24 years old. This unilateral puffiness and slight dropping has been around for a year now. Had pretty bad dust allergies which I’m now on immunotherapy for. This eye thing has been bugging me - hate that it’s just on one side! I also notice that one eye bag twitches a lot too. How can I ascertain if it’s a fat herniation or asymmetrical ageing or just long term fluid retention ? What treatments could I seek (besides surgery ,given my age)? Please see the images below! Thanks!
Answer: Puffy eyes Non surgical options can include laser or skin tightening via radiofrequency
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Answer: Puffy eyes Non surgical options can include laser or skin tightening via radiofrequency
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April 22, 2025
Answer: Unilateral Undereye Puffiness Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Fat herniation happens when the fat that naturally cushions the eye starts to push forward. This type of puffiness is more structural and permanent, and often creates a bulge that doesn’t go away with lifestyle changes or skincare. If you gently press on the area and the puffiness remains or feels firm and doesn’t shift much, it may be herniated fat. In this case, fillers can sometimes help mask the transition between the under-eye and cheek, especially if there's hollowing beneath the bag. However, lower eyelid surgery (blepharoplasty) is the gold standard if the herniation is significant and bothersome. Fluid retention tends to cause puffiness that fluctuates—worse in the morning, during allergy season, after salty meals, or when sleep is poor. If your under-eye area changes from day to day or improves with lymphatic massage, cold compresses, or elevation, it’s likely fluid-related. For this, lifestyle changes, topical caffeine-based eye creams, or treatments like Morpheus8 or RF microneedling (to firm the skin and reduce fluid trapping) can help. I hope this helps and best of luck!
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April 22, 2025
Answer: Unilateral Undereye Puffiness Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Fat herniation happens when the fat that naturally cushions the eye starts to push forward. This type of puffiness is more structural and permanent, and often creates a bulge that doesn’t go away with lifestyle changes or skincare. If you gently press on the area and the puffiness remains or feels firm and doesn’t shift much, it may be herniated fat. In this case, fillers can sometimes help mask the transition between the under-eye and cheek, especially if there's hollowing beneath the bag. However, lower eyelid surgery (blepharoplasty) is the gold standard if the herniation is significant and bothersome. Fluid retention tends to cause puffiness that fluctuates—worse in the morning, during allergy season, after salty meals, or when sleep is poor. If your under-eye area changes from day to day or improves with lymphatic massage, cold compresses, or elevation, it’s likely fluid-related. For this, lifestyle changes, topical caffeine-based eye creams, or treatments like Morpheus8 or RF microneedling (to firm the skin and reduce fluid trapping) can help. I hope this helps and best of luck!
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April 21, 2025
Answer: Under eye puffiness This can be caused for several reasons including allergies, genetics, lifestyle, etc. You can consider treatments such as under eye filler and Morpheus8 in addition to addressing the underlying problem. visit with an expert injector near you to learn more.
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April 21, 2025
Answer: Under eye puffiness This can be caused for several reasons including allergies, genetics, lifestyle, etc. You can consider treatments such as under eye filler and Morpheus8 in addition to addressing the underlying problem. visit with an expert injector near you to learn more.
Helpful
April 17, 2025
Answer: Non-Surgical Treatments for Unilateral Under-Eye Puffiness and Drooping Thank you for sharing your concerns and photos. At 24, it's understandable to seek non-surgical options for addressing under-eye issues. Here are some potential causes and treatments to consider:
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April 17, 2025
Answer: Non-Surgical Treatments for Unilateral Under-Eye Puffiness and Drooping Thank you for sharing your concerns and photos. At 24, it's understandable to seek non-surgical options for addressing under-eye issues. Here are some potential causes and treatments to consider:
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