There are many possible causes of puffy, saggy upper eyelids, such as prolonged late nights and ageing of the body.
If drooping eyelids are affecting daily life, surgical treatment can be used to solve the problem, for example by lifting the more flaccid skin of the eyelids with a brow lift, which in turn improves the puffiness and sagging, but the surgery itself carries some risk, so patients are advised to consult a doctor at a regular hospital before undergoing treatment.