Any treatments available to lighten freckles on thin skin under eyes? (Photo)

Hello Diligent. We prefer q-switched lasers for freckle removal and in your situation we would need to use corneal shields. They are stainless steel inserts that go under the eyelids and are used when we need to provide laser treatments right up to the edge of the eye. There is a large laser group in Boston, maybe affiliated with Mass General that should probably have the expertise to do this. Using lasers and corneal shields together is not something a lot of practices do. Best of luck.

in office lasers and plasma pen can help.

at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin roller with anteage MD ampules) should be started now. 

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hello. You could try fractional laser with settings adjusted to thin skin . Find a certified provider that can walk you through all your concerns.