Age 39. Brown patches near eyes - Age spots? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Melasma and age spots can be due to hormones, agin, sun exposure, thyroid dysfunction, and genetics. Treatments range frolm IPL to laser therapy; but pigmentation may recur if not complemented with topical creams to stabilize the pigment cells.
I would suggest starting with Melarase Brightening Kit with Melaclenz, Melapads, Melarase AM, and Melarase PM to help stabilize pigmentation and reduce recurrence. Once started, an active protocol that includes Covalent peels, IPL, fractional laser, and microneedling can further remove pigmentation.
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Thank you for the photos these are very helpful! One thing I would recommend is that you use strict sun protection.  In addition if you would prefer non-invasive treatments a course of nightly hydroquinone to lighten the color.  Then other treatments such as chemical peels, lasers (Clear+Brilliant and Fraxel) may be recommended. In our practice we usually recommend an in person evaluation and if we determine it is age spots (likely to use Alexandrite laser) or melasma (cream or lasers-Clear+Brilliant).  Make sure to speak to a board certified dermatologist or plastic surgeon to discuss treatment plans. 

Laser treatments with no down time can usually be an option on most realistic patients. It really depends on your skin, sun exposure and genetics. It is best to talk to your surgeon because everybody has different techniques and options with various recovery times. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider and laser is usually the most dramatic result.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

In my experience the brown spots (age spots or sun spots) can be removed using a combo of IPL laser, chemical peels, and a prescription bleaching agent. But if your problem is melasma, IPL might not be indicated. You need to consult with a physician with expertise in aesthetic and laser technology.
Love your skin. Good luck.

"Age spots" or "sun-spots" go by different names but generally refer to areas of pigmentation caused by sun damage to the skin over time. Prevention with sunscreen is the best way to keep your skin from developing these spots. Treatment includes acceptance that sun exposure will cause the spots to darken or worsen. Sun avoidance is important after any treatment to decrease the chance of pigment irregularities. If you are a darker skin type, I recommend skin lightening creams and a combination of microneedling and non-ablative fraxel laser to increase collagen deposition in the skin. If your skin is sufficiently light enough after using our melanin reader, then IPL (intense pulsed light) will remove or lighten many of these spots. If you are still too dark for IPL, then additional treatments by microneedling, laser or chemical means may be recommended.  

Thank you for your photos. We offer a variety of treatments including Alexandrite laser, Fractional CO2 and Endymed Intensif for aging skin with brown spots. I recommend getting a in person consultation with a board-certified dermatologist. 

Age spots come from years of sun exposure.Prevention with spf 30 daily.Treatment with microneedling and prp.Choose an expert. Best. Dr Brecht Seattle, Wa