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Step 3. Talk to your doctor about possible medical causes for the puffiness. Certain medications can cause you to retain water, and allergies, conjunctivitis and allergies --such as hay fever--can cause your face to look puffy. If thereâs a medical cause behind the problem, your health care provider will recommend a change in medication or other adjustments to fix the problem.
Puffy eyes generally result from a variety of factors, including: 1  Overconsumption of salt, which causes fluid retention. 2  Allergies that can cause inflammation and swelling. 3  Sinus problems. 4  Dehydration. 5  Fatigue and lack of sleep. 6  Stress. 7  Crying. 8  Aging. 9  Inherited facial features.