow fads.
4) Patients first.... always.

Text our office to reserve your next SkinPen Microneedling treatment with complete peace of mind ❤️:
📱 425.651.6799






11/12/2025

The FDA has been busy in the last month, just this week doing something long overdue: removing the black box warning on HRT (now known as MHT).

What does it really mean?

⁉️ HRT is perfectly save ⁉️
No... there are pros and cons to all prescription                      medication including HRT
⁉️ Women should feel comfortable with DIY HRT virtually ⁉️
No... that’s not medical care

What’s a black box warning anyway?

⁉️ It is the most serious warning from the FDA, indicating risk of serious, life-threatening or fatal effects
⁉️ Purpose is to draw attention to a drug’s risks that should carefully be weighed by healthcare providers and patients.
⁉️ It never had a true place with HRT

Does this change anything that we have done for over 25 years at TLJ? Managing menopause?

⁉️ No.  Dr J was trained in menopause management and HRT before the dreaded Women’s Health Initiative, where data was initially inaccurately interpreted, putting women in the back seat for some 20 years. In spite of further data analysis and updates, many providers remained afraid and untrained in menopause management

❣️We are passionate about menopause and HRT at TLJ
No fear. No hype. Just science and medicine.

❣️ Thankfully more providers are starting to get more training on menopause and women are able to talk about the best treatment options, weighing all benefits and risks.

❣️ Misinformation and hype will hopefully be less prevalent.

❣️ Women will get better educated on the true place for compounded options (including pellets) and understand they are in NO WAY safer than pharmaceutical grade treatments, and  can be more harmful, less beneficial.

LInk in comments is the perspective published in the Journal of the American Medical Association

Text our office to have the conversation your primary care may not have time for.
📱 425.651.6799


11/05/2025

Happy National Donut Day from your friends at TLJ!

Call to schedule your next visit with us and tell us your favorite donut flavor!!
📱 425.651.6799


11/04/2025

2 spots available for cheeks filler models!  20+ years of expertise in filler techniques.  Never overfilled.  Never puffy. Always natural.

Text to inquire about being Michelle’s next filler cheeks model!
📱 425.651.6799




10/31/2025

Happy Halloween from your friends at TLJ!
Call today to reserve your next laser hair removal session at 20% off.... simply mention this post! 🦇🎃👻

Text number:
📱 425.651.6799
Phone number:
📞 425.837.8842



10/29/2025

Whether you are new to TLJ or simply need a refresher course on all we offer our patients & friends, contact the office to schedule a comprehensive (for newbies) or a focused (for existing) aesthetic evaluation.

Also learn about our Menopause and Weight Management, & Concierge Medical programs.

Text:📱 425.651.6799
Phone: 📞 425.837.8842

..








10/21/2025

2 spots available for cheeks filler models!  20+ years of expertise in filler techniques.  Never overfilled.  Never puffy. Always natural. And... how about a little lifting action?
Yes please!

Text to inquire about being our next filler cheeks model!
📱 425.651.6799




10/18/2025

It’s World Menopause Day ❤️.... perfect time to reveal something brand new at TLJ! And it’s been a long time coming! TLJ Menopause Management!

Dr J has been helping women going through the full spectrum of menopause issues for over 25 years. Only using evidence based, safe, and effective methods to help her patients feel their best.

Now, we are making this service available to YOU!

Text to inquire:
📱 425.651.6799






Address

1740 NW Maple Street #206
Issaquah, WA
98027

Opening Hours

Monday 12pm - 5pm
Tuesday 9am - 6pm
Wednesday 9am - 6pm
Thursday 9am - 6pm
Friday 9am - 5pm

Telephone

+14258378842

Website

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Our Story

Caring for you, inside and out! At TLJ Aesthetics (“TLJ”), Terry L Jacobson, MD (“Dr J”), herself, performs all evaluations, injectable and laser treatments to ensure you receive the highest level of meticulous expertise possible to arrive at a result that is natural, beautiful and fresh. The goal? To achieve the best version of you, just as if you just took the best vacation of your life or maybe who’s hobby is the most effective power naps or meditation ever imaginable! In office treatments include but are not limited to: Botox, Xeomin, Dysport Juvederm, Voluma, Volbella, Radiesse, Restylane, Belotero ThermiSmooth, Fotofacial, Refirme, Intense Pulsed light, Radio Frequency, Laser Hair Removal ThermiVa, Feminine Rejuvenation, Bladder Leakage Treatment Asclera, Spider Vein Treatments Collagen Induction Therapy, Microneedling, Plasma Rich Protein (PRP) During your initial and subsequent evaluations with TLJ, advice for how to maintain your fresh look with skin care at home is also provided as a complimentary service.

TLJ Aesthetics is medical practice established in 1998 by Dr Terry Jacobson. You can find this private, beautiful, un-rushed practice at the HighMark Medical Center in Issaquah, WA. Please Note: If you are opposed to a practice where laughter is background noise nearly all of the time, TLJ may not be the right fit for you :-)