Order of plating There is no universal order of plating in multipoint fixation. In single-point fixation, the ZM buttress usually gets plated. The zygomaticofrontal suture can also get plated, though most would argue that the intraoral incision used to plate the ZM buttress is less morbid than approaches to the ZF suture. In two-point fixation, the zygomaticofrontal suture should be plated first, followed by the ZM buttress. In three or four-point fixation, the ZF requires plating first, then the ZM buttress, then the IOR followed by the zygomatic arch if necessary. If one plans to plate the zygomatic arch from the outset, it can often be plated first to ensure adequate projection of the ZMC.If concomitant repair of the orbital floor is necessary, it should take place after the zygoma has had a reduction performed. Soft tissue suspensionIf the lateral canthal tendon has suffered disruption, it requires resuspension with suturing to the tubercle of Whitnall. The malar eminence can be suspended to prevent ectropion or scleral show.