How Can I make My Wide Face Look More Narrow?

Q: Dr. Eppley, I have quite a low eye space ratio of 0.425 with normal IPD. My eyes look close set as a result of a wide face / skull. Orbital box osteotomy is unrealistic and no surgeon does such. Per chance would shaving of the temporal bone on the side of the skull, muscles removal, zygomatic arch reduction be realistic, making the face more slim, masculine and increase ESR?

A: Based on the circled areas on the picture you have shown only zygomatic arch osteotomies would be beneficial in reducing the existing lateral midface projection.

Dr. Barry Eppley