Should I use hyaluronidase & is it possible to reduce puffiness rather than remove it all? (Photos)

This quite possibly is lymphatic obstruction/lymphedema, a condition that has been called under-eye "puffy pillows" that is believed to arise from an improper choice of HA filler for the under-eyes and/or too superficial placement of an appropriate filler. It can be a difficult problem to treat. However, I have had gratifying results using an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps.