In people with hypothyroidism, the facial expression becomes dull, the eyelids droop, and the eyes and face become puffy.
By permission of the publisher. From Burman K, Becker K, Cytryn A, et al. In Atlas of Clinical Endocrinology: Thyroid Diseases. Edited by SG Korenman (series editor) and MI Surks. Philadelphia, Current Medicine, 1999.