Vancouver Facial Plastic Surgeon
300-1788 West Broadway
Vancouver, British Columbia V6J 1Y1 CA
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A free copy of our Rhinoplasty eBook
Complementary VISIA Skin Analysis
$120 Customized Medical Microdermabrasion Facial
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17 years experience
625 expert answers
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RealSelf community says

"From the initial email exchange to my first phonecall and in-person consultation I was very impressed with Dr. Buonassisi and all his support staff." "Dr thomas buonassisi did it and he did a great job very happy with my results him and staff were all very nice and helpful!" "He doesnt try to give you the perfect nose."

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4.9 out of 5 stars 4.9 stars from 110 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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5 out of 5 stars Rhinoplasty


Dr. Buonassisi exceeded all expectations. He change my life forever. I grew up being very insecure with my nose. I would never tie up my hair in a ponytail or even pull up next to another car at a stoplight thinking about how it would draw attention to my nose. Although no one ever said anything to me, I still felt as though people were staring at me. When I went to Dr. Buonassisi with the...

5 out of 5 stars Rhinoplasty

Couldn't of dreamt a better experience!

Dr. Buonassisi exceeded all my expectations. Him and his team are extremely professional, and very accommodating, everyone made the process so easy. I wanted to have this surgery since before I could remember and my only regret is not doing it sooner. The surgery itself was a breeze, and the recovery was just as smooth. It has truly been life changing.

5 out of 5 stars Rhinoplasty

Incredible Experience right from the start! - Vancouver, BC

Dr. Buonassisi and his team at 8 West were amazing right from the start. I had always been self conscious of my nose as far back as I could remember. During my very first rhinoplasty consultation I knew right then Dr. Buonassisi was the absolute best in facial aesthetics and artistry. I am almost 9 weeks post op and I can say with complete assurance that this was one of the best decisions of...

5 out of 5 stars Rhinoplasty

AMAZING Experience

Dr. B is an absolutely amazing surgeon and person. Before my surgery, he explained in great depth exactly what would happen and what to expect and he answered all the questions I had in a caring and patient manner. Flash forward to the day of surgery, he came and saw me when I arrived and took the time to see how I was and calm me of any nerves (since I had never had any sort of procedure...

5 out of 5 stars Rhinoplasty

Dr. B changed my life for the better!!

I had a rhinoplasty last year, and I am beyond elated with my results. Dr. Buonassisi exceeded my expectations in every way possible, and I am so grateful that I made the right decision to go with 8 West Cosmetic Surgery for my procedure. From beginning to end, I have never felt more cared for as a patient. The staff are very friendly, delightful and knowledgeable – none of my questions went u...

5 out of 5 stars Rhinoplasty

33 Years Old and Finally Went for It - Vancouver, BC

My surgen was Dr.BuonassisI and he was very kind and real. He was very straight forward and honest with me about how he could realistically improve my nose. I thought he also did amazing work and my surgery results were great:)

5 out of 5 stars Rhinoplasty

41 Yrs Old, 3 Months Post-surgery. The Before, During and After Story...

Before Like most people who have rhinoplasty, I had been thinking about it on and off since around the age of 10. It was something I thought about to some degree every time I looked in the mirror or at photos of myself (one look at my "before" pictures and you'll understand why). The only reason I never did it before was because, frankly, I couldn't afford it (and I wasn't about to go...

5 out of 5 stars Facelift

I Have No Regrets! - Vancouver, BC

Dr Buonassisi put me at ease and answered all my questions.He explained all my options and advised me that a short incision facelift would be good for me. I felt like I was in good on words! Seriously, I felt he really knew his stuff. I booked an appointment for the Christmas holiday. I had a few months to worry about it however my surgery went very well . The surgical center was clean,professional and friendly. The staff put me at ease. I highly recommend Dr Bounassisi. He made him self available to me for any question during Christmas and I never felt like I was bothering him.I really appreciated that as I tend to worry He and his staff are really friendly,professional and knowledgeable.

5 out of 5 stars Rhinoplasty

Wish I Had Done It Years Ago - Vancouver, BC

He was professional, warm, accurate, and did not make wild promises or try to influence my decisions. Very skilled and confident as well as down to earth and available.

5 out of 5 stars Eyelid Surgery

53 Years Old and Feeling Very Self-conscious About my Drooping and Heavy Upper Eyelids - Vancouver, BC

Dr. Buonassisi impressed me as a genuine and modest man. A professional and highly skilled surgeon, I appreciated his "no frills", sincere opinion.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

Dr. Buonassisi is a Board Certified Facial Plastic & Reconstructive surgeon. With 15 years experience performing cosmetic surgery and a skilled team of skin specialists, he offers the complete spectrum of surgical and non surgical treatments for face and skin rejuvenation and reshaping.

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)

Consultation Fee


Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Buonassisi has hospital affiliations at Lions Gate Hospital.


  • Undergraduate & Medical School

    Medical: MD, University of British Columbia
  • Post-Medical School Training

    Residency: Head & Neck Surgery, University of British Columbia
    Fellowship: Facial Plastic & Reconstructive Surgery, Sydney, Australia

Treatments offered at 8 West Cosmetic Surgery

Most popular answers from Thomas Buonassisi, MD

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Can I Ask for Jennifer Aniston's Nose when Getting a Nose Job?

She has a nice nose so why not. That is a common type of request. Many patients are unable to express exactly what they wish to change about their... READ MORE

Options for Under Eye Hollows From Weight Loss?

If by Hollowness you mean volume loss then you would be best served by replacing the volume. While fat grafting theoretically is permanent it may... READ MORE

Non-surgical Options to Rejuvenate Eyes?

Hello, I speak to many patients who are also hesitant about surgery. When it comes to making a change to enhance your features, please carefully... READ MORE

How to Reduce Swelling and Bruises on Lips After Restylane?

Bruising after Restylane occurs when the needle hits tiny blood vessels hidden underneath the patient’s skin, and swelling is the body’s natural res... READ MORE

Is It Possible to Put a Fold in my Ears? (photo)

Your ear shape is a variation of normal. The antihelical fold is absent in your case but can be created surgically. The procedure is called Otoplasty... READ MORE

Buccal Fat Removal a Good Option for Slimmer Face?

Buccal fat removal can remove some of the volume of the mid face. It should be performed conservatively so that an overly guant apearence is avoided... READ MORE

Laser Blepharoplasty Vs. Surgery

A laser is simply a surgical tool. It is used to cut skin and coagulate blood vessels. Both can be done with various surgical instruments (scalpel or... READ MORE

Would I be a good candidate for a lip lift? I feel like a lip lift would bring harmony to the rest of my features (photo)

Thanks for your photos. Of course an in person consultation would be ideal. Your photos and your measurements do help though. I find a bullhorn lip... READ MORE

Considering a Lip lift and Rhinoplasty, wondering if a lip lift would work for my unique lip shape? (photos)

Thanks for sending in your photos. A lip lift is designed to shorten the distance between the nose and vermillion lip (the red part). It would not... READ MORE

What Are the Facial Muscles, Ligaments, SMAS Attached to During a Facelift? Bone, Other Muscles. I Can't Quite Picture It.

The SMAS layer is thick and relatively inelastic (at least compared to the skin) and therefore tolerates a lot of tension and pull. It can only be... READ MORE

Before and After Photos by Dr. Buonassisi

Thomas Buonassisi, MD has shared 188 before and after pictures with 173 helpful votes from the RealSelf community.

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Videos by Thomas Buonassisi, MD

Thomas Buonassisi, MD has shared 58 videos.

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Laser Treatments for Sun Damage, Wrinkles and Fine Lines

Our Medical Aesthetician Suzanne talks about different lasers and how you can treat sun damage, wrinkles and fine lines, pigmentation and scarring with laser WATCH VIDEO

Treating Sun Damage and Helping Repair Skin

Through a good skin regimen you can help fight damage from the sun and heal your skin. Our Medical Aestheticians are experts when it comes to skin health and can get you on a treatment plan to correct and maintain pigment caused by UV Rays. WATCH VIDEO

Latisse: The Best Eyelash Growth Treatment

Latisse is an amazing product that works by keep your hair in the anagen phase of hair growth. By doing this, Latisse will keep your eyelashes around longer while strengthening your hair follicles and resulting in fuller, longer, and thicker lashes. WATCH VIDEO

Skin Consultation Tool That Exposes the True Age of Your Skin

An invaluable tool used when assessing the skin of new and existing patients is called VISIA. This tool exposes the flaws of the skin, including sun damage, skin texture and skin tone, fine lines and wrinkles, redness, and pores. WATCH VIDEO

Fillers and Botox for Frown Lines, Crows Feet, and Nasal Labial Folds

Wondering about dermal fillers or botox and dysport? Whether you’re unhappy with your forehead wrinkles, fine lines around your eyes, or wrinkles around your mouth, fillers and botox help correct symmetry and lost volume to the face. WATCH VIDEO

Best Firming Treatment to Tighten Sagging Skin

There are many reasons why a skin tightening treatment might be a consideration; weight loss, post pregnancy or general laxity in the skin. Whatever your reason, there is a simple proven solution - SkinTyte Laser Skin Tightening. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.