Hi and thank you for sharing your question here! Based on the picture you provided, you have deep tear troughs which exacerbate the puffiness under the eyes. We can greatly improve the puffiness under the eyes by treating the tear troughs with filler injection. Smooth hyaluronic acid fillers such as Restylane, Belotero or Volbella are good choices and I highly recommend injection using micro-cannula for better results and less bruising. There are several pictures of filler treatment in this are at RealSelf which you can check out to get a better idea of the expected results. I hope it helps and good luck!
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