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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.
There are several reasons why your face may appear bloated. These include a reaction to drugs, general obesity and water retention, which is usually caused by the foods you're eating. Drinking too much alcohol can also induce facial bloating. By avoiding processed foods and drinking plenty of water, you should be able to reduce puffiness. After you have checked with your doctor that there is no medical reason that your face should be bloated, there are many exercises you can try that will help reduce the appearance of a puffed-up face.