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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.
An injury is among the more common causes of puffy eyes. A range of different types of injuries may arise from a blow to the face and specifically the eye area, injury of the eyeball by contact lenses, to chemicals like pool chlorine and strong detergents, and even excessive rubbing of the eye can cause injury.