8 West Clinic — Vancouver

Nearly two decades of patient care.

8 West Clinic is one of Vancouver’s most trusted names in cosmetic medicine. Thousands of patients have chosen us for surgical and non-surgical care — drawn by our reputation for honest consultation, exceptional outcomes, and a team that stays with you from first appointment through full recovery.

8 West Clinic — rhinoplasty consultation Vancouver

The Clinic

Built for this.

8 West Clinic was founded in 2006 by Dr. Thomas Buonassisi and Angie Buonassisi with a specific purpose: to build a clinic where facial surgery — and rhinoplasty in particular — could be done at the highest standard, with the infrastructure to match.

That means an accredited private surgical facility (not a shared hospital OR), a dedicated patient care team, and a full suite of recovery support services — all under one roof, across two Vancouver locations.

Patients who come to 8 West for rhinoplasty have access to the full clinic: medical aesthetics, private dermatology, health optimisation, and recovery support — without external referrals.

Purpose-built surgical facility

Patients have surgery at an accredited, private surgical suite. Rhinoplasty is never performed at a public hospital. The facility was designed specifically for cosmetic surgery — same team, same environment, every case.

Exclusive surgical focus

The clinic was built around a single surgical specialty: the face and neck. That focus shapes everything — how consultations are structured, how the team is trained, and how outcomes are tracked over time.

Continuity of care

From your first pre-assessment to your last follow-up, you work with the same care team. Your Patient Care Manager is your single point of contact — not a rotating intake coordinator.

Under one roof

Rhinoplasty patients have access to the full clinic: medical aesthetics, private dermatology, health optimisation, and recovery support services. No external referrals required.

Under One Roof

Rhinoplasty patients at 8 West Clinic have access to all the services of both clinics.

Facial Surgery

— Rhinoplasty

— Facelift & Neck Lift

— Blepharoplasty

— Brow Lift

Medical Aesthetics

— Injectables

— BBL / IPL Therapy

— CO₂ Laser

— RF Microneedling

Health Optimisation

— IV Therapy

— Hormone Optimization

— Cold Room

— Oxygen Room

The Consultation Experience

From first question
to surgical plan.

Six steps. No pressure. Every patient moves at their own pace — and you are under no obligation to proceed at any stage.

What makes the 8 West consultation different is the preparation that happens before you arrive. Your pre-assessment is reviewed personally by your Patient Care Manager, who briefs Dr. Buonassisi before your appointment. By the time you sit down together, he already knows your goals.

Instant Pre-Assessment

5–10 MIN

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

Pre-Consultation

WITHIN 2 BUSINESS DAY

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

Surgeon Consultation

45 MINUTES

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

Surgical Planning

BEFORE YOUR DATE

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

Surgery Day

AT OUR FACILITY

Your procedure is performed at 8 West's accredited private surgical facility. Dr. Buonassisi performs every rhinoplasty personally — no delegation to residents or assistants.

Recovery & Follow-Up

ONGOING CARE Learn more →

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

No obligation · Confidential · Reviewed personally

Facial anatomy assessment — the basis of every rhinoplasty consultation at 8 West Clinic

Your Consultation

An honest picture of what's possible for your face.

Before any decision is made, Dr. Buonassisi will give you a clear-eyed assessment of your anatomy and what rhinoplasty can realistically achieve for you. This isn't a filter or a wishlist — it's the judgment of a surgeon who has performed over 2,500 procedures.

◆

Facial anatomy assessment — every consultation begins with a structured evaluation of your nasal anatomy in relation to your full facial profile.

◆

Computer imaging — a simulation built from your actual anatomy, reviewed with you in the room, so your expectations are grounded in what your face will genuinely support.

◆

Honest candidacy review — Dr. Buonassisi will tell you clearly whether rhinoplasty is right for you, and what it can and cannot achieve for your specific anatomy.

Candidacy & Risks

Rhinoplasty is not right for everyone. Candidacy depends on your anatomy, health history, and the realistic limits of what surgery can achieve. As with any surgical procedure, there are risks and potential complications — these will be discussed in full at your consultation.

◈

Before your consultation

— Complete the pre-assessment so the team can review your goals in advance
— Prepare a list of changes you would like to see — reference photos are 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

— If you are ready to proceed, pay a deposit to secure your surgery date and get the planning process started
— 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

Sarah

Patient Care Manager

“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 when you're worried about something during recovery — that's just part of what we do here.”

Mica

Patient Care Manager

“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.

Travel to Vancouver guide →

IV Therapy

Customised intravenous nutrient and hydration infusions, administered by our registered nursing team. A restorative experience that supports how you feel from the inside out.

Red Light Therapy

Photobiomodulation using red and near-infrared wavelengths. A non-invasive, deeply relaxing session that works at the cellular level — no heat, no discomfort.

Cold Room

A calm, temperature-controlled space for rest and restoration. Cold exposure has a long history in wellness practice — our cold room makes it accessible and comfortable.

Oxygen Room

A private, quiet room with supplemental oxygen — a simple, restorative environment for rest and reset. Part of our in-clinic wellness offering.

PEMF Therapy

Pulsed Electromagnetic Field therapy is a non-invasive, relaxing modality that gently stimulates cellular activity. Sessions are quiet, comfortable, and deeply restorative.

Infrared Sauna

Infrared heat penetrates more deeply than traditional sauna at a lower ambient temperature — a gentle, immersive warmth that supports relaxation and overall wellbeing.

8 West Clinic · Vancouver

A career built entirely
on the face.

“The best rhinoplasty is the one that no one can tell you had. My goal is always a result that looks like you — refined, balanced, and natural.”

4,000+

Facial Cosmetic Surgeries

25+

Years of Surgical Experience

4.8★

1,900+ Verified Reviews

100%

Personally Performs Every Case

Board Certifications & Fellowships

FRCSC — Fellow of the Royal College of Physicians & Surgeons of Canada · Otolaryngology – Head & Neck Surgery
ABOHNS — Board Certified, American Board of Otolaryngology – Head and Neck Surgery
ABFPRS — Board Certified, American Board of Facial Plastic & Reconstructive Surgery
AAFPRS — American Academy of Facial Plastic & Reconstructive Surgery

ABFPRS — American Board of Facial Plastic and Reconstructive Surgery

AAFPRS — American Academy of Facial Plastic Surgery

Royal College of Physicians and Surgeons of Canada

Download Ebook

About the Clinic

When was 8 West Clinic founded?

8 West Clinic was founded in 2006 by Dr. Thomas Buonassisi and Angie Buonassisi. It began as a focused facial surgery practice and has grown into a multi-disciplinary clinic with two locations in Metro Vancouver.

Where are your locations?

We have two locations: our main clinic at 1788 West Broadway in Vancouver, and our North Vancouver location at 221 West Esplanade. Both locations offer consultations and non-surgical services. Surgical procedures are performed at our accredited Vancouver facility.

Is 8 West Clinic a hospital?

No. 8 West is a private, purpose-built clinic — not a hospital. Our surgical procedures are performed in an accredited, dedicated surgical centre.

What services does 8 West Clinic offer beyond rhinoplasty?

8 West Clinic offers facial cosmetic surgery, medical aesthetics (injectables, lasers, skin treatments), private dermatology, health optimisation (hormone therapy, IV nutrition, longevity medicine), and cryopreservation and stem cell banking. Rhinoplasty patients have access to the full clinic, including recovery support services.

How many people work at 8 West Clinic?

The clinic has more than 15 medical professionals across both locations, including surgeons, registered nurses, medical aestheticians, patient care managers, and health optimisation specialists.

The Consultation

Do I need a referral to book a consultation?

No referral is required. We recommend completing the online pre-assessment first — it allows our team to prepare for your specific goals and ensures Dr. Buonassisi can review your case before your appointment.

How long is the wait for a consultation?

Wait times vary depending on demand. Completing the pre-assessment first allows our team to prioritise consultations. Current wait times are typically 4–8 weeks from the date of your pre-assessment submission.

Can I have a virtual consultation?

Initial consultations are conducted in-person at our Vancouver clinic. A proper examination of your nasal anatomy and facial proportions cannot be accurately performed remotely. Virtual follow-up appointments are available for out-of-town patients who have already had an in-person consultation.

What happens at the consultation?

Your consultation is a 60–90 minute in-person appointment. It includes standardised photography, a structured facial anatomy assessment, computer imaging, a review of your goals and candidacy, and a detailed discussion of the surgical plan and what rhinoplasty can realistically achieve for your specific anatomy.

What does computer imaging show?

Computer imaging is a simulation tool — not a guarantee of results. It allows Dr. Buonassisi to illustrate the direction of change he is aiming for, and helps ensure you and he are aligned on goals before any surgical plan is finalised.

Is the consultation fee applied toward surgery?

The consultation fee covers the full appointment, photography, computer imaging, a written surgical plan, and a detailed cost breakdown. The fee is not applied toward your surgical fee — it reflects the time and resources involved in a thorough evaluation.

What if I am not a good candidate for rhinoplasty?

Dr. Buonassisi will tell you honestly if rhinoplasty is not the right path for you. He will not recommend surgery unless he is confident it will genuinely improve your quality of life. Candidacy depends on your anatomy, health history, and the realistic limits of what surgery can achieve.

Can I bring someone with me to the consultation?

Yes. Many patients bring a partner, parent, or trusted friend. We recommend it — having a second person in the room often helps patients feel more comfortable asking questions and retaining information.

The Patient Care Team

Who is my Patient Care Manager?

Your Patient Care Manager (PCM) is your dedicated point of contact throughout your entire journey — from pre-assessment through to your final follow-up. They coordinate your appointments, answer questions between visits, and ensure nothing falls through the cracks. You will be assigned a PCM when you complete your pre-assessment.

Can I contact my Patient Care Manager between appointments?

Yes. Your PCM is available by phone and email during clinic hours. They are your primary contact for any question that arises between appointments — whether about preparation, recovery, or logistics.

What is the difference between a Patient Care Manager and a patient coordinator?

Most clinics have patient coordinators who handle scheduling. At 8 West, your PCM is a more senior role — they are involved in your clinical preparation, your recovery programme, and your follow-up care. They attend your consultation and are present throughout your surgical day.

Recovery Support

What recovery support does 8 West offer?

8 West Clinic has a dedicated in-clinic wellness programme available to patients during their recovery period. This includes IV therapy, red light therapy (photobiomodulation), cold room, oxygen room, PEMF therapy, and infrared sauna. Your Patient Care Manager will advise which services are appropriate for your recovery stage.

What is PEMF therapy?

PEMF stands for Pulsed Electromagnetic Field therapy. It is a non-invasive, relaxing modality that gently stimulates cellular activity. Sessions are quiet and comfortable. More information is available on our Health Optimisation pages.

Are the recovery services included in the surgical fee?

Recovery support services are available at the clinic and are not automatically included in the surgical fee. Your Patient Care Manager will discuss options with you as part of your post-operative care planning.

Out-of-Town Patients

Do you treat patients from outside Vancouver?

Yes — out-of-town patients are a significant part of our practice. We have patients from across Canada. Your Patient Care Manager is experienced in coordinating travel, remote pre-assessment, and virtual follow-up. Distance is not a barrier to receiving care at 8 West.

How many trips to Vancouver are required?

Most out-of-town patients require two trips: one for the in-person consultation, and one for surgery and the immediate post-operative period. Some patients combine the consultation and surgery into a single extended trip. Your PCM will help you plan the most practical itinerary for your situation.

Do you offer accommodation recommendations for out-of-town patients?

Yes. Our team can recommend accommodation options near the clinic that are suitable for recovery. We work with patients regularly on travel logistics and can advise on what to plan for.

Financing

Does 8 West Clinic offer patient financing?

Yes. We work with Beautifi and Medicard by iFinance to offer patient financing options. These are third-party financing providers — your PCM can provide details and direct you to the application process.

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 · Complete in 5 minutes · Reviewed personally by Dr. Buonassisi’s patient care team