You are looking for the new option parameter. The new option returns the newly created document(if a new document is created). Use it like this:
var query = {},
update = { expire: new Date() },
options = { upsert: true, new: true, setDefaultsOnInsert: true };
// Find the document
Model.findOneAndUpdate(query, update, options, function(error, result) {
if (error) return;
// do something with the document
});
Since upsert creates a document if not finds a document, you don’t need to create another one manually.