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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.
Lots More Information. There are many causes and almost as many supposed cures for under-eye puffiness. Lack of sleep, a sinus infection, salty food, a lack of exercise and even your sleep position can play a role in this undesirable issue. And then there's the cause that no one wants to talk about â age.