Over two decades on one piece of software.

Plastic Surgery Simulator was first released in 2004, named “Photo Warping” back then, when simulating an outcome on a patient photograph still meant a general-purpose image editor and a slow afternoon. The idea was narrow and has not changed: give the surgeon the few operations that actually matter during a consultation, make them instant, and keep everything on the surgeon's own machine.

The comparison view, original and simulation on screen at once and zooming together, came out of that first release. Two decades later it is still the feature surgeons mention first.

In 2026 the software was rebuilt from the ground up as native Windows and macOS applications. Since then it has gained Spot healing, measurement tools, rotate brushes, image adjustments and AI Edit, which brings generative AI to the procedures that reshaping alone can't show, under the surgeon's control.

We are a small independent team. There is no outside investment and no data business behind the product: licences, and the AI credits that cover AI Edit's processing cost, are the entire revenue model. That is why the software collects no usage statistics, keeps your photos on your computer, and costs a flat $99 a year.

Every release is documented in the release notes, and feature requests from practising surgeons drive most of what ships.