A symptom of too much fucking. Mostly in the doggy-style position where the guy pushes the girls face into a pillow and proceeds to plow away, either anally or vaginally. The girl, loving every minute simply cannot move her head from the pillow creating creases in her face. Thus, a pillowface.
See also, pillowbiter
Ex. Dude, I gave your sister mad pillowface last night.
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