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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.
In practice, this can make eyelids feel heavy and even swollen. Botox can cause puffy eyelids when injected incorrectly. If you had Botox injected incorrectly in the brow, it can cause brow and eyelid drooping. In practice, this can make eyelids feel heavy and even swollen.