We first went to him just for a pre check up to see what his diagnosis would be on a 16 year old keloid (cist) on my husbands jawline by the ear...we were please the very first visit we had with him...he explains everything with details..we felt really comfortable with his knowledge and way of explaining things..after a couple of visits he set us up with a surgery appointment. .this was very scary to my husband because he had gotten this same surgery 16 years before and cist came back within 3 months..well its been 7 months now and my husband looks great!!!!! Keloid has not came back and we still keep up with his follow up check ups with Dr. Patel..and if we have any concerns, he will see us anytime..also all his staff is really great and attentive. ..we really recommend him to anyone !!!!