Cirrhosis for twenty years and face swollen considerations may be due to cirrhosis caused by hypoproteinemia, or renal insufficiency, cardiac insufficiency, hypothyroidism. 1. Hypoproteinemia: Cirrhosis for twenty years means that the cirrhosis time is longer, and there may be a period of decompensation of liver function, at this time the synthesis ability of the liver will decline more seriously, and the synthesis of protein is reduced, so the phenomenon of swollen face will occur. 2. Renal insufficiency: when renal insufficiency occurs, proteinuria will occur, resulting in a large amount of protein loss, which will also cause facial edema. 3. Cardiac insufficiency: cardiac insufficiency can lead to cardiac hypoplasia and heart failure, which can cause impaired body circulation, resulting in facial edema, and double lower extremity edema. 4. Hypothyroidism: hypothyroidism will also cause facial edema, accompanied by fatigue and weakness. If you have cirrhosis for twenty years and have symptoms of facial edema, it is recommended that you go to the hospital as soon as possible and take appropriate measures under the guidance of the doctor.