Can The Zygomatic Arches Be Reduced?

Q:Dr. Eppley, Can the area between the ears and outer lateral canthus be slimmed down at all? I would assume this would be surgery on the zygomatic arch bone. One side of my face has similar projection to the image attached even with a normal ipd. The wide face makes my eyes small despite being in the normal range. 

A: As you have correctly surmised reduction of the width of the side of the midface is a zygomatic arch osteotomy with inward repositioning. This is done by making an anterior osteotomy through the cheekbone from an intraoral approach and the thinner posterior arch is infractured from a very small side burn incision.

Dr. Barry Eppley

Plastic Surgeon