Puffy eyes are basically congenital and tend to have a family history, but there are exceptions. Some plastic surgeons feel that puffy eyes are not a good candidate for surgery due to the fact that some patients have less than optimal postoperative results. In fact, from personal experience, it seems that both psychologically and aesthetically, puffy eyes are the most deserving of surgery. Not only do puffy eyes make you look dull, but as you age, your upper eyelids droop more and more, giving you an aged appearance. While the causes of bulging eyes are complex, there is a common feature of excess upper eyelid tissue, including skin, muscle, fascial tissue, fat, and in some cases, a prolapsed lacrimal gland. Because of the amount of tissue in the upper eyelid and the burden of opening the eyes, some people experience overdevelopment of the frontalis muscle, which manifests itself in visible forehead lines and accentuates the signs of aging. Swollen eyes need to be treated surgically, and the method is related to the surgeon’s experience. After the surgery, a more beautiful double eyelid can be formed, and the burden can be removed. Another example of eyes after six months. The beauty and her family are very satisfied.