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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Healthgrades User
6 January 2021
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His name was recommended to me from the PA at my Miami cosmetic Derm’s office. His office & staff are superb - very clean, beautiful aesthetic & very helpful. He has a great energy that put me at ease & no worries as I tend to be worried. I did my R lower eyelid Dec 3rd, 2020 to even out both my eyes from my natural bags & use of under eye filler throughout the years. It’s been 5 weeks. No one can tell I had something done. The first week was hard just due to the sleeping up but his work is very detailed, healed well & fast. I am coming to see him for my 5 week. I am very happy with his work. Thank you Dr. Fagien. I can’t wait to go back to him when I need to do the rest.
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Jodi Kahn
7 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
SImply the BEST! I've been going to the brilliant Dr. Faigen for 16 years. He NEVER pushes you into something, even if you want it lol. He's honest, talented and conservative. You'll always leave looking like yourself, only better! Thank you for being consistently the greatest Dr. there is <3
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Chelsea Parra
29 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently started seeing Dr. Fagien. His office is beautiful & squeaky clean & the staff have all been helpful and wonderful! I would highly recommend going to see him!
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Marilyn S
20 November 2022
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Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!
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Carol Calling
3 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
“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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Ashley Calandra
12 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is truly amazing! From start to finish, my experience with him and his team was nothing short of exceptional. I had a procedure with him, and the results exceeded my expectations—I only wish I had found him sooner! His skill, precision, and attention to detail are unmatched, and I felt completely at ease throughout the entire process. Beyond his expertise, his staff is incredibly kind, attentive, and accommodating, making every step seamless and stress-free. I've already recommended Dr. Vaca to so many people in my network, and I will continue to do so without hesitation. He's an artist :) :) 10/10
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susan strasser
31 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Fantastic office experience! After my first visit everyone in the office new my name and made me feel welcome. Dr. Vaca spent time explaining his recommendations and procedures thoroughly and answered the many questions that I had. One week out, without ever having any pain or discomfort, albeit swelling and some bruising I can already see my amazing results.
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Lana
23 June 2019
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I had consulted other plastic surgeon who said I need a brow lift . But dr. Fagien suggested just a minor upper lid skin removal. I scheduled my procedure. That was 6 years ago . I could not be happier. He is perfectionist . I returned for fillers and Botox when was in town. And have to say results were fantastic. I highly recommend dr. Fagien.
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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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Janet
5 June 2021
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Very professional. Took their time explaining everything, friendly, didn't have to wait. Would definitely recommend family & friends.
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Odalis
23 January 2025
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Knowledge, Precision, Experience The Dr. offers extreme knowledge, precision and skill with a perfect result. The staff very friendly, amazing work
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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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Nina Lakshana
3 September 2020
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I visited Dr. Steven Fagien’s office twice and already got impressed with very nice and extremely clean office also with very professional and attentive staffs since the first visit. His wonderful staffs are very informative and friendly. I am very excited and happy to have a chance to consult about my eyelids with Dr. Steven Fagien, MD the world’s remarkable leading oculoplastic surgery specialist. He has a great personality and make me feel confident and comfortable . The best doctor for eyelid surgery. I can’t wait to make an appointment
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Brit E
12 May 2021
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Highly recommend Dr Fagien. He is a very skilled surgeon who achieves exceptional results. His professionalism combined with his warm, caring personality puts you at ease immediately. His staff is top notch too, and always eager to respond to any questions or concerns you may have. I am truly thrilled with the results of my surgery and so glad I chose Dr Fagien as my doctor.
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Christine N
1 June 2024
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Definitely Dr Vaca does excellent work and always very patient and helpful with questions. Excellent surgeon.
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Naples, FL
14 April 2018
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After interviewing many surgeons in south Florida, I picked Dr Fagien to perform my upper eyelid surgery. The results are amazing. More importantly he and his staff put me at ease during the procedure. Now he does my injectables, too
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Healthgrades User
19 June 2021
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I am so happy I chose Dr. Fagien to perform my eyelid surgery. He was professional, personable and he approached my case with medical expertise and visual artistry. He clearly communicated his plan for my surgery and showed me pictures of what I could expect. His entire staff was absolutely amazing from my first consultation to my post op appointments. All instructions were clearly written out, and I was frequently checked on during the week after surgery. Most importantly, I am so happy with the results and would highly recommend Dr. Fagien! Thank you for being so attentive and skilled!
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Linda Englander
27 April 2021
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Dr Fagien took the time to listen and explain the issues. He was very straight forward and didn't try to sell me on procedures I didn't need.
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Chaya Goldman
6 February 2022
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Dr F has the best bedside manner … quick and painless with the best results every time
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Krisztina Kover
19 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is amazing with so much experience, kindness and professionalism! He takes time to explain your options, all the details, supports your decision, and makes you feel comfortable throughout the entire process. Fantastic staff and beautiful office. I am extremely happy with the outcome and I would highly recommend Dr. Fagien! Thank you🌺
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Joanns Shore
12 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is a magician. The results of my upper eye surgery succeeded my expectations, I’m beyond happy with my eyes. The whole experience was comforting and inspired confidence, and delivered! The staff is knowledgeable, warm and kind and appointments quick and to the point. Thank you!
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Christina Costa
7 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is great and so is Hanna! They both made me feel comfortable and took great care of me. Thank you for everything & I can’t wait to come back!
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Antoinette Heyman
5 March 2020
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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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Deisy Escobar
9 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Mi experiencia con el Dr. Elbert Vaca fué extraordinaria, me explicó claro y conciso todo lo concerniente al procedimiento que yo quería, después de este haberse realizado cumplió con todas mis expectativas durante el procedimiento me hizo sentir tranquila y confiada. Muchas gracias Dr. Vaca por tan excelente trabajo, lo recomiendo satisfactoriamente.
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J
19 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his staff are absolutely amazing. I had Rt. lower blepharoplasty done for sagging skin and the results speak for themselves. Not only am I happy with the results, but the process in general was so easy. The day of the procedure Dr. Fagien and nurses gave me much peace and expectations. Surely weeks later I can testify of a wonderful experience. I thank God for allowing me to meet such wonderful Doctor. I would highly recommend his services. So if your looking for a truly professional and excellent facial plastic surgeon Dr Fagien is your answer. Worth every penny. Jen
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Lauren
22 December 2023
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1000/10 My sister and I both had a lower blepharoplasty done and everything about our experience, from the appointments to the surgical procedure, was amazing. Dr. Faigen and his staff went above and beyond to make sure we had the best care and results. You can tell everyone there truly cares about their patients. Highly recommended! We're still recovering from the procedure, but we are already so happy with the results!
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Healthgrades User
11 September 2025
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Dr. Vaca If you are reading this review, chances are you are searching for a qualified cosmetic surgeon. My search began in January of 2025. I live in Coral Gables, FL and had full consultations with three highly recommended surgeons within a few miles of my home. While I was certain that all of these doctors could satisfactorily get the job done, I left each consultation feeling like something was missing. I simply could not make a decision. My continued research led me to Dr. Vaca in Boca Raton and after reading his credentials and reviews, I scheduled a consultation. At the end of this lengthy, informative, enjoyable meeting I knew that my search was finally over. I had found my surgeon and my indecision was replaced with certainty and excitement. I have now experienced two surgeries with Dr. Vaca and I am very happy! Everyone who works with him is professional and supportive. If you are searching for a cosmetic surgeon, schedule a consultation with Dr. Vaca…find what you have been missing.
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Amy
11 August 2021
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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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Azul Iglesias
3 March 2026
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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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Joyce C.
4 June 2023
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The BEST I had eyelid surgery in March and cannot be more pleased with the results! Dr. Fagien is simply the BEST and his staff is wonderful. I am so glad that I trusted my eyes to Dr. Fagien - he is truly an artist extraordinaire who gave me the natural look that I desired. He has a wonderful and caring personality as well, and he and his amazing team including Dani, Devina, Victoria, and Hannah (apologies if I am missing anyone) “held my hand” the entire journey and answered any and all questions, anytime that I asked. The surgery and recovery was exactly as explained with minimal discomfort. Even two weeks after the surgery I was hearing “you look great” and “were you on vacation?” from people and co-workers who didn’t know I had my eyelids done. 10 weeks after surgery, I am thrilled and the results will only keep improving as I heal completely. Thank you, Dr. Fagien and team - truly love the way I look and appreciate the excellent care that I received !!
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Brian C
18 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best. The entire staff is amazing. Highly recommend
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Lissette E in Miami, FL
12 February 2019
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I recently had Dr. Fagien perform injectables on my face, for the second time. The experience was painless, stress-free and very comfortable. He is truly an expert in his field, compounded with kindness and making his patients feel cared for.
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April Gagliardi
29 June 2023
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Very Thorough and professional, highly recommend!!!
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Dr Fredric Haberman
19 January 2022
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Wonderful experience. Dr Fagien is very professional and caring. He took his time and explained things very well. I highly recommend Dr Fagien!
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Vasila Queen
27 August 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I am extremely happy with the care and treatment I received from Dr. Elbert Vaca. He is not only a highly talented doctor but also genuinely cares about his patients. From the moment I walked into his office I felt confident that I was in the best hands. His expertise and attention to detail are remarkable, and he took the time to explain every step of my treatment, ensuring that I felt comfortable and informed throughout the process. I am truly grateful for the exceptional care I received and would highly recommend Dr. Vaca to anyone seeking top-notch medical care.
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Cherrie
31 January 2022
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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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Laurie Ziomek profile picture
Laurie Ziomek
25 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an awesome ocular esthetic physician not only surgically but with injectables as well. He doesn't push you to do anything but rather allows the patient to decide what he/she wants. He and his staff are warm and caring as soon as you enter the office! Highly recommend!!
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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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Delray Beach, FL
1 March 2017
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Dr. Fagien and his wonderful staff made me feel like family. Our initial consultation put me at ease. He gave thoughtful advice. And the execution was flawless. Enthusiastically recommended.
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Warangkhana P
5 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is truly exceptional. He is professional, knowledgeable, and takes the time to make you feel comfortable and well informed. The staff is wonderful and friendly and always welcoming. I would highly recommend Dr. Fagien and his office
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Jenet Star in Pembroke Pines , FL
13 May 2018
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Excellent MD & bed side manner. You will be super pleased with his injection technique & you will definitely want to return.
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Connie Ortiz
20 August 2021
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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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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 January 2020
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He and his staff could not have been more patient and thorough in explaining the procedures and follow up.
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Eugenia Matos-Oliveira
12 December 2019
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Dr. Fagien and his staff are very professional and they put me at ease from the very first appointment. I had upper and lower eye lid surgery, and I couldn't be happier! Thank you!
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Healthgrades User
23 January 2020
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Honesty is the best policy, and I found Dr Fagien honest and reassuring and extremely caring
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Amy Appel
17 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.
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Arlen
9 February 2021
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Dr. Vaca is incredible. He has an outstanding quality of medical care. I got my lips done with him for the first time ever and I can say that I am extremely happy with the results. He took his time and listened to what I wanted and then explained everything to detail. I immediately felt at ease and confident in my receiving expert medical care.
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Ferne Toccin
24 August 2023
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I hight recommend Dr Vaca. He is a superlative doctor who has an artistic flair. He is kind with a great bedside manner. He made me feel at ease, and I had a feeling of comfort with him. The pain was minimal , if any at all. Also, the staff is warm and friendly. You feel like a person in this office not just a number. I would use Dr Vaca and this office without any hesitation.
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Lauren Posner
22 December 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
My sister and I both had a lower blepharoplasty done and everything about our experience, from the appointments to the surgical procedure, was amazing. Dr. Fagien and his staff went above and beyond to make sure we had the best care and results. You can tell everyone there truly cares about their patients. Highly recommended! We're still recovering from the procedure, but we're already so happy with the results!
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Diana Elise
4 March 2021
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I could not be more pleased with my results from Dr. Vaca. From the first moment you step into the beautiful suite you are greeted warmly by the receptionist and wait only mere minutes before being escorted to a consultation room. Dr. Vaca’s gentle and kind demeanor make the consultation effortless. After assessing your concerns Dr. Vaca will show you his previous work so that you may see beautiful results from other patients. His aesthetic compliments and enhances your natural beauty without overdoing it. He is careful in his assessments and is very honest with how he would proceed in correcting your concerns. Not only is his demeanor gentle, but his hands are as well, causing no pain throughout the entire process. I am so happy and lucky to have found such a wonderful surgeon!
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Deborah Neilson
20 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagen is an artist! The precision in his work is bar none the best in the Industry. I would never trust anyone else with my face!
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Michelle M
17 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
The front desk staff was welcoming and professional. During my consultation with Dr. Fagien all my questions were answered and concerns addressed. Aside from his professionalism, Dr. Fagien is personable and friendly! Hannah, the patient coordinator, also did a great job of answering questions and was very friendly.
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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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Healthgrades User
3 May 2019
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This was my first time with Dr Fagien and I was very pleased Office staff was helpful and friendly. Dr. F knew exactly what to do and was very thorough. I've had injectables got years from the best doctor in NYC. Dr Fagien is right up there!
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elizabeth mastro
18 February 2021
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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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Healthgrades User
2 November 2019
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If you want/need your eyes done in any matter, look no further. I am the type of women who believes that when it comes to ANY surgery, you fined the BEST. Well, save yourself anymore investigation. He’s IT! My surgery was 1 week ago. YUP, He’s the best’
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Love V
23 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I was extremely hesitant in choosing a doctor in Florida, since I had an established physician and team in Beverly Hills. When travel became impractical, I searched for a local Physician for my cosmetic care. My first appointment with Dr. Vaca put my anxiety at ease. From beginning to end, he listened to me, paying meticulous attention to my features and establishing balance where i did not even realize was needed. Thank you so much, Dr. Vaca for listening to and really hearing your patients. I feel my best under your care, see you soon!
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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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Courtney DuBois
30 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had an ear lobe repair done by Dr. Vaca and it was an incredibly easy and painless experience. Dr. Vaca was caring, detailed in his explanations and his work was excellent. I am extremely happy with the entire experience. The outcome was better than I expected! I would highly recommend this office and doctor.
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Brenda Mussman
25 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien was very knowledgeable & considerate of my concerns.. We spoke about the eye procedure I was considering and he reassured me that it was an easy procedure. He also suggested another eye procedure to think about to be done at the same time.There was no pressure to decide anything that day.
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Marcy Busch
4 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I have been going to Dr. Fagien for almost 10 years now.., the best physician and office staff in South Florida..... love him and his staff ??
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bob S profile picture
bob S
10 December 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Recently had some under eye surgery performed by Dr. Steven Fagien. My Dermatologist had recommended him and after a thorough consultation chose him as he specializes in only eye surgery. He has been performing these surgeries for many years and aside from his knowledge and great personality he did an amazing job. The difference was dramatic and I have received so many compliments since the surgery . After the procedure, much to my surprise, I only had slight discomfort. He is amazing. Thanks Dr Fagien. His staff is incredible also especially Hanna Gross and Danny Pico. Thank you both. He is the best!! Bob S.
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Camille Straham
14 January 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien performed upper and lower eye lid surgery on me and I am very pleased with the results. I look 10 years younger. It has definitely boosted my confidence. Dr. Fagien is very detail oriented and precise in his approach. You can’t even tell that I had surgery. You can tell that Dr. Fagien loves what he does because it shows in his workmanship. His team is just as dedicated as he his. They were all so kind and very helpful. I would without hesitation do this all over again with Dr. Fagien and his team. Hats off to you all! 👏🏽👏🏽
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Gwynne Beatty
4 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the only person I would trust with my face. He is an ARTIST and he is funny!!!
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Hepracer
25 June 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Office is relaxing and staff friendly. Dr. Fagien is thorough and listens. Haven't had my surgery yet but feel confident in Dr. Fagien. Another doctor said she "wouldn't let anyone else touch her eyes but Dr. Fagien." Works for me!
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Sylvia
17 July 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is a miracle plastic surgeon. He gave me my eyes back. He gave me my life back. I am forever grateful. I couldn't even go out without sunglasses to cover my how my eyes looked. He takes his time, is extremely knowledgeable and professional and creates miracles when others couldn't. His staff is very knowledgeable and caring. His appointments are always on time. Amber was super sweet and even calmed me down on day of procedure. Dr Fagien cares about his patients and I owe him so much. I am more than happy with my results. Better than I expected.
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Christopher Rivera
30 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Fagien is awesome and professional. I really enjoy coming into his immaculate office and working with his AMAZING staff. I would highly recommend anyone looking for oculoplastic surgery to come and see him.
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Andrea Virgin
4 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Elbert Vaca is one of the very best plastic surgeons around. His absolute attention to detail is outstanding, he listens intently to his patients, and produces exceptional results. Highly recommend him to anyone looking for anything from simple to very complex!!
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Healthgrades User
24 September 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
10 Years Younger! Dr Vaca is a true artist as well as a skilled surgeon. He has a very caring nature and makes you feel comfortable. His staff is kind and helpful. No question is too small to ask. I highly recommend him!
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Michelle Doherty
22 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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Carol A. profile picture
Carol A.
14 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca I had my surgery. He’s the best! He’s upfront and honest about potential outcome. He is a really excellent surgeon.
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Alice Tate
21 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Fantastic doc and I wouldn’t go to anyone else!
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Lori Glover profile picture
Lori Glover
23 April 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best plastics eye surgeon ! I also have had Botox and fillers and always get great results that last over 4 months. His staff are very nice and very knowledgeable! Love him!!!!
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Tammy VanGenderen
28 July 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Patty, Dr. Fagien’s nurse is extremely kind and professional. The staff always kindly acknowledges me when I come in for my visits. Dr. Fagien is professional and kind as well. Always a pleasure to visit! I would recommend Dr.Fagien and his staff without reservation.
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David Kimmel in Hudson, FL
16 October 2017
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr.. Dr. Fagien and his staff are terrrfic. From the first phone call to our vary last appointment . Class act and my surgery came out great!
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Orlando Lopez-Fernandez profile picture
Orlando Lopez-Fernandez
25 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Not only were the surgical results outstanding, but being a physician I can attest to the fact that the high level of kind professionalism displayed by the entire staff is very rarely encountered & therefore noteworthy & must be acknowledged & mentioned.
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Lois Zenner profile picture
Lois Zenner
27 February 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Fillers As painless as possible, excellent Dr Fagien, excellent staff!
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W P profile picture
W P
2 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
giving a 5 star because the only complaint I have is, this doctor who has amazing Botox reviews, isn't accepting new Botox patients.
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Lisa RP profile picture
Lisa RP
24 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is an artist. He is also kind, extremely skilled and a pleasure to know. he has helped not only me, but several of my close friends to regain our more youthful looks. I highly recommend him and his work.
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Cindy Goldfarb
25 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I loved Dr. Fagien’s candidness. He suggested I go to my endocrinologist to have my thyroid checked because my eyes and bridge over my noise are so swollen. After that, he suggested I come back in for a consultation.
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Healthgrades User
8 March 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
As soon I walked into Dr Fagien office I was greeted warmly by the staff. They made made feel very welcome. The Dr is a true professional. He listened to my issues and questions and made me feel at ease that he could do what I had gone to see him for. I would highly recommend him to any of my friends and my family.
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Cynthia Spear
1 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Very Professional!
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Healthgrades User
23 February 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Perfection
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Healthgrades User
8 March 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
this was my first experience and it was truly wonderful. dr Fagien takes his time and does a meticulously fantastic job doing the fillers. You do not have to be nervous because of the way they numb you and because of the tools dr Fagien uses. Basically painless. Everything about this office is so professional and friendly, that I can highly recommend to everyone who wants a bit of beautification. And the best thing is that nobody really notices what happened to me, but they just tell that I look good. And that is what I wanted.
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Brenna Hennessey profile picture
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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Gabrielle Sacheli profile picture
Gabrielle Sacheli
15 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is by far the best in South Florida. His attention to detail and honesty is what keeps me coming back. I would highly recommend him and his entire office staff, they are wonderful.
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Laura Montero profile picture
Laura Montero
1 December 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien performed lower blepharoplasty. It took me quite sometime to go see him because I live one hour away. It’s hard with busy schedule. I’m so happy I finally made it. He did an amazing job. He’s very knowledgeable and makes you feel at ease. He’s a leader in his field and rightly so. He has a wonderful staff and impecable office. I highly recommend him.
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Jana Hamade profile picture
Jana Hamade
30 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Kendal & Sasha
26 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien was extremely professional, I met with him regarding under eye fillers that I wanted to do. He was surprisingly honest and did not recommend I do this procedure as he did not think it would give me the results I wanted. He took the time to go through what the likely outcome would look like, showing images etc. I would 100% recommend his services as he clearly will not give advise on the basis of filling his pockets, but rather his client's genuine interests. While I did not leave with fillers, I did leave with a better understanding and knowledge of my structure and options available to me.
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emmitt rhodes
20 November 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
This is the only man you should trust with your eye improvements surgery. His resume, experience, and medical publications are above and beyond reproach. He has been doing this for so long and has developed insights and new procedures to maximize the benefit and minimize the pain and downtime, that he is considered a master by the other doctors in this particular niche of surgery. His office is neat, clean, and crisp and inviting. The staff is so very supportive and really go the extra step to make sure you are comfortable throughout the whole process. My results were fabulous and the whole experience was much easier than anticipated. I have never had elective surgery and was very frightened to go through with this. But my eyes were rejuvenated and i am very comfortable now with the look and feel of my upgraded eyelids. Truly real pros in every aspect.
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Deborah Parnell profile picture
Deborah Parnell
6 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was amazing. His presentation is warm , knowledgeable and sincere. I had stomach FAT that wouldn't go away. Dr. Vaca evaluated my abdomen and due to my previous C sections recommended abdominalplasty. I LOOK GREAT now. I asked him about the sagging jawline (jowls) and wanted a quick fix. He assessed the face and recommended a modified face lift procedure. Because of his proven honesty and talent, I agreed and I cannot be HAPPIER. He is a truly talented and humble surgeon. Never thought I would use those two adjectives in one sentence about a surgeon, but that's the magic of Dr. Vaca. As a RN whose specialty s Operating Room nursing, I have worked with many surgeons. Dr. Vaca is an exceptional surgeon. That is my personal AND professional opinion.
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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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Lisa Nolasco
26 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Being in the Eyecare industry and knowing Dr. Fagien’s stellar reputation, he was clearly the only choice for my upper & lower lid surgery. He is an artistic genius. My results are incredible and I will be forever grateful to him.
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Healthgrades User
4 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I’m always happy with the results. I’ve been treated by Dr. Fagien for many years. I wouldn’t trust anyone else!
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Betty Bassan
23 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I've been going to the Dr. Faigen for over 10 years. He first did my upper and lower eyelids and I’ve been going back for Botox on a regular basis. He is the only one I trust for eye cosmetic surgery. On my last visit, I was concerned about having Botox and the Covid vaccine. He sat down, explained everything in detail and I felt very comfortable with going ahead with Botox. His office is immaculate and his staff is professional. Davina is especially kind and friendly!
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Matthew Hughes profile picture
Matthew Hughes
11 February 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Healthgrades User
24 February 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Highly Recommend Last month I had surgery with both Dr. Fagien and Dr. Vaca. My entire experience with Dr. Fagien, Dr. Vaca and their office was fantastic. My initial consultation was informative. Drs. Fagien and Vaca listened to my concerns, did an assessment, and gave me their recommendations. They explained everything clearly and answered all of my questions. They took their time. I’ve never felt rushed at any of my appointments. My surgery went wonderfully. I felt safe and well cared for throughout. My recovery went as expected and I am completely thrilled with my results. My follow up care has been great. Appointments are on time. The physicians are attentive and truly take pride in their work. Everyone in the office is friendly and professional. The office itself is beautiful. Drs. Fagien and Vaca were highly recommended to me by several of my colleagues who work in healthcare, and I certainly agree with those recommendations. I highly recommend.
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Sandra Muvdi profile picture
Sandra Muvdi
21 May 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
For about 20 years I have trusted Dr. Fagien for cosmetic facial procedures (Botox and fillers) and I am 100% satisfied. When it comes to my face, only the very best.
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pamela rosen profile picture
pamela rosen
7 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
As a plastic surgeon I knew exactly who to trust for my recent eyelid surgery. Dr Fagien is a talented, skillful and detail-oriented surgeon who did a beautiful blepharoplasty for me. His office staff are very responsive and helpful, as are his operating room team. I highly, highly recommend Dr Fagien - he is truly a "surgeon's surgeon".