Meet our Aestheticians

Advanced Dermatology considers it an art to care for your skin. Our licensed medical aestheticians receive the highest level of training and utilize progressive technology to meet your skin care needs. Our approach is to utilize an array of preventative and restorative services designed for your personalized treatment.

Mikaela, Keitha & Jackie welcome the opportunity to meet you and provide a complimentary cosmetic evaluation to assess your skin care needs within a comfortable, private setting.

Schedule your FREE aesthetics consultation today!

Aesthetic services include:

  • Facials
  • Hydrafacial
  • Chemical Peels
  • IPL (intense Pulse Light)
  • Cutera Laser
  • Laser Hair Removal
  • Laser Resurfacing
  • Ultherapy
  • Facial Waxing
  • Brow and Lash Tinting

Gift Certificates Available!

         Mikaela MacLean

Master Medical Aesthetician & Certified Medical Assistant

  1. A Passion for Beauty and Medicine...

Growing up in Spokane, Mikaela MacLean dreamt of becoming a doctor in order to help people. Later, after being accepted into New York City Ballet’s School of American Ballet, her career goals changed with hopes of becoming a professional ballerina. Mikaela’s dreams were cut short, though, when she ruptured her Achilles tendon. No longer being able to dance, she went back to her earlier dream; medicine. Dermatology became her area of interest because of the combination of both beauty and medicine.

Mikaela enjoys watching the transformation of her patients and seeing visible changes in their skin. She is a problem solver who enjoys finding solutions, which she is constantly able to do while working under Advanced Dermatology’s team of providers, assisting them in treating skin conditions for patients. She values the long-term relationship she is able to develop with her patients while helping them through their skin care issues.

Mikaela enjoys coming to work.  Cosmetic dermatology is her personal passion. In fact, she owns over 75 cosmetic dermatology books, which she reads in her spare time to keep educated in the field.

Mikaela married her husband, a Scotsman, in a castle in Scotland. She enjoys spending time with him, their new daughter, and rescue dog. In her spare time Mikaela and her family volunteer at Spokanimal. She also enjoys staying fit by swimming, taking yoga and barre classes.


  • Horizon Medical Institute
    Licensed Medical Assistant
  • Glen Dow Academy, Spokane, WA
    Licensed Aesthetician
  • Certified Master Aesthetician

         Keitha Lawrence

Master Medical Aesthetician

A Passion for Healthy Skin...

What captivated Keitha about dermatology and aesthetics is the evolution and treatment of skin through all ages.  She is especially passionate about working with teens and adults struggling with complexion issues, such as acne.  Helping her clients achieve a healthy, beautiful complexion is affirmation of her choice to pursue a career in aesthetics.

Keitha is native to the Inland Northwest.  She played competitive volleyball for two years while earning her Associates degree at Walla Walla Community College.  She then focused her education toward aesthetics and graduated from the Glen Dow Academy, where she obtained her Aesthetics license.  Keitha loves learning and continues her education by reading all she can about the ongoing advancements in skin care.  In 2008 she began applying her skills and knowledge to the medical aesthetics field of dermatology.  She is thrilled to be a part of the Advanced Dermatology team and the diversity of care this practice has to offer.

Keitha loves spending time with her husband and three year old daughter.  They enjoy spending time outdoors camping and boating with plenty of sunscreen on hand!


  • Walla Walla Community College Associates Degree
  • Glen Dow Academy, Spokane, WA
    Licensed Aesthetician
  • Certified Master Aesthetician

           Jackie Tschirgi

A Passion for Achieving Results...

Jackie was always fascinated with the art of dermatology.  The diverse canvas of this specialty creates unique challenges and goals. This fueled her desire to pursue a career in medical aesthetics.  Jackie uses her skills to provide her patients the utmost quality of care.  What drives her, is helping her clients feel comfortable, confident, and beautiful in their skin.

Jackie obtained her aesthetics license from the state of Washington in 2008.  In 2009 she went on to complete her laser certification from the National Laser Institute in Scottsdale, AZ.  Jackie immediately began applying her skills in a medical setting.  She joins Advanced Dermatology with 6 years of experience and is excited to practice alongside this group of caring, and compassionate professionals.

Jackie loves living in the Northwest.  She is an outdoor adventurer, enjoying the many hikes this region has to offer.  Her perfect weekend consists of a fun hike followed with a gourmet meal in the company of good friends.


  • Washington State and Idaho State
    Licensed Aesthetician
  • National Laser Institute, Scottsdale, AZ
  • Certified Master Aesthetician