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gingival abscess :: Article Creator 10 Reasons Your Face Might Be Swollen You wake up, look in the mirror, and get quite a shock: all of a sudden, your face is swollen. Before you panic, though, know that often, facial swelling is not serious. The first thing you should do (assuming you don't have swelling in your lips or mouth or difficulty breathing—that's when you call 911 first) is try to pinpoint the problem: Did you try a new, extra-salty food you might be having a reaction to? Are your allergies flaring up? If those factors don't apply, think about other symptoms you might be having. Does your face hurt, and if so, where? Is there redness? "Facial swelling is frequently your body triggering an immune response to help fight an allergy or an infection," says Linda N. Lee, MD, FACS, assistant professor of otolaryngology–head and neck surgery at Harvard Medical School and a member of the division of Facial Plastic and Reco...