Physician-Led Med Spa · Puyallup, WA

Restoring Natural Beauty. Inspiring Confidence Where Medicine Meets Artistry

Welcome to Concordia Star Medical & Aesthetics, where beauty is individual and care is personal. Guided by science, safety, artistry, and integrity, we create natural, refined results that help you feel confident, empowered, and beautifully yourself.

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Overview

A Medical Foundation, an Artist’s Eye

Founded by Dr. Ladie C. Arana-Domondon, M.D., FACP, the practice grew out of her decades-long career in Internal Medicine. What began as a handful of aesthetic treatments for her existing patients grew, through word of mouth, into a dedicated aesthetic practice, and she eventually moved into her own building to make it a full-time focus. That medical foundation still shapes her work today, informing how she assesses patients, evaluates safety, and makes clinical decisions.

Concordia Star has been recognized among the Best of the South Sound for more than a decade running, and Dr. Arana-Domondon has been named Best Cosmetic Doctor of the South Sound by South Sound Magazine multiple years, including 2024, 2023, 2022, and 2021. She has also been named among the Top 100 Best Aesthetic Injectors in America and was recognized by RealSelf as a Top 5% Most Loved Injector.

Best Cosmetic DoctorSouth Sound Magazine — 2024, 2023, 2022 & 2021
10+ YearsBest of the South Sound
Top 100Best Aesthetic Injectors in America
Top 5%RealSelf Most Loved Injector
The Concordia Way

A Philosophy Before a Syringe

Every treatment at the practice follows a philosophy the team calls The Concordia Way: understanding the whole face, its anatomy, proportion, movement, and balance, before ever picking up a syringe. The goal is never to look “done.” It’s to look refreshed, balanced, and like a better version of yourself.

Preserve what makes you uniquely you.
Restore what time has changed.
Refine only what needs refinement.

Preserve

What makes you uniquely you.

Restore

What time has changed.

Refine

Only what needs refinement.

Every injector trained by Dr. Arana-Domondon works from this same standard, so patients get consistent, natural results no matter who they see.

Key Services

Comprehensive, Physician-Guided Care

Injectables & Facial Rejuvenation

  • BOTOX®, Dysport®, and DAXXIFY® wrinkle relaxers
  • Dermal fillers including JUVÉDERM®, Restylane®, and the RHA® Collection
  • Lip enhancement
  • Facial balancing and full-face rejuvenation
  • Sculptra® and Radiesse® biostimulation
  • PRP, PRF, PRFM, and PRGF regenerative injections
  • PDGF/Ariessence and PDRN/Rejuran treatments
  • PRF under-eye rejuvenation

Laser & Energy-Based Treatments

  • BBL®/IPL photofacial
  • BBL Forever Clear® for acne
  • MOXI® and HALO® laser resurfacing
  • Laser hair removal
  • RF resurfacing
  • Ultherapy® ultrasound skin lifting and tightening

Skin & Aesthetician Services

  • Signature facials and HydraFacial®
  • Microneedling, with optional PRP, PRF, PDRN, or skin boosters
  • Chemical peels
  • Dermaplaning
  • Acne treatments and customized skincare protocols

Regenerative Aesthetics & Hair Restoration

  • Platelet-based regenerative treatments (PRF/PRP)
  • PDGF and PDRN skin rejuvenation protocols
  • Hair-growth treatments, including GHK-Cu

Sexual Wellness

  • O-Shot® regenerative treatment for women
  • P-Shot® regenerative treatment for men

Health & Wellness

  • IV nutrient infusions, including customized protocols such as vitamin C, glutathione, and alpha-lipoic acid
  • Vitamin B12 support and other wellness therapies

Medical Weight Management

  • Physician-supervised weight-loss programs, including GLP-1/GIP-based treatment when clinically appropriate

Professional Aesthetic Training

  • Advanced injectable education and hands-on training for qualified medical professionals

Individual results are not guaranteed and may vary from person to person.

Provider Information

Meet the Team

Dr. Ladie C. Arana-Domondon
Dr. Ladie C. Arana-Domondon, M.D., FACP Founder & Lead Injector

Dr. Arana-Domondon has practiced medicine in the Puyallup area since 1997 and was one of the original internists at Good Samaritan Hospital (now MultiCare). She built Concordia Star Medical & Aesthetics on the belief that the best aesthetic outcomes come from combining true medical training with an artist’s sense of proportion and restraint.

Beyond the clinic, she participates annually in an international medical mission, providing care to communities with limited access to healthcare. She personally trains and mentors every injector at the practice, ensuring each one works from the same standards of assessment and technique.

Jessa Buenavista, DNP, ARNP
Jessa Buenavista, DNP, ARNP Advanced Registered Nurse Practitioner

Jessa Buenavista, DNP, ARNP, brings a strong foundation of clinical training to her aesthetic practice, having earned her Doctorate in Nursing Practice from the University of Washington and holding an active license as an Advanced Registered Nurse Practitioner in Washington State. She approaches every treatment plan with the belief that the best results come from pairing sound medical judgment with an artist’s eye for balance and proportion.

Jessa specializes in full-face rejuvenation and advanced aesthetic treatments, tailoring each plan to enhance a patient’s natural features rather than alter them. She is committed to safe, individualized care that leaves patients feeling confident, refreshed, and unmistakably themselves.

Kathy Johnson
Kathy Johnson Lead Aesthetician

Kathy brings more than 15 years of experience in laser and aesthetic practice to Concordia Star. Patients consistently highlight her facials and her attentive, personalized approach to skin care.

Patient Testimonials

What Patients Are Saying

“

“Dr. D is the BEST in the business. She did my lips, before I got married. They looked incredibly natural, symmetrical and more healthy than before. I highly recommend her and her team for your pre-wedding needs. If you are thinking about it.. DO IT!!!!”

Noelle L.

“I am always very happy with Dr. Domondon’s treatments. She is very careful and gentle, and the results always look natural and youthful! My spoken English is not very good, but she always listens to me kindly and understands what I want. I also like that I almost never have any swelling, even right after the treatment. The clinic staff are all very kind and helpful too. Dr. Domondon is an amazing doctor with great skill and a warm heart. I feel very lucky to have found this clinic.”

Kuru K.

“Dr. Domondon goes above and beyond to make sure your patient experience and result are perfect! She is a true artist and meticulous in her craft. Her staff is kind and attentive; I look forward to each visit. Highly recommend.”

Jean K.

“My lips have thinned over the years so I decided to research lip injections. My research brought me about Dr. Domondon. Her reviews were very positive and the pictures were very nice to see as a reference. I took the chance, she knew exactly what I needed. WOW couldn’t be any happier with the results. They look natural and they are soft. I love wearing lipstick again. Dr. Domondon was friendly and caring...if your thinking about lip enhancement, or anything else to make you feel pretty again I highly recommend her.”

Kim M.

“I had never had this type of procedures done before. First impressions are very important and my first experience with Dr. Domondon made it a pleasant one as she provided me with excellent care. Both the doctor and her team are very professional, attentive and friendly. As soon as I arrived I was promptly greeted. To make my experience even more pleasant, her office is conveniently located in the city of Puyallup, it is accessible and has ample parking. I was extremely satisfied and happy with my results. You can’t trust your face to just anyone, if you want cosmetic facial procedures done well, with natural looking results please visit Dr. Domondon and her team at Concordia Star Medical Aesthetics you won’t regret it.”

Cynthia D.
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Before & After

Real Results, Real Patients

Midface Volume Restoration

Midface Volume Restoration — beforeBefore
Midface Volume Restoration — afterAfter

This beautiful 48-year-old patient presented with concerns about facial sagging and loss of midface support. Using a customized combination of dermal fillers, we restored volume to the cheeks and midface, softening nasolabial folds and re-establishing youthful facial contours. The result is a natural, refreshed appearance that maintains her unique features. Individual results may vary.

Filler Contour Lift

Filler Contour Lift — beforeBefore
Filler Contour Lift — afterAfter

A female patient underwent a successful cosmetic procedure in January 2026, receiving JUVÉDERM®, Restylane®, Undereye Rejuvenation, and RHA® dermal fillers by Dr. Ladie Araña-Domondon in Puyallup, WA. The patient reported a positive experience post-procedure, noting significant improvements in facial volume and contour. Dr. Araña-Domondon's meticulous approach and expertise were highlighted, leaving the patient satisfied with the results. The procedure enhanced the patient's natural beauty, boosting her confidence and overall well-being.

Lip Shaping

Lip Shaping — beforeBefore
Lip Shaping — afterAfter

This patient wanted naturally enhanced lips for her photo shoot while still looking like herself. Subtle volume and definition created softer, more hydrated-looking lips while enhancing overall facial balance. The result was elegant, refined, and beautifully camera-ready.

Full Face Rejuvenation

Full Face Rejuvenation — beforeBefore
Full Face Rejuvenation — afterAfter

Full Face Rejuvenation with dermal fillers and Photofacial*

Tear Trough Correction

Tear Trough Correction — beforeBefore
Tear Trough Correction — afterAfter

Hollowing of the tear trough due to loss of volume can make you look tired. As you age, you lose volume in the midface and the tear trough region. In our clinic, this can be treated with HA fillers. Dr. Araña-Domondon will evaluate you and give recommendations for the appropriate nonsurgical treatment for your needs.

HALO™ Laser & IPL Photofacial

HALO™ Laser & IPL Photofacial — beforeBefore
HALO™ Laser & IPL Photofacial — afterAfter

This patient underwent HALO™ Laser Treatment and IPL Photofacial in October 2025 with Dr. Ladie Araña-Domondon. She was thrilled with the results, noting a noticeable improvement in skin tone and texture, a reduction in sun damage, and an enhanced overall complexion. The procedure was well-tolerated, and she praised Dr. Araña-Domondon's expertise and compassionate care throughout a positive experience that exceeded her expectations.

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Individual results may vary.

Payment Options

Learn More About Financing & How to Apply

We partner with CareCredit and Cherry so you can pay for treatments over time. Choose an option below to learn more and apply online.

CareCredit

A health and wellness credit card you can use to pay for your treatments with flexible financing options.

Apply with CareCredit

Cherry

Flexible monthly payment plans with a quick, simple online application.

Apply with Cherry
Get Started

Ready to Experience The Concordia Way?

Every consultation starts with a conversation, not a sales pitch. We’ll talk about what you’d like to change, what you’d like to preserve, and build a plan that fits your face and your goals.

Fill out the form below, and our team will reach out to find a time that works for you.

(253) 250-3888
118 7th Ave SW, Puyallup, WA 98371