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Symptoms and Causes of Moon Facies. Moon facies may cause the face to gradually become round, full, or puffy. The sides of your face may become so round from the buildup of fat that the ears can't be seen from the front of your face. Fat deposits in the sides of the skull can also make the face look rounder.
Puffiness or bags under the eyes have many causes, including inherited tendencies. Puffy eyes caused by aging also probably would require a cosmetic solution. You might want to discuss with your eye doctor or cosmetic surgeon some of the available options to address your eyelid concerns.