1. "Is it possible to show a picture ?" - You SHOULD show your plastic surgeons as many side and front pictures that you LIKE and HATE as possible. By doing so, you will communicate what shape you want and do not want. 2. "...or is it more complicated than that?" - Yes. Nose surgery is one of the most complicated procedures in plastic surgery. It consists of a large collection of a la carte surgical procedures, EACH intended to produce another result / shape. Personally, I like to go over my patients' photographs and then have my patient's go over the photographs I took of them and draw on them what they hoped could be done. By fully understanding what you hope to achieve, your surgeon can tell you if what you are asking is achievable (IE realistic) and, if you ask, can actually explain which surgical sub-procedures may deliver the result you wish. In summary, photographic discussions are very important. Another example where a picture is worth...well, you know. I hope this was helpful.