Baggy eyelids usually result from heredity and aging. As people age, the skin around the eyes stretches, the muscles weaken and fat moves forward in the eye socket. The loose eyelid skin and muscle, along with the fat and in some cases fluid, make people look older and more tired than they feel. Drooping upper eyelids may interfere with vision.
Puffiness below the eyes; drooping upper lids; old and tired appearance
Robert Goldberg, MD