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 July 27, 2026·Medically reviewed by Dr. Buonassisi
KEY TAKEAWAYS — IN THIS VIDEO
Parents should have open discussions with their teens about rhinoplasty without rushing into surgery.
A minimum of a year is recommended between initial interest and consultation to allow for thorough consideration.
Choosing a reputable surgeon experienced with younger patients is crucial for successful outcomes.
Understanding the teen's motivations for surgery is essential to ensure it's for the right reasons.
The consultation is a critical step to align expectations and assess candidacy for rhinoplasty.
Dr. Buonassisi · Rhinoplasty Considerations for Teen Patients
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.
What Should Parents Consider When Their Teen Brings Up Rhinoplasty?
When a teenager expresses interest in rhinoplasty, it's essential for parents to approach the topic thoughtfully. Dr. Thomas Buonassisi, MD, FRCSC — Specialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries — advises that if a teen mentions rhinoplasty once, it's important to have an open discussion without immediately agreeing or dismissing the idea. Teens often talk about features they wish to change, and it's crucial to listen and understand their motivations.
If the topic of rhinoplasty is brought up repeatedly, it may indicate a deeper interest. In such cases, parents should consider the conversation more seriously, but there's no need to rush into seeing a surgeon. Taking time to explore the motivations behind the desire for surgery and discussing the implications is key. Dr. Buonassisi suggests a minimum of a year between the initial discussion and any consultation to allow both the teen and parents to reflect and research thoroughly.
Why Is Timing Important in Teen Rhinoplasty?
Timing plays a critical role in the decision-making process for teen rhinoplasty. Dr. Buonassisi emphasizes the importance of allowing sufficient time for consideration and research. This period helps ensure that the decision is well-informed and not impulsive. It also provides an opportunity for the teen to mature and for their facial features to develop further, which can impact the surgical outcome.
During this time, parents and teens should explore what is realistically achievable through rhinoplasty and what the procedure entails. Understanding the limitations and potential outcomes is crucial to setting realistic expectations. This period also allows families to investigate reputable surgeons who specialize in rhinoplasty for younger patients, ensuring they receive appropriate guidance and care.
How to Choose the Right Surgeon for Teen Rhinoplasty?
Choosing the right surgeon is a pivotal step in the rhinoplasty journey. Dr. Buonassisi advises parents to seek out surgeons who are not only reputable but also experienced in working with younger patients. A surgeon's expertise in facial anatomy and their ability to communicate effectively with both the teen and parents is essential.
Parents should look for surgeons who provide comprehensive consultations, where they discuss both the aesthetic and functional aspects of the surgery. It's important that the surgeon evaluates the teen's candidacy thoroughly and offers honest advice about what can be achieved. This ensures that the decision to proceed with surgery is based on a clear understanding of the potential benefits and risks.
Understanding the Motivations Behind Teen Rhinoplasty
Understanding the motivations behind a teen's desire for rhinoplasty is crucial. Dr. Buonassisi highlights the importance of discussing why the teen wants the surgery and what they hope to achieve. This conversation can reveal whether the desire is driven by external pressures, such as social media or peer influence, or if it stems from a genuine personal wish to change their appearance.
Parents should encourage open dialogue and consider involving a mental health professional if there are concerns about body image issues or unrealistic expectations. This approach ensures that the decision to pursue rhinoplasty is made for the right reasons and that the teen is emotionally prepared for the process.
The Role of Consultation in Teen Rhinoplasty
The consultation is a critical step in the rhinoplasty process, especially for teens. Dr. Buonassisi stresses that it is not merely a formality but an opportunity to align expectations and assess candidacy. During the consultation, the surgeon will evaluate the teen's nasal anatomy, discuss their goals, and explain the surgical options available.
This stage is also where the surgeon can address any concerns and provide a realistic overview of the recovery process and potential outcomes. A thorough consultation helps ensure that both the teen and their parents are fully informed and comfortable with the decision to proceed with surgery. For more information on rhinoplasty, visit our Rhinoplasty Knowledge Hub.
Full Transcript
What advice do I have for parents whose child brings up rhinoplasty? I think if they bring it up once, talk about it, I think that's perfectly fine. I don't think it's something that I would necessarily jump to agreeing to or recommending or support. Supporting. I think listen to them. I think that's very common for kids to talk about, you know, features about themselves that they might want to change. Now, if that's something that gets repeated frequently, it goes beyond just stating that they might want to do it or they have a sort of a passing interest in the procedure, maybe take it a little bit more seriously. I certainly don't think if a kid is interested in having a rhinoplasty and brings it up to you that you should be running to see a surgeon. I don't think you should. I think you should take some time, talk about it, find out what their motivations are. I would say a minimum of a year between someone bringing up that they might want to do it and actually having a consult, because I do think that kids need to think about it, parents need to think about it, and I think it's important to do a little bit of research and find out what's possible, what's not possible. Investigate surgeons that are reputable, that are gonna give you good advice, and that you think are appropriate for someone who's your child's age.
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