If the surgeon I am considering does not do morphed simulations, what tools and measurement items can i use to create a vision?

Morphed simulations are largely used as a sales tool and shouldn’t be the basis of choosing a plastic surgeon.,but the are online tools that will allow you to do your own morphing if you like.

There are many apps that our patients use for simulations but as a surgeon, I assure you no simulation will give you the correct outcome. I personally do not prefer to send simulated pictures to my clients because it's not a guaranteed tool. Best wishes

Dear sweet_lavendar,
finding the right Dr. is extremely challenging especially with the number of online platforms and resources available. There a lot of great Dr's available. Make sure he/she is a board-certified plastic surgeon. Definitely check to make sure your choice specializes in the procedure you want and spend the time to read through patient testimonials. There is a number of different sites where you can check for reviews (Realself, yelp, google, etc.).You can always pick up the phone and call around also, find an office you feel comfortable with and set up a few consultations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Preoperative rhinoplasty simulations: many surgeons do not believe in preoperative simulations, because with simulations the perfect nose can be drawn or morphed every time, while this is not a realistic forecast of what will happen at surgery. I personally don’t believe in simulations since there is the danger of offering a Patient a “false promise“. If the surgery does not turn out as well as the simulation did some feel that the patient will have been misled and consider simulations “false advertising“. Other surgeons do believe in it and if used properly find it helpful with patients in deciding on whether or not to proceed with rhinoplasty. Some surgeons also find that the simulation helps them decide what and how much to do with various parts of the nose. I have found it much more useful to look at pre-and post op photos of other patients with similar noses to see what a patient has in mind. For female noses, there is not a great deal of variation In what is considered an aesthetic ideal. This is less true of male noses which can vary more and still look. A crude but reliable way of doing your own simulation without software would be to take a profile photo and print it, and then with a black pen draw over the dorsal hump and shorten the nose accordingly. For some kind of nose is this can be quite good, but would be less helpful for a front views of a white nose.

Digital computer imaging is important to understand what can and cannot be accomplished with a surgical rhinoplasty procedure. We offer FaceTouchUp app embedded on our website link below where patients can do their own computer imaging. We also offer digital imaging with virtual consults and in-person consults. Study your perspective surgeon's rhinoplasty photo gallery and make sure that it is extensive with results that you like.

Hi and welcome to our forum!
A computer simulation of a postoperative rhinoplasty result does not take into account many real life variables such as the contributions of bone, cartilage, soft tissue, and skin. It only involves moving pixels around on a screen. It should only be used to give the surgeon an idea of the patient's concerns...not a guarantee of a specific result.
As such, a computer is not required. Before computer imaging, we used to use 8" x 10" photos and a grease pencil to give both the patient and the surgeon a clearer picture of what was required and what could be accomplished.
Best wishes...