Gender Affirming Top Surgery Results · Vegas Plastic Surgery Institute

Vegas Plastic Surgery Institute
Las Vegas, NV
Cosmetic Surgery
- Reconstructive and cosmetic surgery
- Gender-affirming surgery
- Since 2022
- Se habla español
- Most gender affirming top surgery resultsMore published results on Afters than any other practice in Nevada for gender affirming top surgery (18).
Gender affirming top surgery
18 results
Breast reduction
11 results
Breast augmentation
6 results
Breast lift
5 results
Tummy tuck
3 results
Mommy makeover
2 results
What Vegas Plastic Surgery Institute offers
Vegas Plastic Surgery Institute is a plastic surgery practice in Las Vegas, Nevada. It has published 45 before-and-after results on Afters: 18 gender affirming top surgery, 11 breast reduction, 6 breast augmentation, 5 breast lift, 3 tummy tuck and 2 more across 1 other procedure.
Its surgeons are Dr. John Brosious and Dr. Joshua Goldman. Consultations are offered in person, and financing is available through PatientFi and CareCredit.
Plastic surgeons

Dr. John Brosious
Board certified
Dr. John Brosious is a board-certified plastic surgeon who performs reconstructive, cosmetic and gender-affirming surgery at Vegas Plastic Surgery Institute in Las Vegas, which he opened with Dr. Joshua Goldman. Much of his career has been spent on complex reconstruction at level 1 trauma centers and academic institutions, and he applies that experience to cosmetic surgery from head to toe.

Dr. Joshua Goldman
Board certified
Dr. Joshua Goldman is a board-certified plastic surgeon and managing partner at Vegas Plastic Surgery Institute in Las Vegas. His practice covers cosmetic and reconstructive surgery, with a focus on breast reconstruction, microsurgery, limb salvage and amputee care, lymphedema and trauma reconstruction.
Treatments
See its results for each, and ask for an interactive quote with your price.
About Vegas Plastic Surgery Institute
Vegas Plastic Surgery Institute is a plastic surgery practice in Las Vegas opened in 2022 by Dr. John Brosious and Dr. Joshua Goldman, both board-certified plastic surgeons with clinical faculty appointments at the UNLV School of Medicine. The practice offers cosmetic surgery of the face, breast and body alongside reconstructive care, including breast reconstruction, microsurgery, limb reconstruction, advanced wound care and gender-affirming surgery.
What to know
- In person consultations
- FinancingPatientFi, CareCredit
- LanguagesEnglish, Spanish
- Since 20224 years in practice
Where it is
Hours
- Mon–Fri
- 8:30 AM – 5:00 PM
- Sat–Sun
- Closed
Reviews
87 Google reviews
“I was diagnosed with DCIS in January and made the decision to have a bilateral mastectomy and diep flap reconstruction done due to a family history or cancer. This was a hard decision, but having Dr. Brosious as my surgeon was a godsend. He made me feel safe and kept me fully informed every step of the way. When it was time for my second surgery, knowing he would be doing it, made it bareable. Dr. Brosious and Dr. Goldman are a dynamic duo! I am so happy with my results (I tell my wife I now have those 90's titties...lol... the bouncy ones all the leading ladies had). I couldn't be happier with the results or the care I received from the whole team. Everyone in the office is amazing!”
“Finding VPSI while navigating breast cancer and a double mastectomy was one of the greatest blessings of my journey. From the moment I met Dr. Brosious, I knew I was in the hands of someone truly exceptional. He is compassionate, attentive, and incredibly skilled, taking the time to listen, answer questions, and develop a reconstructive plan tailored specifically to each patient's needs. The expertise at VSPI is second to none, but what truly distinguishes this practice is its unwavering commitment to patient-centered care. Every member of the team creates an environment where patients feel valued, respected, and genuinely cared for. Their kindness and dedication extend far beyond expectations. My surgical outcome surpassed every hope I had for reconstruction. The results, combined with the extraordinary care I received throughout the process, have left me deeply grateful. If you are facing a similar diagnosis and looking for a practice that combines world-class surgical expertise with unmatched compassion, I cannot recommend VSPI highly enough.”
“I want to share a bit about my situation before I talk about Dr. Goldman as others may have a similar experience. I had multiple surgeries to correct my first surgery done in Illinois. After my double mastectomy with nipple sparing, I was left disfigured, uneven and one nipple pointed to my toes. I was devastated every time I loooked in a mirror. In 2024, I moved to Vegas and was referred to Dr. Goldman. From the first time we met, I knew he had compassion for his patients. He cares, he listens, and he’s honest. That honesty is so important. Anyone undergoing surgery should have real expectations of the outcome. Dr. Goldman was honest with me about what he could do. We met several times - he never pushed or rushed me into anything. He said repeatedly that this is my decision and my choice. Something I had never been told before. I was ready and confident with him. My final revision surgery was to correct nipple alignment and give me the symmetry and placement that I was looking for. The surgery and recovery went exactly as he described — no surprises, no unmet expectations. He didn’t just see a technical problem to fix; he understood what I’d been through and took the best care of me. My outcome was better than I had expected!! He is an artist to me — painting someone who had been damaged, and bringing the beauty back. If you’re a breast cancer survivor and you’re still dealing with the aftermath of previous surgeries, call the office and meet Dr. Goldman. His team is outstanding and company as well. Dr. Goldman gave me my confidence back, and I didn’t think that was even possible at this point. I’m so grateful I found him.”
“I cannot say enough wonderful things about Dr. Goldman and his entire staff. After going through cancer and multiple lumpectomies, I had my breast exchange surgery with Dr. Goldman, and I am incredibly grateful that I found him. From the very beginning, Dr. Goldman was extremely knowledgeable, compassionate, and reassuring. His bedside manner is exceptional, and he truly takes the time to listen, explain everything, and make you feel comfortable throughout the entire process. He did an absolutely amazing job, and I could not be happier with my results. But what makes Dr. Goldman and his practice truly special is the way they care for their patients. Every member of his staff was kind, compassionate, and genuinely supportive. I especially cannot say enough about the staff who helped me navigate the insurance process. They went above and beyond to help make what can be an incredibly stressful and overwhelming experience so much easier. Going through cancer and other difficult diagnoses can leave you feeling vulnerable and overwhelmed, and having a doctor and staff who understand that and truly care makes all the difference. Dr. Goldman and his team have been an absolute Godsend to me. It is very clear that Dr. Goldman and his staff do what they do not simply because it is their job, but because they genuinely care about their patients and want to help people who have already been through so much. Their compassion, kindness, knowledge, and dedication are truly unbelievable. I will forever be grateful to Dr. Goldman and his entire team for the care they have given me. I highly recommend them to anyone who is looking for not only an incredibly talented surgeon, but a doctor and staff who treat their patients with genuine compassion and heart.”
“After being diagnosed with breast cancer and going through a double mastectomy, I was anxious and emotional about reconstruction surgery. From the very first consultation, Dr. Goldman made me feel at ease. He took the time to listen, answer every question, and explain my options in a way that helped me feel informed and supported. Dr. Goldman’s skill and attention to detail are truly amazing, but what stood out even more was his kindness and compassion. He understood how personal and emotional this journey was for me, and he treated me with such respect and care throughout the entire process. I finally feel comfortable and confident in my own skin again. I’m so grateful to Dr. Goldman and his entire team — they were always warm, professional, and genuinely caring. I can’t thank him enough for helping me feel whole again after such a difficult time.”













































