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 August 7, 2026·Medically reviewed by Dr. Buonassisi
KEY TAKEAWAYS — IN THIS VIDEO
Rhinoplasty is a surgical procedure to change the nose's shape while maintaining function.
Dr. Buonassisi emphasizes both aesthetic and functional outcomes in rhinoplasty.
There are various types of rhinoplasty, including primary, revision, and ethnic rhinoplasty.
Expertise in nasal anatomy is crucial for balancing form and function in rhinoplasty.
The consultation is essential for aligning patient expectations with surgical possibilities.
Dr. Buonassisi · What Exactly Is Rhinoplasty?
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.
Rhinoplasty is a surgical procedure designed to alter the shape of the nose. It is a versatile operation that can address both aesthetic and functional concerns. The primary goal is to achieve a natural-looking nose that complements the patient's facial features while ensuring optimal breathing function.
Dr. Thomas Buonassisi, MD, FRCSC — Specialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries — has over 25 years of experience in facial plastic surgery. He emphasizes that rhinoplasty is not just about changing the nose's appearance but also about maintaining or improving its function.
Why Consider Rhinoplasty?
Patients may consider rhinoplasty for various reasons, including correcting a nasal hump, refining the nasal tip, or improving breathing difficulties. Each rhinoplasty is tailored to the individual's unique anatomy and goals, ensuring a personalized approach to surgery.
Dr. Buonassisi highlights the importance of understanding the patient's desires and expectations. The consultation process is crucial in aligning these expectations with what is surgically achievable, ensuring both aesthetic and functional outcomes are met.
Types of Rhinoplasty Procedures
There are several types of rhinoplasty procedures, including primary rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty. Primary rhinoplasty is performed on patients who have not had previous nasal surgeries, while revision rhinoplasty addresses issues from prior surgeries.
Ethnic rhinoplasty focuses on preserving and enhancing the patient's ethnic identity while achieving the desired aesthetic changes. Dr. Buonassisi's approach is to respect the natural characteristics of the nose while making subtle enhancements.
The Importance of Expertise in Rhinoplasty
Rhinoplasty is a complex procedure that requires a deep understanding of nasal anatomy. Dr. Buonassisi's extensive experience in both functional and aesthetic nasal surgeries allows him to make informed decisions that balance form and function.
His approach ensures that changes to the nasal structure do not compromise breathing. This expertise is crucial, as every modification to the nose impacts both its appearance and its function.
What to Expect During a Rhinoplasty Consultation
The consultation is a critical step in the rhinoplasty journey. It is during this time that Dr. Buonassisi assesses the patient's nasal structure, discusses their goals, and explains the potential outcomes of the surgery.
Patients are encouraged to ask questions and express their concerns. This open dialogue helps in creating a surgical plan that is tailored to the patient's needs, ensuring realistic expectations and satisfactory results.
Full Transcript
What exactly is rhinoplasty? Rhinoplasty is a surgical procedure that allows us to change the shape of the nose. Lots of different types of rhinoplasties, descriptions for it, but the bottom line is we're changing the shape of the nose with a surgical procedure.
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