In-Office Cosmetic Procedure Guide

A focused cosmetic change can have a visible impact when the treatment matches the concern. The useful starting point is not a procedure name. It is the feature, contour, or expression you want to refine.

Dr. Borsting begins by evaluating the tissue, movement, and structure behind that concern. She can then explain which minimally invasive options fit the change you want and where another approach may make more sense.

Start with the change you want to see

You do not need to diagnose the concern before your consultation. Describe what looks or feels out of balance and how you would like it to change.

• If fullness beneath the chin softens your profile, in-office chin and neck liposuction may be worth exploring.
• If excess upper eyelid skin is the concern, in-office upper eyelid surgery may fit after an eye and eyelid assessment.
• If a focused area of body fat affects your contour, ask whether body liposuction can fit an office plan.
• If repeated movement creates expression lines, Botox may help soften selected lines by relaxing specific muscles.
• If lost volume or facial proportion is the concern, dermal filler may support selected changes beneath the skin.

These treatments are not interchangeable. The source of the concern should guide the procedure.

In-office treatments still require a personal plan

"In office" describes the treatment setting. It does not mean every procedure works the same way or has the same preparation, comfort plan, risks, or recovery.

Chin and neck liposuction removes selected fat through small incisions. Dr. Borsting evaluates fat distribution, skin quality, and the underlying chin, jaw, and neck structure before recommending it. Liposuction can refine fat, but it does not remove substantial loose skin or change facial structure.

Cosmetic injectables work differently. Botox changes selected muscle movement. Dermal filler adds volume beneath the skin. A facial assessment helps distinguish movement, volume, skin, and structure so the treatment fits the feature you want to refresh.

Understand the role of ProNox

ProNox is a patient-controlled comfort system for appropriate in-office procedures. It delivers a fixed blend of 50% oxygen and 50% nitrous oxide through a handheld mouthpiece. You choose when to breathe the blend while remaining awake and able to communicate with the care team.

ProNox supports relaxation and comfort. It does not numb the treatment area or replace general anesthesia. Local anesthesia provides numbness when it is part of the procedure. Your health, medications, procedure, and comfort preferences help determine whether ProNox belongs in the plan.

Choose a surgeon who explains the "why"

A good recommendation should connect the treatment to your anatomy and goals. It should also explain what the treatment cannot change.

Useful questions include:

• What is creating the concern I see?
• Why does this treatment fit my anatomy?
• What change can it reasonably support?
• Would another treatment better match my goal?
• What will provide numbness or comfort?
• What preparation, recovery, and follow-up will my exact plan require?

The goal is a clear decision, not a generic treatment. Dr. Borsting builds the plan around the change you want while considering the tissue, movement, and structure that shape the result.

Bring your vision to the consultation

Start with the feature or contour you would love to refine. Dr. Borsting can examine the area, compare the relevant options, and explain the next step that fits you.

Book a consultation with Dr. Borsting to discuss minimally invasive cosmetic procedures in Bend, Oregon.