Puffy upper eyelids, inner corner. What would you recommend? (Photo)

You likely have a fat pocket in the inner corner of the upper eyelids which can be removed using small hidden incision under local anesthesia with quick recovery.

It's understandable to feel self-conscious about changes in your eyelids, especially at 33 years old. Swelling and droopiness can be attributed to several factors, including genetics, weight loss, and even allergies, which might influence the skin's elasticity. While surgical options like blepharoplasty are often considered for a more permanent fix, there are also non-surgical treatments that may help. Options like injectable fillers can provide temporary volume to lift the eyelid area, and neuromodulators can reduce the appearance of drooping. Consulting with a qualified professional can help determine the best approach for your specific situation.

You need a upper lid blepharoplasty with removal of the medial fat pad. Fat pad removal is something I do with every blepharoplasty. Good luck.

good morning!Photos are always difficult to give a definitive answer in eyelid surgery, but you would benefit from a blepharoplasty with removal of the medial fat pad.  It is a simple operation that in my practice is often performed under local anesthesia if the patient prefers.  Recovery is quick with minimal bruising.Be sure you are seeing a board certified plastic surgeon well versed in these procedures before proceeding.I hope this helps

Puffiness at the inner corner of the upper eyelids is very common, and tends to worsen with age. While allergies and weight loss may contribute to this problem, this is most commonly a genetic issue. The puffiness in this area is usually due to bulging of the fatty tissue that cushions the eye. A conservative upper lid blepharoplasty with fat removal can often be helpful to remove a little bit of excess skin and fatty tissue under the skin. In some cases, a brow lift may be needed instead of (or in addition to) eyelid surgery in order to decrease excess heaviness of the upper eyelid area, but this is difficult to determine based on the photos provided. 
As a non-surgical option, laser skin resurfacing of the upper eyelid area can provide a mild amount of improvement and tightening as well, but is unlikely to provide enough improvement for patients to be completely satisfied.
Be sure to see a surgeon who specializes in facial aesthetic procedures to review all of the options in detail.
All the best,

The puffiness in the upper eyelids is caused by orbital fat that is protruding. This must surgically be removed with an upper blepharoplasty procedure. For many examples, please see the link and the video below

Your photos show some extra skin and a prominent medial fat pad. This is not related to weight loss. This usually responds well to upper lid blepharoplasty. I think that for your particular case, based on the photos, this would give a better result than non surgical options. Make an appointment with a fellowship trained Oculoplastic surgeon

The puffiness in the inner corner of your eyelid is a small fat pad. They are normal. We all have them. The fat pads are supposed to be behind a membrane called the orbital septum. The septum becomes weak and allows the fat pad to protrude into the upper eyelid. Sometimes it is genetic and is always made worse with any kind of nasal congestion. People with nasal allergies tend to have them worse on the days that their allergies are acting up and when they have a cold or flu. When present, they are easily removed with or without a upper lid blepharoplasty. This can be done under local anesthesia with or without sedation. The recovery time is minimal, usually with minimal bruising. My Best!John Standefer MD