Nirav B. Patel, MD

Plastic Surgeon | Plastic and Reconstructive Surgery

11459 Johns Creek Parkway Suite 240 Johns Creek GA, 30097 Show map

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About

Dr. Nirav Patel is a Plastic Surgeon in solo private practice in Johns Creek, Georgia, engaged in aesthetic, reconstructive, and oculoplastic surgery, as well as non-surgical injectables and skin care. Dr. Patel specializes in the enhancement of appearance. Improving aesthetic, symmetry and proportion are key goals in cosmetic surgery. Cosmetic medicine, by contrast, focuses on aesthetics and anti-aging.

Education and Training

Princeton University A.B. Economics 2000

Brooklyn Law School J.D. Health Law 2003

New York University M.S. Biology 2005

University of Rochester M.D. 2011

Board Certification

American Board of Plastic Surgery

Provider Details

Male English

Nirav B. Patel, MD

Nirav B. Patel, MD's Expert Contributions

My Answers

Is ear reduction surgery painful?
No surgery is pain-free. But typically, otoplasty (ear surgery) is done with a combination of local anesthesia with either IV sedation or full general anesthesia (where you are put to sleep). So you should not be experiencing sharp pain during the surgery itself. After surgery, you can expect some soreness as the local and general anesthesia wears off, but it should be well-managed with a combination of analgesics (pain medications). Within 1-2 weeks of surgery, most patients should be down to using just Tylenol (acetaminophen), perhaps supplemented with anti-inflammatories (NSAIDs). However, everyone's pain tolerance is different, and your case may require more or less medication depending on it. READ MORE
Does plastic surgery hurt on face?
The short answer is YES! This is surgery, after all. You cannot expect to have a pain score of zero with ANY surgical intervention. However, DURING your surgery, you will be made comfortable. If done under general anesthesia, you're asleep during the surgery. If done under local anesthesia, with or without sedation, then you are numbed sufficiently that you should not perceive any sharp sensations (you might still feel pressure from instruments pressing on your skin or facial tissues). READ MORE
How do I prepare my body for plastic surgery?
The short answer is to STAY HEALTHY. With a lot of respiratory illnesses going around this season, ranging from flu to respiratory syncytial virus to COVID-19, I counsel my patients to "lay low" and stay away from crowds and parties for those 1-2 weeks leading up to a surgery. You wouldn't want to get sick and have your surgery cancelled/rescheduled, and neither would you want your surgeon to get sick, leading to the same setback. If I were you, make sure you are up-to-date on the relevant vaccines to help shore up your immune system, such as your regular annual flu shot as well as the full series of COVID-19 vaccines (including the latest boosters). [To put this into a personal perspective, my own mother's 2nd cataract surgery had to be canceled when she came down with COVID last year, and she had to wait at least two (2) weeks before she could get her 2nd eye done! Imagine have annoying blurry/double vision for that long because you weren't careful or vaccinated.] Make sure to continue getting sufficient sleep and regular exercise. Everyone's sleep needs differ, but try to be on a regular sleep schedule. Surgeries often start as early as 7:30 AM, and the hospital staff will have you report to the hospital even earlier, at 6 AM, to get checked in by the nurses, start your IV, and be seen by the Anesthesia team. Exercise does not have to be high impact or intense, but regular walking at least three times a day—it does not have to be far—will keep blood circulating in your body and help prevent blood clots (venous thromboemboli, or VTE) postoperatively. Protein is needed to heal surgical incisions and wounds, so I generally counsel my patients to be on a high, lean-protein diet. Patients ask me what kind of proteins are good, and I try to steer them toward the kinds that would constitute a Mediterranean diet, i.e., fish, limited poultry, sparing red meat, complemented by legumes, eggs, and dairy/cheese (careful about saturated fat). For vegetarians, you might have to avail of peas, lentils, and the like to meet your nutritional needs. My older patients often taken oral supplements such as Ensure or Boost to get enough protein to heal wounds. Continue to take care of yourself should you have any baseline medical conditions such as hypertension (high blood pressure) or diabetes. These conditions are commonly ones I have to negotiate in partnership with my patients to ensure their surgeries go smoothly and with minimal intraoperative or postoperative complications. A low or no-added salt diet will limit postoperative swelling called edema and hasten recovery toward your expected/desired postoperative result, particularly with breast surgery. Adhering to this kind of diet leading up to surgery can't hurt, either, particularly if you are prone to high blood pressure or have other cardiac conditions. Similarly, a low carbohydrate diet free of unnecessary empty calories (alcohol) and sugar will prevent blood sugar spikes common with diabetic patients. High blood sugar (hyperglycemia) is known to hamper incision and wound healing, especially in diabetic patients. After surgery, you will likely have pain and nausea medications to take, so do NOT take those with alcohol. Having your breasts surgically altered does NOT give you a license to suddenly live unhealthier after surgery! [Finally: in my practice, I have found that Arnica montana and Bromelain are very helpful adjuncts to minimize bruising (ecchymosis) and swelling (edema) from breast surgery. I have my patients take both of these homeopathic medications starting four (4) days preoperatively, and they finish a two-week course of these meds, which greatly reduces bruising and swelling with my breast reduction and post-mastectomy patients. These meds are generally safe and do not interact adversely with any existing medications. Bromelain is actually pineapple extract; patients ask me why they can't simply eat a lot of pineapples. The concentration of Bromelain in the pill form is very strong and more effective than what you can eat in your diet. So long as you do not have a dangerous allergy to pineapple, almost everyone can tolerate these medications. Should you opt to supplement your medications with either of these options, TALK TO YOUR SURGEON to get formal approval. You don't want your surgery canceled because your surgeon or the hospital found you were taking herbals, vitamins, or supplements with which they are not familiar!] READ MORE
How can I heal faster after plastic surgery?
Great question, although it really depends on a lot of factors! A high protein diet is generally helpful to heal any surgical wounds or in the case of rhinoplasty-healing bones or cartilage. If you are diabetic, having tight blood sugar control is critical, with a Hgb A1C of less than 7.0%. Hopefully, if you underwent rhinoplasty, you're not in this boat! Another thing that helps with early healing is minimizing the risk of edema buildup, which is basically like salt water. That being said, it is very helpful to be on a low or no-added salt diet, as you will retain more water weight, especially in operated-upon areas like the nasal tip. One thing in my practice that I have virtually everyone take (unless they are allergic) is Arnica and Bromelain by mouth. Both of these medications help greatly with the reduction of edema (swelling) and ecchymosis (bruising). You can consider trying those homeopathic vitamins out but ALWAYS check first with your original surgeon to see if (s)he is ok with these adjuncts. Perhaps most importantly, follow your surgeon's instructions about physical limitations, which at least in my practice include NO nose blowing for at least six (6) weeks, no bending over or straining, and no heavy lifting with either arm more than, say, 5-10 lbs. To clean the nose since you can't blow it, I often advise folks to use over-the-counter nasal saline spray or else dip Q-tips in hydrogen peroxide to help swab the insides of the nose (or nares). Do NOT try ANY of these things without first consulting your rhinoplasty surgeon directly. Hopefully, these tips help you with your postoperative recovery! Good luck with everything. READ MORE
Can a scar be removed by plastic surgery?
Absolutely! Scar revision is a very common plastic surgical procedure. Scars on the hand can be tricky, however, depending on their location. Scars, particularly burn scars, can be problematic to remove near joints of the fingers and wrist, as doing so can risk contracture from the inevitable new scar that forms. The skin on the palm (glabrous skin) is also unique and not always easy to replace if a skin graft or flap of tissue were necessary. Talk to a Board-Certified Plastic Surgeon to see what is possible in terms of revising your hand scar! READ MORE
How bad is the pain after a facelift?
Pain after facelift depends on individual pain tolerance as well as what type of facelift is being performed. Generally, though, facelifts do not particularly hurt, especially as plastic surgeons utilize solution containing local anesthetic with epinephrine (adrenaline) to numb up the skin and soft tissues as the facelift is being performed. Again, depending on the type of facelift, you may experience an internal tightness from sutures or the tissues (i.e., a layer called the SMAS) having been manipulated. [By comparison, discomfort after breast augmentation or abdominoplasty ('tummy tuck') or extensive liposuction tends to be more significant as deeper muscles are involved, have been irritated by instrumentation, or have been manipulated or cut.] Pain is for the most part well-handled with a regimen of Tylenol (acetaminophen) alternating with other non-narcotic medications such as NSAIDs (non-steroidal anti-inflammatory drugs). I no longer routinely prescribe narcotics in my practice, and should your doctor still prescribe them, your need to take narcotics should be short-term and minimal. By the first or second week checkup, patients should be down to just using Tylenol and occasionally NSAID-taken with food to avoid GI upset-for pain control. READ MORE
What helps pain after otoplasty?
If you are so soon after otoplasty, you really should be contacting your surgeon with issues such as inadequate pain control. Have you been following the surgeon's postop instructions to a tee? Usually a specialized dressing such as a glasscock dressing is placed over the ears after otoplasty. You also should not be side sleeping or putting any undue pressure on the operated-upon ears... I can only speak to my practice, but I have done away with prescribing narcotics except in rare circumstances. If your doctor is ok with it, I am in favor of patients being on around-the-clock Tylenol (acetaminophen) alternating with non-steroidal anti-inflammatory medications (NSAIDs) such as Ibuprofen, Motrin, or Aleve. For the first five (5) days' postop, I routinely prescribe an even stronger NSAID called Toradol (ketorolac), which cannot be obtained over-the-counter. Your liver's limit is 4000 mg acetaminophen / 24 hours (some even say 3000 mg to be more conservative) to avoid toxicity. In addition, NSAIDs should be taken with food to avoid GI upset or ulceration, and NSAIDs should be avoided if you already have GI ulcers, underwent extensive bariatric surgery, and/or have impaired kidney function. Again, contact your otoplasty surgeon for guidance before considering any of the above, non-narcotic means of achieving postop pain control. Two days after surgery, you should not expect ZERO pain, but if pain has gotten to the level where you cannot comfortably function performing activities of daily living (ADLs), then some adjustments in your pain medication regimen need to be made. Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/ READ MORE
Why do my ears hurt after a facelift?
Thank you for your question. We are sorry to hear that you are having this problem after your facelift! How far out are you from your facelift?? Some incisional discomfort or even discomfort deep into the incisions around your ears can be normal early on. On the flip side, many people feel numb around the ears for a couple weeks. Pinpointing the precise location and source of your ear pain is critical to figuring out what the best course of action will be for you. Have you been seeing your facelift surgeon on a regular basis? For issues such as this, you really should be contacting the office of your original surgeon. If it has been weeks or months out from your operation, this sort of discomfort is not normal/typical, and your surgeon may need to coordinate additional referrals to other specialists to help get your pain issues under control. Trying to handle your situation over email, by telephone calls, or over video chat (Skype/Zoom/etc.) has its limits-there is no substitution for an in-person appointment with your doctor, who can conduct a physical examination. Please contact your facelift surgeon right away to set up an appropriate follow up appointment with him or her. I hope this advice helps, and I wish you a speedy recovery. READ MORE
When can you sleep on your side after septoplasty?
Bottom line: I would NOT side sleep until cleared by your rhinoplasty surgeon. At 6 days out, at least in my practice, it is TOO SOON. My general rule of thumb is to clear patients for full physical activity by six (6) weeks postop. However, everyone heals differently and you may encounter setbacks or healing delays from your septoplasty of which I'm not aware again when in doubt, call your doctor's office and ASK when it's safe to do so. I wish you well with your recovery and happy holidays to you and your family. READ MORE
How long will my nose hurt after rhinoplasty?
It's not uncommon to have nasal pain 10 days after rhinoplasty. You may have some tenderness as far out as 6 weeks' postop or longer. Should you have persistent pain beyond that, however, you need to discuss your issues with your rhinoplasty surgeon. You may need additional medication to help you along with your pain or nerve recovery, and you might require advanced pain management from a specialist. I hope you feel better! READ MORE
How can I tighten my skin without surgery?
There are a variety of non-surgical options for facial rejuvenation or resurfacing: * Laser - ablates or removes the outer layer of skin by shooting beams of light to target molecules in your tissues, usually water or else pigment-containing material in your skin (like melanin or tattoo ink). Nowadays, lasers are usually administered in a "fractionated 'manner (like aerating soil). Good for lighter complexioned individuals; caution for those with darker skin types, as you risk post-inflammatory hyperpigmentation (PIH) and may require pre-treatment with a skin bleaching agent called Hydroquinone. * Chemical peel - resurfaces the skin by chemical exfoliation. There are many off-the-shelf peel kits out there, but it would be advisable to have your skin treated at a plastic surgery or dermatology practice, staffed with those comfortable applying chemical peels, which are essentially controlled but well-tolerated chemical burns to the face. * Microdermabrasion - an applicator rapidly injures the outermost layer of skin with tiny needles that lead to pinpoint bleeding and stimulates recovery with production of fresh, healthier skin cells. Among the brands you may see out there is Skin Pen, originally approved by the FDA to treat acne scarring. Some med spas will combine microdermabrasion with administration of your own serum ("vampire facial") or with hyaluronic acid (HA fillers are what are given to correct facial wrinkles or to augment your lips or cheeks). However, current data is not strong regarding the addition of these materials to your dermabrasion. * Radiofrequency - ablates skin as a laser would, but by administration of energy other than light. Non-surgical RF is very popular these days and can be utilized to resurface skin on par with what microdermabrasion can do. Heavier duty RF is often combined with liposuction (called 'RFAL' or radiofrequency assisted liposuction), and those procedures tend to be done in an operating room for your comfort. There are an overwhelming number of other technologies out there, either variations of the above or newer and more experimental treatments. But the above four options are a good start, and many offices have at least one of them to help you out. Take care! READ MORE
My daughter wants a breast reduction
By symptoms alone, at least in the United States, your daughter needs a breast reduction. From her BMI and cup size you described, she likely has gigantomastia (excessive macromastia, or breast hypertrophy). Unfortunately, I do not know standards for coverage under the U.K.'s NHS, being an American Board-Certified Plastic Surgeon. My advice would be to seek out a Board-Certified Plastic Surgeon in the U.K.-or at least call that surgeon's office-to determine the criteria for approval. From my understanding of the differences between our two countries' healthcare systems, prepare for a VERY long wait for your daughter to finally get her elective surgery completed. On behalf of breast reduction surgeons everywhere: I apologize in advance for any logistical setbacks! I wish you and your daughter the best of luck with her breast reduction journey! Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/ READ MORE
Outer Ear Wart
I agree that it would be a challenge, with the risks of contour deformity or poor wound healing (keloids) that your other physicians mentioned, but it is not completely impossible to fix. You need to prepared for the above risks, however. You also need to be prepared for a correction that might take multiple steps or phases (meaning more than one surgery). Removing the entirety of the 'wart' may leave a wound bed that would require a skin graft that would need to be taken from elsewhere on your body. One idea is that a Mohs Dermatologist (specialist in skin cancer) removes your growth in a precise way that preserves as much 'good' tissue in the ear as possible, and a Plastic and Reconstructive Surgeon fixes the defect or resulting wound that same day or within 1-2 days. This is a combination approach I do regularly with my Dermatology partners. One thing I am curious to know is whether you or your family members have a history of poor scarring, such as hypertrophic or keloid scarring. Do you have traumatic or other scars elsewhere on your body that might suggest this? If so, then I agree more with your original consulting physicians that there would be a very high risk of keloid formation there. Ears are prone to keloids in those individuals susceptible to them, which could lead to a growth (keloid) that would simply replace the unsightly wart that you shared in the photographs. Seek a Board-Certified Plastic Surgeon near you to have this discussion in person. If you can tolerate the risk of having an outcome that could be WORSE than what you have, with a decent probability of it being better, and a small chance that you could be completely "cured", then surgery may be a reasonable option for you. If you're hesitant at reading or hearing about all of these potential scenarios, then you may have to be brutally honest with yourself and learn to live with it. I really wish you luck with your decision and in finding an appropriate Plastic Surgeon to take on your case, should this be what you want in the end!! Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/ READ MORE
When can I stop wearing a surgical bra after breast augmentation?
Generally, I counsel my breast augmentation patients to keep up with surgical bra wear for the first two (2) weeks postoperatively. Thereafter, I encourage them to transition to regular underwire bra use. If there are ANY healing issues whatsoever with the incisions, which are typically along the breast folds, then I might delay that protocol weekly until the incisions are completely sealed. Once patients are further along in their recovery, say 4-6 weeks' postop, I generally allow them to be out of a bra at night, but I still strongly advise continuous daytime use until they are sufficiently healed, as long as three (3) months' postop. Other variables that play a role in bra use include the integrity of the soft tissues supporting those implants, and the implant size/volume. I strive to advise my patients that the bra is akin to a 'cast' or a 'splint', similar to what you would use to recover from a broken bone. You don't want to stop wearing your cast (bra) prematurely and risk bottoming out of the implants, or worse! Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/ READ MORE
What is the safest breast implant on the market?
All of the major implants available in the U.S. are safe, rest assured. I have and continue to use all the major brands: Mentor, Allergan, Sientra, and (rarely) Ideal. I've actually been to Mentor's factory in Irving, Texas twice, and can speak to the safety and care that goes into the production of their devices. I have to say, though, from the data, that Sientra seems to be holding up with the best 10-year track record, at least on the major long-term complications that we track, rupture and capsular contracture (or 'cap con'). As of now, I offer SMOOTH implants to my patients this way: * Breast reconstruction: I use Allergan because I like their temporary SMOOTH saline tissue expander system and the stiffness (cohesivity) of their SMOOTH gel implants, particularly for folks losing their breasts (getting mastectomy), where they are "all implant" (no breast tissue left). * Breast augmentation (cosmetic): I'm favoring Sientra due to their favorable data. I devoted a year of my training to aesthetic plastic surgery, where we were nearly exclusively using Sientra devices, and I've found them to exhibit excellent long-term results and safety. * Breast revision (reconstructive or cosmetic): if someone really wanted to stick with Mentor because of warranty or comfort using them, I am more than happy to continue with Mentor. I spent my whole 6-year residency in California utilizing ONLY Mentor implants, so I'm comfortable with them and still consider them safe. But I DO also look at the long-term data for capsular contracture and rupture, and as of 2022, Sientra seems to be winning out right now. If your concern is breast implant-associated large cell lymphoma (BI-ALCL), rest assured that with SMOOTH implants, your risk is essentially ZERO, with the currently available international data. I NO LONGER offer textured (a.k.a. grippy-surfaced) implants in my practice for this reason. I'm more than happy to use Allergan's devices, so long as I'm using only smooth tissue expanders and smooth silicone gel devices. Stay tuned for more papers and data with head-to-head comparisons! READ MORE
Can I shower after rhinoplasty?
Good question! First: check with your surgeon. However, at least from my standpoint, you should be able to shower, depending on what kind of nasal splints you have in place, internal (in your nostrils) and/or external (on top of your nasal skin). Keep in mind that some surgeons prefer that you NOT shower until the external splint is removed (again check with your surgeon!). You may also have SteriStrips, or strips of tape, securing your external splint to your nose. Generally, SteriStrips can get wet in the shower, but other surgeons may have a problem with the splint getting wet and falling off, without you knowing how to replace the splint properly on your own. If you DO shower, you should let soapy water or shampoo run down your head and face without scrubbing anywhere near the nose. You CANNOT put pressure on your nose while it is healing, and that includes any face washes. If I were you, though, I would NOT shower until checking with your actual rhinoplasty surgeon or his/her team FIRST!! Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/ READ MORE
What should you avoid before rhinoplasty?
Good luck with your upcoming rhinoplasty! As with any surgery, it is best to avoid blood thinning medications. Many people take Aspirin and should strive to discontinue it for at least 5-7 days in advance of surgery. This has to be balanced against any competing medical conditions you might have, such as cardiovascular disease, and if you have any of those, you MUST check with BOTH your surgeon and your prescribing provider to determine what is most safe for you. Non-steroidal anti-inflammatory medications (NSAIDs) can also thin your blood, which can make bleeding more copious during rhinoplasty, particularly if the surgeon plans to rebreak your nasal bones (i.e., perform osteotomies). Generally, I counsel patients to discontinue NSAIDs for at least two (2) weeks prior to surgery if at all possible. Some folks suffer from migraines and arthritis, so again it is a balance between competing priorities. For that one (1) week leading up to surgery, I generally tell folks to resort to taking Tylenol (acetaminophen), which is NOT an NSAID, should they experience a headache, migraine, or generalized muscle aches and pains from working out. There are dietary herbs, supplements, and vitamins that are also best to avoid. Many take supplements such as fish oil, for example, which can make one more prone to bleeding. Others to consider discontinuing include garlic, cayenne pepper, and ginger -- I know, all the "fun stuff" you eat, especially with spicy food! I also tell patients to limit salt intake postoperatively, as salt tends to lead one to retain more water weight, called edema. Edema can persist in the tip of the nose, after rhinoplasty, for up to one (1) year. It would likely also help to keep salt intake down prior to surgery as well, particularly if you have baseline hypertension or high blood pressure. Salt intake will tend to increase your blood pressure, which again can lead to more problematic bleeding during and after rhinoplasty. Physical activity such as the gym or sex is generally 'ok' one (1) week leading up to surgery, but I would take it easy that last night or so prior to rhinoplasty. Again, you want to avoid anything, whether taken by mouth or induced with activity, that can great more blood pressure or generate more swelling in the head and neck area. I would maintain these physical restrictions after surgery until your surgeon clears you to resume them, which could be a minimum of four (4) to six (6) weeks. My own surgery mentor who trained me used to speak of the four (4) 'S's' to avoid, for sure after surgery, but it would be wise to similarly avoid them leading up to surgery, too: 1. Salt. 2. Sweat. 3. Straining. 4. Sex. I hope this advice helps! As I am not your actual rhinoplasty surgeon, ALWAYS check with your actual surgeon to determine his or her practice preferences. Again, good luck with your upcoming operation! READ MORE
Can you wash your face after a rhinoplasty?
First off: check with your surgeon. If you have an external nasal splint in place, your surgeon may not want it to get wet, as it can potentially fall off. If you have the 'ok' to wash your face, take great care NOT to scrub your incision (you may have one along the columella or that stretch of skin between your nasal tip and upper lip). You also do NOT want to be applying any pressure to your nose as it is healing from the rhinoplasty. I hope this advice helps! READ MORE
Does the double chin removal work?
It can, depending on what the treatment strategy will be, non-surgical versus surgical. The primary non-surgical option would be injections of Kybella (deoxycholic acid), which dissolves fats with the chemical your body uses to digest food (bile acids). A good surgical option could be liposuction alone, or it may require both liposuction and direct removal through a formal neck lift. It all depends on your individual anatomy. At age 28, however, I would recommend less invasive options before steering you to something more invasive like a neck lift, which I usually recommend for much older patients. Hope this helps! Always seek the advice of an appropriately trained physician, such as a Board-Certified Plastic Surgeon, for your facial aesthetic goals. READ MORE
Does a jawline lift actually work?
I am not entirely clear by what you mean a "jawline lift," but I will discuss potential non-surgical and surgical options for addressing jawline contour. For subtle contour irregularities, hyaluronic acid (HA) fillers or fat grafting can be of potential benefit to camouflage the irregularities and in doing so, give the illusion of a "lift." However, to address more extensive skin laxity or sagging from aging or sun damaged skin, one may need to resort to surgery, and the one that most reliably straightens out the jawline is a formal facelift, often done in combination with a necklift. A facelift addresses jowling that occurs due to ligamentous attachments at the jawline where it intersects with marionette lines (etched lines extending from the corners of the mouth down to the jaw). A full-scar facelift creates a more powerful upward pull and arguably longer lasting results in smoothening out the jawline, but does require an incision around the ear as well as into the sideburn and posterior hairline. A mini-facelift (or short scar facelift) instead has scars that extend around the ears only, but some patients may end up requiring a second facelift years later as the skin and jowls begin to sag again. Seek a Board-Certified Plastic Surgeon to help discuss your facial rejuvenation goals and strategize a path - whether involving injection or surgery - to achieve those goals safely and efficaciously. Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 11459 Johns Creek Parkway Suite 240 Johns Creek, GA 30097 Office 470-395-6932 Fax 470-395-6951 Cell 203-710-9952 https://www.drpatelplasticsurgery.com/ READ MORE

Areas of expertise and specialization

Plastic SurgeryReconstructive SurgeryAesthetic SurgeryCosmetic SurgeryOculoplastic SurgeryBlepharoplastyBreast ReductionFacial Aesthetic SurgeryBotulinum Toxin InjectionBotoxDermal FillersHA FillersSkin CareChemical PeelsMohs ReconstructionWound CareBreast AugmentationBreast LiftMastopexyFaceliftBrowliftMole ExcisionSkin Lesion ExcisionEarlobe RepairScar RevisionLiposuctionAbdominoplastyTummy TuckMommy MakeoverBody ContouringAugmentation MastopexyBrachioplastyArm LiftFacial TraumaFacial FracturesLacerationsFacial LacerationsNasal ReconstructionLip ReconstructionEar ReconstructionOtoplastyRhinoplastyNose JobKeloidsSkin GraftsSternal ReconstructionSternal Wounds

Faculty Titles & Positions

Instructor/Fellow University of Alabama at Birmingham 2017 - 2018

Awards

Dean's Merit Scholar 2000 Brooklyn Law School
Summer Clinical Research Award 2008 University of Rochester School of Medicine
Stryker Fellowship - Resident Leadership Program 2015 Operation Smile
Second Prize, Resident Research Competition 2016 University of California, Davis Division of Plastic Surgery
House Staff Resident Professionalism Award 2016 University of California, Davis School of Medicine Alumni Association
Resident/Fellow Inspirational Mentorship Award 2017 University of California, Davis School of Medicine, Office of the Vice Chancellor
ASAPS Resident Travel Scholarship 2016 Aesthetic Surgery Education and Research Foundation (ASERF)
Resident Scholarship, U.S. Capitol Advocacy Summit 2017 American Society of Plastic Surgeons (ASPS)
ASAPS Resident Travel Scholarship 2018 Aesthetic Surgery Education and Research Foundation (ASERF)
Resident Scholarship, U.S. Capitol Advocacy Summit 2018 American Society of Plastic Surgeons (ASPS)

Professional Memberships

Southeastern Society of Plastic and Reconstructive Surgeons
American Medical Association
American Society of Plastic Surgeons
American Society for Aesthetic Plastic Surgery
American College of Surgeons
Medical Association of Georgia
UC Davis Surgical Alumni Association
American College of Legal Medicine
American Board of Plastic Surgery

Charities and Philanthropic Endeavors

Operation Smile

Internships

University of California, Davis Medical Center - General Surgery

Fellowships

Grotting Plastic Surgery - Breast and Aesthetic SurgeryMark Codner, MD Plastic Surgery - Oculoplastic and Aesthetic Surgery

Professional Society Memberships

American Medical AssociationAmerican College of SurgeonsAmerican College of Legal MedicineAmerican Society of Plastic SurgeonsThe Aesthetic Society (American Society for Aesthetic Plastic Surgery)Southeastern Society of Plastic and Reconstructive SurgeryMedical Association of GeorgiaUC Davis Surgical Alumni Association

What do you attribute your success to?

My parents, who successfully ran a solo private practice in general, colorectal, and trauma surgery while raising me and my brother.My wife, without whom I could never have gotten through training or start my own, new solo private plastic surgery practice.