Round, Full Face (Moon Face): Causes, Diagnosis & Treatment

At Emirates Hospital, we recognize that a round, full face (moon face) may be more than just a change in appearance—it can be a sign of an underlying medical condition. Moon face occurs due to fluid retention, fat redistribution, or hormonal imbalances, often linked to endocrine or metabolic disorders. Identifying the cause early can help manage symptoms and prevent further complications.

Causes of Round, Full Face (Moon Face)

A round, swollen face can result from various hormonal, metabolic, or medical conditions. Understanding the cause is essential for effective treatment.

• Cushing’s Syndrome: A condition caused by excess cortisol production from the adrenal glands, leading to fat redistribution in the face, neck, and abdomen.
• Long-Term Use of Steroids (Corticosteroids): Medications like prednisone can cause fluid retention and fat accumulation in the face.
• Obesity & Weight Gain: Increased fat deposits in the facial area can create a round, puffy appearance.
• Hypothyroidism: An underactive thyroid slows metabolism, leading to fluid retention and swelling in the face.
• Kidney or Liver Disorders: Conditions like chronic kidney disease or liver dysfunction can result in facial swelling due to fluid retention.
• Hormonal Imbalances & Polycystic Ovary Syndrome (PCOS): Certain endocrine disorders may lead to weight gain and changes in facial structure.

Diagnosis of Round, Full Face (Moon Face)

A medical evaluation helps determine the cause of facial swelling and identifies the best treatment approach.

• Hormonal & Blood Tests: Measures cortisol, thyroid hormones, and adrenal function.
• Imaging Tests (MRI/CT Scan): Evaluates adrenal or pituitary gland abnormalities.
• Physical Examination & Medical History: Assesses facial swelling, medication use, and lifestyle factors.

Treatment for Round, Full Face (Moon Face)

Treatment depends on the underlying cause and focuses on hormonal regulation, lifestyle changes, and medical management.

• Hormonal therapy and medication adjustments help correct cortisol or thyroid imbalances.
• Dietary changes and weight management support healthy fat distribution and fluid balance.
• Gradual tapering of steroid medications may reduce corticosteroid-induced moon face.

Related Treatments

• Adrenal Tumors