ObjectiveThis study aimed to investigate the clinical application effect of double eyelid incision in the internal fixation of suturae zygomatico-frontalis fracture.MethodsA total of 12 patients with zygomatic complex fracture and evident fracture segment displacement, accompanied by facial collapse or mouth opening limitation and other functional disorders, were selected for open reduction and internal fixation. The suturae zygomatico-frontalis fracture was fixed using a double eyelid approach. Postoperative evaluation was performed on fracture reduction and fixation to evaluate the improvement of function and deformity, postoperative scar, and other conditions.ResultsAll fractures had convenient reduction and fixation, and all patients had satisfactory facial appearance, evident functional improvement, and hidden postoperative scar.ConclusionAs a surgical approach to reduce and internally fix zygomatic complex fracture, double eyelid incision can reduce not only the fracture, but also the trauma, thereby indicating its certain clinical value.