Start With What You See — A Symptom-Led Decision Guide

Use the cards below to find the most common starting point for each concern. Final routing happens during your consultation after an in-person assessment.

Treatment Options for the Eye Area

Below are the five non-surgical treatments Dr. Borakowski draws on most often for periorbital concerns. The right choice — or combination — depends on what your assessment reveals.

When to See an Ophthalmologist First

We are a non-surgical aesthetic practice. Some periorbital changes are medical, not cosmetic, and we’d rather route you to the right specialist than treat around a missed diagnosis. Please book a medical eye workup — not an aesthetic consult — if any of the following apply:

• Sudden-onset eyelid drooping (over hours or days).
• Asymmetry greater than about 2 mm between the two lids.
• Vision obstruction from the lid sitting low in your field of view.
• Double vision, severe headache, or pupil asymmetry with the lid change.
• Active conjunctivitis, blepharitis, or unmanaged dry eye.
• Recent eye surgery within the last six months.
• History of retinal disease or retinal detachment.

Once you’ve been medically cleared, we’re happy to revisit aesthetic options. Bringing in records from your eye specialist makes that conversation faster and safer.

Treatment plan led byDr. Natalya Borakowski, NMDMedical Director, Desert Bloom Skincare

“The eye area asks more of you than almost anywhere else on the face. My job is to tell you what the assessment shows — and just as often, what we shouldn’t do.”