Synonyms for Puffy: Swollen, Bloated, Edematous

Alternatives for puffy (swollen, distended):

• swollen
• engorged
• bloated
• turgid
• distended
• edematous (medical)
• inflated
• bulbous
• pillowy

"Edematous" specifically implies fluid accumulation; "bloated" suggests gas or fluid in abdomen.