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Step 3. Talk to your doctor about possible medical causes for the puffiness. Certain medications can cause you to retain water, and allergies, conjunctivitis and allergies --such as hay fever--can cause your face to look puffy. If thereâs a medical cause behind the problem, your health care provider will recommend a change in medication or other adjustments to fix the problem.
Infectious causes of face swelling. Facial swelling can be due to a variety of infections including: Bacterial or viral conjunctivitis (noticeable swelling around the eyes). Cellulitis (skin infection). Mumps. Orbital cellulitis (acute infection of the area surrounding the eye). Sinus infection or sinusitis.