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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.
Sometimes you may wake up with a swollen, puffy face. This may happen as a result of pressure being placed on the face while sleeping. However, a swollen, puffy face can also arise from a facial injury or indicate an underlying medical condition. Facial swelling doesnât just include the face, but can also affect the neck or throat. If there are no injuries to the face, facial swelling can indicate a medical emergency. In most cases, a medical professional should treat facial swelling. Facial swelling can be caused by both minor and major medical conditions.