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
8 October 2025
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Superior Doctor!!! I cannot say enough about Dr. Fagen. He is absolutely flawless — the most professional, skilled, and compassionate physician I have ever encountered. His expertise in eye procedures is unmatched, and his calm, confident manner immediately puts you at ease. From start to finish, the experience was exceptional. I trust him completely and wouldn’t consider going anywhere else!
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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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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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Iris Nystrom
18 August 2019
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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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Healthgrades User
9 May 2022
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THE BEST Everything he did was top notch! His bedside manner is behind compare & the staff as well. Would highly recommend him for any type of cosmetic surgery.
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Joanne Barone
11 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is clearly the expert in his field. I had under eye bags which can be challenging. I am extremely pleased with the procedure; the results are very natural. He is a medical doctor and artist with great care for his patients! The entire team is great to work with they provide excellent aftercare.
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Donna V. Molinaro
26 July 2021
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I’ve seen Dr Faigen for injectables. You may feel confident in Dr Faigen’s work. His approach is comforting, his work distinguished. He listens and creates a wonderful, natural look. He and his staff’s care and warmth is apparent during the entire experience. I have recommended him to family and friends, which is the greatest compliment.
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Olivia Focazio
21 October 2020
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Dr Fagien is the master of his craft. He never fails to deliver amazing results! Ive had Botox and filler and always have come out looking natural and a more beautiful version of myself. Not only is he an artist and extremely knowledgeable, but he is so down to earth and cares for his patients wholeheartedly. His staff is amazing and so professional. I recommend him and his practice to everyone I know, without any hesitation. Dr. Fagien is unquestionably the best in the business. Thank you for everything you do! You are the best :)
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Josie Murray
13 May 2022
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Honestly wonderful experience from start to finish. I had an accident and needed stitches in my eyelid. I was scared and upset and the team was great. It’s nice to feel heard and understood from a doctors office, especially when you’re in crisis. Dani at the front desk really listened to what was happening and made sure I could be seen as soon as possible and answered all my questions. Dr. Vaca worked quick and well. It was such a fast and painless process. They answered any and all questions without judgement. When it was time to remove the stitches I was in and out the fastest I’ve ever been at a doctors office. Effective, efficient and kind place. Would definitely recommend.
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David Kimmel in Hudson, FL
16 October 2017
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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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Alice Tate
21 March 2026
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Fantastic doc and I wouldn’t go to anyone else!
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Healthgrades User
27 July 2023
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The best! My surgical experience with Dr. Vaca was extremely positive. I so appreciate his empathy for my concerns and professionalism in laying out reasonable expectations. I had facial and breast surgery, my stitches are nearly invisible. He and his staff were very available to answer questions along the way. Their kindness and attention to detail give me great confidence in recommending their practice. Superb results!
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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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Kristin Padowitz
19 December 2024
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Look no further! Dr. Fagien is the best of the best. I am a very high maintenance patient, extremely nervous and anxious. Dr. Fagien and his staff were incredibly caring and comforting. Dr. Fagien’s bedside manner helped me feel relaxed and gave me the knowledge that I had picked the right doctor for the job.
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CHERYL FRIEDMAN
27 July 2022
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Dr Fagien is the best. He’s very personable and the best ever…Ide never go anywhere else. Office is beautiful, staff is wonderful. There arent enough nice things I could say about him.👍🏻👍🏻 Or them.
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Healthgrades User
25 January 2021
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A friend had recommended Dr. Fagien while I was visiting in Florida. I decided to stay in Florida beyond my expected departure and made my appointment with Dr. Fagien. I can’t believe the different between my prior experiences and with Dr. Fagien and his staff. The office was impeccable and I felt like I was the only patient there as they have strict Covid policies. I was brought into meet Dr. Fagien exactly on time. Dr. Fagien evaluate me and explained my options in exquisite detail including what I could expect from each of the treatments. His treatment nearly painless and had minimal signs of treatment. I was thrilled with the experience and the results as were my friend who was also impressed. I will be flying back down to Florida for my next treatments and when I need eyelid surgery. Thank you Dr. Fagien and your amazing staff!
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Healthgrades User
8 July 2023
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Wish more doctors were like Dr. Vaca In an age of acceleration and rush, Dr. Vaca stands alone with his uncommon patience, sincere kindness and genuine care. He explains procedures thoroughly and his clinical skills are extraordinary. As a highly discerning patient, I can’t recommend Dr. Vaca highly enough.
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Nancy Vezza
11 August 2023
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Excellent Doctor! Dr. Vaca was amazing! He spent a great deal of time in my consultation explaining my options in detail. I was very impressed by him.
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Vinny Frisone
17 September 2026
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Dr. Steven Fagien did an unbelievable job on my eyes. I had my upper and lower eyes done and i look Completely refreshed and much younger. Thank you to the staff and Owni who Took very good care of any of my needs and any questions that I had along the way and before and after. Surgery went smooth there was no pain at all. Throughout the whole process, Dr. Fagien was always available and easy to reach. Don't look anywhere else there is no one better.
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pamela rosen
7 August 2022
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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".
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A L
30 July 2023
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I had upper and lower eyelid surgery with Dr. Fagien in March. This was the first cosmetic surgery I have ever had. It took me about 5 years to make the decision to do it and then another year to find the right surgeon for me. Someone told me that when you meet the right doctor for you it’s like an “aha” moment and that’s how I felt when I had my first consultation. He was very pleasant and patient and addressed all my concerns without being dismissive. To be honest, I was extremely nervous the day of surgery but it helped that everyone at the surgery facility was attentive and very caring. I am extremely thankful and fortunate that Dr. Fagien did my surgery. He and his amazing staff, Victoria, Dani and Devina, made themselves accessible by phone/email, did follow-ups on any issues that I had post surgery. I never felt worried about the care I received and if I had any concern, no matter how trivial or serious, it was addressed. My appointments never felt rushed. Due to Dr. Fagien’s expertise and skillful hands, my expectations were met - my eyes feel and look great and natural. I can’t express enough thanks to Dr. Fagien and his staff for giving me the care I needed. They are indeed the best!
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Vincent Traina
9 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
A wonderful experience with outstanding results. Honest, Passionate, Gentle, Kind, Friendly, Knowledgeable. Three thumbs up to Dr. Fagien and The Fagien Team. Highly Recommended. :-)
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Jana Hamade
12 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Jana D'Agostino
16 September 2021
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Dr Fagien and his staff are amazing. His office is very clean and beautiful. He truly listens and gives his honest opinion about what you need. I have been coming to him for Botox and fillers in my forehead for over 2 years and he is a true artist and pays close attention to details. After going to multiple doctors before him and not having the results I wanted, he came highly recommended. He was the only doctor that was honest and said that Botox alone would not help my deep lines in my forehead. He goes above and beyond to make sure you are happy with your results. I will be his patient for life.
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Juan David Velasquez
25 February 2021
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I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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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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W P
2 March 2026
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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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ingrid levine
22 April 2022
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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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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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Yolly Bolasini
10 September 2026
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My whole experience was wonderful! My dermatologist had recommended Dr Fagien for my eyes surgery, but I was a little hesitant after hearing so bad stories about other doctors. One year ago I finally decided to take the chance and today I thank myself for doing it! My eyes look so good yet so natural that most of my friends didn't notice about a surgery! They just say I look so young and pretty! Dr Fagien is very kind and extremely good professional! He took care of me all the way, he kindly answered all my doubts and concerns and helped me out through the whole process. Also his team, all the staff at his offices are really nice and knowledgeable. I recommend this doctor to anyone who wants their eyes to look amazing!
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Healthgrades User
10 September 2023
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Amazing!!! I have had several cosmetic procedures done over my 50 years of aging. I am very conservative and well researched. I consulted several top oculoplastic surgeons before choosing Dr. Fagien to perform my bletharoplasty.Dr. Fagien's consultation was informative and very reassuring. The result was perfect. No scar, no mistakes, no sign of any work done. THIS DOCTOR IS INCREDIBLY TALENTED. If you live in Florida go see him, if you live anywhere else, get on a plane and go see him it's worth it.
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A.N.
17 August 2022
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Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.
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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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Healthgrades User
30 July 2020
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He is an excellent Dr.
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Holly Devito
12 June 2023
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Dr. Fagien and his staff are wonderful. They took care of my daughter and made her feel safe and comfortable. She had perfect results and could not be happier!
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Nancy Stephens
18 February 2022
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Amazing person , outstanding Physician and surgeon . Meticulous attention to details . fabulous staff ..
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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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DAZ
22 April 2022
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TEN STARS! From my first consultation to my surgery and follow ups, this staff and surgeon was one of the best experiences I have ever had! Professional, friendly and caring staff. Dr. Fagien is one of the finest surgeons you will find. He came HIGHLY recommended & was everything and more! If you considering this surgery, do not look any further, make your appt for consult and get it done! - I am beyond thrilled with the results . Dr Fagien and his entire team will go above and beyond in taking care of you. - He is world renowned for a reason! I cannot say enough positive remarks about my experience with Dr. Steven Fagien and his team. Thank you Dr. Fagien and staff! Dustie
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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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Healthgrades User
30 June 2023
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Awesome! Highly recommended! Listens to his patient & spends time, felt very comfortable immediately!! Office. Staff is awesome as well.
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Marilyn P
26 January 2021
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Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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Suzette Botero
18 October 2020
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Dr. Fagien is the best of the best! The only person I trust when it comes to eye surgery and injectables. My mother’s eyes look great and my injectables super natural! Love his professionalism, and his staff is SUPERB!
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Kim Romano
28 March 2021
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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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Healthgrades User
17 October 2026
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Great surgeon Great team, personalized service and care, perfect results
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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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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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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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bob S
10 December 2024
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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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Healthgrades User
6 August 2021
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Dr Vaca is so attentive and showed such amazing concern for my very damaged nose. I felt so comfortable with his recommendations to correct years of damage and subsequently had an amazing result. His staff is caring and very welcoming. Highly recommend this talented Doctor!
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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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Linda Mayer
5 May 2021
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From the moment I walked through the door to the beautiful office, I always feel right at home!! Dr. Fagien is so sweet but yet very professional and has such a gentle touch , I never feel any discomfort when I get Botox and filler injections ! He's a true pro and I highly recommend him. Thank you Dr. Fagien I feel very fortunate to have my treatment by you and your team. Also Thank you Owni and Divina for assisting in my treatment, you made me feel so comfortable. Thank You!!
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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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Max Lehrman
26 May 2023
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I cannot speak highly enough of Dr. Vaca and his team. Dr. Vaca fixed my deviated septum. The results have been fantastic with no complications or issues. Dr. Vaca and his team were always incredible to work with - always extremely pleasant, communicative, and responsive. Additionally, Dr. Vaca's knowledge and expertise is beyond impressive.
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Todd
17 January 2023
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Excellent Eyelid Surgeon Dr Fagien is an excellent eye surgeon! Every step of the process was perfect. Anytime I had a question or issue, I was able to see Dr Fagien or his amazing staff quickly and the office was always helpful and kind. My results were also fantastic. I would highly reccommend Dr Fagien and his office to anyone thinking about having eyelid or other eye plastic surgery.
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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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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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Lisa RP
24 October 2025
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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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Barbara Joyce
17 July 2023
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I had an amazing experience Dr Vaca took his time making sure he was doing what I wanted.His staff was also wonderfull to work with.I would definitely advise my friends and family to use him for any plastic surgery that needs to be done
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Kelly V.
10 June 2023
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Highly recommend Dr. Fagien! He is the best!! The past couple years, I’ve been researching which doctor to perform my upper and lower blepharoplasty. After several consults with doctors in Beverly Hills, I was referred to Dr. Fagien, from my cosmetic dermatologist, in Miami. After meeting Dr. Fagien and his staff, I knew he was the right one. The results are beyond my expectation! From start to finish, my experience was positive and I would highly recommend Dr. Fagien and his team. Thank you for everything!!
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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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Betina Garcia
29 January 2025
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Definitely will recommend Dr Fagien and all the staff were great. As soon as you walk in the door they make you feel confortable and cared for. My upper eyelid surgery was a success , no pain and quick recovery. Dr Fagien is not only an artist but a great human being.
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Healthgrades User
20 August 2025
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Exceptional Results I cannot say enough wonderful things about Dr. Elbert Vaca. From the moment I walked into his office, I felt completely at ease. He takes the time to truly listen, answer every question with patience, and explain all options in a way that is clear and comforting. His caring nature is evident not only in how he treats his patients, but also in the beautiful and natural results he delivers.The quality of his work speaks for itself — precise, thoughtful, and done with such an artistic eye that enhances rather than changes who you are. What I appreciate most is how much he genuinely cares about his patients’ well-being, both physically and emotionally. You never feel rushed or like 'just another appointment'; he treats you as if you’re the most important person in the room.If you are looking for a cosmetic surgeon who combines exceptional skill with true compassion, I wholeheartedly recommend Dr. Vaca. He is a rare find, and I feel so grateful to be in his care.
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Healthgrades User
6 August 2021
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Great staff, comfortable surrounding, and great patient care. Dr. Fagien is amazing! He takes time to explain in detail and answer questions. The entire staff was professional and caring. Thank you so much… love my results!
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RB Cutie
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Irene Zingg
11 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is simply the best eyelid surgeon out there. Do yourself a favor and save time by going straight to him. I saw two other popular plastic surgeons before I met him, and I was just not impressed with either one. I had the bar set very high though, since I worked with a famous plastic surgeon in my other life. Yet as soon as I met Dr Fagien and saw his work, I knew he was the one! So much so, that I barely asked him any questions, I just scheduled my surgery. Three weeks after my surgery, I went to a wedding and no one noticed I had surgery, but people kept telling me how great I looked. It’s been four months now and I absolutely love the results! My eyes look amazing, and I couldn’t be happier. His entire staff is wonderful. The outpatient facility is wonderful! The anesthesiologist was super nice. The recovery was a breeze. I would only suggest that you don’t see yourself in the mirror until the day your stitches come out😊 Dr Fagien is an amazing doctor and a wonderful human being. Caring, professional, super nice, and even funny. Absolutely nothing needs improvement in his practice. Irene Zingg
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Denise Cody
9 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Jen Star
30 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent MD!! I would recommend him to everyone!
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Tracey Sullivan
1 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien and Dr Vacas’ teams are all so easy to work with. They are knowledgeable and so pleasant! Going to the office is a pleasure.
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Rivka Liberman
2 June 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Excelente Doctor and excelente staff. Love you all.
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Healthgrades User
8 December 2020
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Dr. Faigen is amazing. He has the patience of a saint and I couldn’t be happier. This was not my first experience with injections and fillers, but it was definitely the best.
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OL
21 February 2023
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Simply the Best! There is a reason Dr. Vaca is consistently rated 5 Stars. The experience starts with a phenomenal staff. From the moment you first call, you are treated with the utmost professionalism and personal touch. I just underwent a mini face lift with Dr. Vaca and could not be more pleased to have had him as my surgeon. He has impecable bedside manners. He takes tremendous pride in his craft, and as such, is meticulous and thourough. He listens attentively, addresses every concern, explains timelines, and sets realistic expectations. He takes his time to make sure the patient feels comfortable. At no point will you ever feel rushed. The procedure went so very smoothly, and so did the recovery. There was zero bruising, and very mild swelling! I was able to return to work within a week, and the end result was a very natural look! A youthful, and rested look. It is the combination of personal care and attention coupled with such quality of medical care that makes Dr. Vaca an exceptional surgeon
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Healthgrades User
10 September 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Mandi Fiddle Bergenfeld
24 December 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Kind and fabulous doctor!!!
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Denise Levin
11 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone was friendly and professional. All aspects of the treatment were explained. The staff has been great about follow up visits, and Dr. Fagien is great.
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Robert S
15 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent results and a great experience from both Dr Fagien and his staff.
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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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Mary Daniels
11 November 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
An Incredibly Talented and Knowledgeable Doctor I am not new to injectables. Sometimes I’m pleased with the results and sometimes not so much. HOWEVER, Dr. Vaca has overwhelmed me with his skills and doctor-patient approach. I couldn’t be more pleased.
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Alexandra Vanella
15 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I had the best experience thanks to Dr. Vaca. We did an in-office chin lipo procedure in January 2021. I’m still seeing results everyday. It was extremely quick & easy. I couldn’t be happier with the results!
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Azul Iglesias
3 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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Joanna
9 December 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The whole experience was very comforting, caring and inspired confidence. I considered getting my eyes done for a long time but when I was finally ready Dr. Fagien and his stuff made this process wonderful. My results are incredible and I would recommend this practice to everyone who considers any kind of plastic eye surgery.
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Diana
5 March 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Lisa Schaller
10 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Everything was fantastic from my first consultation through my recovery. The staff is warm and friendly. Dr. Fagien is professional and really put my nerves at bay.
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Karen N.
14 September 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The Best! This doctor takes so much pride in his work. I recently had upper/lower bleph and ptosis repair on 8/29/22. From the first visit I felt so comfortable. He takes sooooo much time with you during your visit. He has the best bedside manner. Office staff is great also. I'm still healing, but I love what I see so far. I would not hesitate to recommend Dr. Fagien 1000 times over!
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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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Douglas Rolfe
24 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I had my upper and lower lids done at the end of June, so I'm a month and a half post-op. I am extremely pleased with everything in this regard. Not only is Dr. Fagien incredible and talented, but every interaction with any member of his staff was always 5-star. I would highly recommend him.
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Roshan Mody
3 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
His expertise is unparalleled when it comes to the eyes.
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Man profile picture
Man
17 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
After visited i look like 5 years young er, I am very happy
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Lory Reyes profile picture
Lory Reyes
25 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Maria Victoria Tomic
29 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was one to rave about! I was nervous to get Botox for the first time, but he was incredibly professional, patient and experienced. His bedside manner is informative yet calming. Also, his academic and professional accolades pretty much speak for themselves. I highly recommend using him!
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Vasila Queen profile picture
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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Ariel Williams
2 July 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Went to Dr. Vaca for a deviated septum and rhinoplasty. He has a reputation for being extremely detail oriented and knowledgeable. I am only about 3 weeks out, but for the first time I am waking up feeling well rested! My nose already looks amazing and finally fits my face. I know my case was not the easiest and I am so thankful I chose him! Highly recommend!
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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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Shawn -Satisfied Customer
24 July 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Honest Dr. Vaca is amazing at his craft. His staff was helpful and patient in addressing any concerns. I’m glad I went to him. He did a great job. Thanks Dr. Vaca.
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Healthgrades User
20 April 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien is an exceptionally talented physician. He and the office staff are timely, efficient, professional and very congenial. I highly recommend him.
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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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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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MV profile picture
MV
1 March 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
A True Professional and Wonderful Office staff I underwent a tummy tuck and liposuction one year ago with Dr. Vaca. To say I was nervous is an understatement. I was a bit of a challenging case as I’d had a tumor removed 25 years ago which left me with a vertical and horizontal scar on my abdomen and upper stomach. I knew that anyone Dr Fagien would partner with would be amazing and after meeting Dr Vaca I never felt the need for a 2nd opinion. I especially appreciated how he took the time to think through my procedure considering the challenging scar he had to deal with. His bedside manner is so calming and I truly felt at ease and confident with him. A couple of weeks before the surgery I was so nervous I asked for another meeting just to go over everything with him and his office didn’t hesitate to accommodate me. My results have been absolutely outstanding. I truly have a new lease on life and absolutely love getting dressed every morning! I would not hesitate to recommend any of my family or friends to him!!! Thank you Dr Vaca!
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Grace Marilyn Parsons in Boynton Beach, FL
7 August 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Very pleasant and organized office with excellent explanation of procedures.
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Jana Cooper profile picture
Jana Cooper
26 September 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Faigen is the best!! His office is gorgeous, immaculate and everyone is attentive and kind. Never a wait. Absolutely thrilled with my results and my choice of surgeons. Highly recommend!
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Healthgrades User
26 September 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien and staff are the best! When considering upper eyelid surgery, I knew Dr. Fagien was the top surgeon in his field so my decision was easy. However, Dr. Fagien and his staff exceeded my expectations! Everyone was so professional, friendly and caring. Six months later, I am thrilled with my results! My eyes look amazing! Dr. Fagien is the best at what he does and I highly recommend him.

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