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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.
Answers (2). Melissa. Yes, liver problems could cause puffy eyes. There are many symptoms which could be caused by liver problems, yet there might be many reasons for eyes puffiness. Age could cause puffy eyes too, as the skin getting thinner and the skin is less elastic.