- Breast Procedures
- Body Procedures
- Face Procedures
- Gender Surgery
- Reconstructive Surgery
- Breast Cancer Care
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- Patient Info
Beauty And Authenticity
At VPSI, we welcome all people and body types in a judgment-free and inclusive environment, no matter your needs or goals. Our doctors have years of experience as high-volume plastic surgeons, which has allowed them to develop the artistic skill and technical knowledge to achieve exceptional aesthetic outcomes. We are pleased to be a destination practice offering full-scope plastic and reconstructive surgery to patients in Las Vegas, NV, and throughout the country.
JOHN BROSIOUS, MD
Dr. Brosious is a board-certified plastic surgeon offering head-to-toe surgeries. He is well-known for his work in advanced reconstruction, including but not limited to gender affirming procedures and wound care. His professional experience encompasses level 1 trauma centers, academic institutions, and more. Dr. Brosious is also an advocate on behalf of the transgender community.
Joshua Goldman, MD
Dr. Goldman is a board-certified plastic surgeon well-known in breast cancer and reconstruction communities. He single-handedly has the highest volume of microsurgery cases in the State of Nevada and is uniquely poised to perform even the most complex breast reconstruction procedures. He boasts an exceptional pedigree of clinical training, including an advanced microsurgery and craniofacial fellowship.
ENHANCE YOUR BEAUTY
At VPSI, we offer a full range of breast procedures whether you wish to augment or contour your chest. If you desire fuller breasts with greater volume, we provide augmentation with implants, fat grafting, or a combination of the two. We also perform breast lifts to address sagging breasts. Our surgeons offer breast revision surgeries to improve previous surgical results and implant removal to address mechanical problems or changing aesthetic goals.
Learn About Breast Augmentation
If you want to flatten your abdominal area or address the effects of massive weight loss, we can perform a tummy tuck to help contour your midsection. For those areas that are particularly hard to impact via diet and exercise, we also offer different types of liposuction to remove excess fat. We can combine multiple body contouring procedures for a total body transformation.
Facelift, brow lift, and eyelid surgery are all surgical solutions designed to rejuvenate your facial appearance and address common signs of the aging process. These comprehensive facial treatments can help you reduce wrinkles, jowls, and deep facial lines. Our doctors specialize in fat transfer techniques to restore fullness to your face, particularly the cheeks, and they also offer injectables for a natural-looking, non-surgical solution.
Get Back To You
Breast Cancer Reconstruction
If you have undergone or are preparing for cancer treatment, we can rebuild your breasts using implant-based reconstruction, reconstruction using fat grafts, microsurgical techniques, and “going flat” options. Our surgeons are well-versed in oncoplastic reconstruction, which simultaneously involves breast cancer removal and plastic surgery, optimizing your cosmetic outcome. VPSI has the highest volume of reconstructive microsurgeries in Las Vegas and the state of Nevada, and we are well-known in the breast cancer community. Most notably, we provide access to longitudinal breast cancer care and resources to aid in healing and recovery.
Learn About Breast Cancer Reconstruction
Learn About Breast Reconstruction Revision
Non-Breast Complex Reconstruction
Our approach to reconstructive surgery involves the restoration of both form and function following an accident, injury, or other forms of trauma or cancer. Our surgeons are skilled in advanced wound care, limb reconstruction, amputation care, burn care, and they often develop long-lasting relationships with patients as they seek ongoing treatment. VPSI is a trusted source of reconstructive care with a high volume of referrals from local emergency departments and trauma centers. At VPSI, our ultimate goal is to offer complete restoration so that you can go back to feeling like yourself again.
Learn About Limb Reconstruction
Learn About Advanced Wound Care
Uniquely specialized care
Dr. Brosious is a community leader and a founder of the Nevada Gender Affirming Healthcare Program (NGAHP).
No matter where you are in your journey, our team is always happy to listen to your concerns without judgment and customize treatment options to help you find your best self. We offer individualized, head-to-toe care, including top and bottom gender affirming surgeries.
Dr. Brosious is the only surgeon in Nevada currently performing genital gender-affirming surgery.
“ Changing lives is our mission and our core purpose. Excellence is our promise. We are dedicated to the pursuit of perfection in the operating room and patient-centered care outside. ”Joshua Goldman, MD
Hear From Happy Patients
“Both Dr. Brosious and Dr. Goldman are phenomenal surgeons with excellent, down to earth personalities. I cannot think of another doctor that connects as well to their patients. They have had excellent outcomes out of one of the only reconstructive based plastic surgery practices in Nevada. Both surgeons have committed years training and practicing in the Las Vegas valley and are truly experts in the fields of reconstructive microsurgery and gender surgery. Overall, they are 2 of my favorite doctors of all time based on their skill, attention to detail, and friendly personalities.”
“Best plastic surgeon in town!!! Dr. Brosious is absolutely amazing. I had a brachioplasty along with a breast lift and augmentation. After surgery there was little to no pain at all. He always takes his time before and after surgery to go over everything and answer any questions. I have never felt rushed and always left his office feeling completely confident with his care. His office staff is outstanding, all the girls are professional, caring and compassionate. My results from my surgery are life changing!!! Thank you Dr. Brosious and your staff. I would with absolutely no doubt refer anyone to go see him, and by the way I am a registered nurse myself and know a one of a kind doctor when I see one.”
“Dr. Goldman is compassionate and a very capable surgeon. He takes the time you need to answer your questions and explain the details you ask about, and his work is beautiful. I experienced minimal aching in my reconstructive surgery recovery and truly no pain because of Dr. Goldman’s awareness and support for Pectoral Blocks. His staff are kind and knowledgeable. I cannot express enough gratitude for how kind, supportive and professional Dr. Goldman was during such a difficult time and period in my life.”
-Patient on Healthgrades
“Dr. Brosious did my breast aug surgery and I couldn’t be any happier! He achieved the natural look that I was looking for. I won’t go to any other plastic surgeon here in Las Vegas. His staff is also great they made this process pretty easy.”
-Patient on Healthgrades