Suppose one had a microstrip trace that was higher impedance than ideal, but couldn't be made wider. One could reduce the distance to the ground plane, but that might have capacitance consequences elsewhere.
I wonder if one could add a vertical conductor, sort of a shark fin, to make the conductor have a t-shaped cross section.
I guess ATLC could analyze that. I might try it after I actually wake up.
One could also glue a chunk of dielectric to the top of the trace, with optional copper on top. Make it into a sort of stripline.