#EverythingSkin with Dr. Thomas Buonassisi

Not having much luck with finding your plastic surgeon match locally? Travelling for plastic surgery is completely possible, and with today's advances in technology, you can certainly get a valuable consultation done with a plastic surgeon you may be interested in.

Vancouver, Canada-based Board Certified facial plastic surgeon Dr. Buonassisi explains how a virtual consultation via Skype video call works, with rhinoplasty surgery being highly visual in nature and therefore completely examinable over video.

The final step in an open rhinoplasty procedure is an important one. The closing stitch ties all the surgical changes together, and in an open rhinoplasty is important to be done carefully so as to leave as least visible of a scar as possible. Taping and cast application then sets the nose up to begin healing in the desired shape.

Watch rhinoplasty specialist Dr. Buonassisi close the rhinoplasty surgery for his patient Ola with dissolvable stitches and a cast as he explains his process.

Sharpening a bulbous nose tip and shortening a nose that extends out from the face a little too far are two very reasonable outcomes that can be achieved with rhinoplasty surgery. Known as tip refinement and deprojection, these techniques are difficult to execute correctly without access to the nose cartilages around the tip.

Board Certified facial plastic surgeon and rhinoplasty specialist Dr. Buonassisi is an expert in the open rhinoplasty approach, which is the ideal approach for safely making changes to the nose as in tip refinement or deprojection.

Listen in as Dr. Buonassisi performs these techniques for patient Ola while he talks through her live operation.

Hump reduction is one of the most commonly desired outcomes in a rhinoplasty surgery. With thousands of surgeries performed and countless hump reduction techniques executed for patients, Board Certified rhinoplasty specialist Dr. Buonassisi is expert in this procedure.

Listen in as he performs a hump reduction carefully customized for patient Ola's unique nose while he talks through a real rhinoplasty surgery.

Whether a slight crook off to the right or a visibly deviated septum, a septoplasty technique is what will be employed to help straighten the nose in a rhinoplasty surgery.

Done via an open rhinoplasty approach, facial plastic surgeon Dr. Buonassisi executes a septoplasty for patient Ola, who's nose slightly leans to the right. Listen in as he talks us through the surgical process of straightening the septum in a live operation.

Often stigmatized for its invasiveness; negative effect on recovery; and visible scarring, open rhinoplasty is a surgery procedure technique that facial plastic surgeon Dr. Buonassisi executes with expertise to allow for the most extensive possibilities in creating alterations to the nose to get the best possible results for the individual patient. Among the benefits of open rhinoplasty are greater precision and control when directly viewing the nasal structure, and better access for any manipulation of the nose tip.

The primary difference between the open and closed approach is found in the incisions, where open rhinoplasty incisions are made through the columella (hence the fear of visible scarring), and closed rhinoplasty incisions are made on the inside of the nose in the nostrils.

Listen in as Dr. Buonassisi begins a real open rhinoplasty procedure by starting with the incisions that will allow him to make the best possible alterations for his patient Ola.

On surgery day, your plastic surgeon will go over the surgery plan with you one last time before going into the operation. Ola chose Board Certified facial plastic surgeon Dr. Buonassisi for her rhinoplasty procedure, who lays out the plan for her again with the techniques they have agreed on to get her the best results.

Listen to Ola and Dr. Buonassisi discuss in this important pre-surgery component of the rhinoplasty process as they talk in the operating room live just before her surgery.

Will I really be awake during rhinoplasty surgery?

Anethesia options for rhinoplasty can vary in level, and you can certainly (and preferably) be awake during the procedure safely and comfortably when administered IV twilight anesthesia by a skilled anesthetist, like Dr. Buonassisi will often opt for.

Today, Dr. Buonassisi answers patient Ola's last few concerns about conscious sedation for rhinoplasty before her surgery.

It's a fact that plumper faces make one look more youthful—think back to how chubby your cheeks were as a child. As we grow older, however, our skin's elastin and collagen levels drop while our epidermis thins out, giving our faces the more sunken look that gives away age starting from your 30's and 40's.

This age-related facial deflation, though, is something that can be combatted with injection treatments that volumize the face again, and this type of treatment is often called the non surgical facelift, the liquid facelift, or sometimes the soft lift.

Top facial plastic surgeon Dr. Buonassisi gives an introduction to this treatment while nurse injector guest Lisa Roberge and patient guest Evana go through a real non surgical facelift consultation and treatment with concerns focused around her lower face at 8 West Clinic.

It's a fact that plumper faces make one look more youthful—think back to how chubby your cheeks were as a child. As we grow older, however, our skin's elastin and collagen levels drop while our epidermis thins out, giving our faces the more sunken look that gives away age starting from your 30's and 40's.

This age-related facial deflation, though, is something that can be combatted with injection treatments that volumize the face again, and this type of treatment is often called the non surgical facelift, the liquid facelift, or sometimes the soft lift.

Top facial plastic surgeon Dr. Buonassisi gives an introduction to this treatment while nurse injector guest Lisa Roberge and patient guest Amanda go through a real non surgical facelift treatment with dermal filler and neuromodulator injections at 8 West Clinic.