It can go away at lower doses, mine did. Not sure the exact dosage but it was something below 20mg. I was on high doses for a year, then tapered over a 2 year period to 2.5 and than another 3 years on that. Sometime in the 2nd year the moon face disappeared.
MCTD (SLE Lupus, polymyositis, scleroderma). Diagnosed 2005. Kidney, liver, GI tract, dysphagia, raynauds, barretts esophagus, quadriplegic in 2005. Recovered and now active in downhill skiing, golf, hiking. Meds: amlodipine, benezapril, omeprazole, potassium, folic acid, vitamins, maxide.
Remain Optimistic and you can overcome.