What causes puffiness in the lower eyelid?

The problem arises when the lower lid becomes weaker and allows the fat around the eyeball to bulge forward. The bulging fat produces noticeable puffiness, or bags, in the lower lids. This type of bulging can start in teenagers, but for most people it develops later in life.

Puffy and baggy lower eyelids can make you look tired and much older than your actual age. Topical creams will never eliminate the puffiness. They may make the skin look smoother, but the underlying puffiness will not go away.

Lower eyelid fat removal (blepharoplasty) can eliminate the tired expression that prompts others to suggest that you need a vacation or a good night's sleep.

The surgery removes fat from inside the lower lid, so there is no incision on the skin. The short incision heals rapidly with very little swelling or bruising.

 
Before

After

Benefits of eyelid lift surgery include:

* A relatively low cost
* No visible incision
* The procedure is done in-office
* Recovery is relatively quick and comfortable

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