Why won't my surgeon do a morph for a revision?

In the past I used to never image and morph revision rhinoplasty. The frontal view is the hardest. However, I find now that imaging is great for revision surgery. A lot of what we do for revision surgery are set goals for what we are looking to achieve as well as discuss what can and can't be done; even more than primary surgery. I don't give out the photos though for revision surgery since it's a discussion tool and may be less accurate than morphing for primary surgery.
 

You ask a good question.  Morphing is a communication tool, not a guarantee of a result.  The problem with front view morphing is that it just isn't very good yet, in terms of how the final result might look. It's great for profile however.

My suggestion is:  Talk with your surgeon and be as specific as possible about what you would like, at each level of the nose - upper, mid and lower / tip. Ensure your aims are realistic.  Discuss the proposed plan to achieve a realistic, reasonable and agreed aim for the revision surgery.

If you feel that the  communication and agreement between you and your surgeons is right - that is both of you feel that you are in agreement, and the proposed revision is realistic - then the morph is redundant and you will likely do very well.  Ergo, a morph but poor communication between you and your surgeon will not get you where you want to be.

Hope this helps.  The question to ask is really:  why not do a morph?  and if the answer is that a realistic impression of the new result cant be conveyed through that technology, then that is a reasonable answer.

All the very best.

Howard Webster