Facial Plastic Surgery · Vancouver, BC

Expert Rhinoplasty in Vancouver, BC

Dr. Thomas Buonassisi, MD, FRCSC, is a specialist in Otolaryngology – Head & Neck Surgery and a facial plastic and reconstructive surgeon with over 2,500 rhinoplasty procedures and more than 25 years of surgical experience. Every result is designed to look natural, balanced, and distinctly yours.

Dr. Thomas Buonassisi, MD, FRCSCDr. Thomas Buonassisi, MD, FRCSCPerforms every rhinoplasty personallyMeet Dr. Buonassisi →
  • FRCSC: Fellow of the Royal College of Physicians & Surgeons of Canada
  • Specialist in Otolaryngology – Head & Neck Surgery
  • ABFPRS: Board Certified by the American Board of Facial Plastic & Reconstructive Surgery
  • 2,500+ Rhinoplasty Procedures
  • 25+ Years of Surgical Experience
  • 4.8 / 5 · 1,900+ Verified Reviews
  • Before & After photo gallery with over 100 rhinoplasty cases

Considering rhinoplasty? Talk to a patient care manager.

A patient care manager will call you to answer your questions about rhinoplasty and help you plan your consultation with Dr. Buonassisi.

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Rhinoplasty Overview

Rhinoplasty in Vancouver: what it is, who it's for, and what to expect.

Rhinoplasty (also called a nose job or nasal surgery) is a surgical procedure that reshapes the nose to improve its appearance, proportion, or function. It is one of the most technically demanding procedures in facial plastic surgery, requiring a precise understanding of nasal anatomy, skin type, and how tissue behaves over time.

Patients come to 8 West Clinic from across Vancouver, North Vancouver, West Vancouver, and the broader Metro Vancouver area (as well as from Victoria, Kelowna, Calgary, and across Canada) to work with Dr. Thomas Buonassisi, a specialist in Otolaryngology – Head and Neck Surgery with a practice focused on facial plastic surgery.

Dr. Buonassisi has performed over 2,500 rhinoplasty procedures across every technique: open rhinoplasty, closed rhinoplasty, ultrasound rhinoplasty, ethnic rhinoplasty, revision rhinoplasty, and facial feminization rhinoplasty. His approach is anatomy-first: the technique is selected based on your specific structure and goals, not a preferred method.

Every rhinoplasty at 8 West Clinic begins with a thorough consultation: a structured conversation about your anatomy, your goals, and what is realistically achievable.

On this page

Every approach.
One goal: a result that looks like you.

The sections below cover what matters most when researching rhinoplasty, from patient reviews and before & after results, to understanding the journey and how to get started.

Explore the sections below ↓

Dr. Thomas Buonassisi, MD, FRCSC, facial plastic surgeon, 8 West Clinic Vancouver
Dr. Thomas Buonassisi, MD, FRCSCSpecialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries

8 West Clinic · Vancouver

A career built entirely on the face.

“The best rhinoplasty is the one that no one can tell you had. My goal is always a result that looks like you: refined, balanced, and natural.”

4,000+Facial cosmetic surgeries
25+Years of surgical experience
4.8★1,900+ verified reviews
100%Personally performs every case

Board Certifications & Fellowships

  • FRCSC: Fellow of the Royal College of Physicians & Surgeons of Canada · Otolaryngology – Head & Neck Surgery
  • ABOHNS: Board Certified, American Board of Otolaryngology – Head and Neck Surgery
  • ABFPRS: Board Certified, American Board of Facial Plastic & Reconstructive Surgery
  • AAFPRS: American Academy of Facial Plastic & Reconstructive Surgery
ABFPRS: American Board of Facial Plastic and Reconstructive SurgeryAAFPRS: American Academy of Facial Plastic SurgeryRoyal College of Physicians and Surgeons of CanadaRealSelf Verified Doctor

Patient voices.

From patients who have been through it

Patients who choose Dr. Buonassisi for rhinoplasty consistently describe results that look natural and specific to their face, not a template outcome. The consultation is frequently cited as unusually thorough. Recovery is described as smooth and well-supported.

4.8 average across 1,900+ verified reviews

  • RateMDsDr. Buonassisi 4.8520+ reviews
  • RealSelfDr. Buonassisi 4.7231 reviews
  • RealSelf8 West Clinic 4.8365 reviews
  • Google8 West Clinic · Vancouver 4.8554 reviews
  • Google8 West Clinic · North Van 4.870 reviews
  • Natural results

    Results that look like the face they were born with, not a procedure.

  • Honest consultation

    Thorough, unhurried, and clear about what is and isn't achievable.

  • Conservative by design

    A deliberate philosophy, not a limitation. An expert approach to safe and lasting results.

  • Smooth recovery

    Clear post-op communication and attentive follow-up throughout.

★★★★★

"I had my rhinoplasty done by Dr. B and had the best experience. From the beginning he was very knowledgeable and walked me through every step of the process so I knew what to expect. The results turned out exactly how I hoped: natural, balanced, and well suited for my face."

August 2025RateMDs
★★★★★

"Took my daughter to 8 West Clinic for rhinoplasty. The team and Doctor Buonassisi were beyond helpful and professional. The result of her surgery was fantastic. Can't thank them enough for such an incredible experience."

January 2026RateMDs
★★★★★

"I can't recommend Dr. Buonassisi and the team at 8 West enough. From my very first consultation all the way through surgery and recovery, every step of the process was excellent. The entire team was professional, knowledgeable, and incredibly supportive."

May 2026RealSelf
★★★★★

"I had a rhinoplasty with Dr. Buonassisi in October. I love my results! I asked for a hump reduction with a slight slope. My nose looks natural and fits my face. I have a cute little slope and no more hump. The staff and surgical team were all very friendly and answered all of my many questions."

May 2023RealSelf
★★★★★

"I've had many positive experiences with 8 West Clinic. Dr. B, Lisa, Sarah and staff have been very friendly and accommodating! I had my Rhinoplasty done in July and could not be happier. Anytime I had a question or concern they were happy to help!"

December 2026Google
★★★★★

"Dr. B and his team did a fantastic job from start to finish in my rhinoplasty journey. From providing clear expectations to a detailed checklist ahead of surgery, to the team being readily available to answer any questions pre and post op. I felt cared for the whole way through."

2024Google
A quiet seating area at 8 West Clinic

Your consultation

What to expect when you meet Dr. Buonassisi.

Every consultation is conducted personally by Dr. Buonassisi, not a patient coordinator, not a nurse. He reviews your goals, explains what is technically achievable, and walks you through the process before you make any decision.

  • No referral required
  • Computer imaging available at consultation
  • Meet our incredible team of patient care managers
Why rhinoplasty at 8 West Clinic →

Complimentary · No obligation

The first step is a complimentary, friendly call.

Tell us a little about you, and a patient care manager will call you to answer your questions and help you figure out your next step, before you ever step into the clinic.

Strictly confidential · Complimentary · No obligation

Before you decide

Is rhinoplasty, or nose job surgery, right for you?

Not every patient is a candidate for rhinoplasty, and not every goal is achievable in the way patients initially imagine

Most people come in with a specific concern, but what ultimately matters is how your nose fits within your overall facial structure. Even small changes can have a significant impact on balance, while more aggressive changes can sometimes create results that feel unnatural or out of place.

Rhinoplasty, sometimes called nose job surgery, covers a wide range of procedures, from subtle refinements to more significant structural changes. The term patients use matters less than the outcome they are seeking, and that outcome is shaped entirely by individual anatomy.

A thorough consultation with Dr. Buonassisi focuses on understanding your anatomy, your goals, and the limits of what your tissues will support. This includes a clear, honest discussion about what is possible, what is not, and where judgment is required to achieve a result that looks natural over time, not just immediately after surgery.

In many cases, patients are not looking for a “different nose,” but a version of their own nose that is more refined, more balanced, and less distracting. Determining whether that outcome is achievable, and whether surgery is the right path, is the purpose of the consultation.

The goal isn’t to fit you into a procedure. It’s to determine whether this is the right approach for you.

The information below is a brief overview. Candidacy, risks, and complications are covered in full detail on the consultation page.

Candidacy criteria

  • Facial growth complete: typically 15+ for girls, 16+ for boys. Assessed individually with parental involvement for patients under 18.
  • Non-smoker or able to quit: smoking significantly increases surgical risk and impairs healing. Cessation is required before and after surgery.
  • Realistic expectations: rhinoplasty improves harmony and balance. It cannot guarantee a specific result or replicate another person's nose.
  • No contraindications to anaesthesia: no active skin infections, uncontrolled medical conditions, or contraindications to anaesthesia.

Risks & complications

  • Swelling and bruising: expected post-operatively. Most visible swelling resolves within 2–3 weeks; residual swelling can persist up to 12 months.
  • Asymmetry: minor asymmetry is common in healing. Significant asymmetry may require revision, which is discussed at consultation.
  • Revision surgery: a small percentage of patients require a secondary procedure. Dr. Buonassisi performs revision rhinoplasty and will advise on likelihood.
  • Anaesthesia risks: all surgical procedures carry anaesthetic risk. A pre-operative assessment ensures you are a safe candidate.
  • Healing variation: individual healing rates vary. Final results are not visible until 12 months post-surgery as residual swelling fully resolves.

Surgical approaches

Rhinoplasty Techniques & Goals

Dr. Buonassisi performs every rhinoplasty technique, from preservation and ethnic approaches to ultrasonic bone reshaping and facial feminization. Each procedure is planned individually: the technique is selected to suit your anatomy and goals, not a preferred method.

Precision · Faster recovery

Ultrasonic Piezotome Rhinoplasty

Advanced ultrasonic technology for precise bone reshaping with reduced bruising and faster recovery compared to traditional osteotomy techniques.

Learn more →

Natural results · Lower revision rate

Preservation Rhinoplasty

Reshaping the nose while preserving the native dorsal anatomy, a modern approach that reduces trauma and produces highly natural results.

Learn more →

Tip · Definition

Tip Refinement

Reshaping and refining the nasal tip for improved definition and proportion, tailored to your facial anatomy and skin thickness.

Learn more →

Bridge · Profile

Hump Reduction Rhinoplasty

Smoothing the nasal bridge for a refined, balanced profile. One of the most common goals in rhinoplasty.

Learn more →

Tip · Angle · Projection

Tip Rotation

Adjusting the angle and projection of the nasal tip, correcting a drooping or over-projected tip to restore balance with the rest of the face.

Learn more →

Identity · Heritage

Ethnic Rhinoplasty

Enhancing your features while honouring your cultural identity and preserving your heritage, not imposing an external standard.

Learn more →

Feminisation · Facial harmony

Facial Feminization Rhinoplasty

Subtle nasal refinements (reducing projection, softening the bridge, refining the tip) as part of a comprehensive facial feminization approach.

Learn more →

Breathing · Function

Septoplasty

Correcting a deviated septum to restore natural airflow and improve breathing function, performed in combination with cosmetic rhinoplasty in a single procedure.

Learn more →

Under 18 · Candidacy

Teen Rhinoplasty

A carefully considered process for patients under 18. Parental involvement is required, and candidacy is assessed individually once facial growth is complete.

Learn more →

The Essential Guide to Rhinoplasty

Not ready to talk yet? Start with the guide.

Written by Dr. Buonassisi for patients who want to make an informed decision. It opens straight away, and we email you the link.

What you'll learn

  • Realistic vs. unrealistic expectations

  • 6 principles for a great rhinoplasty result

  • How your surgeon determines what will look good

  • What to expect from recovery, day by day

Get the Essential Guide to Rhinoplasty

Complimentary, no obligation.

Your guide opens straight away, and we email you the link. Strictly confidential. Privacy policy

Knowledge Hub

Understand rhinoplasty before your consultation.

Surgeon-authored guides covering technique selection, recovery, candidacy, and what to expect, written for patients who want to make an informed decision.

Real results

Before & After Gallery

Over 2,500 rhinoplasties performed. Every result shown here is a real patient of Dr. Buonassisi: unretouched, unstaged, and published with written consent.

View full gallery →
Before rhinoplasty, side view
After rhinoplasty, side view, 2 months after surgery
RhinoplastySide view · 2 months after surgery
Before rhinoplasty, side view
After rhinoplasty, side view, 8 years after surgery
RhinoplastySide view · 8 years after surgery
Before rhinoplasty and chin implant, partial side view
After rhinoplasty and chin implant, partial side view, 1 year after surgery
Rhinoplasty and chin implantPartial side view · 1 year after surgery

Real 8 West patients. Results vary.

From the Knowledge Hub

Surgeon-authored videos

Dr. Buonassisi has been committed to educating patients about rhinoplasty since he launched his first YouTube video in 2010. Every video in the Knowledge Hub is filmed in clinic, unscripted, and answered by Dr. Buonassisi directly.

More videos →

Common questions

Rhinoplasty questions, answered.

How much does rhinoplasty cost in Vancouver?

Rhinoplasty in Vancouver typically ranges from $8,000 to $25,000+, depending on the complexity of your procedure: the technique used, whether cartilage grafts are needed, the type of anaesthesia, and whether it's a primary or revision case. At 8 West Clinic you receive one all-inclusive quote after your consultation covering the surgeon's fee, anaesthesia, the accredited surgical facility, and all pre- and post-operative care, with no hidden fees. With 25+ years of experience and 2,500+ rhinoplasties performed, Dr. Buonassisi personally performs every procedure. Financing is available.

What is the recovery time for rhinoplasty?

Social recovery from rhinoplasty is typically 1–2 weeks. Most patients are back to a desk job within approximately one week, and back to work or school in person within two weeks.

Swelling continues to resolve over 6–12 months, with final results visible at 12–18 months. Dr. Buonassisi will provide a personalised recovery timeline at your consultation.

Our team has supported thousands of patients through the recovery process and is here to answer your questions along the way, many of which are also covered in detail in our Rhinoplasty Knowledge Hub →

Will there be visible scarring?

In open rhinoplasty, a small incision is made at the base of the columella. This heals to a very fine, nearly invisible scar in most patients. Closed rhinoplasty leaves no external scars. Dr. Buonassisi will recommend the most appropriate technique for your anatomy.

How long do rhinoplasty results last?

Rhinoplasty results are considered permanent. The structural changes made during surgery remain stable over time, though some natural aging of the skin and soft tissues should be expected.

Dr. Buonassisi is a rhinoplasty specialist who selects techniques based on your individual anatomy, with an approach designed to help maintain the results of your surgery for years to come. At your consultation, he will explain what changes you might expect over time.

Am I a good candidate for rhinoplasty?

Ideal candidates are in good general health, have fully developed facial anatomy, have realistic expectations, and are motivated by personal goals rather than external pressure. Facial development is typically complete at around 15+ for girls and 16+ for boys, though this is assessed individually.

Your complimentary first call with a patient care manager, and your consultation with Dr. Buonassisi, help work out whether rhinoplasty is the right path for you.

Do patients travel from outside Vancouver for rhinoplasty?

Yes. Patients travel to 8 West Clinic from across Metro Vancouver, British Columbia, and across Canada to work with Dr. Buonassisi. Our team has extensive experience working with out-of-town patients and a streamlined process to support you from your first enquiry through to recovery, wherever you are coming from.

Learn more about travelling to Vancouver for rhinoplasty →

What is the difference between rhinoplasty and a nose job?

Rhinoplasty and nose job surgery are the same procedure: "nose job" is simply the common term patients use, while "rhinoplasty" is the clinical name. Both refer to surgical reshaping of the nose to improve its appearance, proportion, or function. At 8 West Clinic, the procedure is the same regardless of what you call it: anatomy-first, technique-matched to your structure, and designed to produce a result that looks natural.

Our locations

Two locations. One standard of care

Consultations and post-operative follow-up for rhinoplasty patients take place at our Vancouver location. Many patients also visit our North Vancouver location after surgery to take advantage of recovery optimization technologies, including red light therapy, oxygen room, and IV therapy.

8 West Clinic Vancouver: 300–1788 W Broadway, Vancouver, BC

Vancouver

8 West Clinic Vancouver

300 – 1788 W Broadway
Vancouver, BC V6J 1Y1

604-733-1669

Mon – Fri: 9:00 am – 5:00 pm
Sat – Sun: Closed

Get directions →
8 West Clinic North Vancouver: 300–221 West Esplanade, North Vancouver, BC

North Vancouver

8 West Clinic North Vancouver

300 – 221 West Esplanade
North Vancouver, BC V7M 3J3

(604) 733-1669

Mon – Fri: 9:00 am – 5:00 pm
Sat – Sun: Closed

Get directions →
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