Under-eye puffiness,whether in the form of mild swelling, dark “bags” or saggy under-eye skin can be annoying or embarrassing.It is usually only a temporary cosmetic concern and rarely a sign of a serious underlying medical condition.

1. What are the Causes?

Puffy eyes can result from a number of causes, including

• Heredity.
• Fluid retention such as due to changes in weather or hormone levels.
• Allergies or dermatitis, especially if puffiness is accompanied by redness and itching.
• Certain medications.

2. What can be done to reduce the eye bags?

There are a number of steps you can take to prevent and reduce mild under-eye puffiness

• Get enough sleep at night. For most adults, seven to eight hours a night appears to be the best amount of sleep.
• Sleep with your head slightly raised. Add an extra pillow or prop up the head of your mattress. This helps prevent fluids from accumulating around your eyes as you sleep.
• While sitting up, apply a cool tap water compress to the skin under your eyes for a few minutes. You can also use chilled cucumber slices, a refrigerated gel mask or chilled, damp tea bags.
• Reduce allergy symptoms. Avoid allergens when possible, and ask your doctor about over-the-counter or prescription allergy medications. If puffiness is severe and persistent or you notice swelling (edema) in other parts of your body, see your doctor. He or she will want to rule out other possible causes of swelling, such as kidney or thyroid problems or a side effect of medications.

3. How can we manage under eye bags?

Following are the treatment recommendations for puffy eyes

• Use of Vitamin K cream.
• Lymphatic drainage massage of the area with Vit E oils.
• Radiofrequency Eye massage.
• Injection of Hyaluronic Acid in the sunken socket areas
• Cosmetic surgery – Blepharoplasty.