FACIAL EXPRESSIONS

Dernière mise à jour : 26 June 2026

Contents
  1. Universal expressions
  2. Voluntary and involuntary expressions
  3. Understanding and interpreting expressions
  4. An aesthetic consideration too
  5. Medical references on facial expressions

Facial expressions are a language in their own right. Without a word, they convey valuable information about our emotions, intentions and state of mind. This form of communication, both conscious and involuntary, plays a central role in personal and professional relationships.
The face is undoubtedly our richest and most nuanced communication tool. Through the coordinated activation of numerous muscles just beneath the skin, it can produce a multitude of expressions. A simple eyebrow movement, a subtle smile or tension in the lips is enough to convey a clear message to the person we are speaking to.

Universal expressions

Among all possible expressions, some are recognised as universal. They correspond to the main human emotions and are observed across all cultures : joy, sadness, anger, fear, surprise, contempt and disgust.
These expressions were described as early as the nineteenth century by Guillaume Duchenne de Boulogne and later studied more extensively by Charles Darwin. They rely on shared muscular patterns, although their intensity or appearance may vary slightly according to facial structure or individual factors.
Their analysis now uses scientific tools such as the Facial Action Coding System (FACS), developed by Paul Ekman, which precisely describes the muscular movements involved in each expression.

Voluntary and involuntary expressions

There are two main categories of facial expression.
Voluntary expressions : these are consciously controlled and used for social purposes. They involve brain areas associated with thought and communication, allowing expressions to be adjusted to the context.
Involuntary expressions : these result from a spontaneous emotional reaction. Faster and more automatic, they largely escape conscious control and more faithfully reflect the person's actual emotional state.

Understanding and interpreting expressions

Being able to read facial expressions helps us better understand the person we are speaking to. This skill supports smoother communication, improves emotional intelligence and facilitates social interactions.
In professional settings, it can also be a useful analytical tool. For example, during a discussion or negotiation, observing facial reactions can provide clues about how a proposal is perceived or the other person's emotional state.

An aesthetic consideration too

In aesthetic medicine, these concepts take on particular significance. Repeated muscular contractions or certain facial imbalances can give a resting expression perceived as severe, tired or worried.
Modern treatments aim to preserve natural expressions while correcting excessive tension rather than freezing them. The aim is to maintain an expressive face while ensuring that the emotions others perceive genuinely reflect those we wish to convey.
Various techniques are used, including injections of hyaluronic acid, botulinum toxin, Sculptra and Skinboosters, mesopeel and fractional ablative laser sessions.

Medical references on facial expressions

  • Facial expressions result from the coordinated action of numerous facial muscles, whose balance contributes to non-verbal communication and each person's identity, an anatomical organisation described in resources from the National Library of Medicine.
  • Emotions and facial expressions play an essential role in social interactions, a field extensively studied by researchers at The Paul Ekman Group, an international reference in the study of human expressions.
  • In aesthetic medicine, understanding facial muscle dynamics helps address ageing while preserving spontaneous expressions, an approach developed in publications from Facial Plastic Surgery & Aesthetic Medicine.
  • Current knowledge of functional facial anatomy allows treatments to be adapted to each patient's facial structure and movement, principles regularly discussed in Plastic and Reconstructive Surgery Journal.
  • International aesthetic medicine recommendations now favour harmonious results that respect natural facial expressions, a philosophy supported by The Aesthetic Society.
WHAT THE STUDIES SAY
01

Work by Mauricio de Maio and colleagues proposes incorporating perceived expressions into aesthetic analysis: a face can look tired, sad or angry even when the person does not feel those emotions. This consultation method helps identify areas contributing to this mismatch and define goals with the patient. It is a clinical planning tool.

Source: Multi-Dimensional Aesthetic Scan Assessment (MD ASA™): Initial experience with a novel consultation, facial assessment, and treatment planning tool — Mauricio de Maio, Vandana Chatrath, Sarah Hart et al. Journal of cosmetic dermatology, 2021.

02

The publication ‘Whole-Face Approach with Hyaluronic Acid Fillers’ describes the value of examining the face at rest and in motion. The authors link volume and contour changes to the messages a face can convey. This approach guides measured correction tailored to each face’s proportions and natural movement.

Source: Whole-Face Approach with Hyaluronic Acid Fillers — Sylwia Lipko-Godlewska, Željana Bolanča, Lucie Kalinová et al. Clinical, cosmetic and investigational dermatology, 2021.

03

An international consensus on combined treatments recommends assessing facial volumes, muscle activity and tissue quality before any injection. This analysis enables selection between botulinum toxin, hyaluronic acid or their combination according to the cause of the signs to correct. Treatment aims to preserve facial harmony. Areas to treat are defined according to the patient’s needs and expectations.

Source: Global Aesthetics Consensus: Hyaluronic Acid Fillers and Botulinum Toxin Type A-Recommendations for Combined Treatment and Optimizing Outcomes in Diverse Patient Populations — Hema Sundaram, Steven Liew, Massimo Signorini et al. Plastic and reconstructive surgery, 2016.