The objectives of this study were to evaluate malar eminence three-dimensional position after managing unilateral zygomaticomaxillary complex fracture using the two-point fixation technique. Methods and Material: This study was conducted on 20 patients with unilateral Zygomaticomaxillary complex (ZMC) fractures managed by a two-point fixation technique. The zygomaticomaxillary (ZM) buttress was used as a key point of fixation through an intra-oral approach for all patients and either the infraorbital rim (IOR) or the frontozygomatic (FZ) suture area was used as a second point of fixation. The three-dimensional malar eminence position was evaluated by preoperative and postoperative radiographic assessment of malar height, width, and projection in the fracture and the normal sides. Results: The difference between preoperative and 1-week, 1-month postoperative malar width and malar projection was highly significant, while the malar height difference wasn’t significant. Conclusions: Proper malar position and adequate aesthetic outcomes can be obtained using the 2-point fixation technique to manage ZMC fractures..