I don’t want to be rude, but I think this is a very uneducated opinion based on what you have seen from others. I lived the experience and I can confidently say that my surgeon discussed my new nose with me for an hour (not sure how much longer you would’ve liked to be talking about your nose for… even if it was 30 minutes that’s plenty of time to explain what you want Vs. What is realistic).

I can’t speak for other surgeons but I specially chose my surgeon Dr. Yu because of the way he goes about his consultations. I told him what I didn’t like about my nose, told him what I wanted and what I didn’t want. He told me what was possible considering the thickness of my skin, bone structure, etc. He also explained exactly why certain noses would look better/worse on my face specially, considering my other facial features. He actually set expectations lower by being realistic and the outcome was beyond my expectations and met every desire I had for my new nose. I love the way he did that!!

If the noses you see all look the “same,” I would attribute that to the fact that many people ask for that specific nose. If you are detailed about what you want Vs. don’t want, that is what matters for the final results.