Rhinoplasty (also called a nose job or nasal surgery) is a surgical procedure that reshapes the nose to improve its appearance, proportion, or function. It is one of the most technically demanding procedures in facial plastic surgery — requiring a precise understanding of nasal anatomy, skin type, and how tissue behaves over time.
Patients come to 8 West Clinic from across Vancouver, North Vancouver, West Vancouver, and the broader Metro Vancouver area — as well as from Victoria, Kelowna, Calgary, and internationally — to work with Dr. Thomas Buonassisi, one of Canada's most experienced rhinoplasty surgeons.
Dr. Buonassisi has performed over 2,500 rhinoplasty procedures across every technique — open rhinoplasty, closed rhinoplasty, preservation rhinoplasty, ethnic rhinoplasty, revision rhinoplasty, and facial feminization rhinoplasty. His approach is anatomy-first: the technique is selected based on your specific structure and goals, not a preferred method.
Every rhinoplasty at 8 West begins with a thorough consultation — a structured conversation about your anatomy, your goals, and what is realistically achievable. Patients who understand what rhinoplasty can and cannot do have better outcomes and higher satisfaction.