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

Question

I'm 23 years old, and my eyes are getting hooded I don't know why! I used to have deepest eyes but few months ago my right eye started to get puffy I tried cold and hot pads but nothing worked, now both eyes are puffy around they eye folds, inner corners and almost the whole non-mobile eyelid, should I see a plastic surgeon, a dermatologist or an Ophthalmologist?!

Paul E. Goco, MD · Answer

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.

Thomas Buonassisi, MD · Answer

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.

Mehryar (Ray) Taban, MD, FACS · Answer

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.

Steven Wallach, MD · Answer

The inner eye bulge is a fat pocket. If it bothers you, it can be reduced in size. The outer region is likely the lacrimal gland which can be reinforced and supported to the  upper inner aspect of the orbital rim.

Elba Pacheco, MD · Answer

Hank you for your question. The inner corner bulge is a fat pad and this can be surgically trimmed down to produce the desired smooth contour while avoiding an excavated, empty look. The bulge out to the outer corner is likely to be the lacrimal gland and this should be tucked up and sutured under the bony rim above it, but not removed. Best of luck!

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

Answers (5)

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