Summary of Surgical Approaches • If possible, existing lacerations are utilized to approach fixation sites. • Zygomaticofrontal suture o Lateral brow incisiono Upper blepharoplasty incisiono A transconjunctival incision with lateral canthotomy o Coronal incision • ZM suture o intraoral incision • IOR and orbital floor o Subciliary or subtarsal incision o Transconjunctival incision • Zygomatic Arch o Percutaneous stab incision for placement of Caroll-Girard screw - requires a conspicuous scar and theoretically puts the facial nerve at risk o Temporal incision (Gillies) - conceals the scar in the hairline; NOTE: the facial nerve can be preserved by staying deep to the temporalis fascia (e.g., the superficial layer of deep temporal fascia) during dissection o Intraoral incision (Sheen) - conceals the scar in the mouth and avoids facial nerve injury; NOTE: a careful, watertight closure of the intraoral incision can prevent plate exposure in the mouth and oroantral fistula formation to the maxillary sinus o Coronal or hemicoronal incision