Dr. Thomas Buonassisi, our certified facial plastic surgeon, is an expert in nose surgery (rhinoplasty). He has lots of experience using different techniques to help improve the look of your nose.
Rhinoplasty, also called a nose job, is a popular cosmetic surgery for people in Vancouver, BC, and Western Canada. At 8 West Clinic, Dr. Buonassisi uses a careful and artistic approach to create natural results that match your face and personal goals. Our award-winning team works hard to give you personalized care and great results.
Click below to learn more about Nose Job Surgery.
Facelift, Necklift, Browlift, Rhinoplasty and Fat Transfer results 2 months after surgery performed by Dr. Thomas Buonassisi at 8 West Clinic, Vancouver, BC
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Rhinoplasty results 3 months after surgery performed by Dr. Thomas Buonassisi at 8 West Clinic, Vancouver, BC
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Rhinoplasty results 4 months after surgery performed by Dr. Thomas Buonassisi at 8 West Clinic, Vancouver, BC
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Dr. Thomas Buonassisi is one of Canada’s top facial plastic surgeons and leads the team at 8 West Clinic. With over 25+ years of experience doing nose surgeries (rhinoplasty), he is an expert in techniques like reshaping the tip, smoothing bumps, and using special tools like piezo ultrasonic technology to make precise changes.
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Rhinoplasty, or nose surgery, is done to change the shape of the nose to make it look more balanced or even with the face. People choose this surgery for many reasons, so it's important to know what you want to improve.
Nose Job surgery may be ideal for you if you wish to:
This guide is a must-read for anyone considering nasal surgery. The eBook contains 40+ pages of thoughtfully written advise by Dr. Buonassisi. Topics include:
And many more tips and additional resources!
Rhinoplasty, also known as a nose job, is a delicate surgery that needs a lot of skill and practice to get the best results. There are many ways to do rhinoplasty, but the best one is designed to match your unique facial features. At 8 West Clinic, we focus on creating a plan just for you, making sure your rhinoplasty fits your goals and looks natural. Here are some common types and methods of rhinoplasty to help you learn more about your choices.
Our unique comprehensive approach focuses on 360º treatment plans bespoke to no one else but you. We aim to help you achieve the best version of yourself—no matter where your starting point is.
Description of the review, this text will be replaced by the actual reviews on load
My experience with Dr Buonassisi and his wonderful staff went over and beyond my expectation. I recommend him and his clinic with all of my heart for anyone considering a rhinoplasty! He has changed my life for the better and I will always be grateful.
I had a great experience at 8 West clinic! The staff were super helpful and friendly. Dr. Buonassisi was very honest and upfront about the work he could do for me. He was concerned about my health and truthfully gave me options to think about and spent the necessary time with me.
Dr. Buonassisi performed a procedure on my son's nose to smooth out a bump prior to the start of the pandemic. Honestly was the best thing for him. Very happy with the result and made a big difference on his outlook and how he viewed himself. Way less self conscious and much happier.
Dr. B and team are wonderful!! My whole process was amazing from consultation to surgery day and post surgery, it was a really comforting experience. Surprised at how fast recovery time was. I would recommend Dr. BUONASSISI to anyone considering a rhinoplasty. He is certainly a professional...
The entire process of my rhinoplasty was smooth and stress-free. From the initial consultation to the post-operative care, the entire team and staff were professional and accommodating. So grateful that I chose Dr. Buonassisis as my doctor, his dedication and craft on preservation is unmatched.
Good candidates are individuals looking to make minor aesthetic changes to their nose without surgery. Non-surgical rhinoplasty is ideal for those who want temporary results or are not ready for permanent surgical changes. However, it’s not suitable for individuals who need major structural changes or corrections to breathing issues.
Most patients report mild to moderate discomfort, which can be managed with prescribed pain medication. The initial swelling and congestion can feel uncomfortable, but significant pain is uncommon.
Yes, rhinoplasty results are generally permanent. However, natural aging and injury can affect the appearance of the nose over time.
Look for a board-certified plastic surgeon with extensive rhinoplasty experience, a strong portfolio of before-and-after photos, and positive patient reviews. A consultation will also help assess their approach and compatibility with your goals.
While Rhinoplasty is a very popular cosmetic surgery, not everyone is a candidate for Rhinoplasty. The most important part of the process in deciding your candidacy is your complimentary pre-consultation with a Patient Care Manager. They will discuss your Rhinoplasty goals and offer a photo review to determine if this surgery is the right option for you. After this pre-consultation is complete, and you and your Patient Care Manager have decided that Rhinoplasty could be right for you, they will then book an in-person (or virtual) consultation with Dr. Buonassisi. To determine if you are a candidate for Rhinoplasty, our Patient Care Managers are available to help discuss the surgery in more detail and conduct a photo review. You can contact them on (604) 733-1669 or complete our booking form online to request a call back.
While there are a number of different techniques when it comes to Rhinoplasty, when reshaping or changing the nose, the work is primarily done to the cartilage and bone that form the structure of your nose. Dr. Buonassisi performs both open and closed Rhinoplasty, ensuring that any scarring is minimal to imperceptible. Open Rhinoplasty is performed at the base of the nose, where a small incision is made across the columella – the area between your nostrils. After the incision is made, the skin is very gently raised to expose nasal bones and cartilage so that the required changes can be made. The incision is then strategically sealed using sutures to ensure that any scarring is minimal, and disguised in natural creases of the nose. Unlike open Rhinoplasty, closed Rhinoplasty is less-commonly performed by Dr. Buonassisi, and is a surgery performed inside the nose, through small incisions in the nostrils. This is where Dr. Buonassisi will carefully and skilfully craft the bone and cartilage to achieve the desired result. Which technique is used, and how Dr. Buonassisi will perform the surgery (open or closed) is dependant on a number of unique factors, and will be discussed in detail upon your consultation with him. Whichever method is used will be chosen because it will be the ideal way to achieve your goals.
Very common questions that people ask are “how long is the downtime?” or “how long is the healing process?”. Most patients are then surprised by the answer, as recovery from rhinoplasty is easier than they expect. Most patients will take 1-2 weeks off work or school, and are able to work or study from home in the early days of recovery. Your cast is removed 1 week after surgery, but be prepared to still see bruising and swelling on cast removal day – the exciting part though is that you will get the first glimpse of your new nose. During the second week, you can expect most of the bruising to dissipate, but it always varies from patient to patient. It is also important to keep in mind that it will take a year for everything to heal and set for you to see your final result. All of this and more (including an overview of what to expect day-by-day after surgery) are covered in your free pre-consultation discussion with a Patient Care Manager.
You may have a dissolvable stitch poking out. This is not dangerous but can be irritating. Internal rhinoplasty stitches are often used inside your nose during surgery. They dissolve roughly 10 days later – but sometimes not uniformly – meaning one might hang around a little longer and start to irritate you. You could notice a stitch up to 6 months after surgery. No, your surgeon did not forget that stitch in there by accident. If your stitch is bugging you, please call your surgeon’s office and let them know. They should schedule you an appointment to have the suture trimmed. In the meantime, please do not pick or tug at it, as this may irritate you nose or cause an infection.
Experienced rhinoplasty surgeons will often over rotate the tip on purpose since they plan for it to fall to it’s intended position in the post operative healing period. They expect that swelling will make it look higher than it will actually be once healed. This planned over rotation should last about 3 – 4 weeks, or a little longer in some patients. So, if you are early on in your recovery period, please don’t be concerned. This is one of the side effects of swelling that will resolve itself over time.
Tell us what you’re interested in and we’ll introduce you to your dedicated Patient Care Manager who will be reaching out for a pre-assessment call.