I have puffiness swelling under my eyes tried a few things but nothing seems to reduce this. I also tried Garner pencil which said it would reduce the puffiness also tried tea bags etc nothing helps. Do you have any suggestion except cosmetic treatment. Thanks.

Dr. Chaitanya ShuklaOphthalmologist5yrs exp

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Puffiness beneath the eyelids has various causes associated with it. (1) age related distribution of fat. With progressive time and age there occurs a re-distribution of a lot of body fat. This may lead to puffiness/ sagging/ bagginess of the lower eyelids. (2) excessive alcohol consumption has at times seen to be associated with puffiness of eyelids. (3) hypersensitivity/ allergy of the eyes may cause puffiness. It may be caused due to dust, pollen, insect bite, etc. (4) thyroid level fluctuation has at times been seen to be associated with puffiness of eyelids. (5) excessive obesity has been shown to be associated with puffiness of eyelids. (6) extreme condition such as orbital cellulitis: very rare. Also, it is usually associated with eye injury, surgery, systemic infection, etc. It is very less likely to be so in your case. (7) grave's disease: this has a tendency to be associated with thyroid disease (or other autoimmune conditions). It s also rare. It is associated with fatigue and weakness that progresses throughout the day. Thus, it would be a good idea to identify in the category that you come into and then tackle the situation. The reason for this being that each cause would have a different pattern of treatment. 

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