Beginning to make sense of it all I think, I just took the time this morning to do something simple like a medieval helmet. just 3 flat sides meeting at a point.
I mostly just used the bulge and wax tools to build up the geometry after defining the point with the sculpt tool, and then used the other 2 tools to build up the rest of the geometry to meet it. Finally I used the pinch tool to define the edges a little bit more. Worked rather well.
However at the end of the day, all I have are 3 flat face which should be a poly each and only take seconds to make within 3DS Max, as opposed to the 2 hours it took me to do this..