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"Cortisol face" is a viral term to describe facial swelling, allegedly caused by high levels of cortisol. Can stress cause a puffy face? Experts weigh in and debunk the condition.
"Facial swelling, where you look puffy or rounded, can happen when your cortisol levels are out of sorts and is a common symptom," board-certified dermatologist Dr. Anna Chacon, MD, FAAD, says.
A slew of people on social media are warning about the so-called “cortisol face” and “moon face,” which links a round, puffy face to high levels of the stress hormone cortisol.
Moon face is often associated with Cushing's syndrome [5] [6] or steroid treatment (especially corticosteroids), which has led to it being known as Cushingoid facies. [7]Moon face is a type of corticosteroid-induced lipodystrophy along with "buffalo hump", which in one study occurred in 47% of the 820 patients.
Steroid-induced skin atrophy is thinning of the skin as a result of prolonged exposure to topical steroids. In people with psoriasis using topical steroids it occurs in up to 5% of people after a year of use. [5] Intermittent use of topical steroids for atopic dermatitis is safe and does not cause skin thinning. [6] [7] [8]
My For You Page has been flooded with people complaining about a puffy face due to high levels of cortisol from daily stress, but before I get sucked into yet another internet craze, I chatted ...
Corticosteroid-induced lipodystrophy (CIL) is a condition of abnormal fat deposition caused by corticosteroid medications. [1] Fat accumulates in the facial area ("moon face"), dorsocervical region ("buffalo hump"), and abdominal area ("pot belly" or "beer belly"), whereas the thickness of subcutaneous fat in the limbs is decreased. [1]
Purdy adds that while inflammation can be seen in the face as a result of too much cortisol, “this is just one of the symptoms, so it is not necessarily the primary cause.”