Writers are endlessly hectored with the Chekhovian maxim to load up their stories with vivid visual elements and gestural cues that are supposed to be "universal", automatically invoking in a reader's mind what is being seen or a character thinking/feeling. A few quick points:
1) From another character's POV: "<Character> furrowed her brow for some reason. She blushed and sat back, clenching her fists, gritting her teeth..."
Yes, the author actually put in "for some reason", perfectly stating my reaction. A reader might be left wondering what this daisy-chain of visual cliches is meant to convey; that they might later be associated (through dialogue or action) with internal states seems irrelevant, because the reader has already popped out of the narrative.
2) Who ever said that visuals are universal? Gestures, expressions, and reactions are in fact not universal across cultures. Assuming as much could create misunderstanding or offense, requiring a story to be retooled for different markets.
3) Not that there are all that many "readers" blind from birth, but with the advent of audiobooks, listening to the above passage conveys zero meaning, a storytelling failure. Considering the world's 40-odd million profoundly blind "readers", and another 240+ million with low vision, might not overreliance on visual elements and cliches prove problematic, even discriminatory?
4) Even readers with pale complexions might be at a loss understanding what the author is implying by the character's blush; these days, darker-complected readers might end up abruptly changing their understanding of or even sympathy with a character.