Melasma, Droopy Cheeks, Eye Bags - Options? (photo)

Hi! Thank you for your question! Looking at your photos provided, I would recommend a package of Morpheus8 treatments for full face and neck. This treatment is microneedling with radio frequency to help minimize all of your skincare concerns! For an at home regimen, I would use a Hydroquinone cream that can help lighten the melasma for one month before treatment.

You would be wise to consult a board certified cosmetic dermatologist and to keep it simple. That means being skeptical of the intense marketing hype and social media buzz hawking relatively expensive light and energy-based devices, such as fraxel lasers and RF devices. The hard science to back up their use simply lags well behind the hype. So, be very cautious with your money and time when investigating these options.
On the other hand, the at-home use of Rx topical medications, such as retinoids and and alpha or beta hydroxy acid products can go a long way to making the skin more luminescent and to diminish hyperpigmentation. This can be coupled with series of in-office superficial peels using high concentrations of an alpha hydroxy or beta hydroxacid, Jessner's Solution, or low concentrations of TCA
Finally, the use of a robust HA contouring filler properly injected in the region of the upper outer cheeks can reestablish a feminine, aesthetic Ogee Curve, as well as help to smooth the transition between the upper cheeks and the under-eye regions and also diminish the incipient tear troughs and "eye bags" noted in the photos.
Unlike all the "next big thing" gizmo treatments, all of the aforementioned treatments have a several decades' long track record of safety and efficacy in all skin types. Hope this helps and best of luck.