Are my morphs vs. doctor's morphs realistic? (photos)

Question

My 1st doctor who I consulted with sent me morphs today of the projected results. I do not like the results he sent. I have morphed his morphs into what change I actually want to see. Both are posted. Based on my current pre-surgery before photo, are MY morphs possible? I am going to see a second consult in about a week and I seek the changes I have made. Am I being realistic?

Kenneth Hughes, MD · Answer

The tip elevation and dorsal refinement can be achieved, but the alar base reduction and tip refinement may be too narrow. Find a plastic surgeon who performs hundreds of rhinoplasties, has great reviews, and has great before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Robert Singer, MD · Answer

While computer imaging is a good communication tool, it is not realistic to think that you will get that exact result. Individual characteristics including skin thickness and how you heal can alter a result and are not predicted by computer morphing.Following the advice from a surgeon
on this or any other website who proposes to tell you exactly what to do based
on 2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon that you trust and are comfortable with.
You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Matthew Bridges, MD, FACS · Answer

I agree with what has been said.  Morphing can be dangerous since anything can be done to the nose digitally.  These changes are not always possible in real life, due to many factors.  From your photos, the #1 limitation of your result is your skin thickness.  However, you do have upward pointing cartilages extending out from the tip that cause the shadows you see on either side of the tip.  By re-orienting these cartilages and supporting the nostril rim, the shadows can be reduced.  This will keep the tip from being visually separated from the nostrils, reducing the bulbous appearance.  Morphing can be useful to make sure you and your surgeon are on the same page aesthetically.  An example of this is the difference in your morph of the profile vs. your surgeon.  I actually think the bridge you morphed is too low and a bit "swoopy", but this would need to be discussed in detail before surgery.  At the end of the day, you have to trust your surgeon to get the best result possible with human tissue, not with computer software.  Good luck.

Barry L. Eppley, MD, DMD · Answer

Computer imaging is more about establishing communication and goals than it is about achieving the exact result shown. The difference between you and the doctor's morphing is that they are two different rhinoplasty goals. This shows you that at present your vision vs. the doctor's vision is not exactly the same for your nose. This indicates that you need further discussion with your doctor so that he/she has a better understanding of what you really want.

Darryl J. Blinski, MD · Answer

If you are basing the result on a computer image than you will be very disappointed! You heal in three dimensions vs a computer gives an idealized example..

Are my morphs vs. doctor's morphs realistic? (photos)

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Answer: Computer Imaging in Rhinoplasty

Answer: Computer Imaging in Rhinoplasty

Answer: Are my morphs vs. doctor's morphs realistic?

Answer: Are my morphs vs. doctor's morphs realistic?

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Are my morphs vs. doctor's morphs realistic? (photos)

Answers (6)

Answer: Computer Imaging in Rhinoplasty

Answer: Computer Imaging in Rhinoplasty

Answer: Are my morphs vs. doctor's morphs realistic?

Answer: Are my morphs vs. doctor's morphs realistic?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.