Everything you need to make the right decision.

We specialise in every approach — so the right one is always available to you.

There is no single rhinoplasty technique that suits every patient. Whether you are researching preservation rhinoplasty, weighing open versus closed rhinoplasty, or exploring options for a specific concern — hump reduction, tip refinement, ethnic rhinoplasty, or a revision after a previous surgery — Dr. Buonassisi performs all of them, and selects the approach that is right for your anatomy.

Understanding the techniques available — and how they differ — helps you arrive at your rhinoplasty consultation with better questions and clearer expectations. The entries below describe each approach on its own terms, but the surgical plan is always considered as a whole: most results require several complementary changes working together.

The technique is never chosen in advance. It is recommended after Dr. Buonassisi has assessed your nasal anatomy, skin thickness, cartilage strength, and the specific changes you want to achieve. Patients come to 8 West from across Vancouver, North Vancouver, and the broader Lower Mainland — as well as from Victoria, Kelowna, Calgary, and internationally.

Most patients come to this page with one specific concern in mind — a bump, a tip that lacks definition, a nose that feels out of proportion. The techniques below will help you understand what is actually involved in addressing that concern, and why the surgical plan almost always extends beyond a single isolated change. That context makes for a more productive consultation.