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CLAIM YOUR PROFILEFollow the recommendations of your dermatologist. Accutane can significantly affect the natural healing cycle at the cellular level. You should delay surgery for at least 6 months prior to rhinoplasty. Patience is a virtue in this case!!
Board Certified Facial Plastic Surgeon
Your question is a very valid one. Ultimately, the answer will be influenced by several factors but 4 important ones to keep in mind are as follows:
1. The amount of cartilage that remains from your first surgery and the strength of that cartilage
2. The degree of over-rotation you currently have and the degree to which you want it corrected
3. The technique that was performed to rotate your nose in the previous surgery
4. The degree of skin mobility you currently have following surgery.
For ease of understanding, if you consider the analogy of your nose resembling a table cloth drapped over a table, the shape of the table cloth reflects the shape of the underlying table. In the same fashion, the overling skin and soft tissues of the nose reflect the underlying architecture of cartilage and bone.
Following your first surgery, the skin/soft tissue "drape" conformed to the underlying cartilage/bone framework. Bringing your tip "down" will require movement of both the "drape" and the "framework" and so both will need to be considered. In many revision cases, rib cartilage is required to push the tip down in order to offset the scar contracture produced from a prior surgery. Revision rhinoplasty is one you should take seriously. Make sure you feel comfortable with your surgeon and with his/her experience in treating "over-rotated" noses & his/her experience with using rib cartilage for rhinoplasty.
Best of luck!!
Board Certified Facial Plastic Surgeon
As a general rule, it is best to wait at least 12 months for a revision tip rhinoplasty. The tip of the nose has a tendency to retain swelling longer than other areas of the nose following surgery. Furthermore, several factors (ie the surgical approach, amount of cartilage grafting performed, your skin quality, etc) can influence how long it will take to achieve a stable result. You can take an active step in reducing your swelling by managing your diet (ie reduce your salt intake, reduce your exposure to personal food sensitivities). Best of luck!!
Board Certified Facial Plastic Surgeon
After undergoing facial surgery to remove a potentially cancerous mass, I was left with partial facial paralysis that affected both my peripheral vision and the symmetry of my eyebrows. I didn’t know where to turn or what options were available, and I was convinced that the vision-related issues wouldn’t be covered by insurance. Thankfully, I was referred to Dr. Patel at the UK Kentucky Clinic in Lexington, KY, and I truly consider that a blessing. Dr. Patel and his incredible team took the time to evaluate my condition and explained that the issues I was experiencing were functional in nature—which meant they were covered by insurance. That news alone was a huge relief. To restore function, Dr. Patel performed a brow and eyelid lift, with follow-up Botox treatments planned—all covered by my insurance. From the very beginning, he made sure I was fully involved in the decision-making process, walking me through each step and ensuring I felt comfortable with the care plan. What stood out most was the compassion and dedication of Dr. Patel and his staff. They didn’t just perform procedures—they followed up after hours to check on me. In one instance, they even came into the office on a Saturday to remove stitches from my brow lift so I wouldn’t have to wait until Monday. That kind of care and consideration meant the world to me. Dr. Patel’s technique and precision were outstanding. My healing was quick, and the results have been truly remarkable. If you’re feeling overwhelmed or unsure about where to start, I wholeheartedly recommend Dr. Patel and his team at UK Kentucky Clinic. They treat you like a partner in your care, and their commitment to both medical excellence and patient support is unmatched.
If you are considering Dr. Patel to perform your rhinoplasty, do yourself a service and book the appointment. I underwent a rhinoplasty and septoplasty. I am six weeks postop and I already could not be happier with my results. Dr. Patel took the time to truly understand my desired goal. He is thorough, kind, incredibly patient and understanding. There is no one else I can imagine having handled my case. He took the time to speak with me from the initial consult to the day of surgery. Dr. Patel was available to answer any questions and concerns that I had. There was never a time that I did not feel 110% comfortable under his care. His bedside manner is so greatly appreciated. He even called the night before surgery to make sure I was prepared and feeling great. Not only is Dr. Patel amazing, his team is an absolute dream to work with. I was impressed by the amount of attention they paid even in the weeks after surgery - I never felt alone. This was the best decision I have ever made for myself. My nose looks absolutely beautiful and is still improving daily as the swelling continues to goes down. I still look like myself when I look in the mirror - something that was very important to me. I cannot believe how natural it looks. My results are elegant and refined. I hope anyone struggling with the appearance of their nose or troubled breathing is able to see him and share their own wonderful experience. Thank you Dr. Patel, this has been a dream come true!
I recently had an upper blepharoplasty and a mini lower procedure with Dr. Patel, and I couldn’t be happier with the entire experience. Dr. Patel was absolutely wonderful to work with—kind, thorough, and incredibly skilled. The results were even better than I expected. You would never know I had anything done—everything is healing beautifully, and the incisions are so well-hidden. I would absolutely do it again. Dr. Patel went above and beyond, not only delivering amazing results but also saving me a significant amount of money by performing the procedure in-office. He made sure I felt fully informed before and after the surgery and personally checked on me a couple of times post-op, which really showed how much he cares. The office staff was just as impressive—friendly, helpful, and patient. They took the time to make sure I understood all aspects of the procedures, supported me while I made decisions, and always answered my questions thoroughly. Their kindness and professionalism made the whole process smooth and stress-free. I highly recommend Dr. Patel and his team to anyone considering a procedure. You’ll be in the best hands.
I recently had the pleasure of undergoing an upper blepharoplasty and facial fat transfer with Dr. Patel. I had noticed significant sagging in my upper eyelids and a loss of facial volume. I was looking to appear more refreshed and less tired. After consulting with several local plastic surgeons, I decided to travel to have this procedure done with Dr. Patel, who came highly recommended. After meeting him, I understood why. His bedside manner, care, and attention to detail are second to none. He and his staff were excellent to work with and showed genuine compassion. The procedure itself was straightforward. It was performed in-office under local anesthesia. Although I was nervous, Dr. Patel and his staff made me feel at ease, and the experience was painless. Today, nine days post-procedure, I look and feel great. The overall recovery was smooth, with only mild swelling and bruising and no pain. If you are considering a procedure like this with Dr. Patel, go for it! He has been wonderful to work with and is a true facial artist. ????????
Addressing my breathing concerns while also cosmetically enhancing my nose has been something I wanted to do for over a decade. For many years, I had issues with breathing through my nose, as well as, multiple sinus infections a year. I've always had a specific cosmetic goal I wanted to achieve when changing my nose shape. I am very particular when it comes to my appearance and I aimed to find a doctor/ surgeon that I could trust. I first heard about Dr. Patel from my brother-in-law who worked within UK. I looked through his website and Instagram to find result photos that matched my goals. I found he did reconstructive work that had stellar results, which made me confident we could achieve my breathing and cosmetic goals. Scrolling through his work on Instagram, I found he previously created artwork. Being an artist myself, that showed me his work combined both medical expertise and an artistic eye. I had a few appointments for us to discuss my cosmetic goals, insurance, costs, and expectations. I was worried about not getting my surgery before my insurance would change, but the team got me in quickly and gave me more than enough time. Every question and concern I had was answered and Dr. Patel was very informative and supportive before and after my surgery. The results of my surgery have been everything I have wanted and yearned for since I was a teenager. My confidence, especially with my side profile has been boosted. I can't stop taking photos and looking at my nose in the mirror. I am truly so happy. I know Dr. Patel was very detail-oriented and really spent the time working on my nose and I am beyond appreciative and grateful.
I had cancer in my parotid gland for 2 years because the Doctors thought it was Bells palsy. When tumors started to show on my neck they realized their mistake. I had surgery to remove the tumor in August of 2023. It destroyed my facial nerve and I came home with not only my sagging cheek and drooping eye, but one ear smaller than the other and sticking out from my head at a 45 dree angle. The surgeon had to take out a lot of cartilage along with a muscle in my neck and one from my shoulder. I didn't want to leave the house for 10 months. I did go to the grocery store and shopping with my wife, but I was always aware of how I looked to people. The first reconstruction procedure Dr. Patel performed was on March 8th, 2024. I got his name from the University of Kentucky Health Care site. There were only two surgeons listed for facial reconstruction but his bio spoke to me. Among other things, he had studied sculpture and brought his eye for human aesthetics into his surgery practice. For weeks after I made the appointment for a consult, I heard from several sources that he did excellent work. I read multiple reviews, all of them good. The one that summarized them all was a person whose review ‘voiced’ regret the satisfaction scale only went from zero to five. Five was not nearly high enough. It has been 10 days since my last procedure and I cannot agree more. It wasn’t until my second surgery, April 24th, 2024 that I felt like I got a big part of my life back. He raised my eyebrow, put a gold weight in my eye lid so I can now close my eye, tightened up my lower lid so that tears could be closer to my cornea and lessen the possibility of it drying out and losing my sight, shaped and moved my ear back, tightened my cheek up so that there is no visible sagging and my top lip no longer curls around my top teeth which distorted my speech so much I had to physically lift my face to be understood. The second surgery took the curl out of my lower lip so that I could stop biting it when I ate and made my speech even more understandable. I have informed the church that I am ready for jobs they may have for me and next week I plan to walk into the Hospice office and announce that I am back. Thank you more than I can express, Dr. Patel. But my story does not end there. For the things that surgery gave me, there are numerous things that cancer took away that no amount of surgery of any kind will give back. The right side of my face will always be seen in high contrast to the left, (wrinkles on one side, no wrinkles on the other). Half of my mouth will never move when I talk. My right eye will never open as wide as my left, will almost always be watery making it more conspicuous. With no muscle tone in my cheek I will always have trouble eating, will never whistle again will always have some degree of speech impediment. There is more, but you get the message. Life will never be the same but that does not mean that it can’t be as good or better than it was. If you are reading this you are most likely looking for answers to any number of questions. I would like to offer my e-mail address to anyone who would like a more personal and in-depth conversation. I am a retired school teacher and Hospice volunteer. This kind of service is in my blood. Eventually I would like to start a group consisting strictly of people with facial deformities (for the lack of a better word) caused by anything. This experience was sudden, undeserved, and permanent. I never had (and still don’t have) anyone I could talk to who has gone through it. I think it would help those who are just now dealing with it and those of us who have past the last surgery hurdle and those who have lived with it long term to actually see the different stages and hear the differing stories. It may not ‘take a village’ to survive it but I can see the benefit of a village making it easier. If you would like to contact me, go through Dr. Patel’s office for my contact information.
I had surgery in June to correct breathing issues and my crooked nose, due to an old injury. From the very beginning Dr. Patel and his Team made me feel comfortable and informed about the surgery. Dr. Patel made me his only patient on surgery day so that he could take his time. Everything went great and now after 24 years I can finally breathe equally through both sides of my nose and it is straight!This was most definitely a life changing experience. I am no longer self conscious about the appearance of my nose. I also had Dr. Patel reshape my nose and the results are amazing. I still look like myself but better. He is literally a facial Artist. I highly recommend Dr. Patel, a five star rating is not enough.
I can’t say enough good things about Dr. Patel and his staff. I have been extremely insecure about my nose for most of my life, and have always slightly struggled with breathing issues. I’m only 19 years old, so I was really nervous when i decided that I wanted surgery. On May 13th I had a Rhinoplasty with Dr. Patel. From my first consultation with Dr. Patel, my nerves were calmed and all of my questions were answered. He was very kind and caring and took the time to listen to me and talk to me and my family. I’m now 2 weeks post op and I’m so happy with my results!! Dr. Patel did exactly what I dreamed of and more. He treats every patient with compassion and always listens to them. Not only is he great, but his staff is also. Each and every one of them offered great care towards me and was available to answer any questions I had & to make me feel more comfortable. I can’t even begin to fully explain how thankful I am for Dr. Patel and his staff. I’m so much more confident now, and I can breathe so much better. Not only am I thankful to have had Dr. Patel as my surgeon, but I’m also very thankful I had the opportunity to meet him and talk to him. He’s the best of the best! I highly recommend!
After turning 50, I chose to make changes to my face to help ease signs of aging for the upcoming decades. After several discussions, I decided on a brow lift, blepharoplasty, face lift, and neck lift. Dr Patel and his staff were courteous and responsive to my requests. Dr. Patel is a perfectionist in his work but very affable when communicating. He and his staff are prompt and responsive. Happy with the results. Significant improvements in my face but not overdone!
For 22 years I had breathing problems, I had a deviated septum & some other things wrong. On March 25, 2021 Dr.Patel changed my life forever. The surgery has been an absolute success and I love it so much. I can finally breathe all the way out of the left side of my nose. The healing process wasn’t very painful, just make sure you do your nasal rinses!! I can say the worst thing about it was I felt very congested from the packing and nasal cones but it got better day after day & I can say 20 days after having the surgery as I type this I can’t even begin to explain how amazing it feels, it’s indescribable! And Dr.Patel and his team took very great care of me!! Updated on 21 May 2021: Adding pictures from my septoplasty/ rhinoplasty surgery done on March 25,2021 and I’m updating and adding pictures on May 21,2021. This is making me type 200 characters and I don’t need that many
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