In-office procedures
In-office upper eyelid surgery in Bend, Oregon
Refresh the upper eyelids while preserving your expression.
Upper eyelid surgery, also called upper blepharoplasty, can address selected excess skin and fullness in the upper lids. Dr. Borsting plans the change around your eyelid anatomy, brow position, eye health, and the result you want.
Focus on the change that matters
- 1Refine selected skin and fullness in the upper lids.
- 2Keep your natural expression at the center of the plan.
- 3Choose a focused procedure in Dr. Borsting's office.
At a glance
Emily A. Borsting, MD in Bend, OR.
- Treatment goal
- Selected excess skin and fullness in the upper eyelids.
- Setting
- In-office care for selected patients. Health, anatomy, and procedure scope determine suitability.
- Anesthesia
- Local anesthesia for the office procedure. Discuss whether ProNox fits your comfort plan.
- Recovery
- Allow for swelling, bruising, aftercare, and follow-up. Confirm work, exercise, and driving limits before treatment.
- Consultation
- The $200 consultation fee goes toward the cost of any procedure or surgery.
Refine the upper eyelids. Keep your expression.
The goal is a more open upper-eyelid contour that still looks like you. The exact change depends on your anatomy and how much skin or fullness contributes to the concern.
- Reduce selected excess skin that folds over the natural upper-eyelid crease.
- Address focused pockets of upper-eyelid fat when appropriate.
- Create a cleaner upper-eyelid contour while preserving your natural expression.
Meet the surgeon behind your plan.
Dr. Borsting combines certification by the American Board of Plastic Surgery with an artistic eye and a warm, direct approach. Your plan begins with the result you want and is shaped around the body and life you have now.
- Credential
- Board Certified by the American Board of Plastic Surgery
- Local practice
- Proudly serving Central Oregon.
Plan the procedure and comfort together
Dr. Borsting performs upper eyelid surgery in her office with local anesthesia. Optional patient-controlled ProNox may be included when it fits your procedure and comfort plan.
- Local anesthesia
- Local anesthesia numbs the planned treatment area while you remain awake.
- Optional patient-controlled ProNox
- For selected patients, ProNox can provide added relaxation while you remain responsive and able to communicate with the care team.
Is the concern the eyelid, the brow, or something else?
The upper eye area is shaped by several structures. A careful evaluation identifies which one creates the change you see.
- Upper-eyelid skin and fullness
- Upper blepharoplasty can remove selected skin and address focused fullness in the upper eyelid.
- Brow position
- A low brow can add heaviness above the eye. Upper eyelid surgery does not lift the brow.
- Eyelid function and eye health
- Eyelid droop, dry-eye symptoms, and other eye concerns may need a different or additional evaluation.
A precise, in-office plan
Your consultation connects the change you want with the anatomy behind it. Dr. Borsting then explains what upper eyelid surgery can change and how the office procedure would fit your care.
- 1
Define the change
Show Dr. Borsting the skin, fullness, or asymmetry you would like her to evaluate.
- 2
Examine the eye area
Review the upper eyelids, brow position, eyelid function, eye health, prior procedures, and natural differences between the eyes.
- 3
Build the care plan
Discuss the procedure, local anesthesia, optional ProNox, preparation, transportation, recovery, and follow-up.
Could in-office upper eyelid surgery fit you?
This procedure may fit healthy adults who want a cosmetic change in the upper eyelids. An in-person examination shows whether the eyelid tissue and office setting fit your goals and health history.
- You want to address selected excess skin or fullness in the upper eyelids.
- Your health, medications, and eye history support an office procedure.
- You understand what upper eyelid surgery can change and what it cannot.
- You can follow the preparation, transportation, aftercare, and follow-up plan.
A thoughtful plan starts with the whole eye area
- Brow position, eyelid crease, skin, fat, eyelid function, and natural asymmetry all shape the upper eye area.
- Upper eyelid surgery does not lift a low brow, correct every cause of eyelid droop, or treat a lower-eyelid concern.
- Dry-eye symptoms, contact lens use, medications, nicotine use, and prior eye or eyelid procedures belong in the consultation.
Give the result time to settle
Swelling and bruising are expected early and improve as healing progresses. Temporary tightness, watering, irritation, or dryness may also occur.
- Follow Dr. Borsting's instructions for incision care, cold compresses, ointment, medications, and follow-up.
- Ask when you may safely drive, work, exercise, use eye makeup, and wear contact lenses rather than relying on a standard timeline.
- Protect the healing area from sun and allow swelling to settle before judging the final contour.
Make an informed decision
Every surgery has risks. Dr. Borsting will explain the common and uncommon risks that apply to your health, anatomy, and procedure plan.
Dr. Borsting will explain the risks that apply to your exact plan and answer your questions before you decide.
- Bleeding, infection, delayed healing, or an unfavorable scar
- Dryness, irritation, changes in sensation, or difficulty closing the eyes
- Asymmetry, contour changes, or a result that may need revision
- Anesthesia complications and rare temporary or permanent vision changes
Upper eyelid surgery cost
Cost depends on the procedure plan, anesthesia and comfort needs, medications, and follow-up. You will receive personal pricing after Dr. Borsting examines your upper eyelids and defines the plan.
The $200 consultation fee goes toward the cost of any procedure or surgery.
Frequently asked questions
- What can upper eyelid surgery change?
- Upper eyelid surgery can remove selected excess skin and address focused fullness in the upper lids. The plan depends on your eyelid anatomy, brow position, eye health, and goals.
- Is this page about upper or lower blepharoplasty?
- This page describes cosmetic upper eyelid surgery performed in Dr. Borsting's office for selected patients. Lower-eyelid concerns need a separate evaluation and procedure plan.
- Could a brow lift be a better fit?
- A brow lift changes brow position. Upper eyelid surgery changes selected tissue in the upper eyelid. Dr. Borsting will examine both areas and explain which approach matches the concern.
- What does in-office upper eyelid surgery involve?
- Dr. Borsting performs the procedure in her office with local anesthesia. Optional patient-controlled ProNox may be included when it fits your procedure and comfort plan.
- What should I expect during recovery?
- Swelling, bruising, tightness, irritation, watering, or dryness may occur early in healing. Dr. Borsting will give you personal instructions for eye care, activity, driving, work, and follow-up.
- Can I drive home after the office procedure?
- Confirm your transportation plan with Dr. Borsting before treatment. The procedure and all medications determine when driving is safe. ProNox does not by itself clear you to drive after surgery.
- When can I return to work and exercise?
- Your work demands, the treatment scope, and healing determine the timing. Plan for swelling and bruising, follow your activity instructions, and confirm your return to work and exercise at follow-up.
Sources and further reading
Page updated .
Explore patient resources
Read practical guides about procedure choices, preparation, and recovery before your consultation.
See whether upper eyelid surgery fits your goals
Meet with Dr. Borsting to explore whether an in-office upper eyelid procedure fits your anatomy, health, and the change you want.