Dose the patient get to choose the nose shape or does the surgeon?
It reallly is a group effort, adn that is why choosing a surgeon you can realte to and communicate well with is essential. I always take the patient's requests and wishes very seriously and then match those with what can be created with surgery, Depending on a persons starting shape, skin texture, size, and injury history there can be limitations in the amount of change that can occur. With computer simulation ( Canfield Mirror or Crsalix 3D) we can quite accurately predict realistic outcomes, They are not perfect but usually give a good sense of results.