How Accurate is Digital Imagery when Considering Rhinoplasty?

As to the question of accuracy, remember that digital imaging is merely a drawing tool, not a simulation in the truest sense. I could, for example, morph a nose to look like Pinocchio, but that doesn't mean that it can actually be built in the operating room. So in that sense, imaging is only as "accurate" as the surgeon doing the morphing.
I routinely use imaging with my rhinoplasty patients. It helps me plan the surgery, but it also helps me make sure that the patient and I are on the same wavelength and share the same vision of what the goal is. Revising pixels is a lot easier than revising tissue! I take great pains not to morph the nose into simply the most perfect shape, but rather to morph the nose into what I think is nice looking and reasonably possible.
I would emphasize, too, that imaging is not to be thought of as ordering from a catalog. The final surgical result will be different, but ideally it should be close and should address the same issues.
All the best,
--DCP

I have found that computer imaging is very helpful when discussing rhinoplasty. The images are not an exact representation of results, but usually pretty close. Imaging is an excellent discussion tool with patients. We can explore making certain parts of the nose higher or lower to come to a mutual agreement on what we are striving for. I have found that patients like the interaction and ability to share in the procedure planning.
In the US, imaging is offered by many surge ions.