In the heart of Las Vegas, amidst the vibrant energy and dazzling lights, lies a haven of transformation and healing: Vegas Plastic Surgery Institute (VPSI). Founded by Dr. Joshua Goldman and Dr. John Brosious, VPSI is not just a cosmetic surgery practice; it’s a place where artistry meets science, and compassion guides every incision. From reconstructive procedures that rebuild lives to aesthetic enhancements that boost confidence, VPSI offers a comprehensive approach to patient care, empowering individuals to embrace their best selves.
Join us as we delve into the minds of these two remarkable surgeons, exploring their journeys, philosophies, and the unwavering dedication that makes VPSI a true haven of transformation.
Interviewer:
What unique aspects of aesthetic medicine drew you to this field and ignited your passion for helping people transform?
Dr. Goldman:
My path to aesthetic medicine wasn’t a straight line. Initially, I was drawn to the intensity and challenge of cancer treatment. I envisioned myself working in the oncology ward, battling this devastating disease. But as I progressed through medical school, I realized I craved a more immediate, tangible impact on my patients’ lives. I wanted to be involved in the happier side of medicine, where I could witness transformations and improvements firsthand.
That’s when I discovered plastic surgery. It was the perfect blend of artistry and technical skill, allowing me to use my hands and mind to create positive change. And the best part? I could still be involved in cancer care through reconstructive surgery.
A defining moment came during a medical student rotation I elected to take at Memorial Sloan Kettering Cancer Center. I was surrounded by these incredible microsurgeons performing complex reconstructions, rebuilding lives that had been shattered by cancer. Witnessing their expertise and profound impact on their patients solidified my passion for this field. It was then I knew I had found my calling.
Dr. Brosious:
My journey into aesthetic medicine began with a fascination for the instant transformation that surgery can bring. I was drawn to plastic surgery, in particular, because it offered a unique blend of artistry and medical expertise. Unlike other surgical specialties, where there’s often a single right answer, plastic surgery allows for creativity and personalized solutions.
My love for art, sketching, and even tattooing plays a role. While you don’t have to be an artist to be a good plastic surgeon, having that artistic eye and the ability to think outside the box certainly helps in this field. It allows you to see possibilities, create individualized plans that address the physical concern, and consider the patient’s unique needs and desires.
It’s about finding the best answer, not just the right one. This creative aspect and the ability to make a tangible difference in people’s lives ignited my passion for this field.
Interviewer:
Both of you have emphasized the importance of patient well-being beyond the physical. How do you incorporate this understanding of the “whole person” into your treatment plans?
Dr. Goldman:
We believe that successful aesthetic medicine goes beyond physical transformation. It’s about understanding the whole person – their emotional and psychological well-being, motivations, insecurities, and aspirations. We strive to create a safe and supportive environment where patients feel comfortable sharing their vulnerabilities and expressing their true desires.
This starts with recognizing that many procedures, especially those like breast reconstruction, have a profound impact on psychosocial outcomes. We’re not just fixing a physical problem; we’re addressing issues of body image, sexual function, and emotional well-being. That’s why we prioritize in-depth consultations, actively listen to our patients, and ask the right questions to understand their motivations, hopes, and fears.
We also believe in empowering our patients by offering a wide range of options and involving them in decision-making. It’s not about dictating a solution; it’s about working together to find the best path forward, whether a complex reconstruction or a less invasive procedure.
Dr. Brosious:
I’m a firm believer in patient autonomy. My role is to provide patients with all the information they need to make informed decisions about their care – the different procedures, the risks and benefits, the realistic outcomes – and I answer all their questions honestly and thoroughly. But ultimately, the decision lies with the patient.
For example, I had a patient who needed extensive scalp reconstruction after a dog bite. The results were good but not perfect after the first round of tissue expansion and surgery. I gave her the option to undergo another round, explaining the risks and the impact it would have on her life for the next several months. She ultimately decided to go for it, and we achieved an even better outcome.
This is how I address the psychosocial needs of my patients – by giving them control, avoiding a paternalistic approach, and respecting their right to decide what’s best for their bodies and lives.
Interviewer:
Can you each share a patient story that has deeply impacted you and shaped your approach to patient care?
Dr. Goldman:
One of the most impactful cases I’ve worked on involved a patient who had lost her entire nose and upper lip due to a dog bite. It was a complex and challenging reconstruction that required multiple surgeries over a year and a half. We used microsurgical techniques, taking tissue from her forearm to rebuild the missing structures. It was a long and difficult journey for her, but she showed incredible strength and determination.
This case was particularly meaningful because it highlighted the intersection of reconstruction and aesthetics. We not only had to rebuild the missing structures, but we also had to ensure they were aesthetically pleasing and functional. It was a true test of our skills and creativity, and it was incredibly rewarding to see the patient regain her confidence and quality of life. This experience reinforced my belief that plastic surgery is about more than just fixing physical flaws. It’s about restoring a sense of wholeness and helping people feel comfortable in their skin.
“I lost my nose, part of my left cheek, and my top lip. When I woke up a week later in the hospital, even the thought of looking at myself would bring me to tears. When I finally did look at myself it was exactly what I was afraid of. My beautiful face looked like something out of a horror movie…When I met Dr. Goldman, for the first time, I thought to myself, wow, he’s young and the only person that could help me. He was honest, straightforward but empathetic to my situation.
He let me know that this was not going to be something done overnight. Dr. Goldman was determined to put me back together. It gave me hope, and after every surgery, I felt better, and I always saw Dr. Goldman before and after my surgery. You can tell he actually cares…and what he’s done with my face is nothing short of a miracle…I am thankful for everyone at VSPI, especially Dr. Goldman.” – J. Rivers, Patient
Dr. Brosious:
I was on call at the trauma center when a young woman came in who had been attacked by a dog she had rescued. The dog had ripped off a large part of her scalp. It was devastating, and she was understandably distraught. We began the long process of reconstruction, which included tissue expansion. This involved placing expanders under her scalp and gradually stretching the skin over several months. It was a difficult and uncomfortable process, but she faced it with incredible resilience and even a sense of humor. I remember one day, she came in with googly eyes attached to the expanders, making it look like a furry animal was growing on her head.
After two major surgeries, we were able to reconstruct her entire frontal hairline. The transformation was incredible, but her positive attitude and gratitude were even more inspiring throughout the process. It was a powerful reminder that restoring a patient to their former self goes beyond the physical aspects. It’s about addressing the emotional and psychological scars as well. This experience reinforced my commitment to patient-centered care and building a strong rapport with my patients.
“7 1/2 years ago, I was almost killed by a dog…I am grateful every day that Dr. Brosious was at the ER that day I got hurt. Not only is he a medical genius, but the amount of compassion and empathy he showed me was immeasurable. He didn’t just stitch me up and send me on my way. He explained everything to me in detail and in words that I could understand…
After 2 1/2 years and five scalp reconstruction surgeries, I am grateful every single day that Dr. Brosious went to the lengths that he did to make sure my self-esteem didn’t suffer, and that I didn’t have regrets for not taking the easy way out. His bedside manner is like no other doctor that I have ever experienced. I can’t even begin to imagine what my life would be like today had I not been so lucky to have Dr. Brosious come into my life that day.” – S. Dale, Patient
Interviewer:
How would you summarize your core philosophy in aesthetic medicine, and how does this translate into your interactions with patients?
Dr. Goldman:
I believe in taking a holistic approach, considering the patient’s physical and emotional needs. I also think it’s important to be constantly learning and pushing the boundaries of what’s possible in plastic surgery. This means staying up-to-date on the latest research and techniques, being willing to think outside the box, and developing creative solutions to complex problems. It’s about combining the art and science of medicine to achieve the best possible outcomes for our patients.
Dr. Brosious:
Being authentic and building a strong rapport with patients is crucial. It’s also important to be realistic about what’s achievable and ensure the patient’s goals align with ours. In practice, this means knowing our patients as individuals, understanding their motivations and expectations, and being honest about the limitations of surgery. It’s about working together to achieve aesthetically pleasing and functional results.
Interviewer:
What key message do you hope Ailm Atelier readers take away from your personal and professional journeys in the field of aesthetic medicine?
Dr. Goldman:
I want people to understand that plastic surgery is a constantly evolving field, and we’re always pushing the limits of what’s possible. It’s an exciting time to be a part of this world, and I hope our story inspires others to pursue their dreams and positively impact the world. Whether you’re a patient considering a procedure or a young doctor just starting, remember that the most important thing is to find what you’re passionate about and never stop learning and growing.
Dr. Brosious:
I hope people will realize that plastic surgery is more than just the cosmetic side. We can make a real difference in people’s lives, whether it’s through reconstruction or aesthetic procedures. The human body is incredible and resilient, and it’s an honor to help people restore their form and function and, in doing so, often their confidence and spirit.
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