Tightness on both sides of the scalp and face may be caused by physiological factors such as mental tension and cold stimulation, or it may be considered to be caused by tension headache, cerebral blood supply insufficiency and other diseases. 1. Physiological factors: mental tension and cold stimulation may lead to tightness on both sides of the scalp and face. This kind of situation, usually do not need to take special treatment, avoid excessive tension, pay attention to keep warm. 2. Tension headache: Tension headache may be caused by muscle contraction, abnormal vasomotor regulation, long-term anxiety, poor posture, lack of sleep and other factors. Patients may experience tightness in bilateral head, temporal, occipital and other parts of the head, which may be manifested as tightness on both sides of the scalp and face. 3. Insufficient cerebral blood supply: Insufficient cerebral blood supply may be caused by vascular pressure, high blood fat, cerebral infarction, cerebral hemorrhage and other factors. Patients may have headache, dizziness, numbness of the face, abnormal sensation of one side of the limbs, motor disorder of one side of the limbs and other symptoms, which may be manifested as tightness of the scalp and both sides of the face. There are many reasons for the tightness of the scalp and face, and it is recommended that patients identify the causes of the disease in time and actively take relevant treatment measures.