HEARTLAND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Heartland Plastic and Reconstructive Surgery is the premier cosmetic surgery practice in Des Moines, Iowa. Cosmetic surgery at Heartland is always of the highest quality and we never compromise our patients care or comfort. Dr. Cherny is proud to be a part of our local community. At Heartland we take great pride in serving the needs of the community.
• Our Mission:
To repair the injured, restore the disfigured, and comfort the hurting; to improve the function, appearance, and self image of our patients with skill, knowledge, and compassion; and to pursue excellence in our healing art at all times.
• Our Philosophy:
To help people look better, feel better, and improve the quality of life providing caring and thoughtful treatment.
• Open House:
On the second Tuesday of every month, Dr. Cherny will host an evening open house. Meet him, participate in conversations, ask questions and even set up a consultation if you desire.
MEET DR. EUGENE J. CHERNY
Dr. Eugene Cherny Credentials
· Windham College, Putney, Vermont 1973-1977
· B.A. 1977 Magna Cum Laude in English
Rush Medical College, Chicago, IL M.D. 1983
· Resident in General Surgery, University of Medicine and Dentistry of New Jersey, 1983 - 1987
· Resident in Plastic and Reconstructive Surgery University of Medicine and Dentistry of New Jersey, 1987-1989
· Certificate of Added Qualifications in Surgery of the Hand, 1993
· American Board of Plastic Surgery, 1992
· National Board of Medical Examiners, 1984
Iowa 26965, 2/89 (active)
· Iowa Methodist Medical Center, Des Moines, IA
· Mercy Hospital Medical Center, Des Moines, IA
· Health South Surgery Center, Des Moines, IA
· Iowa Lutheran Hospital, Des Moines, IA
· Breast Implant Adjunct Study Coordinator, Health South Surgery Center, 1993
· Utilization Review Committee, Metropolitan Medical Center
· Quality Assurance Committee, Mercy Hospital
· Trauma Committee, Mercy Hospital
· Iowa Foundation for Medical care - Peer Review
· Medical Director, Iowa Hand Rehabilitation Center
· Medical Director, Heartland Plastic & Reconstructive Surgery, P.C.
· Adjunct Professor of Surgery (Plastic)
· College of Osteopathic Medicine and Health Sciences, Des Moines
Iowa Methodist Medical Center Resident Program, 1994
· Active Member, American Society of Plastic and Reconstructive Surgeons
· Active Member , American Society of Aesthetic Plastic Surgeons
· Polk County Medical Society
· Fellowship, American College of Surgeons
· Certificate of Advanced Education in Cosmetic Surgery
Available on Request
· Major, Medical Corps, US Army Reserve
· 830th Station Hopital, Des Moines, IA
· Veteran, Operation Desert Storm
· Army Service Ribbon
· Overseas Service Ribbon
· Army Achievement Medal, 1991
· National Defense Medal, 1991
How to Choose a Qualified Plastic Surgeon
In choosing a plastic surgeon, your first goal is to develop a list of good candidates. Where do you find them? Some sources are better than others.
Friends. If you know someone who's had a procedure like the one you're considering, talk to him or her about it. But don't decide on a surgeon based on one friend's experience. Every patient is unique, and so is every surgery; your results might be quite different from your friend's.
Doctors. Your family doctor may be able to recommend a plastic surgeon. Ask your doctor how many patients he or she has referred to this surgeon, and what feedback they offered later. Ask whether the doctor would send a family member to this plastic surgeon.
Nurses. If you know an operating room nurse-or if you know someone who knows one-you can probably get a well-informed opinion on surgeons he or she has worked with.
Your next step: checking credentials
Once you've compiled a list of several doctors, you can start checking their credentials. While good credentials can't guarantee you a successful outcome, they can significantly increase the odds.
Training. More important than where your surgeon went to school is the type of training he or she received. Has the surgeon completed an accredited residency program specifically in plastic surgery? Such a program includes two or three years of intensive training in the full spectrum of reconstructive and cosmetic procedures. While your plastic surgeon may choose to concentrate on a limited number of procedures, this comprehensive background gives a solid foundation to his or her skills.
Board Certification. Patients are encouraged to consider a doctor certified by the American Board of Plastic Surgery ("ABPS"). By choosing a plastic surgeon who is certified by the ABPS, a patient can be assured that the doctor has graduated from an accredited medical school and completed at least five years of additional residency training - usually three years of general surgery (or its equivalent) and two years of plastic surgery. To be certified by the ABPS, a doctor must also practice plastic surgery for two years and pass comprehensive written and oral exams.
Experience. Although there's no magic number (of years or procedures) that defines "experience," you should feel comfortable that the surgeon you choose is well versed and up-to-date in the procedure you're considering. You can ask the surgeons on our list if they do the procedure frequently or only occasionally, and when they last performed that procedure.
Finally: the consultation / interview
If you've narrowed your list down to two or three surgeons, you might want to visit them all for an initial consultation. That way you can compare their personalities, their opinions on the type of surgery you should have, their fees, and the way they answer your questions and explain the risks involved. Keep in mind, though, that you'll probably have to pay for these consultations, whether or not you choose that surgeon.
Don't be afraid to ask questions, no matter how trivial or how personal you think they'll sound. In fact, it's a good idea to write down your questions beforehand. You will not forget any of your questions and to make a note of the surgeon's answers as well. Here are a few general things to look for in the interview:
• The surgeon should answer all of your questions thoroughly, in language you can understand.
• He / She should ask about your motivations and expectations, discuss them with you, and solicit your reaction to his/her recommendations.
• He / She should offer alternatives where appropriate, without pressuring you to consider unnecessary procedures.
• He / She should welcome questions about professional qualifications, experience, costs and payment policies.
• He / She should make clear not only the risks of surgery but the possible variations in outcome. If the surgeon shows you photographs of other patients, or uses computer imaging to show you possible results, it should be clear that there is no guarantee that your results will match these.
• He / She should make sure the final decision is yours.
What is the new "Bra Line Back Lift"?
We have always done lipo of the back to address those troublesome rolls beneath the bra line, but when the skin is loose, the rolls don't always go away. Dr. Hunstad in Charlotte, a fellow Aesthetic Society member, has designed a "bra line back lift that treats this area with the excision of the rolls with an acceptable scar that is hidden below the bra line. In the procedure, Dr. Cherny marks the bra line (or the patient can tan before the surgery), so as to design the location of the scar. The excessive skin is removed, with the skin ligaments removed that cause the roll. The skin is pulled tight and sewn together so the scar lies below the bra line. This method is a significant improvement over previous designs we have utilized.
Patients can shower the next day, and resume normal activities within 3 days of the operation. The procedure is done under a local anesthesic and costs between $6,000 and $8,000. To see if you are a candidate, schedule a consultation with Dr. Cherny. The consultation fee is deducted from the surgical fee and all other preoperative visits and included in this charge.
There has been a lot of buzz lately about vaginal rejuvenation. What is a lift of the mons pubis; does Dr. Cherny do this procedure?
The mons pubis is the full, cushioned area above the vagina that is typically covered by pubic hair. Dr. Cherny has been doing lifting procedures in this area for a long time. In the early days of post gastric bypass surgeries, many patients had this area descend just as the tummy did after major weight loss. Aware plastic surgeons, who listen to their patients, quickly realized that the tummy tuck without the lift of the mons pubis was just not good enough. Dr. Cherny offers this as an optional feature on all his tummy tucks; the feedback has been excellent. So the lift of the mons pubis is an integral part of Dr. Cherny's tummy tucks, and it prevents chafing and dramatically increases comfort and hygeine. Some patients reported an enhanced sexual experience with the restoration of the original, youthful anatomy.
Does the method of dissection for breast implants make a difference?
I've had a few patients ask me about this lately, and am not sure where this technical question is arising from. There is a plastic surgeon out of Texas, that is known for his Texas-sized ego and pronouncements, that is promoting the dissection of the implant pocket by the cautery device. Blunt dissection, as it is called, is said to be bad. This is actually a non-issue. All plastic surgeons are taught that gentleness with human tissues is of supreme importance. Anatomically, the most gentle method of dissection for the subglandular implant is with the cautery. To not do so invites bleeding and a more difficult operation. Under the muscle, blunt dissection is the least traumatic in the upper part of the implant space, but the lower part still needs cautery dissection for a better pocket. I think its great for patients to be as educated as possible for any operation they may be considering. I think actually that Wikipedia.com is an excellent source for scientific information on a variety of plastic surgical procedures and medicine in general. I'll discuss with you any operation to any level you might wish to go to.
What is the lifestyle lift and how is it different from the Heartland Mini Euro Facelift?
Its hard to tell from their website. It appears possible that in their before and after pictures that many of the patients have more prominent chins and may have also had chin implants which really boosts the outcome. I was asked to be on their panel at one time, but didn't pursue it. I have noticed that the surgeons are predominantly ear, nose and throat, or facial plastic surgeons; with only a few plastic and reconstructive surgeons. A few patients told me that once they called for information, they received a high pressure sales situation with lots of phone calls. I always suggest that patients try to ignore hype and choose their doctors the old fashined way, on credentials, word of mouth, and recommendations of trusted friends.
Plastic Surgery - the "Great Equalizer"
Plastic surgery has been called many things both good and bad. Have you ever considered it as an instrument of democracy or of fairness? Life is in many ways unfair, and through genetics some of us are blessed, and some are not. Some have desireable physical attributes, and the confidence it brings just through the lottery of life. Some win, some lose. Everyone knows that good looking people are treated differently than others. There are many studies that document greater opportunities, better treatment, better salaries and all the rest, for attractive people.
So plastic surgery can, to some degree, make up for this unfairness. Plastic surgery can level the playing field and help people attain that which they otherwise could not have. This is one more reason that I really like being a plastic surgeon!
Is penile enlargement possible?
We actually get several calls a week on this subject. The answer, generally, is no. I repeat, there is no reputable method for penile enlargement. Fat injections could make the girth larger but would leave the head the same size, resulting in a spongy shaft with a small appearing head. Ligamentous release supposedly increases length, but as the ligament heals, it reshortens. So the patient ends up back where they started from. On the other hand, some men, especially those that are overweight and those that have lax skin, can have an increase in the apparent length with surgery. This is a condition called the "buried" penis. In this situation, the penis is basically buried within the fat and skin. The tummy tuck operation, which lifts the groin, pulls redundant tissue away, exposing the actual full length. I've increased the apparent length by several inches as a positive side effect in tummy tucks on men. Liposuction theorectically should help this also, but I've found it to be less effective. Urology colleagues of mine tell me that the best method to enhance this area is diet and exercise. As always, no pain, no gain.
What about Laser Lipo?
I've studied the machines and have attended lectures on this new technology. It is agreed that laser lipo is not a replacement for regular liposuction at all. It may work in very small areas, but anything more than that will need regular liposuction. Also, the laser is very powerful. Without great care there is a risk for severe burns. This is probably just another fad that I don't think it will stand the test of time.
Is there a cure for cellulite?
No. No. Cellulite overlays areas of structural damage to subcutaneous fibrous tissue. Cellulite is an acquired microscopic anatomical problem, that usually comes from childbearing or major weight gain/loss. I'm currently treating a patient who went for some kind of laser treatment of cellulitis. She has horrific burns all over her legs. The best these treatments can do is swell the skin, which makes the cellulite temporarily better. After the swelling goes down, your cellulite is back and your wallet lighter. The same goes for stretch mark streatment. If it sounds to good to be true, it is. The only honest way to deal with cellulite and stretchmarks is to excise them in the context of a body shaping operation, as in a tummy tuck.
• BREAST AUGMENTATION
Breast augmentation is a cosmetic procedure that uses implants to enlarge and shape the breasts. Your new look will bring you greater freedom with fashion and may give your self image a boost as well. The breast augmentation can be done in conjunction with breast lifting if needed. Also, unevenness of the breasts can be improved with implants.
Women who choose to have breast augmentation surgery do so to improve their self image. Often women want the procedure to restore their natural breast volume, which may have decreased as a result of pregnancy, weight loss or aging.
• BREAST REDUCTION
Breast reduction is one of our most requested operations. Breast reduction surgery can be a tremendously life-enhancing option. Having the procedure will give you far more than just smaller, firmer breasts. You'll also get significant relief from many physical and emotional discomforts, a new sense of freedom in your exercise and physical activity, and the ability to wear a great variety of clothing styles.
Breast reduction, also called reduction mammoplasty, is a procedure that removes excess breast tissue and skin, making your breasts more proportionate to the rest of your body. The areola (the pigmented skin surrounding the nipple) may be reduced and repositioned as well.
• BREAST LIFT (Mastopexy)
In breast lift surgery, also called mastopexy, the breasts are raised, the nipples are repositioned and the areolas (the darker skin around the nipples) may be reduced in size. If you have lost breast volume over the years and you want to add more fullness, implants may be inserted during breast lift surgery to increase breast size.
• MALE BREAST REDUCTION (Gynecomastia)
Gynecomastia is a medical term that comes from the Greek words for "woman-like breasts". Though this oddly named condition is rarely talked about, it's actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases. Younger males may develop this condition; it may or may not resolve within 2 years.
For men who feel self-conscious about the appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.
• ABDOMINOPLASTY (Tummy Tuck)
Abdominoplasty, more commonly known as a "tummy tuck", is a major surgical procedure. Abdominoplasty is designed to firm and smooth the abdomen. This cosmetic procedure removes excess skin and fat from the abdomen and may also tighten the muscles of the abdominal wall. The result is a flatter, tighter abdominal profile.
Liposuction, also called lipoplasty, is a surgical procedure that removes deposits of excess fat from specific areas of the body, face or neck. Liposuction can be used to slim the hips and thighs, flatten the abdomen, shape the calves and ankles or eliminate a double chin.
Heartland Plastic Surgery is the ONLY central Iowa practice with internal ultrasound technology.
• ARM LIFT (Brachioplasty)
Brachioplasty is a surgery performed on the excess skin of the upper arms, when liposuction alone will not correct the problem.
Brachioplasty involves an incision of all excessive skin from the armpit to the elbow. For selected patients who have loose skin under the armpits as well, the operation can be continued into tighten this area also. This outpatient surgical procedure takes about two hours. The patient is to wear ace wraps or compressive garment on both arms to help control swelling and to help mold the shape of the arm. This is usually accompanied by a small amount of swelling of the hands and forearms at first. In time, however, the arm can mold up very nicely and silicone gel can be very beneficial in minimizing the scar. Lifting postoperatively will be limited to decrease bleeding and swelling and promote healing of the tissues.
• BUTTOCK IMPLANTS
Buttock Augmentation increased significantly the last few years according to statistics by the American Society of Plastic Surgeons. One third of people having this procedure are men. The buttock implant procedure's primary benefit is shaping the area, rather than enlarging it. Buttock implants can be used to complement liposuction of the hips and thighs.
Buttock Augmentation can be highly beneficial for patients who have had a major weight loss, loose skin or an underdevelopment of this area despite exercise. There has been a strong interest in this procedure in coastal areas and it is becoming more popular in the Midwest.
Labiaplasty is the aesthetic improvement of the vagina by reduction of protruding labia minora, so they lay within the labia majora. This operation may also have functional benefits for those involved in certain sports such as bicycling, and in the wearing of tight clothing. This procedure is performed in the privacy of the office with local anesthesia, and takes less than an hour.
• LIP AUGMENTATION (Lipoplasty)
Lip Augmentation is a procedure, which uses synthetic or biological products or surgical restructuring to enhance the lips in many ways. Many people have small, deflated or uneven lips, reconstructive needs, drooping or sagging upper lip, wrinkling from smoking, or from aging. Lip Augmentation can help you resize, reshape or lift your lips giving you a more balance appearance.
• BROW LIFT
A brow lift corrects the sagging or low position of the eyebrows, softens horizontal creases across the brow and erases the worries or angry expression that can result from frown lines. The outcome is a more relaxed and refreshed appearance.
Brow lifts are most commonly performed on men and women in the 40 - 60 year old age range. However, there is no age limit to the procedure. It can also produce good results for younger adults who have inherited or stress-related conditions, such as low eyebrows or furrows above the nose.
• CHIN SURGERY
Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape of the implant to enhance your appearance and inserts it into a pocket over the front of the jaw bone. The small incision to create the pocket and insert the implant is placed through the mouth (below the lower lip) or in the skin just under the chin area.
• CHEEK SURGERY
Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted.
• COSMETIC EYELID SURGERY (Blepharoplasty)
If you believe that your eyes are making you look tired, sad, or older than you really feel, cosmetic eyelid surgery (also called blepharoplasty) may be the right choice for you. Eyelid surgery can remove the excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the lower eyelid skin. The result is a more alert and rested appearance.
A facelift smoothes the loose skin on your face and neck, tightens underlying tissues and removes excess fat. As a result, your face will appear firmer and fresher.
• MINI EURO FACELIFT
The Mini Euro Facelift has become an incredibly popular office procedure at Heartland Plastic Surgery. In a one to two hour office procedure, and at a fraction of the cost of an operating room procedure, you can have a minimal incision facelift that can restore your cheekbones, dramatically lessen your jowling, and smoothen your skin, sometimes even in the neck.
The Mini Euro Facelift is performed with an optional oral pain medication and relaxant, under local anesthesia, while listening to CD's and conversing with Dr. Cherny and his staff. In the basic Mini Euro, a small incision is made in front of the ear and in the sideburn. The muscular and fibrous layer beneath is tightened, lifting up the jowl, nasolabial fold, and cheekbone. The facial skin is pulled up with it. The excess skin is tucked and tailored back into place. While many patients have only needed Tylenol after the Mini Euro, a pain medication and antibiotic are prescribed as a precaution. Patients may shower and shampoo the next day, and sutures are removed in a week.
• GASTRIC BYPASS
Dr. Cherny has received extensive training through the American society of Plastic Surgeons and the American Society of Plastic Surgery in the special needs of the post gastric bypass patient. He has performed extensive surgeries in all areas of the body for the many problem areas that arise from major weight loss, with or without bariatric surgery.
Three principles of major weight loss surgery have to be kept in mind. Generally, patients who have had major weight loss often need multiple areas to be addressed. With this, it is unfortunate that insurance coverage is usually in doubt for most, if not all of these operations. Lastly, patients who have had major weight loss are tucked as tightly as can properly be done in the operating room, but because of loss of skin tone, there is often the development of postoperative skin laxity that may very well necessitate revision at some point in the future.
Procedures often indicated in this situation, with which Dr. Cherny has experience, are primarily panniculectomy, with variations that could include abdominoplasty, extended abdominoplasty or circumferential or belt lipectomy. Total upper body lifts have also been developed as well, which include various options for lifting or reducing the breasts, excising the excessive tissue of the armpit and the side of the breasts, and the arms and upper back. Lastly, the inner thighs are commonly done as well and there are several variations of this procedure as well. The lateral thighs and buttocks are included in a circumferential abdominoplasty, but the posterior thighs are not and this is a separate procedure.
For the patients safety, if the patient is having multiple procedures, they are staged to avoid excessive stress upon the patient and to have the most rapid rehabilitation possible.
Surgeries typically are done eighteen months to two years after gastric bypass has been performed. Ideally, patients should be at maximal weight loss and have been at this point of maximum weight loss for some time. Because of the nature of the gastric bypass operations, patients who undergo reconstructive surgery after gastric bypass should have Vitamin K to improve clotting preoperatively, as well as other nutritional supplements, and a thorough examination and laboratory work-up by their personal physician.
• EAR SURGERY (Otoplasty)
Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce size of large ears.
• RHINOPLASTY (Surgery of the Nose)
Rhinoplasty can enhance the shape, size and general appearance of your nose. A natural-looking nose achieves a harmonious balance with your other facial features. If you feel that your nose is not a good fit, you may benefit from cosmetic surgery of the nose, also called rhinoplasty.
• SCAR REVISION
Scars - whether they're caused by accidents or by surgery - are unpredictable. The way a scar develops depends as much on how your body heals as it does on the original injury or on the surgeon's skills. Many variables can affect the severity of scarring, including the size and depth of the wound, the blood supply to the area, the thickness and color of your skin, and the direction of the scar. How much the appearance of a scar bothers you is, of course, a personal matter. While no scar can be removed completely, plastic surgeons can often improve the appearance of a scar, making it less obvious through the injection or application of certain steroid medications or through surgical procedures known as scar revisions.