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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.
This then creates a kind of gap in the skin layers, which leads to different amounts of swelling or puffiness during different times of the day or month. Considering the cause of festoons, you can understand how eye creams, gels and other external treatments are completely ineffective.