Moon Face Short-term steroid therapy produces no acute toxicities and two beneficial reaction in creased appetite and a sense of well-being. However, it dose produce alteration in appearance, which, although not clinically significant, can be extremely distressing to older children. One of these is moon face, in which the child's face becomes rounded and puffy. It is helpful to reassure the child that, after cessation of the drug, the facial shape will return to normal. Unlike hair loss, little can be done to camouflage this obvious change. If the child resumes activity early in the course of treatment, the change may be less noticeable to peers than after a long absence.