Surgery Needed Again for Puffy Under Eyes Due to Allergy?

I had my successful surgery 4 years ago to remove puffy bags and cholesterol deposits under both eye (NB. I do not have high cholesterol). I have been very happy with outcome up until about a month ago. Allergy season was bad and my eyes were puffy despite Zyrtec and Nasonex. My under eyes are still very puffy, but in an uneven way. It seems like some of the fat under the eyes is returning--in fact under one lower eye, it feels like a little ball. Will I need to have surgery again?

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2 Doctor Answers | Asked by Puffy Eyes Again in Ann Arbor, Michigan

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Surgery puffy eyelids & allergy

Puffy Eyes Again, Swelling of the eyelids due to allergy is not treated with surgery. Allergies must be treated first with medication. Puffy eyelids may be due to a thyroid condition or other medical problems too. Uneven eyelid puffiness may have many causes. The most common cause is uneven eyelid fat removal with cosmetic blepharoplasty. Also keep in mind, our eyes and face continue to age with time. Many patients have successful facial cosmetic surgery, and may require touch-up procedures... more

Fat Bags, Cholesterol, and Orbital Tumors

There are many ways to reduce the look of bags under the eyes. If there is truly a large amount of eye socket fat herniating, then removal through an incision inside the eyelid is often effective. It is possible that addtional fat can seem to return though no new fat actually grows. This is most common in the lateral (toward the ear, not the nose) side of the lower eyelid. Lower eyelid fat can be repositioned rather than removed if there is a deep groove under the bag. Sometimes fillers... more