Rhinoplasty - is front simulation not possible & should I be worried? (Photos)

I personally agree with your surgeon. Simulations give us an idea of what you are looking for but they are never 100%... Sometimes patients expect to see the same exact look as the simulation and it is simply not achievable. However it will be as close as possible. Trust your doctor and make sure you discuss with him every concern you have openly. Good luck with your surgery.

Are simulations preop reliable? I don’t think front or side profile simulations are truly reliable. In every case the simulation draws the perfect or near perfect nose, but in so many cases that is nothing like what the patient actually gets. I therefore don’t do either front or side simulations. But it is true that the surgeon is in greater control of the side profile, than the front. The front simulation involves the width of the tip which is often largely determined by The thickness of the patient skin which is not in the surgeons control. Similarly the width of the bridge is often determined by the thickness and shape of the nasal bones which, again, is not in the surgeons control. So for those who do use simulations, there is more validity to a side profile simulation than a front. If your surgeon does a simulation, ask him to print it and give you a copy of the print for future reference.

Front simulations are particularly poor quality and rarely show a significant change. The computer technology (and even photographs) just aren't enough to capture what is done. The surgeon is right.
Even side simulations are not so valuable. They are pretty much a gimmick. If you have a simulation you like, bring it to your doctor (any doctor) and they can tell you how reasonable are your goals.