Frown Lines

Frown Lines

Everyday your face makes thousands of different expressions, each one adding a little bit to your lines and wrinkles. Some lines, such as those between your brows, which are commonly referred to as 11’s or Frown Lines, can become quite dramatic. One way to lessen these lines and wrinkles is to lesson the movements of certain muscles and reduce the strain on your face.

What are Frown Lines?

Happy, mad, glad, sad, or surprised, we wear our emotions on our face. These repetitive emotions over time will create a mad or unapproachable look in the middle of the brows. Repeated movement of the facial skin by the muscles creates frown lines between the eyebrows. They are not only age related. Frown lines are dynamic they happen because of the way a person’s face moves. Because frown lines are created by facial movements such as frowning or squinting, they may develop even in younger adults. The muscles above and between the eyebrows contract and tighten, and can cause wrinkles.

Wrinkles are formed by dermal atrophy and repetitive contraction of underlying facial musculature. Injection of small quantities of botulinum toxin into specific overactive muscles causes localized muscle relaxation that smooths the overlying skin and reduces wrinkles.

Why Treat?

On many people, frown lines produce an angry or sad look that detracts from a pleasant facial appearance. Physical, emotional and social reasons for treating frown lines and forehead furrows include:

  • : the look of being rested all the time is addicting. Others will stop asking you if you’re having a bad day or if you’re mad
  • Improved Appearance
  • Enhanced Self-Esteem

Recommended Treatments

Do’s and Don’t(s)


  • Wear sunglasses. Sunglasses help prevent you from squinting because of the sun.
  • Moisturize daily.
  • Rest. Getting a full night’s sleep will help cut down on stress, a primary source of wrinkles.
  • Get Botox® or Dysport® regularly to train your face to be less animated and get longer out of your product over time


  • Smoke. Smoking breaks down collagen, which gives skin its elasticity.
Flat Cheeks

Flat Cheeks

As you grow older, you begin to experience a loss of collagen and facial fat, which can lead to flat cheeks. Collagen is vital because it is the substance produced by your body that keeps your skin looking young and moist. As the skin begins to age, it loses much of its youthful elasticity, which results in the emergence of wrinkles. This also leads to a loss of definition throughout various areas of the face.

In the normal course of aging there is a natural loss of facial fat and collagen, the chemical which keeps the skin moist and full and youthful looking. The process usually begins in the 20s as the skin’s natural supports begin to break down, producing a gradual loss of definition in the cheeks, eye sockets, temples, lips, jawline, and forehead. The skin loses much of its youthful elasticity as a result of normal aging. However, behavioral or environmental factors can contribute to and even speed up the process.

What does Volume Loss look like?

As facial volume diminishes, the skin will have acquired lines or wrinkles due to collagen and facial fat depletion. There is a hallowing around the eye sockets along with sunken temples, flattened cheeks, and loose skin around the jawline, better known as jowls. Fine lines appear on the lips and around the nose. Nasolabial folds form around the corners of the nose and mouth and oral commissures develop just beneath the corner of the mouth. The skin appears drier, thinner, and less pliable and vibrant.

What causes Facial Volume Loss?

Heredity and the normal aging process are the main causes of facial volume loss. However, certain medications may hasten the condition.

In Addition:

  • Emotional stress
  • Lifestyle factors
  • Numerous traumas
  • Extreme “yo-yo” dieting
  • Frequent weight gain and weight loss

Volume loss is accompanied by the loss of blood vessels, fat layers, and collagen causing the skin to sink. Smoking, prolonged sun exposure, and severe illness also contribute to a general loss of facial volume. 

Recommended Treatments for Facial Volume Loss








Acne Scars

Acne Scars

If acne scars bother you, safe and effective treatment is available. Treatment can diminish acne scars that cause depressions in the skin. Treatment can also safely reduce raised acne scars.

As we age, acne scars often become more noticeable because our skin loses collagen.The key to effective treatment is to select the best one for each scar type. For example, a patient who has some deep scars may benefit from getting a filler, which adds volume to the skin.

Who gets Acne Scars?

Some people are more likely to see scars when their acne clears. The risk increases when a person:

  • Has inflammatory (swollen, reddish, and painful) acne, such as acne cysts and nodules. This type of acne tends to penetrate deep into the skin, which damages the skin. 
  • Delays or does not treat inflammatory acne. The longer a person has inflammatory acne, the greater the risk of scarring.
  • Picks, squeezes, or pops acne. This increases inflammation, which increases the risk of scarring. 
  • Has a blood relative who developed acne scars. Genes play a large role.

Although we know what increases a person’s risk of developing acne scars, it is not possible to predict who will develop acne scars. Even people who have all the risk factors may not scar. It is, however, possible to prevent acne scars with effective acne treatment. Waiting to treat acne until it becomes severe can lead to extensive scarring.

What Causes Acne Scars?

When acne breakouts penetrate the skin deeply, they damage the skin and the tissue beneath it. As the acne clears, the body tries to repair this damage. During the healing process, the body produces collagen — a substance that gives the skin support. If the body produces too little or too much collagen, you will see a scar. The type of scar depends on how much collagen your body makes.

Depressed Acne Scars: If the body produces too little collagen, depressions or pits form as the skin heals.

Raised Acne Scars: Sometimes the body produces too much collagen as it tries to heal the skin and underlying tissue. When this happens, a person develops a raised acne scar. This type of acne scar is more common in people who have skin of color like African Americans, Hispanics, and Asians. 

Even when we do our best to prevent acne scars, some people scar. There are many treatment options, which can significantly diminish depressed and raised acne scars.

Types of Acne Scars

Depressed: Most acne scars cause depressions or pits in the skin.

Depressed scars usually form on the face. The medical term is “atrophic” (a-tro-fic) scars or the name of the specific type of depressed scars are:

  • Boxcar
  • Icepick
  • Rolling

Raised: These acne scars are more common on the back and chest. The medical term for a raised scar is “hypertrophic.” 

Recommended Treatments

These are only recommended, the best treatment for you can only be determined during a consultation. To schedule a consultation at GLO please call (717) 461-2520.


Hyperpigmentation – Brown Spots

Hyperpigmentation is often referred to by a number of names, including brown spots, melasma, age spots, liver spots, sun spots, freckles, and the mask of pregnancy.

Hyperpigmentation or Brown Spots is a common skin condition in which patches of skin become darker in color than the surrounding areas. It is caused by an excess production of melanin and can be widespread or localized. Common types include lentigines (“age spots” or “liver spots”) and melasma (chloasma). Melanin-induced pigmentation variance can be reduced and effectively controlled to reflect the skin’s natural tones, with the proper treatment.

Lentigines are dark, uneven patches of skin, which often resemble age spots. Age spots or liver spots are solar lentigines, usually appearing as dark patches on areas frequently exposed to sunlight, such as the hands and face.

Melasma spots resemble age spots, but are triggered by changes in hormones. They can appear in areas such as the abdomen. Melasma often is associated with pregnancy or with certain medications.

What is Melanin?

Melanin is produced by melanocytes in the basal layer of the epidermis. It is a class of pigments, responsible for producing color in the body, such as in the skin, eyes, and hair. It acts as a natural sunscreen when stimulated by sunlight. Melanin converts UV rays to usable forms of energy in the body, reducing free radicals that can damage cells. Excess melanin production is triggered by sun exposure, hormones, or certain medications.

How do Lentigines Form?

The cellular processes decrease and skin tissue reduces its capacity for regeneration and repair as the human body ages. The uneven distribution of melanocytes results in age spots or lentigines.

Trauma to the skin such as burns and blisters forces the skin to regenerate to restore loss of pigment.

What Causes Melasma?

Melanin production is increased by natural hormones or by synthetic hormones in medications. Chloasma is synonymous with melasma, which refers to hyperpigmentation associated with pregnancy. Birth control pills and thyroid medications can create Melasma. Human body hormonal changes effect focal hyperpigmentation through hormones. Melasma is temporary and resolves itself when hormone balance is stabilized-after pregnancy or when medication is stopped.

What Causes Hyperpigmentation?

Hyperpigmentation is caused by:

  • The sun’s rays
  • Hormones
  • Medication

Recommended Treatments for Hyperpigmentation

Smile Lines

Smile Lines

For most of us, smile lines — also known as nasolabial folds — are nothing to smile about. These lines and creases run from the side of the nose to the corner of the mouth, and are the result of the loss of facial volume and skin elasticity as we age. These nasolabial folds can make you look older, tired or unhappy—even though you feel youthful on the inside.

A smile line is basically just that. A line that appears on the face when we smile. Typically, they run from the side of the nose to the corners of the mouth. You may also notice fine lines around the eyes when you smile. Yes, they come when you smile, but they are known as crow’s feet, and that is a story for another day.

Smile Lines represent a happy life full of joyful facial expressions. But as you age, these lines deepen, making you look older than you really are.

No one can completely escape the effects of aging, but there are things you can do to prevent premature signs of aging and even smooth out those annoying lines and wrinkles that you already have.

If you’re ready to erase those smile lines and other facial creases, you have several options. Your doctor will assess the depth of the lines and the overall health of your skin before deciding which treatments will give you the best results.

Laugh lines around the eyes are first apparent only when you smile, but sun damage and the passage of time take their toll, eventually making these lines visible when your face is at rest. 

Causes of Smile Lines Around the Mouth

They are different from other lines on the face in that they do not always mean age. Smile Lines appear due to movement, repeated movement that is . Great talkers and smilers are more  likely to have deep laugh lines than people who have little to say. This is how teenagers and people in their 20’s may have noticeable smile lines but the skin on the rest of their face is smooth. Genes also has a lot to do with it, we inherit the patters of facial  traits from our parents, so don’t be too quick to blame yourself while you can comfortably blame your parents.

It is  also important to note that smile lines are not always horrid, nor do you have to try fix any single line that appears on your face. Actually, they come off as cute in some instances and  most people I know adore them.  It is when they deepen and appear more like a fold than a cute bracket enclosing their smile that  people feel the need to get rid of them.

Deeper more pronounced  smile lines that are apparent even when you are not smiling could point to the usual  culprits  in skin wrinkling. Age, damage from sun exposure and collagen and elasticity habits like smoking. With little elasticity, most skin on the face begins to sag  and  the cheeks fall.

When the cheeks fall,  the nasolabial fold also collapses resulting in smile lines.

Recommended Treatments for Smile/ Laugh Lines

GLO Skin Care Sclerotherapy

Sclerotherapy (Vein Therapy)

Pesky red and purple broken vessels, some blue veins and spider veins can be eliminated via the medical procedure, Sclerotherapy. It is the treatment of choice  for varicose and spider veins.

Prior to the procedure a GLO team member will explain to the patient what to expect throughout the procedure. 

The Sclerotherapy service involves:

  • Injecting a solution directly into the vein
  • Then the solution causes the vein to scar
  • Forcing blood to reroute through healthier veins
  • The collapsed vein is reabsorbed into local tissue and eventually fades

Treated veins tend to fade within a few weeks. Occasionally it may take a month or more to see the full results. Patients may require several treatments. 


Sclerotherapy Facts

  • A GLO team member injects chemicals into smaller veins
  • The chemicals damages the inner lining and produce a clot
  • The vessel is permanently obliterated as the clot is reabsorbed 
  • The size of the treatment area determines the sclerosing agent of choice
  • Treatment of the correct vessels can improve the symptoms of venous insufficiency 

Is it Safe?

Patients should carefully consider the risks, prior to embarking on treatment. 

Does Sclerotherapy Hurt?

This procedure requires injections through the patient’s skin, thus it is not a painless procedure. 

Is Sclerotherapy an Effective Treatment for Varicose Veins and Spider Veins?

Patients find it is an effective technique to obliterate or collapse veins. 

Who is a Good Candidate?

Your GLO team will evaluate you to determine if sclerotherapy is safe for you.

How to Determine if Sclerotherapy Obliteration is Likely?

Patients are examined to identify defective veins and venous drainage pattern. Healthy Patients who complain of unsightly superficial veins, that are of a small caliber, less than 4 mm, are candidates.


The GLO Team

The GLO Team is made up of medical professionals with over 60 combined years in medicine. The mantra at GLO and the best practice that the GLO Team follows is to spend quality time with each patient. The goal is to get to know each patient, what their goals are and spend time explaining procedures and setting realistic expectations.

GLO Team, Carmen Kitts-Johnson
Carmen Kitts – Johnson, RN  
Executive Director  
GLO Team, Susan Hardesty   GLO Team, Wendy Robinson
Susan Hardesty, RN, RNFA, CPCP   Wendy Robinson
Certified Permanent Cosmetic Professional   Certified Laser Technician

Find out more About GLO Skin Care

GLO Skin Care Dermaplaning


About Dermaplaning

Dermaplaning is a method of exfoliation that uses a small sterile blade to gently scrape off the top layer of dulling dead skin cells and vellus hair (peach fuzz). Removing peach fuzz is beneficial since the fine hairs trap debris and oils and give skin a dull look.

Am I a Good Candidate for Dermaplaning?

Dermaplaning is a safe treatment for almost everybody. It is safe for patients who are pregnant or nursing who want a deep exfoliation, but are not allowed to use peeling agents on their skin. It’s a great service for patients who have excess vellus hair on the skin. This hair often causes a buildup of dirt and oils in the follicles, so removing the hair gives the patient healthier looking skin.

Expected Results

Leaves your skin brighter, smoother, glowing and more youthful. After the treatment, skin products and treatments perform more efficiently since they can penetrate the skin more easily. Make-up also goes on smoother as result.