Wat?
I was speaking of some of the more invasive Malar osteotomies not a ZSO, where a coronal is needed. you get your head cut open, and from the inside, theyll make your palbebral fissure longer and fix your eyelids.
also, If you look at Lefort 3 patients, youll see much less bulging of muscle when the patient is smiling. That also may be a goal.
The results that most people want here are not achievable through a ZSO. A ZSO is not underwhelming only in cases where the patient has a great starting point.
Iv read most people want higher cheekbones here. for that you'd need a coronal.