Welcome to JustAnswer.com and thanks for your question.
Please allow me to ask a few questions to better understand the problem.
Are these puffy areas under your eyes always there?
Are they always red?
Do you have seasonal allergies (in other words, do your eyes itch, do you sneeze, have a runny nose)?
No - my eyes tend to be dry, but not itchy. No major runny nose or sneezing. I was just tested for allergies and tested positive for dust mites. I'm washing my bedding in hot water every week.
Last Friday, I'm pretty sure Dr. Oz had this topic at the begining of his TV show and mentioned taking an antihistamin for under- eye pufiness and I missed it.
Certainly, allergies (whether solely ocular or systemic as well) can contribute to the swelling of the skin and tissues underneath the skin of the lower eyelids.
If this is truly an allergic phenomenon then taking an oral antihistamine can provide some benefit. Also, assuming an allergic process occurring, using cool compresses over the eyes can also provide some benefit.
The one thing to be aware of is when swelling is accompanied by redness, tenderness, fevers, chills, eye pain or decreased vision. If these occurring, then this is not simple allergies and should be evaluated by an ophthalmologist.
Does this address your concerns?
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My opinion is solely informative and does not constitute an informed medical opinion or recommendation. For an informed medical opinion and/or recommendation you must see an eye doctor.