22 year old with chronic under eye puffiness? (photos)
It is mainly genetic due to the fact the bony under your eye is shrinking prematurely.Dermal fillers done well can help you. Surgery at 22 may not be a good option especially when non surgical dermal fillers are an option
Chronic under eye puffiness?
You likely have under eye bags (fat prolapse), which is genetic and not related to lack of sleep, allergies, etc. See an oculoplastic specialist for evaluation and consideration of transconjuctival lower blepharoplasty with fat repositioning. Filler injection may be another option. See link below.