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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VMarie profile picture
VMarie
19 January 2020
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Dr. Fagien and his office staff could not be more professional or nicer! I had my eyelids done and took off my steri strips in my sleep. It was Sat morning so I called the answering service. Seconds later Dr. Fagien called me to meet him at the office and fix the problem. My Fiancé is a surgeon as well and could not have been more impressed with his perfect stitches and attention to detail. Thank you for everything Dr. Fagien, Devina , & Olivia I will definitely be recommending your office.
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Healthgrades User
7 October 2020
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Fantastic experience! I highly recommend him. Dr. Fagien is an exceptional talented physician. Lovely and professional staff ( Amber, Devina, Thelma). Excellent Service and Care.
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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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jenjenenjen Puyanic
9 December 2022
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Dr. Fagien is a world class gifted surgeon. He is conservative, meticulous, and has an artistic eye. He approaches each patient individually resulting in procedures that enhance your natural features. I would not let any other doctor touch my face as I couldn’t be happier with my results. My friends that have gone to him feel the same. I trust and highly recommend him.
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Randall McGee
2 August 2023
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Consultation was very informative and not rushed. I was given a comprehensive evaluation and alternatives. Much appreciated.
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David Goldman
23 August 2026
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I write this review as a dermatologist and Mohs micrographic skin cancer surgeon with 42 years of clinical experience in general, surgical and cosmetic dermatology. I have also reconstructed numerous facial wounds after removing complex skin cancers on many of my patients’ faces. With my experience, I have a full appreciation for the complexity of eyelid surgery. I have referred numerous patients for ocular plastic surgery during my career. 18 years ago, I had disappointing cosmetic eyelid surgery that ultimately left me uncomfortable and disfigured. I consulted with three other ocular plastic surgeons who recommended that I do nothing and simply live with the result. I heard Dr. Fagien speak at a cosmetic surgery meeting, where he addressed the particular problem that I had. In that presentation, he spoke about the techniques he had developed to reconnect the outside parts of eyelids to the surrounding bone. I was relieved to know that someone would be able to correct my problematic previous result. I met with Dr. Fagan at which time we discussed my concerns. All of my questions were answered with compassion and respect. In my case, the lack of eyelid support by the orbital bone and excessive surrounding skin created unnatural webbing, narrowing of the opening of my eyes and discomfort from displaced and ingrowing eyelashes. The procedure that Dr. Fagien performed, known as lateral canthoplasty with retinacular suspension, enabled correction of the discomfort and disfiguring changes that had developed. I could not be more grateful or happier! And I think I look a few years younger, but all of my friends and family say I look at least 10 to 20 years younger, especially since Dr. Fagien removed those pesky bags under my eyes, as well🤩! Dr. Fagien carries world renowned stature for his skills, innovations, publications and kindness. I would trust him with any of my patients, family members or friends. In addition, Dr. Fagien and his staffs’ professionalism and attention to detail are unparalleled!
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Healthgrades User
5 September 2022
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I hv not had anything done yet. My visit was very nice and pleasant. I liked everyone in the office. Everyone seems happy. They are very welcoming. I look forward to some necessary good changes for myself. Like the Doc also.
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Healthgrades User
3 March 2022
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Surrounded by Kindness It’s always a pleasure to visit Dr. Fagien! The staff is warm and helpful, and Dr. Fagien is a true master with an engaging sense of humor! It’s a wonderful experience, and I always leave feeling lucky to have found a doctor that cares. … and the outcome is always fantastic!
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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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Mary Daniels
28 June 2021
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Dr. Fagien and his staff have always given me exceptional care and attention during my treatments. The office has a calming ambiance and treatment areas immaculate without being too clinical. The treatments Dr Fagien has given me were done with precision and skill. I consider my results successful.
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Healthgrades User
2 June 2018
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Excellent! Awesome staff. Very supportive and skilled. Once you meet this doctor and his staff you won’t want to go anywhere else.
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Nancy Jetta
16 August 2022
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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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CHERYL SURTEL
19 June 2022
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My experience with Dr. Vaca and his staff was wonderful. He has precise attention to detail and ensured the outcome of my procedure would be perfect! I would recommend him to my family and friends for any plastic surgery needs.
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Heather Irurzun
14 August 2025
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Dr. Steven Fagien did an amazing job on my Upper eye eyelids! Heavy lids run in my family and my sister went to him over 10 years ago and said he was the best and she was right! The team at his office is so friendly and so is Dr. Fagien😊 All of my family members keep telling me how much younger I look so thank you so much to Dr. Fagien and his team of employees😊
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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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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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Y M
16 September 2022
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Definitely 5 Star!!
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Healthgrades User
18 October 2025
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My Miracle Man! Dr. Fagien is well worth the wait! When it came to trusting somebody to doing my eyes, there was no other choice. He is the best of the best!!!! His work, and referral from patients and colleagues, speaks for itself. I had absolutely no reservations that I would have my eyes back the way they were, and not have them look fixed. He is caring, spends time explaining things to you, and goes beyond in every way. I can’t tell you how pleased I am!!!! Have no reservations about Dr. Fagien, he is truly and eye artist!!!
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Michelle Lymber
18 August 2022
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Dr Fagien and his support staff are fantastic! So professional, friendly and welcoming.
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Danielle profile picture
Danielle
27 January 2020
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Fantastic experience! Dr. Fagien and staff are professional, knowledgeable and pleasant. Appointments are on time.
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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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Ed Hall
13 June 2024
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Dr. Fagien and his staff are world class. I am a very happy patient. Excellent care and follow up.
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Healthgrades User
22 July 2021
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Traveled from Nashville for blepharoplasty with Dr. Fagien, and my experience has been outstanding. Dr. Fagien is one of, if not the best, oculoplastic surgeons in the U.S., his staff is top notch, and my outcome has exceeded my expectations! Absolutely would do it again.
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Healthgrades User
22 October 2021
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Professional, kind, listens. The staff is patient and efficient. Office atmosphere is very calming
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Wendy Lewis & Co Ltd
28 May 2016
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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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Ellen Niles
3 January 2023
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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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Healthgrades User
3 February 2022
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This is my second surgery with Dr.Fagien. I have never met a person with such a wonderful bedside manner. He has been very helpful in my recovery and I would recommend him to anyone!
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Thelma Moya
3 February 2021
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Dr. Vaca is a articulate professional, who did my lip filler approximately 2 weeks ago, and I am very thrilled with the results. I highly recommend him to do any of your services. He is very pleasant and pays attention to detail and most of all very honest.
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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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Alisa Landy
12 November 2023
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It takes forever to get an appointment but it is well worth the wait. I’m very very pleased with the results of the surgery (5 1/2 weeks out) and the whole process was really pretty easy. Plus the staff couldn’t be nicer in terms of answering questions and follow up. They even sent someone from the office the day of surgery to see if I had any questions and generally to put me at ease As I wrote it is worth the wait.
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Healthgrades User
10 September 2025
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Never a doubt 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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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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Healthgrades User
21 November 2019
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flew in from NYC land of well know doctor.s for Dr Fagien. all my friends said why are you flying to Boca. when I came home they saw the amazing results of this doctors work. they are now booking their airline tickets.
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Lois Zenner
27 February 2022
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Fillers As painless as possible, excellent Dr Fagien, excellent staff!
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Brenna Hennessey
30 August 2020
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He is an amazing and talented surgeon! I cannot recommend him enough. Extremely detail-oriented with a wonderful bedside manner.
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Jean Bromson
14 November 2019
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Awesome surgeon! I had a great experience 😊
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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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Ellen Glantz-Tucker
17 July 2026
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Dr. Faigen is spectacular! Kind, talented……my results far exceeded my expectations! I cannot thank him enough. So highly recommend him.
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Jana Hamade
12 November 2020
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Dr. Fagien is one of a kind! He has the best staff, best office manager, and all around great atmosphere. He always delivers the top results and really listens to your concerns. The most caring, calm, and trustworthy plastic surgeon in boca!
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Linda Wolf
12 December 2021
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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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Lory Reyes
25 July 2022
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The best! Dr. Fagien has fixed my previous eyelid surgery and U’m so happy with the results! He is personable, competent and an excellent surgeon.
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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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Mark
28 January 2020
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I waited less than 5 minutes in waiting room. Dr Fagien came in exam room with in 3 minutes. We you honest and let me know what my options were. He told me to save my money that I wouldn’t get results that I was looking for . I’m very happy he was honest with me and not looking at my as dollar signs. Definitely would recommend him.
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Gwen Hudson
12 April 2018
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I love Dr Fagien. He did my eyes ten years ago. They still look awesome. I have spoken to many professionals and his peers and they give him stellar reviews. He is very passionate and meticulous about his patients and work. I highy recommend this handsome and charming doctor. I recently visited with him and will be returning for treatment soon! He is very kind and thorough!
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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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Healthgrades User
5 October 2018
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Dr. Fagien and his staff were amazing! They answered all of my questions and made me feel comfortable with my decision to go forward with surgery.
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Kiara Maldonado
20 February 2023
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Dr. Vaca is very patient and caring. There are other doctors who will rush the process and all they see is a dollar sign over your head. If you are looking for someone to take their time and truly value you as a patient of their practice, this is the doctor you need to see!! He has a sharp eye for perfection and is very honest and thorough with his work. 15/10 recommend!
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Healthgrades User
4 November 2021
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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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Orlando Lopez-Fernandez
25 January 2024
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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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David Hidalgo
6 April 2023
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I am a plastic surgeon and just went to Dr. Fagien for upper and lower eyelid surgery. The procedure was easy, painless, and looks great already, only two weeks later. Knowing everyone in the business means I could have gone anywhere. Dr. Fagien is the very best and is also one of the kindest and most compassionate individuals I know. If you found him, look no further.
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Annie Berman
12 October 2024
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Simply the best! Extremely professional excellent staff. I couldn’t be happier
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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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Patti Max
5 March 2025
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Dr. Steven Fagien is a genius Dr. Steven Fagien is a genius and a super talented surgeon. He is in a league of his own. He dedicate the time to perfect every surgery. He listens, cares, and has an innate ability to understand understand every patient’s wish, and turns those wishes into a reality. I recently underwent an upper and lower blepharoplasty. I am a perfectionist, and even I am amazed at how this master surgeon opened up my eyes to look 10 to 15 years younger in a most natural way. Dr. Fagien, is very kind and compassionate. Is it any wonder that his office staff are caring unprofessional? They handled all my needs, including following through all medication refills. My eyes were blessed with Dr. Steven Fagan‘s hands.
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S Andrews
9 August 2022
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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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H.Cohen
30 August 2019
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I was very impressed by Dr Fagiens explanation and patience about the procedure he would be doing on me.He made me feel very comfortable and would use him,also .staff was terrific . Would highly recommended Dr Fagien
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Sevigne
25 March 2024
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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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Nina
26 January 2025
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Dr. Fagien- the best plastic surgeon I had a lip filler treatment done with Dr. Fagien two months ago, and I couldn’t be happier with my decision. I used to have downturned corners of my mouth and very thin lips, but now the corners are lifted, and my lips are fuller, beautifully shaped, and incredibly natural-looking. My facial expressions, speaking, and all movements are as normal as ever.I feel like my face looks more youthful and vibrant, and my self-confidence has significantly increased. Even those around me, who usually don’t approve of cosmetic treatments, have complimented my new lips and said they love how natural they look.Thank you so much, Dr. Fagien for giving me such beautifully shaped lips and a smile that I truly love!
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Vanessa C
22 July 2020
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Beautiful office, lovely staff and a clear and thorough consultation with the Dr. Already feel confident in his skills! Definitely going to proceed with procedure.
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Jahlecia Newland
11 July 2024
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Dr. Vaca is an exceptional Surgeon who has truly changed my life. he restored my self-esteem when he performed surgery on my ear to remove a very large tumor that I had for many years. The tumor haunted me for years and I could not find anyone willing to remove it. I was truly blessed when I was introduced to Dr. Vaca by my aunt who believed that Dr. Vaca was the best person to remove this tumor. Without hesitation, Dr. Vaca agreed. From the moment I met Dr. Vaca, I was impressed by his professionalism, empathy, and dedication to patient care. He made me feel calm, safe, secure, and completely at ease throughout the procedure. Dr. Vaca took the time to thoroughly explain my procedure, ensuring that I understood every step. The surgery itself was a success beyond my expectations. Dr. Vaca's expertise was evident throughout my recovery. I was free from scarring to my surgical site, and looking on my ears, you cannot tell which ear had the surgery. Post-surgery instructions and care were exemplary. I would highly recommend Dr. Vaca to anyone seeking top-notch surgery. Thank you Dr. Vaca and your exceptional team for your exceptional work and for making a significant difference in my life. I am blessed to have you as my doctor. Jahlecia Newland.
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Amy Appel
17 January 2019
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Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.
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Taylor M.
28 July 2023
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I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
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Alicia Kalvin
29 April 2021
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Dr Fagien and his team are the best! I had my upper eyes done in August 2020, they turned out terrific and the doctor’s office called me every day for a week to check on me and see how I was healing after my surgery. I’m so glad I made this decision and I highly recommend Dr. Fagien for anyone who wants beautiful youthful eyes.
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Love V
23 May 2024
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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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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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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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Bob S profile picture
Bob S
11 December 2024
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Amazing Cosmetic Eye Surgeon 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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Kristen Gentile
4 February 2026
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Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!
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Catherine S profile picture
Catherine S
14 October 2020
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Dr.Fagien and his extra pleasant staff made me so comfortable for my upcoming surgery . It was a breeze with no pain , and the outcome looks wonderful , though I’m still swollen and the full results will be seen in a month or so . He is very kind, comforting and a true artist . I give him a 10!
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Healthgrades User
12 December 2025
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Best of the Best I went to see Dr. Fagien for upper and lower eyelid surgery. The minute I stepped into his office I knew without a doubt that I was in the right place. His office is aesthetically pleasing. His staff is so friendly and welcoming. Dr. Fagien hands down is the best doctor/surgeon that I have ever met in my life. He is so professional and has such a calming demeanor. As it got closer to my surgery his staff kept me informed and engaged every step of the way. I shared with many of them my fears and anxiety about this, my first surgery in life, and they were so reassuring which helped to put me in a peaceful place. The days leading up to and immediately following the surgery they kept in constant contact with me and checked on me regularly. They went above and beyond. Dr. Fagien is a top notch doctor who is very careful, precisioned, and a laser focused surgeon. He ialso has a very calming spirit about himself that put me instantly at ease. I highly, highly recommend Dr. Fagien.
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Judi Nelson profile picture
Judi Nelson
18 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is amazing. One week post-op neck and facelift and I feel great. Still a little swollen but I can see it is going to be great! He is meticulous and talented but also kind and considerate. The whole office is wonderful.
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William Cash profile picture
William Cash
1 March 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.faigan restored years of bad choices I had .made...Chronic Alcoholism and Drug abuse...Now at 49yrs old and a devout Christian I had to come to realize I needed to be freshened up...Nothing to drastic just little filler here and there with some botox and I must say first visit was beyond my exspectations... Dr.faigan made it very clear that this would be a process not an over night fix...So after 3 visits I look 10 years younger....For any one considering Dr.faigan I would say this is the doctor you want. He's honest caring and his staff are all sweethearts...My first visit i told him what i wanted and the next 2 visits i asked that he decided what he thought....You must decide your buget meaning how much can you afford as I did research prior to visit to see what things cost today...I was surprised on my check out that hes quite fair and reasonable on his work....Amazing results.....Felt as if I was in Gods hands the whole time...Ladies look him up for yourself.....He teaches and has written several books ...Dr.Faigan thank you and God Bless you and your Staff.....Sincerely Dori Cash
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Healthgrades User
22 June 2026
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Best Blepharoplasty Doctor I have been waiting to do my eye surgery for several years. In the meantime I did quite a bit of research and and had friends who Dr. Fagien operated on and look spectacular. His professional and meticulous manner from the very first visit confirmed my choice and seven weeks out post surgery I have never been happier. I tell him he has a special gift and I’m grateful that he shares it with us.
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K G profile picture
K G
9 September 2020
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In June 2020 Dr. Vaca performed a facelift using the SMAS technique. From the first day we met, during many emails and phone calls, day of surgery, post-op visits and again, many calls and emails, Dr. Vaca was informative, caring and patient. Dr. Vaca is very detailed and made sure that I fully understood everything regarding my health and procedure. Every question was answered. I am thrilled with the outcome and happy to speak to anyone who still has questions about Dr. Vaca.
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Maria Marquez
4 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven is an excellent surgeon, I had my eyes done in May and the outcome was perfect. There was absolutely no pain, the customer service from his staff and from the hospital he uses are extraordinary. If you are thinking about having your eyes done, Dr. Steven is on excellent choice. Also I have to mention that results are very natural.
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Ann N profile picture
Ann N
21 April 2021
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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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Janet profile picture
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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Patricia Chevrier profile picture
Patricia Chevrier
20 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I would very highly recommend both Dr. Vaca and Dr. Fagien. I was referred to this practice by a number of individuals and doctors. I also did a lot of research on my own before making my decision to have cosmetic surgery. I could not be happier. I found they listened to me, offered excellent advise and did exactly as I asked. The entire staff is professional and really care about their patients.
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Randy Lebowitz
29 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is THE BEST eyelid plastic surgeon possibly in the US. I would highly recommend his work for anybody thinking about their eyes and having surgery!!
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Tours and info by Simo Boggio Byrne profile picture
Tours and info by Simo Boggio Byrne
20 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien did a fantastic job to my eyes, I had no pain at all and the result is amazing. All his staff is excellent. I highly recommend Dr Fagien
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C V profile picture
C V
25 August 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Blepharoplasty with Dr. Fagien: A Review I recently had a blepharoplasty performed by Dr. Fagien, and I couldn't be happier with the results. Before the procedure, I had very hooded eyelids, but now I have a visible eyelid—a change so subtle and natural that I don't even feel the need to wear makeup anymore. The results are incredibly refreshing, making me look more awake and like the best version of myself. From the very first consultation to the final follow-ups, Dr. Fagien's kindness and care were exceptional. He is a true perfectionist with an incredible eye for even the smallest detail, which put me completely at ease. He genuinely cares about his patients' comfort and outcomes, and his surgical skill is second to none. I was also impressed by his specific post-operative care protocol, which I followed precisely. My recovery was surprisingly easy, with no pain, no bruising, and only mild swelling for about a week. Within a few days, most people had no idea I had even had surgery! The entire experience far exceeded my expectations. I am so grateful to Dr. Fagien for his precision, surgical skill, and genuine kindness. I highly recommend him to anyone considering eyelid surgery.
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Leslie Crisco profile picture
Leslie Crisco
19 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Could not have been a better experience. Dr. Fagien and his staff are all truly wonderful!! Dr. Fagien ‘magically’ made all of my bags disappear. He makes Houdini look like an amateur. Truly truly amazing.
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ingrid levine profile picture
ingrid levine
22 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
An amazing experience from the staff to the doctor everything was wonderful would highly recommend going to this office and having a procedure done no regrets!!
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Roberta M .Deutsch profile picture
Roberta M .Deutsch
10 June 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I have been going to Dr. Fagien since 2012. He is a consummate professional and has a great bedside manner in addition to exceptional skills. I always look like I just went on vacation, really natural. I rarely bruise and this is because he numbs you from the inside. I wouldn’t go to anyone else and I wholeheartedly recommend him to anyone wanting to look refreshed and rejuvenated. He has an excellent skilled staff ready, willing and able to take care of you during your visit. He’s just the best.
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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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J profile picture
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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Allyne Cole profile picture
Allyne Cole
16 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.Fagien is truly a master at his craft. He is a highly respected expert in oculoplastic surgical and non-surgical procedures for a plethora of reasons. He approaches each patient with a sincere desire to create a natural, more youthful appearance with an artist’s eye, years of experience, and a deep sense of caring. His bedside manner truly adds to why he is beloved by all who meet him.
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Iris Nystrom
18 August 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is my good news doctor....he and his staff are always warm and professional ....I've sent many people and they always appreciate that he helps them look and feel their best, well, maybe better than their best....
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Tracy Brinker profile picture
Tracy Brinker
3 November 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
SO SO SO HAPPY!!! Dr. Vaca is officially my plastic surgeon for- EVER. Do not (i repeat) go anywhere else. He is just so kind and he listens and honestly let’s face it - this is all about Trust. I had full trust in him from the beginning to the end and he made me feel my best throughout the process. Honestly I have found more items now to do and look forward to seeing him again. My brows are amazing Dr. Vaca!!!!!! Just so so happy!
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ZILÄ BLÜE profile picture
ZILÄ BLÜE
13 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Extremely talented with a perfect outcome. Everyone is also very nice at the office. - Veit
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Cindy Grafman profile picture
Cindy Grafman
31 October 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
The BEST !!!!! I wouldn't let anyone BUT Dr. Fagien touch me.. ! He's gentle, kind & treats his staff like family.. He "listens" to what & how you want a procedure unlike so many other plastic surgeon's.... Staff is very professional & caring ... I highly recommend Dr.Steven Fagien for any procedure... That is how he gets his impeccable reputation....
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Julia Dolganova profile picture
Julia Dolganova
4 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The Dr.Fagien is experience , honest ,caring and his staff was amazing. He made sure I was comfortable and okay throughout the whole process. I'm very thankful to have met him and his entire staff. I highly recommend this place for all the Beaty Treatments. Office is so clean and welcoming. Will be back !
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Maia Pinzur profile picture
Maia Pinzur
7 August 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca and his team are so amazing!! I received a rhinoplasty and chin implant and couldn’t be happier! I healed so well and was checked up on multiple times during recovery. Dr. Vaca understood my wants and concerns with the surgery and was with me every step of the way. My results have truly changed my life and I’m so happy with my decision choosing Dr. Vaca. I felt very secure because he is confident in himself, which was a very important aspect when ultimately deciding which doctor I wanted to move forward with. I am 2 months post op and could not have asked for better results. I received exactly what I asked for and am over the moon! A big thank you to Dr. Vaca and his team!!
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Stuart Rosenholtz profile picture
Stuart Rosenholtz
19 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is wonderful and is great when it comes to cosmetic eye surgery
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Yui Thain profile picture
Yui Thain
27 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven was very professional and nice. It was a great experience getting my Botox done with him. Wouldn’t want to go to anyone else. Thank you
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B Glazer profile picture
B Glazer
17 April 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
From the lovely waiting room till my last visit I’ve enjoyed great care. The front desk nurses are smart and welcoming. All the nurses in the office and at the hospital were warm and caring. Dr Fagan is marvelous and has done a wonderful job. I highly recommend him!
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Danna Noik profile picture
Danna Noik
4 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Doctor Fagien is a Master at his craft! I cannot recommend him highly enough. To be a patient of his is an absolute privilege and the results are just spectacular.
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Jennifer Mendez profile picture
Jennifer Mendez
12 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Love the staff and office! Always a pleasure every time I come for my follow up! Dr. Fagien is an amazing doctor and so sweet! He is the best!!! You will not regret!
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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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Wendy Kupfer profile picture
Wendy Kupfer
21 June 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien is terrific I thoroughly trust him. I’m always pleased with the results and he does everything he can to make the procedure pleasant. I highly recommend Dr.Fagien!!!
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Larry Sala profile picture
Larry Sala
21 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
amazing doctor, caring staff ... and most importantly PERFECT results! thank you!!

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