What causes puffiness around the eyes?

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Several factors contribute towards puffiness in the skin around the eyes.  These can include genetic factors, but mostly it will be the natural deterioration of the skin around the eyes, and the underlying muscle tone.  Lifestyle and environment play a part; excessive nicotine, caffeine and alcohol will have a detrimental effect on the skin around your eyes, as will UV exposure.  Diet, exercise and sleeping patterns also impact on the condition of the skin around your eyes.

Blepharoplasty is a surgical procedure that can be used to reduce the appearance of puffy eyes.

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