There are many causes of upper eyelid puffiness, which may be caused by lack of rest, local inflammation or allergy, or systemic diseases. Therefore, if you want to eliminate upper eyelid puffiness, you must identify the cause and treat it symptomatically. If the puffiness of the upper eyelid is obvious due to lack of rest, lack of sleep, or after bad emotions and tears. You can apply a cold compress to the eyelids, such as using sterile cotton pads in the refrigerator for a while, and then cover the outside of both eyelids for a few minutes, repeated several times, the upper eyelid puffiness symptoms may gradually improve. If the eyelids appear obviously red and swollen, and itchy symptoms, may be caused by allergies, it is best to stop any cosmetics on the face and the use of drugs, etc., and use topical anti-allergy eye ointment locally, if the symptoms are relatively light, it will gradually improve after a few days, if the symptoms are serious, may also need systemic anti-allergy drug treatment. If there is localized redness and pain in the eyelids, it may be caused by inflammation, such as blepharitis, or eyelid abscess, and it is more difficult to reduce the swelling quickly. Treatment with antibiotic eye drops, as well as antibiotic eye ointment, is usually considered, and if abscesses appear, the pus is promptly excised. If the bilateral eyelids are often swollen, it is also important to consider whether it is caused by systemic diseases, such as kidney disease, heart disease, anemia, etc., and thyroid disease. Therefore, it is recommended to go to the hospital internal medicine department for further examination.