Causes of Puffy Eye Bags Aside from Aging, and Stress Factors than can Make Them Worse

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A man wants to know what the major factors are, apart from aging, that lead to loosening of skin under the eyes and puffiness. He also wants to know if stress alone can cause this, or if it is the combination of that with genetics and aging.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews his concerns in this video, and explains how under eye puffiness is usually caused by genetic factors, which are made worse by certain lifestyle habits and environmental stressors; and how there are several solutions to address this, depending on severity of the puffiness:
1:11 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eyelid rejuvenation specialist
2:03 - The unconscious perceptions people have of under eye puffiness and other aging signs
2:44 - How the triangular area between the eyes and chin are often what people look at first when interacting with another person
3:07 - How constant under eye puffiness is caused by lower eyelid fat prolapse
3:39 - How lower eyelid fat prolapse is typically caused by genetics, and aggravated by stressors
4:09 - How Dr. Prasad provides solutions from skincare products, cosmetic fillers, to advanced surgery
4:38 - How emotional and physical stress accelerate aging
5:09 - How certain lifestyle habits can also accelerate aging changes
5:18 - How mild under eye puffiness can be resolved with the help of hyaluronic acid filler
5:59 - How more pronounced under eye puffiness can be resolved with lower transconjunctival blepharoplasty.
6:31 - How a transconjunctival blepharoplasty is done under local anaesthesia
6:52 - The role of platelet-rich plasma is improving skin quality and discoloration
7:24 - How the foundation of good skin is still a healthy and balanced lifestyle
8:00 - Dr. Prasad’s recommendation
8:21 - The importance of consulting with a specialist who is able to provide surgical and non-surgical options
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