” HERE TO STAY ” 2006 TORONTO Munish Shandilya with Robert l Simon
Dr. Robert L. Simons, a pioneering facial plastic and reconstructive surgeon and devoted family man, passed away peacefully on July 21, 2026, at the age of 90, surrounded by his family.
Dr. Simons was internationally recognized as one of the pioneers of modern facial plastic and reconstructive surgery. A gifted surgeon who specialized in rhinoplasty, he dedicated his career not only to advancing our specialty but also to educating future generations of physicians.
He was a founder and Past President (1985) of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), helping to establish the organization as the premier professional society for the specialty. Dr. Simons was also elected as the second President of the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) in 1991, where he helped shape the foundation, vision, and standards that continue to define ABFPRS excellence today.
Throughout his career, his focus on meticulous and innovative techniques and natural outcomes led him to be a greatly respected teacher and highly desired lecturer throughout the world.
M Shandilya, S Bourke, A Shandilya – Facial Plastic Surgery, 2024 – thieme-connect.com
… A person aspiring for a rhinoplasty would always want to know what the chances are that they will be satisfied. rhinoplasty is increasing, and so are the expectations. It is important that we study rhinoplasty outcme measures and optimise results.
M Shandilya, S Bourke, A Shandilya – Facial Plastic Surgery, 2024 – thieme-connect.com
… in rhinoplasty aspirants in our practice. MPE is not easy to incorporate in every rhinoplasty … guidelines arising from our ongoing experience to help management of BDD in rhinoplasty.
M Shandilya, C Den Herder, SCR Dennis… – Facial Plastic …, 2007 – thieme-connect.com Nasal septal surgery and rhinoplasty are controversial in children. Traditionally, an attitude of restraint has been employed by most surgeons till an empirical age of 16 to 18 years.
I have 20 years experience of using Digital Morphing with HDR photographs which for me are undoubtably preferable to 3d modelling in rhinoplasty.
I have been using Digital morphing from day one of my private practice (circa 2006). Surgeons were still debating the ethics of using this most important tool to discuss expectations and educating your patients prior to any intervention.
I like natural realistic and simple solutions. It takes me 10-15 minutes to take pictures, download them and digitally morph on my computer. This happens during the first consultation as the rhinoplasty aspirant and me continue to communicate.
Morphed pictures are more identifiable as self. 3D models do not look as self. May cause anxiety.
“More tech” rarely means “more realistic.” Third parties providing 3D technology sound like being better, but despite their advertising, I have personal experience and expertise in using digital morphing which is invaluable for me.
With the right camera and lens combination, HDR photography creates perfect lighting, capturing deep shadows and right highlights simultaneously. Paired with careful Digital Morphing Rhinoplasty, this process acts as true digital sculpting rather than mathematical guesswork.
HDR picks up the recognisable essence of your face.
Visual accuracy in rhinoplasty simulations is the absolute foundation of patient-surgeon trust. As light-based photos preserve real skin texture instead of building sterile avatars, they replace pre-surgery fear with genuine confidence.
3D models may create a disconnect. Digital face looks almost human but lacks vital details like pores and subtle shadows. Due to these limitations, a 3D digital model might have perfect physical measurements while completely failing to show how you will look in natural daylight.
The benefits of high dynamic range imaging for precise facial mapping include three key advantages:
Shadow Detail: Reveals the true depth around your nostrils and cheekbones. Highlight Preservation Prevents your newly planned nasal bridge from looking like a flat, washed-out line. Color Depth Maintains your exact, natural skin tone instead of a generic plastic hue.
Combining these elements creates a highly realistic rhinoplasty visualization that you can confidently trust. When you look at the screen, you see a living person staring back.
Texture vs. Geometry: Why Pores and Shadows Predict Your Real Results
Tiny pores, natural tones, and subtle contours, not just rigid geometric angles.
True confidence in your surgical plan requires seeing these genuine nuances on the screen instead of a rubbery mannequin. Understanding the vital difference between mathematical shapes and your living skin empowers you to demand better visual evidence.
AUTHOR
Munish Shandilya MS FRCS(OTO) FRCS(ORL-HNS) Consultant Otolaryngology Head Neck & Reconstructive Surgery.( Board certified ) Nasal Plastic Surgery
Irish National Delegate to the EAFPS (European Academy of Facial Plastic Surgery) Chairman, EAFPS (European Academy of Facial Plastic Surgery) Focus Group on Outcome Research
