{"id":63883,"date":"2026-04-21T12:41:15","date_gmt":"2026-04-21T10:41:15","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?page_id=63883"},"modified":"2026-06-26T06:46:14","modified_gmt":"2026-06-26T04:46:14","slug":"severe-look","status":"publish","type":"page","link":"https:\/\/drromanovaleria.ch\/en\/besoins\/expressions-visage\/air-severe\/","title":{"rendered":"Severe appearance"},"content":{"rendered":"<h1>I LOOK SEVERE<\/h1>\n<h2>What is a severe look ?<\/h2>\n<p class=\"translation-block\">A severe appearance is common in aesthetic consultations. Progressive anatomical changes, rather than actual emotions, can create fatigue, harshness or sadness at odds with personality.<br>Correction restores harmony, softens features and opens natural expression rather than transforming the face. It requires rigorous analysis and personalised strategy based on precise functional anatomy.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"286\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/visage-harmonieux.webp\" alt=\"photo of aesthetic treatments for a beautiful face\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/visage-harmonieux.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/visage-harmonieux-13x12.webp 13w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Why do I look severe?<\/h2>\n<p class=\"translation-block\">Ageing and facial dynamics contribute to severity.<br>Comprehensive diagnosis identifies individual muscular, laxity or volume causes.<\/p>\n<ul>\n<li>Muscles: depressor muscles become overactive, creating harsh tension, particularly those causing frown lines or lowering mouth corners.<\/li>\n<li>Volume loss \/ ageing: reduced volume and lax tissues cause sagging and accentuate folds.<\/li>\n<li class=\"translation-block\">Skin changes<strong>:<\/strong> reduced firmness and elasticity, more visible, established wrinkles and laxity.<\/li>\n<\/ul>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"768\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-768x768.webp\" alt=\"photo causes hollow temples\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-768x768.webp 768w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-300x300.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-1024x1024.webp 1024w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-150x150.webp 150w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-1536x1536.webp 1536w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-2048x2048.webp 2048w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/06\/viellissement-tempes-12x12.webp 12w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<h2>What gives us a severe appearance ?<\/h2>\n<p class=\"translation-block\">Clinical signs combine to change overall expression. Rarely one isolated factor, changes involve skin, muscles and bone ageing.<br>Common characteristics include:<\/p>\n<ul>\n<li>Harsh or closed eyes, particularly with under-eye circles.<\/li>\n<li>Frown lines and furrowed eyebrows.<\/li>\n<li>Downturned mouth corners.<\/li>\n<li class=\"translation-block\">Development of <a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/wrinkles\/bitterness-folds\/\">marionette lines<\/a>.<\/li>\n<li>Temple and cheek volume loss.<\/li>\n<li class=\"translation-block\">Skin changes: reduced elasticity and firmness, uneven texture, dullness, marked dehydration, <a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/wrinkles\/\">wrinkles<\/a> and <a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/wrinkles\/fine-lines\/\">fine lines<\/a>.<\/li>\n<\/ul>\n<p>These contribute to an authoritative or distant expression.<\/p>\n<h2>Solutions pour avoir l&rsquo;air moins s\u00e9v\u00e8re<\/h2>\n<p class=\"translation-block\">Treatment softens expression lines, fills hollows and improves quality. Botulinum toxin and hyaluronic acid are most common. Peels, mesotherapy or Skinboosters also improve quality and radiance.<br>Effective care identifies precise mechanisms through a comprehensive medical approach for suitable treatment.<\/p>\n<h2>Correcting a severe appearance with botulinum toxin  <\/h2>\n<p class=\"translation-block\"><a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/injections\/botulinum-toxin\/\">Botulinum toxin<\/a> modulates contraction by temporarily blocking nerve transmission to relax targeted muscles. For severity, it relaxes frown and forehead-line muscles.<br>The aim is natural, softened expression rather than freezing.<br>Eyes become more open, features relaxed and expression softer. Effects develop over days and generally last four to six months.<\/p>\n<h2>Correcting a severe appearance with hyaluronic acid injections<\/h2>\n<p class=\"translation-block\">Volume loss is a major cause. Age loosens structures and changes natural curves. Restoring volume supports tissues, harmonises contours and corrects sagging.<br><a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/injections\/hayluronic-acid\/\" target=\"_self\">Hyaluronic acid<\/a> commonly treats cheekbones, temples, tear troughs and contours. Repositioning creates a natural lift without surgery, reducing shadows for a rested, softer appearance.<br>It is therefore used for <a href=\"https:\/\/drromanovaleria.ch\/en\/medical-lift\/\" target=\"_self\">medical lifting<\/a> and filling to restore lost volume.<\/p>\n<h2>Correcting downturned mouth corners with injections<\/h2>\n<p data-start=\"64\" data-end=\"463\" class=\"translation-block\">Hyaluronic acid is the most used solution for downturned mouth corners. Medical lifting treats support structures and tightens sagging tissues for a rested, harmonious face.<br>Targeted filling also compensates for ageing volume loss, particularly in the lower third, supporting mouth corners and correcting their downward direction.<\/p>\n<h2>Improving skin quality<\/h2>\n<p class=\"translation-block\">Skin quality is essential: impairment accentuates severity, fatigue and harshness.<br><a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/injections\/skinbooster\/\">Skinboosters<\/a>, <a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/mesotherapy\/\">mesotherapy<\/a> and collagen-stimulating <a href=\"https:\/\/drromanovaleria.ch\/en\/solutions\/injections\/sculptra\/\">Sculptra<\/a> improve texture, radiance and firmness.<br>Personalisation is essential. Standardised correction risks artificial results. Precise diagnosis, tailored strategy and gradual steps preserve harmony and identity.<\/p>\n<h2>R\u00e9f\u00e9rences m\u00e9dicales sur l&rsquo;air s\u00e9v\u00e8re<\/h2>\n<ul>\n<li data-section-id=\"192zvi8\" data-start=\"1188\" data-end=\"1418\">Perceived severity depends on upper- and midface anatomical balance, described in work published by <a href=\"https:\/\/onlinelibrary.wiley.com\/journal\/10982353\"><strong data-start=\"1397\" data-end=\"1417\">Clinical Anatomy<\/strong><\/a>.<\/li>\n<li data-section-id=\"18i6x3k\" data-start=\"1420\" data-end=\"1644\">La position des sourcils, la tonicit\u00e9 musculaire et les modifications progressives des tissus de soutien influencent directement l&rsquo;expression per\u00e7ue au repos, des m\u00e9canismes \u00e9tudi\u00e9s dans <a href=\"https:\/\/www.facialplastic.theclinics.com\/\"><strong data-start=\"1609\" data-end=\"1643\">Facial Plastic Surgery Clinics<\/strong><\/a>.<\/li>\n<li data-section-id=\"191grmp\" data-start=\"1646\" data-end=\"1892\">L&rsquo;analyse du vieillissement facial moderne ne repose plus uniquement sur les rides, mais \u00e9galement sur les changements des volumes, des reliefs et des proportions du visage, une \u00e9volution largement document\u00e9e dans <a href=\"https:\/\/link.springer.com\/journal\/266\"><strong data-start=\"1862\" data-end=\"1891\">Aesthetic Plastic Surgery<\/strong>.<\/a><\/li>\n<li data-section-id=\"17j9bt4\" data-start=\"1894\" data-end=\"2154\">Les traitements m\u00e9dico-esth\u00e9tiques du visage privil\u00e9gient aujourd&rsquo;hui une restauration des \u00e9quilibres anatomiques plut\u00f4t qu&rsquo;une correction isol\u00e9e d&rsquo;une ride ou d&rsquo;un muscle, une approche d\u00e9velopp\u00e9e dans les publications du<a href=\"https:\/\/onlinelibrary.wiley.com\/journal\/14732165\"> <strong data-start=\"2118\" data-end=\"2153\">Journal of Cosmetic Dermatology<\/strong><\/a>.<\/li>\n<li data-section-id=\"256ozw\" data-start=\"2156\" data-end=\"2392\">Les recommandations internationales insistent sur l&rsquo;importance d&rsquo;une \u00e9valuation personnalis\u00e9e de la morphologie faciale afin de pr\u00e9server l&rsquo;identit\u00e9 et la naturalit\u00e9 des expressions, un principe soutenu par <a href=\"https:\/\/www.theaestheticsociety.org\/\"><strong data-start=\"2366\" data-end=\"2391\">The Aesthetic Society<\/strong><\/a>.<\/li>\n<\/ul>\n<h2>Questions fr\u00e9quentes sur l&rsquo;air s\u00e9v\u00e8re<\/h2>\n<details id=\"e-n-accordion-item-8080\" open>\n<summary data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-8080\" >\n\t\t\t\t\t What are the signs of a severe appearance?<br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t<\/summary>\n<p>Typical signs are frown lines, furrowed eyebrows, closed eyes and harsh features.<\/p>\n<\/details>\n<details id=\"e-n-accordion-item-8081\" >\n<summary data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8081\" >\n\t\t\t\t\t What is the main cause of a severe appearance?<br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t<\/summary>\n<p>Muscular activity: some muscles remain contracted at rest, creating harshness or closed expression.<\/p>\n<\/details>\n<details id=\"e-n-accordion-item-8082\" >\n<summary data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8082\" >\n\t\t\t\t\t How can a severe appearance be corrected without surgery?<br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t<\/summary>\n<p>Mainly botulinum toxin relaxes responsible muscles. (It is indicated exclusively for moderate to severe expression lines between the eyebrows and at the eye corners.)<\/p>\n<\/details>\n<details id=\"e-n-accordion-item-8083\" >\n<summary data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8083\" >\n\t\t\t\t\t Can a severe appearance be prevented?<br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t<\/summary>\n<p>Yes, early treatment limits established wrinkles and preserves natural expression.<\/p>\n<\/details>\n<p>Typical signs are frown lines, furrowed eyebrows, closed eyes and harsh features.<\/p>\n<p>Muscular activity: some muscles remain contracted at rest, creating harshness or closed expression.<\/p>\n<p>Mainly botulinum toxin relaxes responsible muscles. (It is indicated exclusively for moderate to severe expression lines between the eyebrows and at the eye corners.)<\/p>\n<p>Yes, early treatment limits established wrinkles and preserves natural expression.<\/p>\n<h2>Other areas to be treated<\/h2>\n<h2><a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/facial-expressions\/tired-look\/\">Tired appearance<\/a><\/h2>\n<h2><a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/facial-expressions\/sad-look\/\">Sad appearance<\/a><\/h2>\n<h2><a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/facial-expressions\/worried-look\/\">Worried appearance<\/a><\/h2>\n<h2><a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/facial-expressions\/angry-look\/\">Angry appearance<\/a><\/h2>","protected":false},"excerpt":{"rendered":"<p>J\u2019AI L\u2019AIR S\u00c9V\u00c8RE Qu\u2019est-ce que l\u2019air s\u00e9v\u00e8re\u00a0? L\u2019air s\u00e9v\u00e8re est une pr\u00e9occupation fr\u00e9quente en consultation de m\u00e9decine esth\u00e9tique. Il ne refl\u00e8te pas n\u00e9cessairement l\u2019\u00e9tat \u00e9motionnel r\u00e9el du patient, mais r\u00e9sulte de modifications anatomiques progressives du visage. Cette expression peut donner une impression de fatigue, de duret\u00e9 ou de tristesse, parfois en d\u00e9calage complet avec la [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":63870,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-63883","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>J\u2019ai l\u2019air s\u00e9v\u00e8re - Gen\u00e8ve \u2013 Dr Romano<\/title>\n<meta name=\"description\" content=\"Comprendre les causes d\u2019un air s\u00e9v\u00e8re : ride du lion, tensions musculaires et d\u00e9s\u00e9quilibres du visage. 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