Morphing images with rhinoplasty? (Photo)

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_jmclain1.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.
You need much more than just taking down the bump. Your nose is very long, and the tip should be elevated, quite a bit actually, or your nose will look even much longer after surgery if only the bump is taken down.
Then, I reduced the amount of the inside of the nose that shows on the profile view, and I also moved the tip of the nose back closer to your face. I wasn't so sure what to do with the upper part of the nose, because it wasn't in the photo!In this business, a picture, even a morph, is worth a million words.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. 
Finally, at the *very* bottom of the Web reference page is a link to instructions on taking and sending photos that are comprehensive and useful for an online consultation like this, in case you'd like a more complete evaluation.

Most surgeons do not utilize morphing as part of their consults.  As a surgeon who has not had the software until recently, I can say that it is extremely useful in communicating with my patient their intended desires graphically.  Of course, it is only a simulation and does not predict surgical outcome but it does help the patient and surgeon 'get on the same page'.   Also, the simulation program doesn't know your particular nasal attributes such as skin thickness, pliability of your cartilages, septal deviation contributing to crookedness, cause of a nasal hump under the skin, etc., so though it can visually give you a good idea of what you would like, it doesn't necessarily correspond to what can be done during surgery or the final surgical result.  It is a great tool, along with a good exam and an experienced surgeon, to communicate your desires. 

Imaging is a valuable tool for patients and physicians during  Rhinoplasty consultation.  It can demonstrate b/a look at your nose before having the procedure.  It can also be enticing, and unlike surgery, has no limits.  It is important to also view actual b/a photos of noses similar to yours performed by the surgeon, to determine if your goals will be met.

Many surgeons that are proficient at rhinoplasty provide patients with a "morph" However, morphs are only as good as the surgeon is. While it is impossible to always get a result very close to the morph, it should be used more as a communication tool between the doctor and the patient.

Hello and thank you for your question.  I always advise patient to place much more value on real before and after pictures of your surgeon's patients rather than simulated images.  Simulated images do not mean that your surgeon can actually accomplish that result.  Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly and a conservative dorsal hump reduction.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon