Doctors

Dr. Fagien & Dr. Vaca Aesthetic Plastic Surgery in Boca Raton, FL

MEET DR. FAGIEN AND DR. VACA

Dr. Steven Fagien and Dr. Elbert Vaca possess a passion for artistry, beauty, and a dedication to delivering exceptional results at one of the world's premier plastic surgery practices.

They are committed to the continued scientific advancement of aesthetic surgery and to the delivery of personalized, beautiful and natural appearing results.

Our Philosophy

Precision

Precision

Because details matter...

Details matter. Getting them right is essential to achieve an excellent result.

Dr. Fagien & Dr. Vaca have dedicated themselves to advance the field of plastic surgery via a greater understanding of human proportions, contours and aesthetic balance as a means to optimize both their surgical and nonsurgical results.

Artistry

Artistry

One size does not fit all…

We carefully analyze each patient's features and intently listen to their goals.

With an artistic eye, backed by arduous surgical training, Dr. Fagien and Dr. Vaca formulate a customized treatment plan to enhance and respect each individual's unique features.

Education

Education

At the forefront...

Both Dr. Fagien and Dr. Vaca have participated in multiple FDA clinical trials and pride themselves on being leaders in the field of aesthetic medicine.

As respected educators, Dr. Fagien and Dr. Vaca have lectured both nationally and internationally and have published their research in the premier plastic surgery scientific journals including Plastic & Reconstructive Surgery and The Aesthetic Surgery Journal.

GALLERY

PATIENT REVIEWS

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Bonnie Barnett profile picture
Bonnie Barnett
2 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigan and his staff are Extremely professional and Dr. Faigan is one of the best doctors that I could ever recommend to anyone!
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james mclaughlin
23 February 2024
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Excellent doctor, office and results. I am beyond pleased with my eye bag surgery. As a retired medical professional I am a very observant patient and they deserve the highest recommendation possible.
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Healthgrades User
9 May 2022
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THE BEST Everything he did was top notch! His bedside manner is behind compare & the staff as well. Would highly recommend him for any type of cosmetic surgery.
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Linda Wolf profile picture
Linda Wolf
12 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I've had some Botox for around my eye area and deep wrinkles on my nose close to my forehead area and fillers for deep lines in my lip area and cheeks as well and a shot of botox in my jaw area for grinding teeth at night this is not necessarily aesthetic. Its been about a week and I am taking double takes when I walk by mirror. My eye liner stays where I put it and I have cheekbones and my mouth is pouting. I'm 72 next week. He's that good!!
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Gina Berlin
25 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best eye surgeon hands down! My whole experience from start to finish was exceptional. His professionalism and incredible staff make the whole process seamless. I would, without a doubt, refer him to all my friends and family. Thank you Dr. Fagien!!
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S Andrews
9 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Highly recommend. Staff was friendly courteous and professional. Dr. Fagien made the procedure seem so simple amd pleasant. Very pleased with the results 👍
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Mary Amado
31 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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Alicia Wynn
26 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Always go with the best. Dr Fagien is the best.
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Anthony Molinaro in Lantana, FL
12 June 2018
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Class operation all the way.
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Andrea Virgin
12 January 2021
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I've been seeing Dr. Vaca for years now and he is a dream to work with! His attention to detail, bedside manner, ability to translate the information in an understandable way, and his follow-up are all outstanding. His background, experience, education and training are also incredibly impressive. I highly recommend Dr. Vaca to anyone for any service, no matter how simple or complex! Thank you Dr. Vaca for the great service over the years!
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A R
10 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had two facial surgeries done with Dr. Vaca. I am blown away by the beautiful and elegant results. From the initial consultation to the surgery I felt truly cared for as Dr. Vaca was so kind and also so mathematically precise with his considerations and measurements of my eyes and of the harmony of my face. Even the staff at the surgery center commented on how they try to get into the OR to watch his innovative techniques. I would trust him with my face again. He is a truly gifted surgeon and a very kind, compassionate person.
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Tanya Cozzarelli
11 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
The best thing that could have happen to me is finding Dr. Vaca to have my brows lifted. They look better than when I was 20 years old. Can’t wait to get the rest of my face done when gravity calls.
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DAZ
22 April 2022
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TEN STARS! From my first consultation to my surgery and follow ups, this staff and surgeon was one of the best experiences I have ever had! Professional, friendly and caring staff. Dr. Fagien is one of the finest surgeons you will find. He came HIGHLY recommended & was everything and more! If you considering this surgery, do not look any further, make your appt for consult and get it done! - I am beyond thrilled with the results . Dr Fagien and his entire team will go above and beyond in taking care of you. - He is world renowned for a reason! I cannot say enough positive remarks about my experience with Dr. Steven Fagien and his team. Thank you Dr. Fagien and staff! Dustie
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Healthgrades User
11 November 2025
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Excellence Having done some research and a few consultations, I chose Dr Vaca for my upper blepharoplasty. He is incredibly thorough, thoughtful and kind, exceptional in all aspects from the first consultation all the way through recovery. I am so happy with the results and very grateful for his brilliance, talent and expertise. If you are looking for excellence he is, hands down, the one.
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Joanne Barone
11 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is clearly the expert in his field. I had under eye bags which can be challenging. I am extremely pleased with the procedure; the results are very natural. He is a medical doctor and artist with great care for his patients! The entire team is great to work with they provide excellent aftercare.
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Monique Rose
10 February 2022
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Great experience with both Doctor & Staff. Very professional & followed up with every detail.
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Jana Hamade profile picture
Jana Hamade
30 January 2022
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Dr. Vaca and his staff are truly amazing. They make you feel very comfortable everytime you come in and always check up on you! He has great bedside manner and truly listens and gives his honest opinion! I went in to get filler for the first time and he helped me figure out exactly what I wanted. He is an artist who pays close attention to details. I will for sure be returning for all future botox and filler! He goes above and beyond to make sure every patient is satisfied.
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Alice Tate
21 March 2026
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Fantastic doc and I wouldn’t go to anyone else!
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Gail Pezzullo-Burgs
18 February 2021
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Love my eyes!
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Pam R
11 August 2022
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Best eyelid surgeon! Dr Fagien is a talented and meticulous surgeon who did a beautiful blepharoplasty procedure for me. Great office/support staff as well.
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Healthgrades User
10 December 2025
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Happy Upper and Lower Bleph patient. My surgery was on 11/3/25 and today i just completed my 5 week follow up. I am very happy with my choice in doctor and my results so far. Dr. Fagien is a master in his field and its no surprise to why he is so respected by his colleagues. My surgery went smoothly, i am healing lovely. Thankful for the staff also as they were helpful and kind.
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Tatyana Nudel
12 January 2024
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I did my due diligence picking Dr Fagien and did he delver! Hands down THE best surgeon, very meticulous and detail oriented. Very particular and deliberate with his approach, pre-op instructions, surgical facility and anesthesiologists, his surgical technique is superb ( I am a doctor I know). My eyes look amazing! Today is less than 24 hours. No pain, virtually no swelling, no blood at all, no crusting. Have not taken single pain killer. I waited for this procedure with Dr Fagian for 2 years and it was totally worth it! I wish more surgeons would be like him. Totally a class act and bed side manner is so warm and professional. Better schedule your consult ASAP. I promise you will not need sorry
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Lucy Levy
31 December 2019
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Amazing! best results and service. Loved the experience. Thank you
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Jordana Herschthal
30 October 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and attentive staff and best Oculoplastic surgeon in the world! I love my results!!
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Ranchida SauAu
14 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
As always Dr. Steven Fagien is wonderful! He makes sure you are comfortable through any procedure. He has a wonderful eye for what needs to be done or not. His office staff is always a pleasure to deal with. Also Friendly and helpful!! I definitely recommend :)
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Jeevanpre Jowhal
18 March 2026
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EXCEPTIONAL! Dr Fagien is simply exceptional. I’ve known him for 20+ years, and that level of trust made my decision to undergo surgery an easy one. His approach is both refined & conservative, resulting in beautifully natural, classy outcomes- my results exceeded my expectations! He took the time to genuinely listen to my concerns- which feels increasingly rare these days, lol- and made me feel completely at ease. What truly sets him apart is his honesty, warmth & the way he treats you as a person, not just a number. He’s not trying to sell himself or any procedure, how refreshing! His staff is equally capable, professional & supportive, making the experience seamless. He is an expert in his craft & I’m incredibly grateful.
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elizabeth mastro
18 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is by far the most talented surgeon I have seen. Not only does he have an artists eye he has an artists hands with surgeon skills. Dr Fagien strives for and achieves natural results which enhance beauty and restore a youthful appearance. The staff is also compassionate and knowledgeable. Overall my experience has been extremely positive and I look forward to continuing care with Dr Fagien.
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James McLaughlin DMD
24 February 2024
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The Best As a retired medical professional I have high standards for where I get treatment. Everything about this office and Dr is beyond reproach. You wil get the very best care and treatment here. Very pleased with the results of my eye bag surgery.
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Mary Daniels
17 December 2021
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I have been seeing Dr. Fagien for approximately 12 years for fillers. He has helped me avoid the deep Marionette lines around my mouth area. Dr. Fagien graciously listens to my woes about NOT wanting to go through surgery and, in my opinion, helps me maintain a natural appearance.
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A.N.
17 August 2022
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Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.
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Healthgrades User
15 October 2021
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I wanted to have my upper and lower eyelids done and there was no one other than Dr Fagien I would have even considered using. His reputation precedes him. He is not only an excellent surgeon but an extremely kind and caring person. He runs his practice better than any office I've ever encountered. Devina is beyond incredible throughout the surgery and postop too. I cannot say enough good things about Dr Fagien, his office and my final results. I am incredibly happy with the way my upper and lower lids turned out. He is a true gem.
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Brenna Hennessey
30 August 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
He is an amazing and talented surgeon! I cannot recommend him enough. Extremely detail-oriented with a wonderful bedside manner.
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Azul Iglesias
3 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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Dr. Scott Denny
3 October 2023
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Dr. Fagien is a terrific surgeon and his staff is fantastic. I am extremely pleased and highly recommend his practice.
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Barbara Joyce profile picture
Barbara Joyce
17 July 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I had an amazing experience Dr Vaca took his time making sure he was doing what I wanted.His staff was also wonderfull to work with.I would definitely advise my friends and family to use him for any plastic surgery that needs to be done
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Marie Koehler
9 June 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is a caring,, kind ,and exceptional physician. His work reflects his meticulous nature, as does his office and staff. I have always felt valued as a patient, and highly recommend Dr. Fagien.
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Chrissy Dunhill
25 November 2018
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Dr. Fagien & Staff are Professionals in every way. I felt welcome the moment I walked in the office. I’m greeted with a smile each time & a staff who is very caring. Dr.Fagien is gentle with procedures & comfortable. His technique is Perfect! He cares about his patients. I’m extremely happy with my results. If I didn’t live in florida or even if I was on the other coast, It’s well worth the travel to know You are in “Good Gentle Hands!” I Highly recommend Dr. Fagien, I’ve worked with Doctors since 1980, If Any one Knows, I do. Sincerely, Christine Dunhill
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Bonnie Osher
20 July 2021
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Dr. Fagien is a master and he is a doctor’s doctor. Doctors go to Dr. Fagien because they know he is the the best in his field. He is honest and conservative and no one will look strange if Dr. Fagien does your treatment. He is very successful and he enjoys making everyone happy. You will get an honest opinion and he won’t do anything that will make you look freaky. I do my homework and check out doctors by getting opinions from other doctors in Florida and also other areas of the country. Steve Fagien is the only doctor to use. He takes his time and makes sure his procedures do not hurt. He and his staff are kind, caring and very professional. I am not related to the doctor and this is my first endorsement I have ever written but Dr. Fagien is truly special. The only difficulty is in spelling his name.
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Lana in Baltimore , MD
1 July 2019
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He is the best in the field.
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Healthgrades User
4 May 2026
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Wonderful doctor When seeking referrals for a doctor to perform cosmetic eye surgery, one name consistently came up: Dr. Steven Faigen. After my own experience, I completely understand why.Two months after my surgery, I’m so glad I followed those recommendations. I’m truly thrilled with my results, and the entire experience—from consultation through recovery—was outstanding.If you’re considering this procedure, don’t hesitate to contact his office and schedule a consultation.
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Marilyn P
26 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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Spring Wieder
5 April 2018
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Incredibly impressed with my botox injections. This is the first time my crows feet have been injected and I can still smile naturally. My forehead looks amazing yet no one has said “oh you just had Botox” because it looks so great!!! Plus I added filler this time around and the results are so natural I can’t even believe it’s in there unless I look at the before photo and see wrinkles/lines that are now gone!!!!
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Carol Calling
3 September 2025
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“An absolutely flawless, natural transformation — and some honest tips for your journey!” I had a face and neck lift 12 weeks ago with Dr. Vaca, and I couldn’t be happier with the results. From start to finish, he was calm, professional, and a true perfectionist — but in the best way possible. His approach is meticulous yet subtle, delivering a natural, balanced outcome that miraculously looks completely real. Everyone tells me I look fresh and younger because the past few years approaching 50 I began quickly developing pre-mature "creppy" sagging skin on my cheeks, jawline, and neck) that needed to be revised, but without looking pulled or "fixed". What I received from Dr Vaca is like a natural (major) glow-up that no one can put their finger on! My sons, who are in their twenties, saw me four weeks post-op and had zero clue (what do boys notice anyway?!). My husband, being equally picky, said there are no negative signs of the surgery (unless you raise my hair up in the back and see the fresh pink scars). So no suspicious onlookers other than the fact that my face looks fresh and beautiful and I often catch my husband looking at my face deeply and following up with a heart-melting compliment about how amazing I look and what a great decision it was (he was initially against the idea of me doing surgery). I was blessed with the result I wanted: to look naturally much fresher, but not “done.” Dr. Vaca also did very tiny fat transfers (1.5 volume or less) in a few areas of my face, and his precision is unreal. I still have a few natural surface lines on my lower cheeks, just as he said I would, but I’m 50 years old and 90% of the crepe and wrinkles I had there are gone! The skin isn’t tight or stretched, nor does it sag — it’s just right. If I were to count, there were at least 50 lines on my cheeks and now there are pretty much zero. But no pulling or plumping whatsoever! Now, a few honest tips: my husband stayed with me every minute the first three days after surgery, which I highly recommend. Everyone warns you about feeling doubts or regrets in those first 48 hours, and they’re not joking! Especially if you have a paranoid reaction to whatever trippy opioid they put in the IV drip post surgery. LOL ... Don’t be alone—you need a loving “slave” to take care of you. Then, like magic, by day four, the emotional shock fades and you start feeling wonderful about the ordeal. Also, I noticed something funny: in those first few days (day 1 to 4), all face-lift patients look eerily similar and unrecognizable from the side-view — kind of like how all people with Down syndrome have specific shared facial features with each other. I think that was comforting for me, seeing all previous ladies with the same face. But by day 7, you’re unmistakably yourself again, just with a little bruising. In summary, I look soooo much better!!! And there’s a million-to-one chance anyone would guess I had surgery on my face or neck because all is so perfectly balanced and healed so quickly (just strategically styling my ponytails). 😜 I feel incredibly lucky to have found such a talented surgeon. Even great doctors can have an off day, but Dr. Vaca delivered an incredible, natural result that I’m so proud of. If you want a refresh that truly respects your natural beauty, he’s your guy.
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Healthgrades User
19 October 2020
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Beautiful, clean office with an excellent doctor and staff!
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Diana Murdock
1 June 2018
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It's a beautiful office with friendly and knowledgeable staff. Dr. Fagien has an excellent manner, is very experienced, and gave me his honest opinion of my situation. He actually discouraged me from having upper eyelid surgery, saying that the result would not be what I said I hoped for, but would provide only minimal improvement.
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Happy woman!
15 April 2022
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Excellent experienced!!! Dr. Fagien was so professional knowledgeable very different with other Doctors. He explained me all I needed to know. If you need eyelid surgery He is the one!!! Thank you Dr. Fagien!
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RB Cutie
26 August 2021
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So far I have loved my experience with Dr. Vaca. The consultation was amazing, and I felt very comfortable with him. Last week was my surgery, and so far, I feel awesome! I went in thinking I was going to be in so much pain after the surgery, but I was completely wrong (everyone is different). The day of the surgery I was a little nervous, but Dr. Vaca and everyone on his staff made me feel well taken care of. He is an absolutely amazing doctor.! Super happy and excited about my results, In only one week.
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Suzette Botero
18 October 2020
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Dr. Fagien is the best of the best! The only person I trust when it comes to eye surgery and injectables. My mother’s eyes look great and my injectables super natural! Love his professionalism, and his staff is SUPERB!
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Healthgrades User
21 February 2019
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I just had my eye surgery done by Dr.Fagien and I cant say enough wonderful things about him and his office staff. My surgery went wonderful and the follow up with the office staff was something I never experienced . I cant say enough wonderful things about him.
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Andrés K
3 November 2023
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The best. No question about it Doc and staff extremely professional and nice . Results are amazing . I did my eyelids .Do your research . He is the best
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Healthgrades User
18 October 2021
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Wonderful experience and very happy with the results. Customer service was 5 stars!
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Keys Pat
13 May 2022
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Great staff, great results I cannot recommend Dr Fagien highly enough. He explained the procedure and it went exactly as planned. Pain was minimal, a bit of itching from the stitches. I had my upper eyelids done Monday and look quite presentable Friday- the stitches are the only giveaway. Best of all, I look rested, not over-pulled.
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Joanne
6 September 2021
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We are all concerned with Covid and Dr. Fagien and his staff make me feel comfortable and safe because they make every effort to protect patients. The services they provide lift my spirits while providing them with safety. Dr. Fagien is the BEST!
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Healthgrades User
6 January 2021
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I had a procedure with Dr Fagien almost 3 weeks ago. At the initial consultation, Dr. Fagien answered all of my questions very clearly and patiently . His knowledge and excellent reputation made me feel that I was in very good hands. The surgical coordinator , Davina carefully explained everything I needed to do pre and post op. She was also at the surgical facility on the day of my procedure , taking such great care of me, making sure I was relaxed and comfortable. She also called to check on me after the proceedure to see how I was doing. Amber and Thelma the nurses , thoughtfully answered of all of my questions and concerns after my proceedure and were always kind and helpfull. I was very happy with my whole experience at this medical practice.
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Robert poole in Ft Lauderdale, FL
23 September 2017
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The doctor was honest and informative
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Healthgrades User
30 May 2026
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HIGHLY RECOMMEND My 18 year old had lower bleph surgery in December . She looks great, feels great, is more confident than ever before. Everyone at Dr. Fagien’s office is exceptionally professional and shows such empathy and support for their patients and families. We love Dr. Fagien & We love Owni!!!!
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Veronika
26 April 2021
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Another plastic surgeon told me he would not do my eye lids because the results would not be good. Dr Fagien said he could do them and did the surgery with amazing result. He is also the kindest doctor I’ve ever met. I can’t say enough good things about him and his entire staff.
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Denise Cody
9 September 2025
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I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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Matthew Hughes
11 February 2025
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My wife and I had procedures in December. We highly recommend Dr Fagien. Words do not do justice for the quality of care he and his staff provide. They are truly wonderful people and exceptional at what they do for their clients . Thank you so much for everything.
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Kim Champion
12 September 2023
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Above And Beyond! Boca has lots of good plastic surgeons. My experience with Dr. Vaca is that he is a Great plastic surgeon! During my recent surgery, he encountered some undiagnosed problems. He worked about two extra hours in surgery to fix all of that, plus finish the job we originally planned. If I wasn’t totally knocked out with anesthesia I would have given him a standing ovation in the operating room! I read the other reviews left by previous patients. I agree with all the wonderful attributes they listed about Dr. Vaca.
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Tammy Di Leo
10 August 2022
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I love the results I get from Dr. Fagien, he’s not only extremely talented but he does it with integrity!
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jackie armour
3 December 2019
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Professional staff and wonderful doctor.
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Kim Romano
28 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.Faigen is a stupendous individual, he is friendly , kind honest and very pleasant with the utmost professionalism He is also an expert in his field and very up to date on all the latest developments. The office is immaculate and your appointment time is honored. I would trust him with any type of procedure surgical or esthetics.,He and his phenomenal team are the most friendly honest and extremely pleasant and professional group I have dealt with. Hannah is a smart, knowledgeable individual who makes a patient feel very comfortable and also provides a very pleasant experience. The office is run very efficiently and I would recommend it to anyone who is looking for an all around great experience .
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C “Siin” D
9 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Best eyelid surgeon.
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Healthgrades User
22 December 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Lower face neck lift Utmost professionalism. Delivered exactly what was promised. Expectations managed and reassured every step of the way.
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Judi Nelson profile picture
Judi Nelson
10 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am not embarrassed to say that at 63 I had my upper lids done by Dr. Fagien. He was warm and professional as was his staff. The eyes came out great. 9 days post surgery now and I am thrilled. Dr. Fagien also repaired a botched eyelid surgery my husband had. He is the best. Highly recommend!
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Janet
5 June 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Very professional. Took their time explaining everything, friendly, didn't have to wait. Would definitely recommend family & friends.
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Beatriz Cuervo
1 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I was referred to Dr. Fagien by my dermatologist, Dr. Martha Viera, and I have had the best experience with him and his entire team. He is not only an outstanding professional but also an incredible human being. I have lived with a vascular condition in my eyes for more than 20 years. From the very first appointment, Dr. Fagien made it clear that he would only perform my surgery if my retina specialist, Dr. Janet Davis,, approved it. That level of professionalism and care gave me complete confidence in him. The surgery itself was complex due to my condition, but he performed it with excellence. What was already a very special procedure became even more meaningful under those circumstances. The results have been very positive. It has now been two months, and I am still in recovery, noticing improvements every week, with final results expected at six months. Throughout this journey, I have received invaluable support from his team, who have always ensured smooth communication between the doctor and me. I want to highlight the professionalism and kindness of Owni, Devina, Henry. Thanks to them And the other ones in his office, I have always felt cared for and received prompt answers from the doctor whenever I needed guidance. If you are considering eyelid or under-eye bag surgery, I wholeheartedly recommend Dr. Fagien. He is, without a doubt, the best choice!
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Beth Johnston in Lantana, FL
24 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien did an excellent job on my eyelid lift. He and his staff are professional and courteous. I highly recommend his services.
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Veronica Zarco
29 October 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing Everything about my visit was exceptionally amazing. From the staff to the Dr
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Yolly Bolasini
10 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
My whole experience was wonderful! My dermatologist had recommended Dr Fagien for my eyes surgery, but I was a little hesitant after hearing so bad stories about other doctors. One year ago I finally decided to take the chance and today I thank myself for doing it! My eyes look so good yet so natural that most of my friends didn't notice about a surgery! They just say I look so young and pretty! Dr Fagien is very kind and extremely good professional! He took care of me all the way, he kindly answered all my doubts and concerns and helped me out through the whole process. Also his team, all the staff at his offices are really nice and knowledgeable. I recommend this doctor to anyone who wants their eyes to look amazing!
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Cherrie
31 January 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
A magician Dr. Fagien can get into your head and figure out exactly what you want. You leave happy and looking natural.
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Danielle profile picture
Danielle
27 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Fantastic experience! Dr. Fagien and staff are professional, knowledgeable and pleasant. Appointments are on time.
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Wendy Lewis & Co Ltd
28 May 2016
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the go to guy for cosmetic eye surgery and facial injections in South Fla. He has great hands and doesn't overdo it. Results are always natural and artfully done. Highly recommended!
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Kristen Gentile
4 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!
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Tirso San Jose
11 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his entire team were amazing! From the moment you contact them for an initial consultation to post surgery, Dr. Fagien and team were courteous, on time, and professional. Dr. Fagien never once over sold his services and offered only those that specifically pertained to my situation. Also, worthy of mentioning is the Eye Institute where the procedure was actually performed. The staff there from the intake nurse to the one who wheeled me out after surgery ALL were extremely kind and sensitive. I highly recommend Dr. Fagien and his team
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Healthgrades User
20 August 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Exceptional Results I cannot say enough wonderful things about Dr. Elbert Vaca. From the moment I walked into his office, I felt completely at ease. He takes the time to truly listen, answer every question with patience, and explain all options in a way that is clear and comforting. His caring nature is evident not only in how he treats his patients, but also in the beautiful and natural results he delivers.The quality of his work speaks for itself — precise, thoughtful, and done with such an artistic eye that enhances rather than changes who you are. What I appreciate most is how much he genuinely cares about his patients’ well-being, both physically and emotionally. You never feel rushed or like 'just another appointment'; he treats you as if you’re the most important person in the room.If you are looking for a cosmetic surgeon who combines exceptional skill with true compassion, I wholeheartedly recommend Dr. Vaca. He is a rare find, and I feel so grateful to be in his care.
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Maria Victoria Tomic
29 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was one to rave about! I was nervous to get Botox for the first time, but he was incredibly professional, patient and experienced. His bedside manner is informative yet calming. Also, his academic and professional accolades pretty much speak for themselves. I highly recommend using him!
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Homegirl40 at gmail com Do i need this account profile picture
Homegirl40 at gmail com Do i need this account
15 January 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Went for a consultation. Very Professional and knowledgeable. Clean office. Would recommend highly. Will use their services when time is right.
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Healthgrades User
22 October 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Professional, kind, listens. The staff is patient and efficient. Office atmosphere is very calming
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yaminah lopez profile picture
yaminah lopez
20 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca was very friendly, he makes you very comfortable and actually sits and talks with you. Most places make you feel rushed and unimportant. He took the time to explain things, and answer questions I had! I can not wait to have my procedure done !
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Juan David Velasquez
25 February 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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Nancy Stephens
18 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing person , outstanding Physician and surgeon . Meticulous attention to details . fabulous staff ..
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Madelyn Strauss profile picture
Madelyn Strauss
6 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I found Dr. Vaca to be absolutely terrific. Not only did a fantastic job sewing up my forehead where I had fallen but such an understanding and terrific human being. I’m a slow healer but his tiny immaculate stitching was hardly noticeable after a much quieter time than I expected going by past wounds I’ve ever received and with a drop of makeup within just a couple of weeks is hardly noticeable. I expect that even that will practically disappear in a short time. I can’t recommend him any higher and I expect that anyone else will feel the exact same way.
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Ellen Niles
3 January 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I just looked in the mirror at my upper and lower blepharoplasty from three years ago. It still looks wonderful, I m so pleased. Dr. Fagin, thank you for your great work!
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Ellen Levine profile picture
Ellen Levine
10 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
An absolutely perfect experience!!!! Staff was super. I felt like everyone paid attention to exactly what I wanted. Dr. Faigen is remarkable. He explained everything and demonstrated real concern for my comfort I love my results (and have been at this with other doctors many times before) I’m actually bring a friend in, who saw me “after” Thanks to all of you
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Healthgrades User
26 September 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien and staff are the best! When considering upper eyelid surgery, I knew Dr. Fagien was the top surgeon in his field so my decision was easy. However, Dr. Fagien and his staff exceeded my expectations! Everyone was so professional, friendly and caring. Six months later, I am thrilled with my results! My eyes look amazing! Dr. Fagien is the best at what he does and I highly recommend him.
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Ann N profile picture
Ann N
21 April 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is an excellent Doctor! His staff is very friendly and professional. He did an amazing job on my eyes. Very happy and satisfied. I would highly recommend him. A++
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George in Harrisonburg, VA
3 July 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is the best! I’ve now seen him for a number of years and he was one of very few physicians in the US who could diagnose and help me with my problem. He’s alway friendly, gentle, and effective. I feel so fortunate that I found him!
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Antoinette Heyman
5 March 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
This is the friendliest staff I have been to and I have been to many different offices in New York City and Florida. The doctor is Incredibly talented So much so that I will get on a plane and fly from New York to Boca for his services.
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Boston Transportation Dispatch Training
10 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could give Dr Fagien and his team 500 stars instead of just 5, I would! This is an amazing doctor with tons of experience. I am very satisfied with the results of my lower eye lid surgery which happens to have a fancy name: Transconjunctival Blepharoplasty. Being a business owner, a public speaker, and a zoom instructor, I have to look presentable. At some point, due to genetics, i noticed that my lower eyelids started sagging. It did not feel good. So I found the best oculoplastic doctor and asked him to fix it. Dr Fagien suggested the transconjunstival blepharoplasty. Taken into account that my skin was otherwise young and firm, no fillers and no other extra procedures were offered. The surgery and the post op was not at all painful! That was a great bonus!lol I came back to work in 5 days. I listened to all the recommendations and followups from my Dr’s office. His team deserves a special separate 5 star review! Everyone was super helpful and accommodating! I am very happy now! Thank you Dr Fagien!
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Healthgrades User
13 May 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien is extremely professional and has a very gentle touch and an artistic eye. He maintains a soft spoken and kind bedside manner. He treats his patients with respect and is an expert within his field. I highly recommend him.
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florina kollins profile picture
florina kollins
24 March 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional really good experience. Excellent!!!
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Sevigne profile picture
Sevigne
25 March 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Upper Eye Absolutely spectacular! Great staff, always followed up and answered any questions asap! Dr Faigen is a master at his craft . No bruising and super easy recovery. Highly recommend!
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Binkie Orthwein profile picture
Binkie Orthwein
19 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. F is one of the Most meticulous, timely and precise doctors I know and have. The office is lovely. The staff is helpful and kind and he always spot on with my treatments.
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Rick Tobin profile picture
Rick Tobin
8 July 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Top notch!
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Healthgrades User
17 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Steve Fagien is an exceptional surgeon. He performed under eye surgery on my daughter in June 2018. She had developed dark circles under eyes at a young age and was very sad about her looks. She wouldn't go without makeup on. I was concerned and afraid of the surgery because of her young age. The results from the surgery were simply amazing. She is so happy and looks so beautiful. As a mother, I can't tell you how delighted I am to see her smile and love her looks again. He and his staff are personable and very accessible. They were there for us before, during and after the surgery. I give the whole experience a 10. He is the best!
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Connie Ortiz profile picture
Connie Ortiz
20 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent and caring doctor, I had Bell Palsy, and he was able to help me and gave me options. Dr. Fagien is the best eye doctor I have ever visited. I wish more doctors and staff members would care about their patients like Dr. Fagien and his staff.
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Amy profile picture
Amy
11 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Had my lower eyes done and am extremely happy. There’s nothing more to say, he’s simply the best! His staff are professional and friendly, making the experience very comfortable.
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Nancy Jetta profile picture
Nancy Jetta
16 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
In July 2022 I had a brow lift done by Dr. Vaca. I knew I needed the work done and was a great candidate for it but I wasn’t sure what to expect as I had never had one done before. I cannot be more pleased with the results! I look so much younger, my eyebrows look amazing and one can actually see my (pretty) eyes now. The recovery was simple, and the procedure painless. I would do it again in a second ! Thank you to all the staff at Dr. Vaca’s office and the surgical center also. They could not have been kinder.

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Results may vary. We are reputable for complete customer satisfaction for completed treatments. Before and after images reflect real results from real patients, although individual results may vary. No treatment is promised to provide permanent results. A guarantee is neither provided nor implied. Statements estimating treatment duration and the number of treatments required are based on the typical experience or our patients, however individual experiences may vary.