← 8 West Clinic
8 West Clinic & Dr. Buonassisi

Not every surgeon
does this every day.

Dr. Buonassisi has performed over 4,000 rhinoplasties across 25 years — and rhinoplasty is the only surgical procedure he performs. 8 West Clinic was built around that focus: accredited facility, dedicated patient care team, and continuity of care from first assessment to final follow-up.

Start Pre-Assessment → Meet Dr. Buonassisi
8 West Clinic — rhinoplasty consultation Vancouver
The Team

You are not navigating this alone.

The consultation is not just about Dr. Buonassisi. The patient care team at 8 West Clinic has supported hundreds of rhinoplasty patients through every stage of the process — from the first pre-assessment submission through to long-term follow-up.

Before your consultation, a patient care coordinator reviews your pre-assessment personally and contacts you to discuss your goals, answer your questions, and prepare you for what to expect. By the time you sit down with Dr. Buonassisi, the groundwork has already been done.

After your consultation, the same team is available to answer follow-up questions, assist with surgical scheduling, manage pre-operative preparation, and support you through recovery.

Patient care coordinator
Dedicated
A single point of contact from pre-assessment through to post-operative follow-up
Pre-assessment review
Personal
Every submission is reviewed by a human — not filtered by an algorithm
Surgical preparation support
Full
Pre-operative instructions, medication management, and logistical planning
Post-operative follow-up
Structured
Scheduled follow-up appointments at key milestones — in-person or virtual for out-of-town patients
Out-of-town patient experience
Extensive
A significant proportion of Dr. Buonassisi’s rhinoplasty patients travel from outside Vancouver — the team is experienced managing this
Rhinoplasty consultation at 8 West Clinic
Your Consultation

What to expect when you meet Dr. Buonassisi.

Every consultation is conducted personally by Dr. Buonassisi — not a patient coordinator, not a nurse. He reviews your goals, explains what is technically achievable, and walks you through the process before you make any decision.

No referral required
Computer imaging available at consultation
Pre-assessment reviewed by Dr. B before you arrive
Why rhinoplasty at 8 West Clinic →
Your Journey

From first question
to final result

01

Instant Assessment

5–10 MIN Learn more →

Answer a short set of questions about your goals, anatomy, and health history. This is reviewed personally by our patient care team — not filtered by an algorithm.

02

Pre-Consultation Review

WITHIN 1 BUSINESS DAY

Your dedicated Patient Care Manager reviews your assessment, prepares a summary for Dr. Buonassisi, and contacts you to confirm your consultation appointment.

03

Surgeon Consultation

60–90 MIN Learn more →

A thorough in-person consultation with Dr. Buonassisi. He reviews your anatomy, discusses what is realistically achievable, and presents computer imaging of your potential result.

04

Surgical Planning

BEFORE YOUR DATE

Once you decide to proceed, your care manager coordinates all pre-operative requirements — medical clearance, scheduling, and preparation instructions.

05

Surgery Day

AT OUR FACILITY

Your procedure is performed at 8 West's accredited surgical facility in Vancouver. Dr. Buonassisi performs every rhinoplasty personally — no delegation.

06

Recovery & Follow-Up

ONGOING CARE Learn more →

Your care manager stays in contact throughout your recovery. Access to our recovery suite, red light therapy, IV therapy, and nursing support is available throughout your healing.

Start Your Instant Assessment → No obligation · Complimentary · Secure & confidential
What Makes This Different

This is not a surgeon who dabbles in rhinoplasty.

Dr. Buonassisi has performed more than 4,000 rhinoplasty procedures over 25 years. His entire surgical practice is dedicated to the face. The consultation you are booking is with one of Canada's most experienced rhinoplasty surgeons — and the experience of that consultation reflects it.

01

He will tell you no.

Not every patient is a good candidate for rhinoplasty. Anatomy that would not benefit from surgery, expectations that cannot be met, or health factors that increase risk — Dr. Buonassisi will say so directly. A surgeon who agrees with everything a patient wants is not serving them well. Selectivity is a sign of expertise, not limitation.

02

Volume changes everything.

A surgeon who performs 5 rhinoplasties per year is still learning. A surgeon who performs hundreds per year has encountered nearly every anatomical variation, complication, and healing pattern. That accumulated pattern recognition is what allows Dr. Buonassisi to predict outcomes with confidence — and to have an honest conversation about what is and is not achievable for your specific anatomy.

03

Computer imaging is used honestly.

Some surgeons use computer imaging to show patients idealised results that are not anatomically realistic. Dr. Buonassisi uses it differently: to show the direction of change he is aiming for, and to calibrate expectations. If the image shows something he cannot achieve, he will say so. The goal is alignment — not enthusiasm.

04

The whole team is experienced.

The consultation is not just about Dr. Buonassisi. The patient care team at 8 West has managed hundreds of rhinoplasty patients through every stage of the process — pre-assessment, consultation, surgical preparation, recovery, and follow-up. You are not navigating this alone, and you are not working with a team that is new to this.

05

No obligation. Ever.

The consultation is a clinical assessment, not a sales appointment. You will leave with a written surgical plan, a cost breakdown, and a clear picture of what is possible. What you do with that information is entirely your decision. Many patients take weeks or months. Some decide not to proceed at all. That is completely supported.

The Process

From first contact to surgical plan.

Four steps. No pressure. Every patient moves at their own pace.

01
Start here

Complete the Pre-Assessment

5 minutes

Answer a few questions about your goals, anatomy, and health background — and upload a few photos. Dr. Buonassisi's patient care team reviews every submission personally before your consultation is booked.

Start Pre-Assessment →
02

Receive a Personalised Response

Within 1–2 business days

Our patient care coordinator will contact you with honest guidance on whether rhinoplasty is the right path for you, and what to expect at your consultation. You will never be pushed toward surgery.

03
In-person only

In-Person Consultation

60–90 minutes

A thorough consultation with Dr. Buonassisi at the 8 West Clinic in Vancouver. He will examine your nasal anatomy, review your photos, discuss your goals in detail, and present computer imaging of a potential result.

04

Receive Your Surgical Plan

After consultation

Following your consultation, you will receive a written surgical plan outlining the recommended technique, expected outcomes, recovery timeline, and a detailed cost breakdown. You are under no obligation to proceed.

What to Expect

Before, during, and after.

A detailed picture of what each stage of the consultation process involves.

Before your consultation

  • Complete the pre-assessment so Dr. Buonassisi's team can review your goals in advance
  • Prepare a list of changes you would like to see — photos of noses you admire can be helpful
  • Note any breathing difficulties, previous nasal injuries, or prior surgeries
  • Avoid wearing makeup on the day of your consultation
  • Bring a list of any medications, supplements, or health conditions

During your consultation

  • Dr. Buonassisi will examine your nasal anatomy and facial proportions in detail
  • Standardised photographs will be taken for surgical planning
  • You will discuss your goals, concerns, and what is realistically achievable
  • Computer imaging will be used to illustrate potential outcomes
  • He will explain his recommended approach and the reasoning behind it
  • You will have ample time to ask any questions

After your consultation

  • You will receive a written summary of the consultation and surgical plan
  • A detailed cost breakdown will be provided
  • You are under no obligation to proceed — take as much time as you need
  • Our patient care team is available to answer any follow-up questions
  • Out-of-town patients may have virtual follow-up appointments
Computer imaging consultation at 8 West Clinic
Computer Imaging — 8 West Clinic
Computer Imaging

Seeing the direction
before the decision.

During your consultation, Dr. Buonassisi will use computer imaging to illustrate the direction of change he is aiming for. This is a simulation tool — not a guarantee of results — but it is one of the most useful parts of the consultation process.

Computer imaging helps ensure that you and Dr. Buonassisi are aligned on goals before any surgical plan is made. It allows him to show you what is anatomically achievable, and to have an honest conversation about what surgery can and cannot do for your specific case.

The actual result will depend on your anatomy, skin thickness, healing, and the specific manoeuvres performed. Computer imaging shows direction — not a guaranteed outcome.

The Team Behind Your Care

Dr. Buonassisi performs every surgery. These are the people who support you through everything else.

From your first pre-assessment submission to your last follow-up appointment, your Patient Care Manager is your single point of contact — reviewing your goals, preparing Dr. Buonassisi before your consultation, and staying in touch throughout your recovery.

Sarah — Patient Care Manager
Sarah
Patient Care Manager
8 years at 8 West Clinic
“My job starts the moment you submit your assessment. I read every response personally, and by the time you sit down with Dr. Buonassisi, he already knows your goals, your concerns, and what matters most to you. I’m also the person you call at 10pm when you’re worried about something during recovery — that’s just part of what we do here.”
Michelle — Patient Care Manager
Michelle
Patient Care Manager
5 years at 8 West Clinic
“A lot of our patients have been thinking about rhinoplasty for years before they reach out. I take that seriously. My role is to make sure you have every piece of information you need to make a decision you feel confident about — and that the process feels manageable, not overwhelming, from start to finish.”

Out-of-town patients are a significant part of our practice. Your Patient Care Manager is experienced coordinating travel, virtual consultations, and remote follow-up — so distance is not a barrier to receiving care at 8 West.

Pre-Consultation Checklist

Come prepared.

The more prepared you are, the more productive your consultation will be.

Goals
◆
What specifically bothers you about your nose?
◆
Do you have reference photos of noses you find appealing?
◆
Are there any features you want to preserve?
Medical history
◆
Any previous nasal surgeries or injuries?
◆
Current medications and supplements?
◆
Any known allergies, especially to anaesthesia?
◆
Breathing difficulties or nasal obstruction?
Practical
◆
Do you have a support person for recovery?
◆
Can you take 2–3 weeks off work?
◆
Are you planning any travel in the 6 weeks after surgery?
Ready to book your consultation?

Complete the pre-assessment first — it takes 5 minutes and ensures Dr. Buonassisi is prepared for your specific goals.

Start Pre-Assessment →
8 West Clinic — Vancouver, BC
The Clinic Behind the Surgeon

8 West Clinic —
Built for This

Founded in 2004 by Dr. Thomas Buonassisi, 8 West Clinic has grown into one of Canada's most respected facial plastic surgery and health clinics. With two locations in Vancouver and North Vancouver, every aspect of the clinic is designed to support rhinoplasty patients — before, during, and long after surgery.

Why Vancouver & BC Patients Choose 8 West
— Accredited surgical facility — rhinoplasty performed in our own dedicated suite, not a shared hospital OR
— Exclusive focus — rhinoplasty is Dr. Buonassisi's only surgical procedure
— Continuity of care — your surgeon, your care manager, and your recovery team are all under one roof
— Two clinic locations — Vancouver and North Vancouver, serving patients across Metro Vancouver and BC
2004
Founded by Dr. Buonassisi
2
Clinic locations — Vancouver & North Van
15+
Medical professionals on staff
25+
Years of combined surgical leadership
Under One Roof

Rhinoplasty patients at 8 West have access to the full clinic — no referrals needed.

Facial Plastic Surgery ✦

Rhinoplasty, revision, and facial feminization — Dr. Buonassisi's exclusive focus.

Primary Focus
Medical Aesthetics ◆

Injectables, laser treatments, and non-surgical facial rejuvenation.

Recovery Support ◇

Dedicated care management from pre-op through your full post-surgical recovery.

Health Optimisation ○

Hormone therapy, IV nutrition, and longevity medicine for whole-body wellness.

Private Dermatology △

Medical and cosmetic dermatology for skin health before and after surgery.

Cryopreservation & Stem Cell □

Cutting-edge biological preservation and regenerative medicine services.

Dr. Buonassisi — Credentials & Training
Board certification
American Board of Facial Plastic & Reconstructive Surgery

One of the most rigorous certification pathways in facial surgery — requires dedicated fellowship training beyond general plastic surgery

Fellowship training
Facial Plastic & Reconstructive Surgery

Post-residency subspecialty fellowship focused exclusively on the face — the training pathway that produces rhinoplasty specialists

Years in practice
25+ years

Rhinoplasty has been the centre of Dr. Buonassisi's surgical practice since the founding of 8 West Clinic in 2006

Procedures performed
4,000+ rhinoplasties

A volume that places Dr. Buonassisi among the most experienced rhinoplasty surgeons in Canada

Two Locations

Vancouver & North Vancouver.

Both locations are staffed by the same surgical team and operate under the same clinical protocols. Your care is consistent regardless of which clinic you attend.

8 West Clinic Vancouver — 1788 W Broadway
Vancouver

8 West Clinic
Vancouver

300 – 1788 W Broadway
Vancouver, BC  V6J 1Y1

604-733-1669

Get Directions →
8 West Clinic North Vancouver — 221 West Esplanade
North Vancouver

8 West Clinic
North Vancouver

300 – 221 West Esplanade
North Vancouver, BC  V7M 3J3

604-988-8028

Get Directions →
Dr. Thomas Buonassisi
The Surgeon

Dr. Thomas Buonassisi

Board-certified in Facial Plastic & Reconstructive Surgery, Dr. Buonassisi has performed over 4,000 rhinoplasties and has dedicated his practice exclusively to facial procedures since founding 8 West Clinic in 2006. Rhinoplasty is not one of many procedures he performs — it is the centre of his surgical career.

FRCSC ABFPRS AAFPRS ABOHNS
Full profile: Dr. Buonassisi →
Frequently Asked Questions

Questions about the consultation.

Common questions about booking, preparing for, and what to expect from your rhinoplasty consultation at 8 West Clinic.

Start Pre-Assessment →

No referral is required to begin the consultation process. You can start by completing the online pre-assessment, which allows the patient care team to review your goals, photos, and health history before helping you book the next appropriate step.

Wait times can vary depending on Dr. Buonassisi’s surgical and consultation schedule. After you complete the pre-assessment, a Patient Care Manager will review your submission and contact you with current availability and next steps.

Virtual support may be available for out-of-town patients, especially for early planning and follow-up. However, rhinoplasty planning requires a detailed in-person assessment before surgery so Dr. Buonassisi can evaluate your anatomy, breathing, facial balance, and surgical goals properly.

Computer imaging is used to show the direction of change Dr. Buonassisi is aiming for. It helps align expectations and clarify what may be anatomically achievable, but it is not a guarantee of the final result. Healing, skin thickness, anatomy, and surgical technique all affect the outcome.

If Dr. Buonassisi does not believe rhinoplasty is appropriate for you, he will tell you directly. This may be because of anatomy, health factors, prior surgery, or expectations that cannot realistically be met. The goal of the consultation is honest guidance, not pressure to proceed.

Yes. If you choose to proceed with surgery, the consultation fee is applied toward your surgical fee. After your consultation, you will receive a written surgical plan and cost breakdown so you can review everything before making a decision.

Complete the pre-assessment first, bring a list of your goals and concerns, note any breathing issues or previous nasal injuries, and prepare your medication and health history. Reference photos can be helpful, but the consultation will focus on what is realistic for your own anatomy.

Free · 5 Minutes · No Obligation

The first step
takes 5 minutes.

Complete our pre-assessment and Dr. Buonassisi’s team will review your submission personally — before you ever step into the clinic.

Strictly confidential · Reviewed by Dr. Buonassisi’s team only