The last thing you need after battling breast cancer is a reconstruction that didn’t meet your expectations. VPSI offers breast reconstruction revision to help you achieve complete aesthetic restoration even after you’ve already undergone a previous reconstruction. Our practice is the highest volume reconstructive microsurgery practice in Las Vegas and the state of Nevada, and specializes in the most complex breast revision cases. We can provide various reconstruction techniques to address your aesthetic concerns and ongoing cancer care needs.


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The Benefits of a Breast Reconstruction Revision

There are several reasons why you may benefit from a breast reconstruction revision at VPSI:

  • Receive advanced cancer care from our experienced providers
  • Get the right type of breast reconstruction to match your needs and expectations
  • Correct any aesthetic issues with your current reconstruction
  • Resolve any medical complications due to your reconstruction
  • Remove and replace implants that have ruptured or caused an infection

How Do I Know If I Need a Revision?

During your initial consultation, one of our doctors will perform a physical examination, review your medical history, and advise whether you are a good candidate for a safe and successful breast reconstruction revision.

Candidates for this procedure usually fall into one or more of the following categories:

  • A previous attempt at breast reconstruction failed (for example, implants had to be removed due to infection).
  • Your previous mastectomy or reconstruction was performed in a way that led to suboptimal aesthetic results.
  • The initial reconstruction led to complications, such as a ruptured implant.

Taking the First Steps

If you are interested in having a breast reconstruction revision, the first step is meeting with one of our doctors. The initial consultation appointment will involve a discussion about your previous procedure, cancer treatment, and personal goals for reconstruction. When you come to VPSI, you will benefit from the friendliness of our staff and the significant reconstructive experience of our doctors. 


Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon, offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

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Josh Goldman, MD

John Brosious, MD


The Revision Process Explained

We will customize your reconstructive surgery to meet your specific needs. For example, if you need to have breast tissue rebuilt following a skin breakdown or infection, you may benefit from a diep flap. Our doctors can harvest tissue from one part of the body and transfer it to the breasts, shaping and contouring it for the best cosmetic results. We may need to remove failed implants in other situations, replacing them with either new implants or fat grafts.

Regardless of the specific type of breast reconstruction revision,  VPSI partners with our anesthesiologists for enhanced recovery protocols to minimize post-operative pain and get you back to baseline as soon as possible.


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Recovery and Aftercare

As with any type of plastic surgery, it will be necessary to allow your body time to rest and heal. You will need one to two weeks of recovery before returning to work or routine activities. Minor side effects such as swelling and bruising can be anticipated, and pain medications can alleviate tenderness or discomfort.


Other Considerations

While all surgeries come with some level of risk, you can mitigate that risk by working with a team of experienced and highly trained surgeons.

You can extend your results for the long-term by following post-op instructions and maintaining an overall healthy lifestyle.


You’re In Good Hands With Vegas Plastic Surgery Institute

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a consultation at our Las Vegas office today at (702) 727-8500.