Is sagging skin under eyes a symptom of an illness?

My eye area started aging instantly upon exertion, especially after exercise. Now even sitting/standing up causes sagging and the whole eye area is painful (so much so that I want to avoid everything: physical and mental effort, even speaking, smiling and especially laughing is very painful and leaves visible damage). (I have other symptoms as well but blood tests and eye check have revealed nothing.) Can you please advise?

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