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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.
Eye puffiness may also be caused by: 1  Mononucleosis â With supra-orbital oedema, the eyes become puffy and swollen. This may occur in the early stages of infection. 2  Sleep deprivation â Interrupted sleep cycles are common causes of eye puffiness.