Can I Get The Temporal Process of My CheekBones Reduced A Bit?

Q: Dr. Eppley, My face is slightly too wide (around 14.6cm) and I would like to reduce it but not in a drastic way, only by around 1.5mm each side. So basically, a very small reduction. Is it possible to do this without a cheekbone osteotomy (which I would like to avoid) and only by precisely shaving the sides ? I would only like to shave the part of the zygomatic which is I think called the zygomatic process (the part closer to the ear). 

A:What you are looking for is not shaving of the sides (zygomatic arches), which is impossible to do due to lack of access, but a posterior zygomatic process osteotomy dine through a small sideburn incision. That is how you reduce the zygomatic process.  Technically this is the posterior osteotome site of complete cheekbone reduction osteotomies which is necessary with the intraoral anterior osteotomy to make the whole cheekbone move in. But it can be done by itself just for the purpose to which you refer.

Dr. Barry Eppley

World-Renowned Plastic Surgeon