Is there any way to get rid of genetic under eye puffiness? (photos)

The puffiness you see here is due to fat which is present in the lid.  When it is this pronounced a surgery can be done to move that fat into the tear trough to make it appear smooth.  At age 18, you may do well with some filler which can be put into the trough to make the fat less apparent.  Make an appt. with an oculoplastic surgeon to discuss your options.     

If the puffiness under your eyes is due to protruding fat, there a two treatments that could help.  The non-surgical option would be injecting a hyaluronic acid filler under the puffy area to help camouflage it.  The other option is surgery to address the fat.  The surgical option would give a much more long term result.  Cost will vary by surgeon.

At 18, there are various options to improve under eye puffiness. Yours is quite severe and from the photograph, it appears to be due to flattening of the mid-face meaning that the bone in the middle of the face is quite flat, causing the normal fat from around the eye to appear like a bag. This may be able to be improved significantly with filler, or surgery may be the best option. I would recommend you see an aesthetic oculofacial plastic surgeon who is a specialist in injecting around the eye to exploit the non-surgical options at your age, as well as the options with surgery because I think you would get a nice result, but it is difficult to tell you which procedure would be best without an in-person consultation. I hope that is helpful. Best of luck.

Not all "under eye bags" are created equal, that is, there are several different reasons why we might see unwanted contours, shading, or pigment under the eyes.  It is very important that we first understand exactly what the cause is of a specific individual's problem before we undertake anything to correct this because this area of the body is very unforgiving.  Much of what we see here depends upon anatomy, and our treatments are often  directed toward making some change in the anatomy to improve the appearance.  Given that you are a young person, there are some things that are more likely the culprit than others, yet, even still, some of the things responsible for bags under the eyes of older people, like loosening of the tissues, can still happen even in young people with certain conditions.  Other things like excess of fat, deformities, asymmetries, or underdevelopment of parts of the facial skeleton, or intermittent swelling of tissues can all cause this kind of problem.  The good news is that there are a number of different things that can be offered to help this.  Your best move is to schedule an appointment with board certified plastic surgeon, facial plastic surgeon, or occuloplastic surgeon who has experience in treating all kinds of under eye problems.  That way he or she can evaluate your condition in detail and suggest the best methods for you to correct the problem.  Good luck.