In a coronal browlift, an incision is made behind the hairline, excess skin is removed, and underlying muscles are tightened. Direct or indirect browlift uses incisions made just within each eyebrow or in natural creases above each eyebrow. A midforehead lift uses an incision directly across the forehead hidden in natural creases. Endoscopic browlift uses several small incisions in the scalp through which specialized instruments are introduced to lift the skin and tighten the muscles. A variation of the procedure is used to create a double eyelid fold in Asian patients.
Chemical peeling uses specific chemicals of varying strengths to remove the outer layer of the skin.
In dermabrasion, the top layer of the skin is abraded with a wire brush or diamond-tipped instrument. Laser skin resurfacing uses lasers to eliminate blemishes and wrinkles in the top layer of skin. Punch grafts are transplants of tiny sections of hair-bearing scalp into bald areas. In skin flap surgery, a section of hair-bearing scalp is elevated and sutured into a new position to cover a hairless area. Scalp reduction surgery may use tissue expanders to stretch an area of hair-bearing skin.