Facial swelling
Puffy face; Swelling of the face; Moon face; Facial edema
Facial swelling is the buildup of fluid in the tissues of the face. Swelling may also affect the neck and upper arms.
Considerations
If the facial swelling is mild, it may be hard to detect. Let the health care provider know the following:
- Pain, and where it hurts
- How long the swelling has lasted
- What makes it better or worse
- If you have other symptoms
Causes
Causes may include:
-
Allergic reaction
(
allergic rhinitis
, hay fever, or a
bee sting
)
Allergic reaction
Allergic reactions are sensitivities to substances called allergens that come into contact with the skin, nose, eyes, respiratory tract, and gastroin...
Allergic rhinitis
Allergic rhinitis is a diagnosis associated with a group of symptoms affecting the nose. These symptoms occur when you breathe in something you are ...
Bee sting
Insect bites and stings can cause an immediate skin reaction. The bite from fire ants and the sting from bees, wasps, and hornets are most often pai...
-
Angioedema
Angioedema
Angioedema is swelling that is similar to hives, but the swelling is under the skin instead of on the surface. Hives are often called welts. They a...
-
Blood transfusion reaction
Blood transfusion reaction
A hemolytic transfusion reaction is a serious complication that can occur after a blood transfusion. The reaction occurs when the red blood cells th...
-
Cellulitis
Cellulitis
Cellulitis is a common skin infection caused by bacteria. It affects the middle layer of the skin (dermis) and the tissues below. Sometimes, muscle...
-
Conjunctivitis
(inflammation of the eye)
Conjunctivitis
The conjunctiva is a clear layer of tissue lining the eyelids and covering the white of the eye. Conjunctivitis occurs when the conjunctiva becomes...
- Drug reactions, including those due to aspirin, penicillin, sulfa, glucocorticoids, and others
- Head, nose, or jaw surgery
- Injury or trauma to the face (such as a burn)
- Malnutrition (when severe)
- Obesity
- Salivary gland disorders
-
Sinusitis
Sinusitis
Sinusitis is present when the tissue lining the sinuses become swollen or inflamed. It occurs as the result of an infection from a virus, bacteria, ...
-
Stye
with swelling around the infected eye
Stye
Most bumps on the eyelid are styes. A stye is an inflamed oil gland on the edge of your eyelid, where the lash meets the lid. It appears as a red, ...
-
Tooth abscess
Tooth abscess
A tooth abscess is a buildup of infected material (pus) in the center of a tooth. It is an infection caused by bacteria.
Home Care
Apply cold compresses to reduce swelling from an injury. Raise the head of the bed (or use extra pillows) to help reduce facial swelling.
When to Contact a Medical Professional
Call your health care provider if you have:
- Sudden, painful, or severe facial swelling
- Facial swelling that lasts a while, particularly if it is getting worse over time
- Difficulty breathing
- Fever, tenderness, or redness, which suggests infection
What to Expect at Your Office Visit
Emergency treatment is needed if facial swelling is caused by burns or if you have breathing problems.
The health care provider will ask about your medical and personal history. This helps determine treatment or if any medical tests are needed. Questions may include:
- How long has the facial swelling lasted?
- When did it begin?
- What makes it worse?
- What makes it better?
- Have you come into contact with something you might be allergic to?
- What medicines are you taking?
- Did you recently injure your face?
- Did you have a medical test or surgery recently?
-
What other symptoms do you have? For example:
facial pain
, sneezing,
difficulty breathing
,
hives
or
rash
,
eye redness
,
fever
.
Facial pain
Face pain may be dull and throbbing or an intense, stabbing discomfort in the face or forehead. It can occur in one or both sides.
Difficulty breathing
Breathing difficulty may involve:Difficult breathingUncomfortable breathingFeeling like you are not getting enough air
Hives
Hives are raised, often itchy, red bumps (welts) on the surface of the skin. They are usually an allergic reaction to food or medicine. They can al...
Rash
Rashes involve changes in the color, feeling or texture of your skin.
Eye redness
Eye redness is most often due to swollen or dilated blood vessels. This makes the surface of the eye look red or bloodshot.
Fever
Fever is the temporary increase in the body's temperature in response to a disease or illness. A child has a fever when the temperature is at or abov...
References
Amsterdam JT. Oral medicine. In: Marx JA, Hockberger RS, Walls RM, eds. Rosen's Emergency Medicine . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 70.
Habif TP. Urticaria and angioedema. In: Habif TP. Clinical Dermatology . 5th ed. Philadelphia, PA: Elsevier Saunders; 2009:chap 6.
Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, Hockberger RS, Walls RM, eds. Rosen's Emergency Medicine . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 72.
Sharma R, Brunette DD. Ophthalmology. In: Marx JA, Hockberger RS, Walls RM, eds. Rosen's Emergency Medicine . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 71.
Review Date: 1/31/2015
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.