What is the ruling on surgically correcting the puffiness under the eyes, knowing that it is hereditary, becomes clearly visible when smiling, and causes the appearance of wrinkles and dark circles at an early age?

The rule concerning cosmetic surgeries is that whatever is done to remove a defect or disfigurement is permissible, but whatever is done to increase beauty and attractiveness is not permissible. So, if the swellings significantly disfigure the creation, then there is no harm in removing them surgically.