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Shave down bone on top of skull is possible if the bone is thickened. It depends on why you want this done and how thick the bone is.
Yes, the outer table of the skull can be manipulated and either osteotomies or power shave drills to decrease the thickness thereof.
I am sorry this happened to you. There are two major things going on in your photo/question: 1) The photo is flipped (I am assuming you used an iPhone, which can flip selfies). Nevertheless, based on what you said, it sounds like your cheekbone was fractured. Fixing this...
I treat a lot of orbital floor fractures. In my opinion, if the floor fracture is fairly large, or you have enophthalmos( the eye sinks back and appears smaller) or you have entrapment( the eye does not move freely upward usually), then you need surgery. If you delay it, the muscles...
You have one chance to get good results with a skin flap reconstruction and smoking anything will compromise the healing. Also, if the flaps die, any other options for reconstruction probably won't look as good as those flaps would have. Cigarettes are well known to cause severe...