Dr. Thomas Buonassisi, MD, FRCSCDr. Thomas Buonassisi, MD, FRCSC — Otolaryngology – Head & Neck Surgeon with a practice limited to facial plastic surgery, 8 West Clinic, Vancouver, BC.
Published September 15, 2026·Medically reviewed by Dr. Buonassisi
KEY TAKEAWAYS — IN THIS VIDEO
Computer imaging provides a visual approximation of rhinoplasty outcomes, aiding in expectation management.
Realistic expectations are crucial for patient satisfaction and surgical success.
Imaging has limitations and is best used alongside other educational tools.
Surgeon-patient communication is vital for aligning expectations and ensuring satisfaction.
Dr. Buonassisi emphasizes the importance of honest dialogue in surgical planning.
Dr. Buonassisi · Computer Imaging for Surgical Planning
Dr. Thomas Buonassisi, MD, FRCSCAuthor · Reviewer
Dr. Thomas Buonassisi, MD, FRCSC — Otolaryngology – Head & Neck Surgeon with a practice limited to facial plastic surgery, 8 West Clinic, Vancouver, BC.
Dr. Buonassisi is certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology – Head and Neck Surgery (ABOHNS), and is a Fellow of the Royal College of Physicians and Surgeons of Canada (FRCSC) and the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). He co-founded 8 West Clinic — a rhinoplasty-focused practice in Vancouver, BC — with his wife Angie Buonassisi, with two locations in Vancouver and North Vancouver, with patient education as a founding principle of the practice.
Dr. Buonassisi has been educating patients on rhinoplasty for over 15 years and has published hundreds of educational videos across YouTube and Instagram — with content going back over a decade. Every article and video in the Knowledge Hub is written or reviewed directly by Dr. Buonassisi.
How Does Computer Imaging Assist in Rhinoplasty Planning?
Computer imaging plays a significant role in planning rhinoplasty procedures. It provides patients with a visual approximation of the expected outcomes, particularly from profile and three-quarter views. Dr. Thomas Buonassisi, MD, FRCSC — Specialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries — emphasizes that while these images may not be exact, they offer a close representation of the surgical maneuvers planned. For instance, if a patient's nasal tip is to be lifted, imaging helps them visualize the potential change in their facial harmony.
It's crucial to understand that these images serve as a guide rather than a guarantee. The goal is to provide a realistic expectation of the surgery's impact on the patient's overall facial structure. This approach helps both the patient and the surgeon align their expectations and ensures satisfaction with the final results.
Why Is Setting Realistic Expectations Important?
Setting realistic expectations is a fundamental aspect of surgical planning. Dr. Buonassisi highlights the importance of honest communication between the surgeon and the patient. By using computer imaging and other tools, surgeons can provide a visual context for the changes a patient might expect. This transparency helps prevent dissatisfaction post-surgery, as patients are more likely to be content with outcomes that match their pre-surgery expectations.
For surgeons, having a clear understanding of what can be achieved is equally important. It allows them to avoid over-promising and ensures that the surgical results align with the patient's desires and anatomical possibilities. This mutual understanding is key to a successful surgical outcome and patient satisfaction.
What Are the Limitations of Computer Imaging?
While computer imaging is a valuable tool, it has its limitations. Certain procedures, such as facelifts or blepharoplasties, are more challenging to simulate accurately. Dr. Buonassisi notes that while profile views can offer some insight, the complexity of these procedures often requires additional methods to set expectations. For example, manual demonstrations in the office or reviewing before-and-after photos of similar cases can provide further clarity.
These alternative strategies help patients understand the general effects of the procedure and where they fit within the spectrum of possible outcomes. This comprehensive approach ensures that patients have a well-rounded understanding of what to expect.
How Do Surgeons Use Imaging to Enhance Patient Understanding?
Surgeons utilize imaging as part of a broader strategy to educate patients about their surgical options. By combining imaging with other educational tools, such as patient photo galleries and in-office demonstrations, surgeons can offer a more complete picture of potential outcomes. This multi-faceted approach helps patients make informed decisions about their surgeries.
Dr. Buonassisi stresses that these tools are not about predicting exact results but about providing a framework for understanding the changes that surgery can bring. This educational process is crucial for ensuring that patients feel confident and informed about their surgical journey.
Why Is Surgeon-Patient Communication Key?
Effective communication between the surgeon and the patient is essential for a successful surgical experience. Dr. Buonassisi believes that clear, honest dialogue helps manage expectations and builds trust. By discussing potential outcomes and limitations openly, surgeons can ensure that patients have realistic expectations and are more likely to be satisfied with their results.
This communication is a two-way street; it allows surgeons to understand patient concerns and desires, tailoring their approach to meet individual needs. This personalized care is a cornerstone of successful facial plastic surgery and contributes to positive outcomes for both the patient and the surgeon.
Full Transcript
So do we have a way of showing patients what they're going to look like after surgery? With certain surgeries like rhinoplasty, for example, a profile view and three quarter views, can usually show patients what we expect with a reasonable amount of accuracy. And I think the most important thing with those tools that we use, which are computer imaging tools, is to try and show someone in general what the maneuvers that we're planning on doing are gonna look like on their entire face. It's not that their nose is gonna necessarily look exactly like that, but if we're gonna lift someone's tip up, they need to know what that's gonna look like on their face roughly. Is it gonna be exactly like that? Probably not, but usually very close. Something like a facelift is much more difficult to image. Yes, you could do a profile view and elevate someone's neck and and give them a rough idea what that would look like. A chin implant where we augment the position of the chin can be imaged quite well, so that's another one that works quite well. But things like lip lifts, blepharoplasties, things like that, you probably can't really show that with a computer program. You can simulate that in the office by elevating someone's brow manually. You can show them by showing hundreds of other patient photos of people who've had that same procedure. I think that's probably what works the best. That way it gives people an idea of what the procedure does in general. And then when you look at their photos, can sort of give them a rough idea of where they stand in the grand scheme of things in terms of how much of a problem their issue is, how long their lip is or how low their brow is. So no, I don't think there's a great way of saying this is what your results is going to look like, but there's lots of tools and strategies that we use as surgeons to try and give people a realistic expectation for what they're going to look like. And remember, it's just as important for us as it is for the patients to have an expectation. We don't want to promise something to a patient that isn't actually possible. They're going to be unhappy. We're going to be unhappy. So really the onus is on us and it really behooves us to give an honest and accurate impression or recommendation for patients so that they're going to be happy with the result because we've predicted that. I really think it's just as important for the surgeons as it is for patients to have an idea of what to expect after the surgery. So it's super important. I don't know that there's an imaging tool that really can simulate that in for all procedures, but I think it's very important for surgeons to give patients a realistic expectation for what they can achieve, because I think we want to be happy with the results and we want our patients to be happy with what we've promised.
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