The causes of hypertensive face swelling may be the following: 1, long-term hypertension or long-term poorly controlled hypertension, which can easily cause sclerosis of the renal arteries, kidney damage, resulting in kidney dysfunction, leading to hypoproteinemia, resulting in swollen face; 2, long-term hypertension is not well controlled, which will also have an impact on the heart, causing atherosclerosis, causing myocardial ischemia, and even causing angina pectoris, myocardial infarction, heart enlargement, hypertensive heart disease, etc. These conditions can cause heart failure, and heart failure also often results in swollen face and swollen feet. Therefore, patients with hypertension must be given strict medication to control their blood pressure at the desired level.