Reduce constant puff If your eyes are constantly puffy due to a significant protrusion of the fad pads under your eyes, you will only get major improvement with surgery or injections -- creams and home remedies just won't cut it. You'll potentially need a lower lid blepharoplasty (eye surgery) -- to remove or reposition the fat pad. (Warning: if you do opt for this procedure, make sure your doctor doesn't do too much or "you can trade a puffy lower lid for a hollow lid," Waldorf says.) Or, some people may be able to get away with adding a filler like Restylane, Juvederm or Radiesse to the cheek area below and along the boney area under your eyes. "By elevating that area, you add structure and blunt the difference with the lower lid," Waldorf says. Your dermatologist and/or surgeon will be able to tell you which option is best for you.
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