Morning Face Puffiness

Morning Face Puffiness: Causes, Remedies, and Prevention

This is a common occurrence that most people experience in the morning. It usually presents itself as swelling or a bloated appearance around the eyes, cheeks, and jawline. Fluid retention is the primary cause of this puffiness, as the body tends to retain excess fluids overnight. This can be worsened by several factors including poor quality sleep, an unhealthy diet high in salt, dehydration, hormonal changes, or even stress. Another reason is the horizontal position that the body has during sleep and prevents proper drainage of fluids in the face area, which causes fluids to collect at the lower regions of the face.

Fortunately, there are remedies and preventive measures that can minimize morning puffiness. Swelling can be prevented through simple lifestyle changes such as elevating the head while sleeping, drinking enough water, lowering sodium intake, and eating anti-inflammatory foods. Skincare products containing ingredients like caffeine, aloe vera, and green tea extract can target puffiness by soothing and tightening the skin. Facial massages, good sleep hygiene, and stress management techniques further contribute to reducing swelling and promoting a more refreshed appearance. If you are aware of what causes morning puffiness on your face, the remedies can help you improve your skin's condition and make it look rejuvenated and vibrant in the mornings.

The Science Behind Morning Facial Swelling

The Science Behind Morning Facial Swelling

This is very typical in which fluid retention that may have accumulated overnight causes morning puffiness in the face. This occurs for a reason, part of which may interfere with the skin and other tissues in the face. 

  1. During sleep, the body is horizontal which in itself slows down the drainage of fluids from the face and may cause fluid accumulation in lower parts, for example in the cheeks, eyelids, or jaw line.

  2. The skin has the natural tendency of retaining water over night, however, factors like excessive salt, can make a body retain extra water.

  3. In addition, other hormonal changes at the time of menstruation and pregnancy can bring about water retention and swelling around the face area.

  4. Dehydration or fluid imbalances caused due to alcohol and lack of sleep can also create puffiness during the next morning.

  5. Inflammation or swelling of facial tissues, for example, on the face due to allergies or sinus problems might become more prominent in the morning.

  6. Some illnesses such as kidney or thyroid disorder may cause difficulties in the management of fluid accumulation in the body, which manifests in the swelling of the face.

  7. Fluid retention may be much more visible because of the loosening of the elasticity of the skin due to age.

Facial swelling in the morning is temporary and can be relieved with easy methods like elevating the head while sleeping, reducing the intake of salt, hydration, and even with cooling face masks. However, if swelling continues to be a consistent issue or becomes worse, it's necessary to visit a healthcare provider for further investigation.

What Triggers Puffy Face? Common Causes Explained 

What Triggers Puffy Face? Common Causes Explained

Puffy face, therefore, is swelling or puffiness on the face that can be caused by an array of temporary and chronic causative factors.

  1. Fluid Retention: Fluid retention happens to be the foremost cause of facial puffiness. Some common causes are diet intake high in sodium, hormonal fluctuations, and dehydration. Fluid starts getting deposited around the face and makes it look bloated.

  2. Poor quality of sleep or sleep deprivation: Fluid retention and inflammation can result in puffiness around the eyes and face once one wakes up.

  3. Allergies: This condition can cause swelling of the face, particularly around the eyes and lips, due to reactions from environmental allergens, food, or skincare products.

  4. Alcohol Consumption: Alcohol is a diuretic, which dehydrates the body. As the body tries to balance the lost fluids, it can lead to puffiness, particularly in the facial area.

  5. Sinus Problems: Sinus infections, colds, or sinus congestion can cause the facial area, especially around the eyes and forehead, to swell due to inflammation in the sinus cavities.

  6. Hormonal Changes: Changes in hormones resulting from menstruation, pregnancy, or menopause can cause water retention, making the face puffy, especially at certain points in the cycle.

  7. Dietary Factors: Too much salt, sugar, or processed food can lead to water retention, and the face looks puffy. These foods result in water retention and interfere with the body's ability to get rid of excess fluids.

  8. Underlying Medical Conditions: There are certain medical conditions, like thyroid problems, kidney disease, or heart disease, which affect the balance of fluids in the body and may cause facial puffiness.

  9. Stress and Anxiety: Stress is a cause of hormonal imbalance, particularly of cortisol, which may lead to swelling and fluid retention in the face.

  10. Drugs: Certain drugs include corticosteroids, antidepressants, and birth control pills that cause a fluid retention as side effects resulting in puffiness on the face.

Identifying what causes a puffy face is one way of managing the condition. In many cases, a lifestyle change to improve sleep, reduce salt, stay hydrated, and manage allergies can reduce puffiness. Persistent or severe swelling of the face is best addressed with a healthcare provider for proper diagnosis and treatment.

How Fluid Retention Contributes to Puffiness 

How Fluid Retention Contributes to Puffiness

Fluid retention, also known as edema, plays a significant role in causing puffiness, especially in the face. When the body holds on to excess fluid, it can lead to swelling in various areas, including the facial tissues.

  • Imbalance in Fluid Regulation: Fluid retention occurs when the body is not able to properly regulate its fluid balance, and an excess of water builds up in the tissues. It causes swelling in the skin, especially in the face.

  • Gravity plays its role here when sleeping or lying down: fluids do not get properly drained off from the face. Thus, it starts accumulating in certain parts like cheeks, the lower side of the eyes, and jawlines, resulting in puffy swelling the next morning.

  • Dietary Factors: Ingestion of excessive salt or processed foods interferes with the body's own fluid regulation system. Excessive sodium causes water retention in order to balance sodium levels, contributing to puffiness in the face.

  • Hormonal Changes: Hormones especially during menstruation, pregnancy or menopause will influence fluid retention. Increased levels of hormones can disrupt the kidneys in removing excess fluid which will cause the water to gather in the face and other places.

  • Inadequate Hydration Ironically, not having enough water could cause the body to retain fluids as a natural defense mechanism. Once the body dries out, it will desperately try to cling to as much fluid as it can, giving one a puffy face and appearance.

  • Poor circulation of blood within the body might not easily let excess fluid leave the body, leading to the fluid collection within the face. It results in swelling or puffiness.

Temporary fluid retention can be dealt with through dieting, staying hydrated, and practicing good sleeping habits. Chronic fluid retention is more complex and needs to be seen by a medical doctor in order to be addressed by their root cause.

The Role of Sleep and Posture in Morning Puffiness 

The Role of Sleep and Posture in Morning Puffiness

Sleep and posture play crucial roles in morning puffiness, particularly in the face. The way we sleep and the position of our body can influence fluid distribution and retention overnight, leading to puffiness upon waking.

  • Horizontal Positioning: During sleep, the body is in a horizontal position, which slows the natural process of fluid drainage. Fluids tend to collect in the facial tissues, especially around the eyes, cheeks, and jawline, causing puffiness in the morning.

  • Sleeping Duration: Lack of sleep will intensify fluid retention. If your body does not get enough sleep, it tends to disrupt the function of the lymphatic system and its ability to drain excess fluids, making it more apparent after waking up.

  • Facial Pressure: The positioning of the face during sleep can cause localized swelling, especially when it is pushed against a pillow or bedding, often around the cheeks and under the eyes. In some cases, prolonged pressure in certain areas can increase puffiness.

  • Lifting the Head: Lifting the head raises fluid to assist with draining through the face, a technique useful for improving flow with the swelling preventing the collection of fluid in your face.

  • Cortisol and Stress: Poor sleep or disturbed sleep cycles can raise cortisol levels in the body, a hormone that plays a role in fluid retention. High cortisol levels can contribute to more swelling and puffiness in the face.

  • Restorative Sleep: Adequate sleep allows the body to repair and restore its systems, including the regulation of fluid balance. A full night's rest can help prevent excess fluid buildup, leading to a less puffy face in the morning.

In a nutshell, proper sleep hygiene, good posture during sleep, and adequate rest can significantly reduce morning puffiness. Adjusting sleep habits, such as sleeping with the head elevated and avoiding excessive pressure on the face, can be effective ways to manage facial swelling.

Quick Remedies to Reduce Facial Swelling 

Quick Remedies to Reduce Facial Swelling

Several fast and easy treatments could cut down facial swelling, particularly when swelling is caused by fluid retention or temporary reasons. Here are a few simple methods that can help:

  1. Cold Compress: Apply a cold compress or an ice pack covered by a cloth to the swollen area for 10-15 minutes. This helps constrict blood vessels, reduce inflammation, and reduce puffiness. Cold reduces swelling because it enhances circulation and the removal of fluid.

  2. Hydrate: Drinking enough water helps flush out excess salt and toxins from the body, which can alleviate fluid retention. Proper hydration supports the body's natural ability to maintain fluid balance and reduce puffiness.

  3. Elevate Your Head At Night: While sleeping, use an extra pillow to elevate your head. It helps drain fluid away from the face. Elevating your head and avoiding fluid build-up around the face and eyes during the night can be useful.

  4. Gentle Facial Rubbing: Softly rub the face in upwards strokes to get the blood moving and help the fluids drain. The swelling is particularly reduced in the cheeks and below the eyes by doing this.

  5. Use a cream containing caffeine: Caffeine is a natural anti-inflammatory. It can thus reduce puffiness. Applying caffeine-based cream to swollen areas can contract the skin and subsequently reduce swelling.

  6. Green Tea Bags: Green tea contains antioxidants as well as anti-inflammatory properties. Chilled, used green tea bags placed on the eyes for 10-15 minutes can be used to help reduce puffiness and soothe inflammation.

  7. Reduce Salt Intake: Too much salt can cause water retention, which leads to puffiness. Reducing sodium consumption will prevent further swelling and help reduce facial puffiness over time.

  8. Cold Spoons: Place metal spoons in the refrigerator and apply them to swollen areas of your face with gentle pressure. The cold feeling will reduce swelling and calm irritation.

  9. Anti-inflammatory Foods: Drinking foods with potassium, for instance, bananas, spinach, or sweet potatoes can help in body balancing of sodium; thus fluids are less likely to be retained.

  10. Limit Alcohol and Caffein Drinking: Alcohol and caffeine tend to cause dehydration in the body. Drinking less of these substances may reduce swelling in the face.

You can easily reduce swelling in the face and get a more refreshed look by including these remedies. However, if the puffiness continues or becomes chronic, it is recommended to consult a healthcare professional to rule out other underlying causes.

Cold Compress Techniques: Fast Relief for Puffy Face 

Cold Compress Techniques: Fast Relief for Puffy Face

One of the most simple and effective methods of getting rid of puffy faces is using a cold compress. The cold constricts blood vessels, reduces inflammation, and ensures proper circulation, thus giving quick relief from swelling in the face. Here are a few cold compression techniques to get relief from puffy faces.

  1. Ice Pack in a Cloth:

  • Take a clean cloth or towel and put some ice cubes inside it.

  • Gently press the cloth onto the swollen areas of your face for 10-15 minutes.

  • Ensure the ice is wrapped to avoid direct contact with the skin, which could cause frostbite.

  • This method helps reduce swelling and tightens the skin temporarily.

  1. Chilled Gel Mask:

  • Use a cooling gel mask designed to reduce facial puffiness.

  • Place the mask in the refrigerator for 20-30 minutes before applying it to your face.

  • The gel mask molds around your face and cools uniformly, especially the eyes and cheeks.

  • Use the mask for approximately 15 minutes to get maximum benefits.

  1. Cold Spoon Technique:

  • Put metal spoons in the refrigerator for about 10-15 minutes.

  • When the spoons have chilled, use the curved part of the spoon to gently apply pressure to areas of your face that are inflamed, like under the eyes or along the jaw.

  • Place each spoon in position for a few minutes to let the cold decrease the swelling.

  1. Frozen Cucumber Slices:

  • Cut fresh cucumber slices and place them in the freezer for about 15-20 minutes.

  • Once chilled, place the slices on puffy areas of your face, such as under your eyes or on your forehead.

  • The coolness reduces swelling, and the antioxidants in the cucumber calm and hydrate the skin.

  1. Cold Water Soak for Your Face:

  • Put a small basin full of cold water with a few ice cubes.

  • Splash the cold water on your face several times, targeting the swollen areas.

  • You can also wet a soft towel in the cold water and gently press it onto your face for a few minutes.

  1. Chilled Tea Bags:

  • Place the two brewed tea bags in the refrigerator until they cool down. 

  • Once chilled, place the tea bags over your eyes or other puffy areas of the face for about 10-15 minutes. 

  • The cold and anti-inflammatory properties of the tea bags will help reduce swelling and calm the skin.

These cold compress techniques are effective for giving quick relief to a puffy face, especially when fluid retention is the cause. Make sure that the cold compress does not stay on the skin for too long as it may cause some damage to the skin.

Facial Massage Tips to Reduce Swelling 

Facial Massage Tips to Reduce Swelling

Facial massage is the natural and easy way to get rid of puffiness and swelling by stimulating the circulation, promoting lymphatic drainage, and aiding the movement of excess fluid out of the face. Here are some facial massage tips to reduce swelling:

  1. Apply gentle upward strokes and light pressure to avoid irritation of the skin.

  2. Massage the neck first, using upward strokes to promote lymphatic drainage.

  3. Rub over the jaw line with the palm and fingers by pressing down and working their way around towards the ear.

  4. Rub across the cheeks by using index and middle fingers making outward circular motions

  5. Tapping gently with the ring fingers working the inner and outer edges of the eye area under the eyes.

  6. Working upward from the brow center toward the temple and across the brow releases tension here

  7. Facial oil or cream will lubricate the surface, helping fingers glide easily to prevent irritation.

  8. Use small, circular motions to stimulate lymphatic drainage, moving from the center outward.

  9. Finish with light tapping of your face to stimulate circulation and firm the skin.

  10. Regular facial massages help prevent swelling and improve the overall appearance of your face.

With these facial massage tips, you can really reduce swelling and puffiness to give your face a fresh, revitalized look. Just be gentle and consistent for the best results.

Skincare Ingredients That Help Fight Puffiness 

Skincare Ingredients That Help Fight Puffiness

There are many skincare ingredients that help to reduce puffiness by improving circulation, draining excess fluid, and soothing inflammation. These ingredients work well on facial swelling, especially around the eyes and cheeks.

  1. Caffeine: Stimulates circulation and constricts blood vessels, reducing swelling.

  2. Hyaluronic Acid: Hydrates and plumps the skin, helping to balance fluid retention.

  3. Peptides: Strengthen skin structure, reducing puffiness and promoting elasticity.

  4. Vitamin C: Brightens the skin and helps reduce swelling caused by fluid retention.

  5. Aloe Vera: It soothes the skin and reduces inflammation. It gives a relief from puffiness.

  6. Green Tea Extract: It has antioxidants and anti-inflammatory properties to reduce swelling.

  7. Arnica: It is used for its anti-inflammatory effects. It reduces bruising and puffiness.

  8. Niacinamide: It enhances the barrier function of the skin and reduces fluid retention around the eyes. 

So, all these ingredients in the skincare routine help reduce puffiness and make your skin look fresh and revitalized.

Lifestyle Adjustments to Prevent Puffy Face 

Lifestyle Adjustments to Prevent Puffy Face

Lifestyle changes are also a significant preventive measure against a puffy face, as they address the underlying causes of fluid retention and inflammation. Simple changes like drinking enough water, reducing salt intake, and adding anti-inflammatory foods to your diet can help control puffiness. Quality sleep, stress-reducing techniques, and regular physical activity can also improve circulation and fluid drainage. In addition, changing sleep positions by raising the head prevents fluids from collecting in the face. By doing these adjustments, you can reduce swelling in the face, look rejuvenated, and promote healthy skin.

Dietary Tips to Minimize Morning Swelling

Dietary Tips to Minimize Morning Swelling

Some diet choices may reduce morning swelling by preventing fluid retention and ensuring healthy circulation. Focus on a balanced diet to reduce puffiness and have healthy skin.

  1. Drink water throughout the day to keep hydrated and flush out excess sodium.

  2. Salt intake should be kept to the lowest because high sodium concentration causes the body to retain water.

  3. Eating foods rich in potassium, like bananas, avocados, and sweet potatoes, will counter sodium and swelling.

  4. Incorporate foods that contain antioxidants, such as berries, leafy greens, and nuts, that reduce inflammation.

  5. Limit alcohol as it leads to dehydration and exacerbates puffiness.

  6. Add anti-inflammatory foods like turmeric, ginger, and olive oil to reduce puffiness.

  7. Choose lighter dinners at night to avoid overloading your digestive system, which can result in fluid retention.

  8. Cut back on sugar since it can also lead to fluid retention and swelling.

Dietary changes, therefore, would reduce morning puffiness and promote better skin condition.

Importance of Hydration in Reducing Puffiness 

Importance of Hydration in Reducing Puffiness

The face is one of the most visible parts of the body, so staying hydrated helps reduce puffiness by regulating fluid balance and helping the body detoxify naturally.

  • Adequate water intake flushes out excess sodium, which contributes to water retention and swelling. Proper hydration also helps support the lymphatic system in removing toxins and preventing fluid buildup.

  • Dehydration leads to retention of water by the body in compensation. The tissues of the body can trap fluid leading to puffiness especially in the eyes and face.

  • Hydration promotes blood circulation that allows the fluid to flow all over the body, avoiding accumulation in tissues.

  • Consumption of water may ensure the skin retains its elasticity hence not swollen from the effects of fluid retention.

Including adequate water in your daily routine will help prevent and reduce puffiness, giving you a more refreshed and toned look.

Stress Management for a Swelling-Free Face 

Stress Management for a Swelling-Free Face

Reducing stress is crucial to prevent facial puffiness, as stress leads to hormonal imbalance and fluid retention.

  1. Relaxation techniques like deep breathing, meditation, or yoga help reduce the stress level in a person, thereby reducing the cortisol levels.

  2. Exercise regularly to remove tension and enhance blood circulation to reduce the chance of puffiness.

  3. Ensure proper sleep, as inadequate sleep raises the stress levels and causes puffiness.

  4. Spend more time in nature outdoors, which is supposed to have soothing effects and reduces stress levels.

  5. Take breaks for some time during work hours or even between those stressful activities in order not to accrete swollen status.

  6. Reduce intake of caffeine and alcohol since they induce stress and dehydration and can cause swellings.

Stress-reducing practices should be included in daily life; this is because they help manage swelling, ensuring your face looks calm, refreshed, and balanced.

Personalized Skincare Recommendations for Puffiness Prevention 

Personalized Skincare Recommendations for Puffiness Prevention

Personalized skincare is one of the ways to prevent puffiness by addressing the specific needs and concerns of an individual's skin. Tailoring the skincare routine according to factors such as lifestyle, diet, and skin type may reduce swelling and improve the general health of the skin.

  1. Hydrating products: Use moisturizers that contain hyaluronic acid, which keeps the skin hydrated and prevents fluid retention. Re'equil Ceramide & Hyaluronic Acid Moisturiser, Pilgrim Hyaluronic Acid Oil-Free Gel Moisturiser and Clinikally HydraSoothe Moisturiser are highly recommended.

  2. Anti-inflammatory ingredients: The product must have caffeine, green tea, or aloe vera to calm down the skin and reduce puffiness. BABE Hydra-Calm Body Milk and Omnisoft Soothing & Repairing Ultra Soft Facial Moisturizing Cream are excellent.

  3. Eye creams: Use the eye creams with peptides or vitamin C that treat under-eye puffiness and dark circles. Depiwhite Eye Contour Gel, Epique Intensive Luminescence Cream, FCL Eye Refining Matrix and Dermalogica Biolumin-C Eye Serum are highly recommended.

  4. Lightweight formulas: Non-comedogenic, oil-free products that do not block pores and are less likely to cause swelling

  5. Cool treatments: Cooling masks or gels like Beauty of Joseon Red Bean Refreshing Pore Mask, Klairs Freshly Juiced Vitamin E Mask and The Face Shop Jeju Aloe Fresh Soothing Gel are used to contract blood vessels quickly and treat puffiness in the face.

  6. Adjust sleep habits: Personalize your skincare by combining hydrating serums with proper sleep positions to prevent fluid buildup.

  7. Dietary support: Incorporate products with antioxidants and anti-inflammatory properties, such as vitamin C serums, to support a balanced skin routine.

To fight puffiness effectively, it would be important to choose products according to the nature and needs of the skin. By doing this, you ensure that the ingredients you use will interact harmoniously and keep your skin refreshed and healthy, with little or no unwanted swelling.

How to Choose Products for Puffy Face

How to Choose Products for Puffy Face

The right skincare products can minimize swelling and alleviate puffiness. To guide your selection, here are a few tips on what to look for in certain types of products.

  1. Choose products that have anti-inflammatory ingredients such as caffeine, aloe vera, or green tea extract that reduce swelling and soothe the skin.

  2. Look into hydrating products containing ingredients like hyaluronic acid or glycerin that keep the skin balanced in moisture and prevent fluid retention.

  3. It is better to opt for light non-comedogenic formulas that won't clog pores and still allow hydration and nourishment.

  4. Look for cooling gels or masks that promise to help deflate the eyes immediately as it constricts blood vessels and aids fluid drainage.

  5. Fragrant and harsh chemicals can affect sensitive skin and even exacerbate puffiness.

  6. Choose eye creams or serums that are specifically designed for puffiness under the eyes. These usually contain targeted ingredients, such as peptides or caffeine.

  7. Choose products that contain tightening agents, such as peptides or niacinamide, to help lift and firm the skin, thereby reducing puffiness.

Through the selection of the right products, you will be able to target puffiness effectively and enjoy a more refreshed, toned look.

Real Stories: Managing Morning Facial Swelling 

Real Stories: Managing Morning Facial Swelling

While many people wake up to experience morning facial puffiness, the causes can range from fluid retention to poor sleep and dietary factors. On this basis, real stories reveal that most people can cope with this condition by altering their habits of daily life. Lifting one's head while sleeping was what some did. Others ensured they drank enough water and reduced salt intake. Facial massages every day, cooling masks, or skincare products containing ingredients to reduce inflammation were the other ways. For some, managing stress and improving sleep quality made all the difference. These simple lifestyle changes can help minimize morning swelling and leave the individual looking fresher and more vibrant.

Importance of Personalized Skincare for Puffiness Prevention

Importance of Personalized Skincare for Puffiness Prevention

Personalized skin care is the most important factor against puffiness, because the products and treatments provided would be specifically suited to an individual's skin type and issues. Considering that puffiness can come from several reasons like fluid retention, dehydration, allergies, or stress, a single approach will probably not be effective for everyone. Personalized skincare takes into account skin type, lifestyle habits, and the underlying causes of puffiness to choose products specifically addressing those problems. For instance, someone with fluid retention can be treated with anti-inflammatory properties like caffeine or green tea, while dehydration might be helped with hydrating formulas containing hyaluronic acid. Moreover, customized skincare allows for better routines to be recommended, helping sleep quality and reduce stress along with circulation factors, all contributing to less puffiness. The attention paid to one's needs will allow personalized skincare to achieve a much more profound outcome and is better for maintaining long-term health in the skin. It equips a person to make wise choices and have a refreshed, toned, and brightened appearance that helps avoid puffiness.

Frequently Asked Questions

Morning face puffiness, also known as facial swelling, can be caused by a variety of factors including fluid retention, sleeping positions, hormonal fluctuations, excessive salt intake, or even allergies. Dehydration can also contribute to puffiness, as the body tends to retain water in response to lack of hydration.
Puffy face treatment options include using cold compresses, applying anti-inflammatory skincare products, and engaging in puffy face massage techniques. Natural remedies for puffy face, like placing cucumber slices or chilled tea bags on the eyes, may also provide relief. Proper hydration and reducing salt intake can help manage puffiness.
To reduce face puffiness fast, you can try quick fixes for morning puffiness like splashing cold water on your face, gently massaging the face to stimulate lymphatic drainage, or using an ice roller. Hydration is key, so drinking water first thing in the morning can help to deflate a swollen face.
Yes! Lifestyle tips for puffy face prevention include getting adequate sleep, maintaining a healthy diet by avoiding foods that promote swelling, such as salty foods, and reducing stress. Incorporating a consistent skincare routine for puffy face, including products that target swelling and inflammation, can also help prevent puffiness.
Foods high in sodium, processed sugars, and alcohol can contribute to facial swelling. Foods to avoid for puffiness include salty snacks, processed foods, and alcohol. Incorporating anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids can help prevent puffiness and support overall skin health.
A puffy face skincare routine should focus on reducing inflammation and promoting circulation. Start with a gentle cleanser, followed by a cooling serum or gel. Hydration is key, so using a moisturizer designed for swollen skin is important. You can also try using a face roller to massage and help reduce puffiness.
Yes, stress can lead to facial swelling as it triggers the body’s stress response, which may cause fluid retention. Stress and facial swelling are often linked, as elevated cortisol levels can exacerbate puffiness. Managing stress through relaxation techniques, such as meditation or yoga, can help reduce puffiness and prevent long-term swelling.

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