Every case shown here was performed by Dr. Thomas Buonassisi at 8 West Clinic. Results are unretouched. Patients are shown with their consent. Use the filters to find cases that reflect your own anatomy and goals.

Every case in this gallery was performed by Dr. Thomas Buonassisi at 8 West Clinic in Vancouver. All photographs are unretouched and published with the patient's written consent. Cases are photographed at the 2–4 month mark, when primary swelling has resolved — the nose continues to refine for 12–18 months after surgery.
Dr. Buonassisi has performed over 2,500 rhinoplasty procedures in Vancouver across every technique — open, closed, preservation rhinoplasty, ethnic rhinoplasty, revision rhinoplasty, and facial feminization rhinoplasty. The cases shown here represent a cross-section of that practice. Results vary based on anatomy, skin thickness, and the specific changes requested.
Bringing reference photos to your rhinoplasty consultation is encouraged — they are a useful starting point for communicating your goals. The surgical plan is always based on your own anatomy. If you would like to understand what is achievable for your specific structure, the pre-assessment is a free first step.
Our pre-assessment takes 5 minutes and helps Dr. Buonassisi's team understand your goals before your consultation. You will receive a personalised response — not a generic reply.
More questions about rhinoplasty? See the full techniques guide or the consultation page.