If your face appears swollen and you have been experiencing high levels of stress lately, you may have come across a term circulating on TikTok known as “cortisol face.” However, the concept goes beyond just aesthetics. To delve deeper into this phenomenon, we consulted with professionals to gather insights on “cortisol face” and its potential implications.

According to experts, cortisol face is not a medical diagnosis but rather a term people are using for facial puffiness that’s gaining traction on social media. “‘Cortisol face’ [is described by TikTokers as] the puffy appearance of the facial area in response to elevated cortisol levels,” explains Thompson Maesaka, clinician and owner of a neurologic rehab clinic, The Neural Connection.

Short-Term Stress Likely Isn’t To Blame for Facial Puffiness

Although high cortisol levels can indeed cause facial swelling, they are most likely not the culprit of a puffy face; short-term stress isn’t to blame, either, as social media portrays. It’s more probable something else is going on behind the scenes, such as allergies, consuming too much salt, or sleep habits.

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That being said, “moon face,” aka “moon facies,” is an actual medical term that Maesaka tells us “describes the facial appearance of a person with actual pathology that requires prolonged corticosteroid use or diseases that produce excessive cortisol like Cushing’s Syndrome.”

Dr. Brynna Connor, a board-certified family medicine physician specializing in anti-aging and regenerative medicine, and the Healthcare Ambassador for NorthWestPharmacy.com, adds, “[Moon facies] causes the shape of the face to become rounder, resembling a moon. Moon facies can occur due to many factors such as hormonal changes, weight gain, using a steroid medication, such as prednisone, for an extended time, or by medical conditions … [It] presents when there is a buildup of fat or fluid deposits along the side of one’s skull and/or swelling along the jawline (sometimes these can present in combination with one another).”

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If you’re concerned about facial puffiness, don’t turn to social media to get to the bottom of it. The first wise step is to speak with your physician to make an accurate diagnosis.

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How Can You Address Facial Puffiness?

Young girl lies in bed early in the morning, next to a plate of oatmeal porridge, under the eyes of white patches.
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If you have facial puffiness that is not caused by excess cortisol levels, there are methods you can use to help reduce it. Maesaka suggests taking the following steps:

  1. Try a cold face mask.
  2. Perform a sinus massage. “Sometimes, sinus inflammation can trigger an allergic response, leading to mucus production and an inflamed appearance,” Maesaka tells us.
  3. Test out facial creams. “[They can] tighten the face [and] temporarily reduce puffiness,” says Maesaka.
  4. Decrease your consumption of alcohol.
  5. Address any allergies.
  6. Consume plenty of anti-inflammatory foods.
  7. Add magnesium supplements to your routine. “This helps balance sodium levels,” he explains.

Frequently Asked Questions About ‘Cortisol Face’

What is ‘Cortisol Face’?

‘Cortisol Face’ is a term used to describe the physical effects of high levels of the stress hormone cortisol on the face. These effects can include puffiness, redness, acne, dryness, and other skin issues that may be exacerbated by stress.

How does stress affect the skin?

When you are stressed, your body releases cortisol, which can trigger inflammation in the skin, leading to various issues such as acne, eczema, psoriasis, and rosacea. This can result in what is commonly referred to as ‘Cortisol Face’.

How can you get rid of ‘Cortisol Face’?

1. Manage stress levels:

  • Practice relaxation techniques such as deep breathing, meditation, or yoga.
  • Get regular exercise to help reduce stress.
  • Ensure you get enough sleep to allow your body to recover from stress.

2. Skincare routine:

  • Use gentle skincare products suitable for your skin type to avoid further irritation.
  • Stay hydrated and moisturize regularly to support your skin’s natural barrier.
  • Avoid harsh chemicals or over-exfoliation that may worsen skin conditions.

3. Healthy lifestyle habits:

  • Eat a balanced diet rich in fruits, vegetables, and antioxidants to promote skin health.
  • Avoid smoking and limit alcohol consumption to prevent skin damage and inflammation.
  • Protect your skin from the sun by using sunscreen daily to prevent premature aging and skin issues.

By managing stress, following a proper skincare routine, and maintaining a healthy lifestyle, you can help reduce the effects of ‘Cortisol Face’ on your skin.

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