Age 26, puffy under eyes in the morning & hollowing due to aging - blepharoplasty candidate? (Photo)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

This is a complex question that requires a comprehensive history and physical. You should seek a consultation with a board eligible or board certified plastic surgeon that specializes in lower eyelid blepharoplasty or facial surgery. You need to ensure that cause of your lower eyelid "puffiness" is adequately evaluated. For most patients, this may be related to seasonal allergies combined with laying flat overnight. An experienced surgeon can perform a physical exam and then provide customized treatment plans that may potentially work for you.

Begin by visiting with an allergist or your primary care physician to get on a regimen to get your allergies under control. Use medical grade skin care products like Transform MD and wear sunscreen every day. You can consider tools like filler to help with volume loss and to improve contours. I've included a video I hope you find helpful. Surgery would not be recommended at this point.