Wide Nose Rhinoplasty – Full Case Study by Dr. Vishal Patel

Many people in Mumbai, India are facing the challenge of wide nose deformity. It is a condition in which bony framework and lower cartilage of nose appears broadened. 

And that is why, it can result in a flat and wide nasal profile. It is associated with both genetic factors and structural variations in nasal bone. 

Dr. Vishal Patel, Rhinoplasty surgeon at Recon Plastic Surgery & Physiotherapy Clinic in Mumbai, recently handled a case of 34 year old female from Andheri, Mumbai. 

The female patient was having a long standing issue of her nose shape and structure of her nose. Her nose was wide, flat and had a depressed tip with low dorsum. 

It was affecting her overall facial balance. This is her full case study where Dr. Vishal Patel performed successful wide nose rhinoplasty surgery in Mumbai and reshaped it in aesthetically appealing nose. The surgery was done by Dr. Vishal Patel with 5 hours of continuous efforts. Let’s dive in the case now.

Case Background - Wide & Flat Nose, Wide Tip, Imperfect Dorsum

Let us understand about various problem patient wanted to resolve about her nose shape and structure in Mumbai. 

The patient visited from Andheri, Mumbai to Recon Plastic Surgery & Physiotherapy Clinic located at Malad, Mumbai. Dr. Vishal Patel started understanding various concerns of patient. 

Patient was primarily describing an issue of wide and flat nose and she had a depressed nasal tip. Overall, patient wanted to improve her nose appearance or nose shape. 

She felt that her nose lacked projection and due to that her facial profile was appearing less balanced. Below are photos of her wide nose, flat nose taken from various angles. 

Below are her real photos before undergoing the wide nose rhinoplasty by Dr. Vishal Patel in Mumbai. Click on the photos to zoom it and see them clearly.

Initial Findings by Dr. Vishal Patel (Rhinoplasty Surgeon)

After clinical examination of patient at his Recon Plastic Surgery & Physiotherapy Clinic in Malad, Dr. Vishal Patel, one of top rhinoplasty surgeon in Mumbai, noted that the patient had structurally wide nasal bony framework. 

The patient also has lateral and medial widening and significantly low and depressed nasal dorsum. Dr. Vishal Patel also found that her tip position wasn’t proper and hence it required a need for structural reinforcement. 

Dr. Vishal Patel also explained that the nasal cartilage framework is not having adequate support and definition and is also one of the reasons for flat nose of patient. 

Based on this finding, Dr. Vishal Patel explained the full plan of rhinoplasty surgery in Mumbai to be carried out, which involved graft-based reconstruction and also osteotomy for proper nasal projection.

Rhinoplasty Plan Proposed by Dr. Vishal Patel

Dr. Vishal Patel proposed a comprehensive structural open rhinoplasty surgery in Mumbai at his Recon plastic surgery & Physiotherapy clinic located in Malad West. 

The aim of this open rhinoplasty surgery was to correct wide nasal framework, improve dorsal height, and enhancing tip projection. 

Dr. Vishal Patel also explained the need to ensure long-term nasal stability. The goal was not just to improve the nose cosmetically, but perform a complete reconstruction of nasal architecture using multiple cartilage graft and controlled bone reshaping techniques. 

Dr. Vishal Patel explained all the nitty-gritties of the procedure to the patient and the surgery was agreed to be done.

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The Open Rhinoplasty Surgery in Mumbai on 4th April 2026

On 4th April 2026, the patient underwent structural open rhinoplasty in Mumbai led by Rhinoplasty specialist – Dr. Vishal Patel. This nose surgery took almost 5+ hours, during which a carefully planned multi-step nose reconstruction was done by Dr. Vishal Patel and team. Below steps were executed as a part of this open rhinoplasty surgery in Mumbai.

  • Septal Cartilage Harvesting & Reinforcement: Septal cartilage was carefully harvested and preserved to strengthen the nasal structure. This cartilage was later used as graft material to rebuild internal support and improve nasal stability.
  • Spreader Graft Placement: Spreader grafts were inserted between the septum and upper lateral cartilages to improve internal valve function, enhance mid-vault support, and prevent collapse of the nasal bridge.
  • Septal Extension Graft: A septal extension graft was placed to provide a strong foundation for the nasal tip, allowing better control over projection, rotation, and long-term tip stability.
  • Tip Reconstruction with Tip Graft: A carefully shaped tip graft was used to refine and define the nasal tip, improving its projection and achieving a more balanced and natural contour.
  • Dorsal Augmentation with Diced Costal Cartilage:

    The depressed nasal dorsum was reconstructed using diced costal cartilage, which was molded and placed to build a smooth, elevated, and natural-looking nasal bridge.

  • Lateral & Medial Osteotomies: Controlled bone cuts were performed to narrow the wide nasal bones. This step helped reshape the bony framework and bring symmetry to the upper third of the nose.

Below are actual photographs of Dr. Vishal Patel and team performing this complex case of Open rhinoplasty surgery in Mumbai.

Open Rhinoplasty Surgery - Key Stats

Below are some of stats about this open rhinoplasty surgery in Mumbai done by Dr. Vishal Patel.

  • Total Surgery Duration: ~5 hours
  • Type of Anesthesia: General anesthesia
  • Surgical Approach: Open structural rhinoplasty
  • Technique Complexity: High (multi-graft reconstruction + osteotomies)
  • Bone Work: Lateral & medial osteotomy performed for nasal narrowing
  • Grafts Used: Spreader graft, septal extension graft, tip graft, diced costal cartilage graft
  • Primary Correction Areas: Wide nasal bones, flat dorsum, depressed tip
  • Incision Type: Open rhinoplasty (columellar + internal incisions)
  • Hospital Stay: Day-care / short observation depending on recovery response
  • Surgery Date: 4 April 2026
  • Follow-ups: 10 April 2026 (1st), 18 April 2026 (2nd)

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Wide Nose Rhinoplasty - Before After Photos

The surgery was called as successful. Below are the before after photos of this flat nose rhinoplasty surgery. You can clearly see the transformation between old nose to new nose. We have kept before and after photo of nose side by side in the same photo so you can compare the difference easily. 

The below photos of Rhinoplasty clearly showcases significant transformation in nasal structure and facial harmony. 

In the front view of the photo, you can see the previously broad nasal base now appearing more proportionate. Dr. Vishal Patel has done narrowing of the nasal bony framework. 

In the side angle view, you can see the low and depressed dorsum has been now reconstructed into a smooth and elevated nasal bridge and is now having an improved definition. 

Overall, you can see the before-after photos of this flat nose rhinoplasty from various angles and can now see a structurally stronger symmetrical nose.

Note: Patient face is blurred so as to ensure privacy.

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What Dr. Vishal Patel has to say about this Flat Nose Rhinoplasty case ?

Wide flat nose correction cases are always structurally challenging because they require rebuilding the entire nasal framework rather than just reshaping it. 

In this flat nose rhinoplasty case, the focus was on restoring proper dorsum height, strengthening the septum, and achieving controlled narrowing of the bony base while maintaining natural facial proportions

Using precise grafting techniques and osteotomies, the goal was to create a nose that looks refined, stable, and naturally integrated with the patient’s face

Dr. Vishal Patel (Trusted Rhinoplasty Surgeon in Mumbai)

Conclusion - Wide Nose Rhinoplasty Case in Mumbai

This was a really complex, wide, and flat nose rhinoplasty case in Mumbai. This case demonstrates how advanced structural techniques using multiple graft and osteotomy help correct significant nasal deformities, which involves low dorsum, wide bony framework, and tip refinement. 

Dr. Vishal Patel has completed this successfully with proper planning, using multi-graft reconstruction, and controlled osteotomies. This flat nose rhinoplasty surgery in Mumbai not only helped improve facial aesthetic, but also reinforced internal nasal structure for long term stability.

From flat to defined! Start your flat nose rhinoplasty journey today with Nose job specialist – Dr. Vishal Patel now. Get flat 30% Off on Rhinoplasty Fees in Mumbai, India with no cost EMI options. Book now!

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    About Author

    Dr. Vishal Patel - Rhinoplasty Specialist in Mumbai, India

    Rhinoplasty Surgeon in Mumbai by Dr. Vishal Patel
    Rhinoplasty Surgeon in Mumbai by Dr. Vishal Patel

    (Connect with Dr. Vishal Patel – Plastic Surgeon in Mumbai, on above social media channels.)

    Dr. Vishal Patel is a highly experienced board certified plastic surgeon in Mumbai with expertise in all types of rhinoplasty surgeries. He is very famous for his advanced expertise in primary and revision rhinoplasty, structural rhinoplasty, and ethnic nose corrections in Mumbai. 

    Dr. Vishal Patel is a trusted plastic surgeon with 15+ years of surgical experience in Mumbai and Navi Mumbai. In his plastic surgery career so far, he has worked at top notch plastic surgery hospitals in India such as Kokilaben Dhirubhai Ambani Hospital, Andheri West, Mumbai & Reliance Foundation Hospital, Mumbai and many more. 

    Dr. Vishal Patel had done hundreds of open and closed rhinoplasty surgeries, cartilage grafting, and spreader graft placements and dorsal hump corrections. Dr. Vishal Patel is highly experienced in performing difficult cases such as wide flat nose, deviated nose, and revision rhinoplasty cases. 

    Dr. Vishal Patel is a proud founder of his plastic surgery clinic called Recon Plastic Surgery & Physiotherapy Clinic located near Goregaon in Mumbai. 

    At his clinic, he offers medical financing option for all type of plastic surgeries including rhinoplasty surgery. So, patients do not need to pay the full surgery cost of Rhinoplasty surgery upfront. 

    Instead, they can opt for EMI-based medical financing option and total rhinoplasty operation amount gets converted into affordable monthly EMIs. If you are looking for a trusted rhinoplasty surgeon with flexible appointments, availability on weekends, in Mumbai, then look no further than Dr. Vishal Patel. 

    Address:

    Recon Plastic Surgery & Physiotherapy Clinic,
    302, Corporate Corner, Next to Dalmia College, Mandlik Nagar, Sunder Nagar, Malad West, Mumbai, Maharashtra 400064

    Phone: 9004983316

    From flat to defined! Start your flat nose rhinoplasty journey today with Nose job specialist – Dr. Vishal Patel now. Get flat 30% Off on Rhinoplasty Fees in Mumbai, India with no cost EMI options. Book now!

    Medically Reviewed

    Page Written & Medically Reviewed by – Dr. Vishal Patel (MBBS, DNB – General Surgery, DNB – Plastic Surgery)

    Page last updated at – 29-4-2026

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