My eyes are swollen and puffy from a deviated septum and blocked sinus. Should I have this fixed along with lower eyelids?

Thank you for your question about eyelid surgery.Your sinuses and deviated nasal septum should be your top priority.  You may not even need eyelid surgery after this is taken care of.To be sure, see two or more experienced, board-certified Plastic Surgeons, occuloplastic surgeons or facial ENT surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.

There is no reason to perform these 3 procedures separately, when they should be performed all the same time with one recovery period and one anesthetic. The puffiness of the lower lids can be caused allergies, so that should be under control before making a decision about the lower lids. Endoscopic Sinus surgery is performed to remove polyps and infection from inside the sinuses. A septoplasty is performed  to improve a blockage of airflow through the nose also  known as a deviated nasal septum. Cosmetic eyelid surgery can also be performed at the same time. For more information and many examples, please see the link and the video below

Of course there are exceptions to every rule.  If you have allergic rhinitis and allergic conjunctivitis from the same allergy, your sinus symptoms and eye symptoms will often go together but one does not cause the other.  Generally the septal surgery is often performed by a non cosmetic ENT.  Don't assume that a single surgeon will be great at both function sinus surgery and cosmetic eyelid surgery.  Conservatively, consider getting your sinuses opened before embarking on eyelid work.  Breathing better may give you an entirely different perspective.