Are you waking up with a puffy face or swollen eyes? Dermatologists say your sleeping position may be at fault. When you sleep, fluids in your body redistribute and settle in certain areas due to gravitational force and pressure. If you want to manage facial swelling, the easiest way to do is to adjust the way you sleep. It’s recommended that you sleep on your back with an extra pillow, so the face stays elevated and can receive better fluid circulation.