▁is ▁often ▁associated ▁with ▁synd rom es ▁like ▁A pert , ▁hy pert elor ism ▁is ▁often ▁seen ▁in ▁combination ▁with ▁mid face ▁d ys pl asia . ▁If ▁this ▁is ▁the ▁case , ▁fa cial ▁b ipart ition ▁can ▁be ▁combined ▁with ▁dist raction ▁o ste ogen esis . ▁The ▁aim ▁of ▁dist raction ▁o ste ogen esis ▁of ▁the ▁mid face ▁is ▁to ▁normal ize ▁the ▁relationship ▁between ▁orb ital ▁rim ▁to ▁eye ▁and ▁also ▁normal ize ▁the ▁position ▁of ▁z yg omas , ▁nose ▁and ▁max illa ▁in ▁relation ▁to ▁the ▁mand ible . ▁ ▁So ft ▁t issue ▁reconst ruction ▁To ▁create ▁an ▁acceptable ▁a est h etic ▁result ▁in ▁the ▁correction ▁of ▁orb ital ▁hy pert elor ism , ▁it ▁is ▁also ▁important ▁to ▁take ▁soft - t issue ▁reconst ruction ▁in ▁consideration . ▁In ▁this ▁context , ▁correction ▁of ▁the ▁nas al ▁de form ities ▁is ▁one ▁of ▁the ▁more ▁difficult ▁procedures . ▁B one ▁and ▁cart il age ▁gra ft s ▁may ▁be ▁necessary ▁to ▁create ▁a ▁nas al ▁frame ▁and ▁local ▁rotation ▁with ▁for ▁example ▁fore head ▁f laps , ▁or ▁adv ancement ▁f laps ▁can ▁be ▁used ▁to ▁cover ▁the ▁nose . ▁ ▁Comp lications ▁from ▁surg ery ▁As ▁with ▁almost ▁every ▁kind ▁of ▁surg ery , ▁the ▁main ▁comp lications ▁in ▁both ▁treat ments ▁of ▁hy pert elor ism ▁include ▁excess ive ▁ble eding , ▁risk ▁of ▁in fection ▁and ▁C SF ▁le aks ▁and ▁dur al ▁f ist ulas . ▁In fe