What causes pigface? Is it from being obese for your entire life? Serious question: Are the piggish facial features caused by out of whack hormones that are caused by obesity and eating too much sugar and  crap as a child?  I'm not talking about someone who develops an enormously fat face, etc., I'm talking the people who really have serious pigface, like down-to-the-bones-pigface. I'm pretty sure I've never seen a thin person with pigface.  I have read that male hormones are affected by obesity and it makes the boys stay more feminine, PCOS (which can be treated by diet and exercise) makes female adolescents more masculine (hair, etc). So seriously, does the face actually develop with pig features when a person is obese from very young childhood?