Can someone’s face actually physically change after a nervous break down?

I may be over thinking it, and when I look online all I find are articles about nervous breakdowns In general.

I had a nervous break down late last year caused from my now ex boyfriend...since then I’ve gone through a lot of emotional stress.

I look at photos of myself now and from 2 years ago, and I actually feel like I look like a totally different person.

My eyes, my nose, my cheeks...

Everything looks different.

Am I overthinking or is this actually a thing?