The common causes of this symptom are mostly physiological and skin allergies; symptoms may be observed temporarily in the early stages of appearance, but if they persist without relief or worsen progressively, medical attention should be sought as soon as possible. There are many causes of puffy eyelids and doctors will develop different treatment plans depending on the cause and type of puffiness, so it is impossible to say exactly which treatment is the best. Some cases can be managed at home, but poor results or progressive worsening require medical attention: for milder allergies, the first step should be to avoid further exposure to the suspected allergen, while symptomatic treatment with antihistamines is available; for eyelid puffiness caused by trauma, if no other serious damage is present, ice and observation of the condition can be started within 24 hours of the trauma.