A member asked:

Under eye wrinkles, eyelid puffyness from lack of sleep. what do i do?

11 doctors weighed in across 4 answers
Dr. Robert Alexander answered

Specializes in Plastic Surgery

May be due to fluid retention, aging/relaxation, loss of sleep may contribute but not usually cause. Loss elasticity allows morning swelling as fluids move from your lower arms/legs where accumulates during walking, daytime. Recommend try to watch salt intake, use cold packs when you wake, and sleep with head elevated 30 degrees. Laxity of skin with aging is common cause of the wrinkles.

Answered Jul 13, 2015

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Dr. Suzanne Galli answered

Specializes in ENT and Head and Neck Surgery

There are several options to treat these issues ranging from neurotoxins and fillers to surgery. Your best bet would be to have your eyes evaluated by a board certified facial plastic surgeon.

Answered Jul 13, 2015

3.5k views

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Dr. Otto Placik answered

Specializes in Surgery - Plastics

Interestingly sleep can actually make lower eyelid swelling worse because fluid accumulates in the head and neck region when the head is down at night. Sleeping with the head of thereby slightly elevated (without kinking or tucking your neck) may help. Manual lymphatic drainage may also help. Lower eyelid peels may help. Retinoids may help. Lasers may help. Eventual surgery may be the best option.

Answered Jul 13, 2015

3.5k views

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Sleep is essential for health. If the eyelid problem persists after adequate sleep and nutrition, see a facial plastic surgeon for ideas.

Answered Jul 13, 2015

2.6k views

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