Seattle Urologist
6005 244th St. SW, Ste. 111
Mountlake Terrace, Washington 98043 US
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MonaLisa Touch Laser Treatment
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3 years experience
59 expert answers
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"I found Dr. Jacoby extremely patient, sympathetic and helpful."

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Treatment results may vary

5 out of 5 stars Botox

45 Yo Forehead Botox - Mountlake Terrace, WA

Dr. Jacoby was the perfect doctor for me. She is incredibly knowledgeable and does not try to have you do anything you are not comfortable with. Her philosophy is all about enhancing your natural beauty and making you feel your most comfortable with the decisions you make. I have referred several friends already and they have all gone to see her as well and could not be happier with their results.

5 out of 5 stars MonaLisa Touch

Wonderful Urologist That I Highly Recommend - Seattle, WA

Dr. Jacoby is a skilled physician and a talented compassionate woman. She is caring and concerned and offers her patients solutions that make sense. She is also an advocate for maintaining your sexuality as a woman, and it's a comfort to know you can get help and support. It's not just the men that need help as they get older. I have been so impressed by her enthusiasm, and so impressed with the team at Urology Northwest! What a great team!

5 out of 5 stars Accent Laser

Grateful 40 Year Old, Life Long Dryness Issues. Mountlake Terrace, WA

I was referred to Dr. Jacoby for different issues but she was very thorough and helped me with health issues that I was not complaining about. Honestly, I thought that I had to live with the pain and my issues could not be fixed. Now that these issues are gone my life is so much better. She has truly made my life better.

5 out of 5 stars MonaLisa Touch

Disappointed - Mountlake Terrace, WA

I found Dr. Jacoby extremely patient, sympathetic and helpful.

Not Sure if Fillers Are Her Thing - Mountlake Terrace, WA

Karny is impressive, smart and charismatic. I am sure she is a fantastic urologist. However, I don't think fillers (lip and smile lines) should be her thing. My lips were filled but turned out very uneven. It felt like hard pebbles were on one side, and nothing on the other. It wasn't smooth and even. I paid $2000 for lip fillers (Restalyne) and smile line fillers (Juvaderm). When I called the...

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

By bringing science to beauty and health I am changing lives one patient at a time. I specialize in the new MonaLisa Touch vaginal laser to treat vaginal dryness and painful intercourse. It has proven to be effective and life changing with amazing results.

Board Certifications

Board-certified by the American Board of Urology

Hospital Privileges

Dr. Jacoby has hospital affiliations at Northwest Hospital, Swedish Edmonds.


  • Undergraduate & Medical School

    Undergraduate: BS in Cellular and Molecular Biology, University of Washington
    Medical: MD, University of Washington, School of Medicine
  • Post-Medical School Training

    Residency: Urology, University of Texas Health Science, San Antonio, 1992

Treatments offered at Integrity Medical Aesthetics

Blog Posts and Articles

70 Women Treated for Painful Intercourse and Vaginal Dryness with the MonaLisa Touch Vaginal Laser - Preliminary Results

70 Women Treated for Painful Intercourse and Vaginal Dryness with the MonaLisa Touch Vaginal Laser - Preliminary ResultsBy: Karny Jacoby, MD, FPMRS, CPIThe MonaLisa TouchTM vaginal laser is a newly FDA approved treatment for menopause symptoms, painful intercourse, vaginal dryness and urinary dysfunction. I began treating both menopausal patients and breast cancer survivors in early 2015. One of the questions I am frequently asked is “What is the success rate”? It is challenging to...

Why I Love the MonaLisa Touch - Patient Testimonial

The MonaLisa Touch, a new treatment for the symptoms of menopause, has been gaining much attention in the news and on-line. What patients are saying is “It’s life-changing”. One particular patient is so happy with the results she is willing to share her experience with you.How did you hear about the MonaLisa Touch?My Primary Care physician referred me to Dr. Karny Jacoby for another medical condition. I asked her about the symptoms I was having, painful intercourse, itching and...

Most popular answers from Karny Jacoby, MD

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Can a laser treatment like the Mona Lisa touch help me?

Women who are atrophic, or have loss of the estrogen effect in the vagina will experience some improvement in laxity after the MonaLisa Touch... READ MORE

Can the MonaLisa Touch fix my vaginal atrophy if I am not in "menopause"?

A decline in estrogen, which happens during menopause, can occur independently of menopause. Regardless, of the underlying cause of a decrease in... READ MORE

Mona Lisa Touch and urinary health. Any suggestions?

Urinary frequency can be a secondary symptom of the genital urinary symptoms of menopause, which is what the MonaLisa Touch laser is FDA approved for.... READ MORE

Can I do Monalisa Touch after Ovarian Cancer?

You are the perfect candidate for the MonaLisa Touch vaginal laser because it is a non-hormone based approach to repairing dry, thin vaginal tissue... READ MORE

Does the Mona Lisa procedure help relieve what I believe to be vaginismus?

The MonaLisa touch does not specifically treat vaginismus which is a vaginal muscle spasm. BUT, why are you experiencing the spasm? Sometimes, vaginal... READ MORE

is this procedure okay while taking Cymbalta for neurapathy or fibromyalga?

No problem taking cymbalta or most other medications. Even blood thinners are fine. As long as you refrain from any vaginal medications for 48 hours... READ MORE

Can I work out (exercise) after Monalisa treatment done for the external part of vagina?

I advise no intercourse for 48 hours following MonaLisa touch laser treatment. Depending on how bad the atrophy and irritation was and how much... READ MORE

Will "Monalisa touch" affect in the sensation down there?

Yes, especially if there is a lot of dryness and atrophy. To my knowledge, the laser treatment does not lighten skin tone or reduce pigment. Make sure... READ MORE

I got an annual follow up tx today and I'm bleeding as if I had a period (don't get them normally). Should I be concerned?

Not unusual to experience some bleeding, but call your gyn and let them know just to be on the safe side. READ MORE

Contraindications for MonaLisa Touch? Do some patients have results opposite to those intended?

Very unlikely that your symptoms are a direct effect of the laser. More likely is a bladder or vaginal infection. You need to be evaluated by your... READ MORE

Before and After Photos by Dr. Jacoby

Karny Jacoby, MD has shared 6 before and after pictures with 3 helpful votes from the RealSelf community.

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Videos by Karny Jacoby, MD

Karny Jacoby, MD has shared 1 video.

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Relieving the Symptoms of Menopause With MonaLisa Touch

Dr. Karny Jacoby explains the benefits of the MonaLisa Touch laser for vaginal rejuvenation and treating menopause symptoms, including vaginal dryness and painful intercourse. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.