Puffy upper eyelids and inner corners, what could be the reason and which doctor should I see? (Photo)

Thank you for your question and photos.  It appears from the your photos that the puffiness near your nose is from a "fat pocket."  This can be removed surgically with an upper blepharoplasty procedure.  At the same time, loose skin and other fat pockets can be removed to shape your eye better.  Please see a qualified facial plastic, general plastic or oculoplastic surgeon.  Good luck.

At 23, experiencing changes like hooded or puffy eyes can be concerning, especially if it seems to happen suddenly. Various factors, such as genetics, lifestyle, allergies, or even stress, can contribute to this issue. While cold and hot pads can provide temporary relief, they may not address the underlying cause. It’s advisable to first consult with a dermatologist, as they specialize in skin health and can assess any skin-related issues contributing to your symptoms. If the puffiness is related to allergies or a more specific medical condition, they may refer you to an ophthalmologist for further evaluation. In certain cases, if you’re considering surgical options, a plastic surgeon who specializes in cosmetic procedures might also be an option later on.

See an oculoplastic specialist or ophthalmologist. The inner bump may be fat. The outer bump may be fat or lacrimal gland, or other. Need in person examination.