Well, there are a lot of situations with a circling approach where, especially in a situation where you have visibility at minimums, it would be much smoother, more efficient, and IMHO safer to fly over the field and do a right pattern than to crank over and try to fly a left hand pattern. Take, for example, the KASL VORDME-A approach, with ceiling just above mins and vis just at mins (1.25 miles). Let's say that due to a rain shower, or an area of lower cloud, you only sight the airport 3/4 of a mile away and at mins ( perfectly legal, since the MAP is over the field). Your choices for going to 33 are a) crank over into an immediate RH turn and try to do a left downwind for 33, which will probably result in something more like an upwind off of 15 and a 235 degree left turn with a dogleg back to final, and the very distinct risk of losing sight of the runway in that crazy mixed up maneuvering, plus the fact that even though you're ostensibly making left traffic what you're doing is not remotely similar to a normal pattern and would still conflict with any VFR traffic (which could still be there, since ASL is class G below 700'). Option B would be to maintain FAC heading until crossing midfield, then make a nice, gentle, right hand turn to downwind, then base, then final. Much less chance of losing sight of the runway in a low-vis scenario, and much less need for use of high bank angles. Smoother and IMHO safer. I know of at least one well-respected 135 operator that teaches circling patterns like this in their training course and so presumably uses them in real life. This is pretty much the exact approach and scenario that I got in a debate about. I know which one I would do if I was doing the approach for real at minimums, but since 91.126 makes no exception for IFR circling approaches I guess technically that would be illegal.