The tightness of the skin on the face may be caused by physiological factors, such as dry skin, etc.; it may also be caused by pathological factors, such as contact dermatitis, cellulitis, hypothyroidism, etc., which can be improved by general treatment and medication. 1. Physiological factors: spring and fall seasons, dry and windy, less moisture in the air, often in the external environment, resulting in dry skin, will feel dry and tight skin. It is recommended to drink more water and use moisturizer to improve the symptoms. 2. Pathologic factors: (1) contact dermatitis: the skin itself is sensitive, contact with dust, pollen and other allergens, resulting in skin allergies, will feel the facial skin tight. It is recommended to stop and avoid re-exposure to allergens, apply topical tacrolimus, pimecrolimus, hydrocortisone butyrate cream, etc., as well as oral loratadine, cetirizine, etc. (2) Cellulitis: Cellulitis is a purulent infection of deep connective tissues and other parts of the body, which can lead to redness, swelling, elevated temperature, and tightness of the skin, and can cause tightness of the facial skin. Sensitive antibiotics should be given systemic application, such as penicillin and cephalosporin antibiotics; local application of infrared irradiation to promote the verification of the subsidence, etc., and surgical incision and drainage is also required after abscess formation. (3) Hypothyroidism: Hypothyroidism is also called hypothyroidism, patients may have facial puffiness, dryness, flaking, etc., and may have the feeling of tightness of facial skin. Can be given levothyroxine sodium and other supplemental thyroid hormone, if necessary, iodine supplementation therapy, etc.. Facial skin tightness, but also to understand whether it is related to acute cerebrovascular accident and other neurological diseases, such as cerebral infarction. It is recommended that patients go to the hospital for a clear diagnosis and treatment for the cause of the disease.