Hairline lowering, some setting back of your forehead with proper type3, nose revision for smaller more feminine nose, liplift, and appropriate jaw&chin agressive work, would make your head definitely apear much smaller. You cant change overall size of your head, but a good surgeon is capable of reshaping your face in a way that your will face appear and become smaller, and that would make all your head appear smaller. That wouldn't be a serious concern for me at all. Also a very little head would make your shoulders and neck look much broader and wider. A slightly bigger than ideal head makes your shoulders look narrower, which isn't such a bad thing at all. I'm also 6 feet tall, but rather very slight built, with little hands, small feet, and a smaller size head.. which makes my average size 17 inch shoulders appear a little broader than they really are. And I'm not too thrilled about that. But I do eat a LOT of chocolate&stuff to compensate with the width of my hips