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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.
How to Get Rid of a Puffy Face. A puffy face or facial puffiness is medically known as facial edema. It is usually caused by water retention, which in turn, is caused by inadequate fluid intake, excessive alcohol consumption, stress, and high salt diet.