What can a doctor do for puffy eyes?

Puffy eyes are usually temporary and don't require a doctor visit. If the problem persists or seems to worsen, a dermatologist can determine if you have either fat herniations or malar festoons. A fat herniation is when the fat pad under the eye shifts out of place. A malar festoon is a semicircle of swelling that looks like a puffy banner under the eye and upper cheekbone. It's caused when circulatory problems obstruct the drainage of fluid. Both festoons and fat herniations can be corrected with cosmetic surgery. Bags or puffiness under the eyes can be diminished by injecting a dermal filler into the triangular hollow between the lower eyelid and the top of the cheek near the nose (the tear trough), which improves the eyelid-to-cheek contour so that the demarcation isn't so pronounced.