A term circulating on TikTok, "Cortisol Face," claims that a puffy or rounded face is linked to high cortisol levels. But, is this claim scientifically accurate?

What is "Cortisol Face"?

"Cortisol Face" isn't an official medical term. While cortisol can impact body fat distribution, puffy cheeks don’t automatically mean a cortisol imbalance.

Medical Experts Disagree

The term "moon face" is linked to Cushing's syndrome, a rare condition caused by excess cortisol. Symptoms include a round face, purple stretch marks, and fat redistribution. Only 40-70 cases per million people occur annually.

Cushing’s Syndrome and "Moon Face"

Cortisol is the body’s main stress hormone. It helps regulate blood pressure, blood sugar, sleep, and inflammation, playing a vital role in stress response.

The Role of Cortisol

Short-term stress spikes cortisol levels, which is beneficial. But chronic high cortisol, due to conditions like Cushing’s, can lead to significant physical changes, including puffy facial features.

High Cortisol and Stress

Cushing's syndrome, caused by tumors or medications, is a rare condition. In contrast, normal stress usually doesn't lead to the same severe physical symptoms

Cushing’s Syndrome vs. Regular Stress.

Puffy cheeks may stem from various factors, such as obesity, medications, or Cushing’s. Simply experiencing stress or fatigue doesn't mean you have a cortisol imbalance.

Puffy Face: Is It Always Cortisol?

Look for signs beyond facial changes, such as high blood pressure, weight gain, and fatigue. If you suspect issues, consult a doctor for a thorough evaluation.

Spotting High Cortisol

If cortisol levels rise due to stress, focus on stress management techniques like exercise, sleep, and a balanced diet. For most, these methods are enough to maintain healthy cortisol levels.

Managing Cortisol Naturally

"Cortisol Face" isn’t a real diagnosis. While high cortisol levels can affect your body, puffy cheeks aren't a sign of stress-induced hormone imbalances for most people.

The Bottom Line