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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.
Other times we get puffy eyes after sleeping. This can be caused by too much sodium in the diet, which causes water retention. Puffy eyes can also be caused by lack of sleep or excessive alcohol intake. Additional causes of puffy eyes include: Normal aging process.