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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.
In practice, this can make eyelids feel heavy and even swollen. Botox can cause puffy eyelids when injected incorrectly. If you had Botox injected incorrectly in the brow, it can cause brow and eyelid drooping. In practice, this can make eyelids feel heavy and even swollen.