Breast Augmentation

Breast augmentation, also known as augmentation mammaplasty, is cosmetic surgery to enhance the volume of your breasts. The procedure can be done via the placement of breast implants or with a fat transfer from other parts of the body. 

Breast Reconstruction

Our surgeons provide complete restoration if you have lost breast tissue to cancer treatment or other complications. In conjunction with longitudinal cancer care, we provide reconstruction using implants, autologous transfer, or a combo of both. 

Breast Implant Removal

Breast implant removal can address mechanical complications, including ruptured implants. With breast implant removal and long-term breast care, we can also address physiological difficulties such as breast implant illness.

Tummy Tuck

Tummy tucks are great for reversing the changes that the body experiences during pregnancy and extensive weight loss. This procedure can help you achieve a narrower waist, flatten the abdomen and restore weakened muscles.

Mommy Makeover

A mommy makeover restores your shape and appearance after pregnancy and childbirth. We offer this rejuvenation not just for moms but for anyone dissatisfied with their appearance, including sagging breasts or excess skin.


Liposuction removes small fat deposits that are hard to target with diet and exercise. It is the most common cosmetic procedure performed in the United States because it is minimally invasive with little downtime, relatively little risk, and almost imperceivable scars.


Rhinoplasty can change the nose’s size, shape, or underlying structure. It is a good option if you are simply unhappy with your nose or you want to improve your breathing for functional reasons. This procedure can restore balance to your facial features.

Facelift/Neck Lift

A facelift or rhytidectomy can help minimize the common signs of facial aging, including howling, wrinkles, and deep nasolabial folds. A facelift and neck lift combination can offer a better contour for the neck, tighten the neck up, and rejuvenate the tissue.


Dr. Brosious and Dr. Goldman personally administer Botox injections to promote safety and deliver high-quality results. This injectable can relax the muscles that cause dynamic facial wrinkles and is a standard treatment for the signs of facial aging.

Transgender Surgery

We perform the highest volume of transgender chest surgeries and are the only practice that does genital surgeries for transgender patients in the state of Nevada.  Our doctors can help you enhance your natural beauty and find your best self.

Gender Affirming Surgery

VPSI is pleased to offer head-to-toe individualized care, including facial feminization, chest feminization surgery, chest masculinization surgery, vaginoplasty, and more. We provide customized care for anyone in the LGBTQ+ community.


Facial feminization surgery may include hairline reduction, brow reduction, eyelid surgery, rhinoplasty, jawline reduction, and more. The goal of FFS is to transform masculine facial features into a more feminine or nonbinary aesthetic.

Top Surgery

Our surgeons perform more than 200 chest surgeries each year for transfeminine and transmasculine patients. If you identify as nonbinary, we also provide custom options to help you achieve either a more masculine or more feminine look.


Our surgeons are the only ones in Nevada, and one of a small group of practices in the country, with advanced knowledge in performing vaginoplasty, or male to female genital affirmation surgery. This surgery involves the elegant creation of a female vulva and vagina from a penis, scrotum, and testicles. 

Limb Reconstruction 

VPSI is the highest volume microsurgical practice for limb salvage, especially after severe trauma or cancer. We work closely with multi-disciplinary teams to help regain full function. We perform bone and soft tissue reconstruction to save extremities or optimize residual limbs after amputation.

Advanced Wound Care

Our doctors are experienced wound care providers with more than 12 years of experience operating a wound care clinic. Additionally, our doctors have worked in tertiary care centers for their entire careers and have experience handling complex wound care cases.

Burn Reconstruction

Burn reconstruction is about restoring both form and function. Because it is one of the most challenging of all reconstructive surgeries, many plastic surgeons do not offer it. We provide customized burn reconstruction based on years of advanced clinical experience.

Breast Augmentation Revision

Breast revision can address implant fatigue or dissatisfaction with a previous breast procedure. This procedure is ideal if you are experiencing capsular contracture or have noticed changes to your breast tissue due to time and gravity.

Body Contouring

Body contouring can help give you the figure you desire by reducing stubborn fat, tightening skin, and enhancing your body’s natural curves. With this treatment, you can achieve a new look that will boost your self-confidence.  


Aging, childbirth, and genetics can all affect the appearance of your labial skin. Labiaplasty is a vaginal rejuvenation procedure that decreases the size of the labia, promoting symmetry and youthfulness.


Blepharoplasty can reduce sagging skin, puffiness, and wrinkles around the upper and lower eyelids, giving you a more youthful and refreshed look. It can also help improve vision by removing excess tissue that hangs over your eyelashes.


Dermal fillers are cosmetic injectables that increase volume beneath the skin. These fillers are a minimally invasive way to restore youthful fullness or enhance certain facial features.

Transgender Body Contouring

Aging, childbirth, and genetics can all affect the appearance of your labial skin. Labiaplasty is a vaginal rejuvenation procedure that decreases the size of the labia, promoting symmetry and youthfulness.

Scar Revision

Scar revision treatment can help improve the appearance of a scar, making it less noticeable and allowing it to blend in with the nearby skin. Our doctors will reconstruct the area around the area by adjusting its color and texture and removing any excess tissue.

Skin Cancer Treatment

Skin cancer treatment helps reduce the risk of developing potentially deadly skin cancers, effectively removing affected cells and preventing the further spread of cancerous growth. 

Breast Lift

A breast lift is a plastic surgery procedure for correcting sagging breasts or drooping nipples. While breast augmentation focuses more on volume, a breast lift is more concerned with addressing the shape of the breasts.