Does stress change the shape of the face?

The term has spread on social media platforms Cortisol Facereferring to changes that some believe appear on the face as a result of chronic stress, such as puffiness, the appearance of acne, skin dullness, and dark circles.
Despite the widespread spread of the term, doctors and skin care experts confirm that this phenomenon is not a recognized medical diagnosis, and that the relationship between stress and changing facial features is more complex than what is circulated on the Internet.
“Moon face” is a medical diagnosis
Dr. Parisa Khonsari, of the Sequoia Clinic in Dubai, explains that the medical condition actually linked to high cortisol levels is known as “Moon Face”It is characterized by fullness of the face as a result of the redistribution of fat in the body, concentrated in the face, behind the neck, and the abdominal area.
She points out that this condition does not result from the stresses of daily life, but rather requires a severe and continuous rise in cortisol levels for several months, as happens in people with Cushing’s syndrome or people who use cortisone medications for long periods.
She added that natural increases in the hormone cortisol resulting from the pressures of work or daily life do not reach the levels that lead to these changes, so there is no scientific evidence to confirm the existence of the so-called “cortisol face” as circulated on social media sites.
Stress reflects on the skin
However, experts do not deny the effect of chronic stress on skin health, as it can lead to increased inflammation, fluid retention, and increased skin sensitivity, as well as stimulating the appearance of acne or exacerbating some skin diseases.
High cortisol may also affect the immune system, increasing the possibility of contracting some infections or activating latent viruses, such as cold sores that appear in many people during periods of psychological stress.
For her part, Athena Theodoridi, founder of the skin care brand Thy Skin, confirms that reducing all skin problems to one hormone is a gross simplification.
She explains that the skin is affected by a wide range of factors, including age, hormones, environment, lifestyle, daily habits, sleep quality, in addition to psychological health.
She added that the body does not respond to the type of stress it is exposed to as much as it is affected by its accumulation over time, which may be reflected in the levels of inflammation, energy, and the body’s ability to recover, and then in the appearance of the skin.
Experts believe that good sleep is one of the most important factors for maintaining healthy skin, as it contributes to regulating hormones, regenerating skin cells, and reducing inflammation.
On the other hand, sleep deprivation leads to dullness, dryness, and increased sensitivity of the skin, and stress may cause tightening of the muscles of the face and jaws, giving the face a more tired and puffy appearance.
Temporary effects
Jitin Jaggi, CEO of skincare brand Circadia, points out that the effects of stress often appear around the eyes, cheeks and jawline, but in most cases they are temporary and improve as the body regains its balance.
It is recommended to follow a consistent daily skin care routine, use sunscreen, and pay attention to the health of the skin’s protective barrier, in addition to improving sleep quality and reducing sources of stress.
Although the term “cortisol face” is not based on an approved medical diagnosis, experts confirm that the skin remains a mirror of the health of the body and soul. Chronic stress may not change facial features as is rumored, but it leaves clear effects on the freshness and health of the skin, which makes paying attention to mental health and lifestyle an essential part of beauty care.
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