While it is possible that what you are experiencing is due to allergies or water retention, the most common cause of puffiness like you are experiencing is a tearing
of your anterior orbital septum.
The most common cause of swelling and dark circles around the eyes is breakdown of the orbital septum which allows the normal orbital fat tissue that surrounds and cushions your eyeball to "pooch" forward. As the day progresses this normal orbital fat can move back in place, which also can tear the septum even more....starting a vicious cycle. :(
As you know, there are tons of creams and lotions for the ladies to use for this issue. Why are there so many different ones? Because none of them work :-)
With age the thin, tough membrane (orbital septum) that keeps the normal fat pad in place behind your eye becomes weak and tears. When this happens you start to notice the swelling, or bags, under your eyes. It is nothing to worry about.
The only way to treat this problem is with surgery, called a blepharoplasty
. Many times it can be done in a procedure room in the ophthalmologist
Here is a good webpage that discusses this surgery:
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
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Thanks in advance,
Dr. Rick MD FACS