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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Judi Nelson
10 February 2021
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I am not embarrassed to say that at 63 I had my upper lids done by Dr. Fagien. He was warm and professional as was his staff. The eyes came out great. 9 days post surgery now and I am thrilled. Dr. Fagien also repaired a botched eyelid surgery my husband had. He is the best. Highly recommend!
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Beth D
7 March 2024
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Dr. Fagien and staff are amazing! From the moment of my consultation I knew Dr. Fagien was the doctor I needed for my upper and lower blepharoplasty. His expert knowledge along with extreme passion for his work showed immediately. My surgery was in late October 2023 and I could not be happier with the results.
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Joan R.
27 May 2023
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Dr. Fagien does amazing surgery. My results were perfect, the process was smooth, the attention was excellent and I would recommend Dr. Fagien and his team highly. I have had surgeries before and this was by far my best experience! Bravo to the surgical team and the office assistants who were exceptional!
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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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Ciara
23 September 2025
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Dr. Fagien, and his Team are the best!
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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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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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BP
30 December 2021
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I am one of the most qualified patients to recommend Dr. Elbert Vaca, as I had multiple surgeries with him in 2021. What began with one surgery ended with three (TT, neck/face lift and breast reduction), as each surgery over-exceeded my expectations. He's an exceptional plastic surgeon, but also a kind and caring person. During office consultations, Dr. Vaca was patient and generous with his time, addressing my many questions and concerns. He thoroughly prepares his patients for surgery as he wants them to have a successful outcome. I never doubted his recommendations and completely trusted his honest opinion. I was very happy with both the surgery and post-op recovery, as I was well prepared and felt great! I could not have asked for a better surgeon, as he delivers natural looking results. He's highly trained and very proud of his work. I recommend Dr. Elbert Vaca enthusiastically and without reservation.
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Healthgrades User
19 February 2025
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Amazing care! Dr. Fagien was amazing. Extremely professional and knowledgeable. His bedside manner is warm and friendly. Two friends, from different parts of my life, recommended him so I knew I was in great care. He was very clear and thoughtful about what would be best for me and I am just completely thrilled with the results.
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Beatriz Cuervo
1 September 2025
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I was referred to Dr. Fagien by my dermatologist, Dr. Martha Viera, and I have had the best experience with him and his entire team. He is not only an outstanding professional but also an incredible human being. I have lived with a vascular condition in my eyes for more than 20 years. From the very first appointment, Dr. Fagien made it clear that he would only perform my surgery if my retina specialist, Dr. Janet Davis,, approved it. That level of professionalism and care gave me complete confidence in him. The surgery itself was complex due to my condition, but he performed it with excellence. What was already a very special procedure became even more meaningful under those circumstances. The results have been very positive. It has now been two months, and I am still in recovery, noticing improvements every week, with final results expected at six months. Throughout this journey, I have received invaluable support from his team, who have always ensured smooth communication between the doctor and me. I want to highlight the professionalism and kindness of Owni, Devina, Henry. Thanks to them And the other ones in his office, I have always felt cared for and received prompt answers from the doctor whenever I needed guidance. If you are considering eyelid or under-eye bag surgery, I wholeheartedly recommend Dr. Fagien. He is, without a doubt, the best choice!
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Let it Glow Inc
1 April 2021
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Dr. Vaca is one of the best plastic surgeons I have ever worked with. Working in this industry for many years he is definitely one of the best out there. I really enjoyed his attention to detail and making sure I was comfortable. I am not one for getting work done that doesn’t look natural and he helped me achieve my goal with a more natural look. He also has an amazing vibe and great bedside manner. Highly recommended to anyone in the South Florida area.
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Healthgrades User
24 May 2019
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Dr Fagien and staff are excellent! I wouldn't trust my eyes to anyone else
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Dee I
7 November 2025
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Exceptional Experience with My Upper Blepharoplasty! I cannot say enough wonderful things about Dr. Fagien! From my very first consultation, I felt completely confident that I was in the best hands with the best doctor. The entire process—from pre-op to recovery—was seamless. The staff was professional, kind, and attentive, and I felt genuinely cared for every step of the way. The recovery process was a breeze, and my results are beyond what I imagined: natural, refreshed, and beautifully balanced. Friends keep telling me I look “rested,” and that i look younger, which is exactly what I wanted—subtle, yet transformative. If you’re considering an upper blepharoplasty, I couldn’t recommend Dr. Fagien more highly. His artistry and skill truly set him apart, and I’m so grateful for the confidence this experience has given me.
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Michelle haddock
22 June 2020
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I was a patient of Dr. Fagien several years ago and was extremely pleased with the results of my surgery. Recently I had filler under my eyes from a different physician to help conceal my under eye circles. I was not happy with the result. The filler made my eyes look puffy underneath and more black under my eyes. I waited 7 months for the filler to dissolve but it didn’t. I decided to see Dr. Fagien because I know this is his area of expertise. He advised me to go back to the original Dr. which I did but with no resolution. I explained I was concerned it may get worse. He told me he would take care of it but I shouldn’t waste my money over a mistake. I went to the original Dr. and it has been progressively getting better. I really appreciate Dr. Fagien being so ethical. I was ready to pay him and he said I should go back. Not many Drs. would do that! Also, I am not upset with the Dr. who made the mistake. Any surgery or fillers have room for error.
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Andrea Quain
2 June 2021
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Dr. Vaca is an amazing surgeon. He is so meticulous and detailed in his work. I had a BA done by him 3 weeks ago in May and it could not have gone smoother. Dr. Vaca is so sweet and guides you through the process with ease and understanding. I absolutely love my results and I am SO glad he was my surgeon. I will be a lifetime client of his & I have already referred him to family. If you are considering a plastic surgeon look no further. :)
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karine colombin
21 November 2019
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Very professional. Doesn't force services. Just gives informed opinion. The best in Boca. Will recommend to everyone..❤
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Jana in Boca, Fl
11 April 2018
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Always professional and pleasant. His work speaks for itself
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Cynthia Brown
23 September 2022
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Everyone in the office is kind and truly cares. Dr. Steven Fagien is an artist. The results were better than I expected giving me a much younger appearance and a very natural look. I am so very happy with the results and kindness of his team.
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Maia Pinzur
7 August 2024
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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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Jodi Kahn
7 November 2020
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SImply the BEST! I've been going to the brilliant Dr. Faigen for 16 years. He NEVER pushes you into something, even if you want it lol. He's honest, talented and conservative. You'll always leave looking like yourself, only better! Thank you for being consistently the greatest Dr. there is <3
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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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Karen N.
14 September 2022
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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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Azul Iglesias
3 March 2026
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From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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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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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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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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Tony Ramudo
8 June 2022
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Can’t say enough good things about Dr Vaca. An easygoing bedside manner paired with excellent training makes for a great Dr. Highly recommend!
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Healthgrades User
11 April 2025
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Expectations exceeded! Dr Vaca did my lower face and neck lift as well as my lower eyelids and I couldn’t be more pleased with the results! I am 9 weeks out from surgery now, but have felt like I looked fabulous since 3 weeks out. Dr Vaca’s bedside manner is amazing. I’ve felt safe and comfortable with him since my initial consultation. He is kind and caring and always available for questions or concerns. He goes above and beyond to make sure you are happy. Thank you Dr Vaca-you are the best!!!
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Healthgrades User
12 November 2025
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Best Decision Ever I had a temporal lift and upper bleph with Dr. Vaca. It was very important to me that I retain the natural shape of my eyes, and I wanted an effective, yet conservative, approach. Dr. Vaca listened attentively and took time to walk me through exactly what to expect during and after the procedure. I felt safe and assured that I was in capable hands. His entire team is friendly and competent. I am incredibly pleased with the results. Someone I know recently said, “I don’t know what you’re doing differently, but you look younger.” Perfect! That is exactly what I was going for. Sending a huge thank you to Dr. Vaca and his wonderful team!
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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 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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Mary Amado
31 March 2026
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Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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Alicia Wynn
26 April 2018
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Always go with the best. Dr Fagien is the best.
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Krisztina Kover
19 April 2021
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Dr. Fagien is amazing with so much experience, kindness and professionalism! He takes time to explain your options, all the details, supports your decision, and makes you feel comfortable throughout the entire process. Fantastic staff and beautiful office. I am extremely happy with the outcome and I would highly recommend Dr. Fagien! Thank you🌺
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Lynett
15 April 2022
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A wonderful experience Dr FAGIEN is patient, relaxed, and so skilled. He takes the time to study your face and tailor his work to your specific issues. Injections are virtually painless. The staff is lovely, kind and professional.
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James McLaughlin DMD
24 February 2024
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The Best As a retired medical professional I have high standards for where I get treatment. Everything about this office and Dr is beyond reproach. You wil get the very best care and treatment here. Very pleased with the results of my eye bag surgery.
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Healthgrades User
17 January 2020
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Minimal wait and office staff were professional. Didn’t feel hurried. Dr. Was Soft spoken and gracious. Details were discussed and my questions answered.
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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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Cathy Daly
30 January 2024
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From the first call, his office staff has been friendly and organized. They have a few main people who are always available and on top of your progress. You can get ahold of them at any time if you have a question. Appointments were always right on time with no wait. I always look forward to my office visits, too bad I'm healing so fast. As far as Dr. Vaga and Dr. Faigen, all I can say is that there is a reason that they are the top people to see in the US. They are friendly, kind, involved and incredibly skilled. I cannot recommend his office enough for quality care. I also wanted to say that the surgery center was top notch. I was comfortable and the medical team were incredible. I would give more stars if I had the option.
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Lisa Keeler
7 February 2022
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Upper eyes Dr Fagien has changed my life and made me more beautiful than I ever thought I could be. I was very nervous about getting my eyes done and researched all the top surgeons in the States. Finally, I had a consultation with Dr. Fagien and felt assured that I should move forward and get the droopy lids fixed. I can't believe how beautiful my eyes look. The lids and puffiness on the sides were removed. He took the exact measurements pre op and it was a perfect result. I wish I had done it sooner. He's a magician.
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Roshan Mody
3 February 2022
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His expertise is unparalleled when it comes to the eyes.
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Brenda Mussman
25 April 2022
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Dr. Fagien was very knowledgeable & considerate of my concerns.. We spoke about the eye procedure I was considering and he reassured me that it was an easy procedure. He also suggested another eye procedure to think about to be done at the same time.There was no pressure to decide anything that day.
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Tracy Brinker
3 November 2023
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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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Kieran Duffy
22 August 2019
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Top of the food chain. Most professional Dr I have experienced. Spent time explaining what could, should and most especially what should not be done. Excellent follow up. Easy, cordial and professional.
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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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Healthgrades User
4 May 2026
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Wonderful doctor When seeking referrals for a doctor to perform cosmetic eye surgery, one name consistently came up: Dr. Steven Faigen. After my own experience, I completely understand why.Two months after my surgery, I’m so glad I followed those recommendations. I’m truly thrilled with my results, and the entire experience—from consultation through recovery—was outstanding.If you’re considering this procedure, don’t hesitate to contact his office and schedule a consultation.
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Harriet
3 August 2023
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Dr Fagien is an excellent oculoplastic surgeon and I highly recommend him.
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Tours and info by Simo Boggio Byrne
20 March 2021
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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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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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Melanie Wantuck
19 September 2020
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I have been a nurse at Northwestern Hospital for over 20 years, so I have seen many doctors come and go. I work in the PACU and recover patients after various surgeries. Plastic surgery is one of them. So about 2 years ago there is all this talk about this guy in plastics who is a true “prodigy”.... of course my curiosity got the best of me and I started asking around. Elbert Vaca...Dr. Elbert Vaca... the best surgeon anyone has come across in a very long time.... ( this talk is coming from well known (experienced) surgeons ) ... Over the next 2 years, I was able to recover Dr. Vaca’s patients after various types of plastic surgeries. And the results were dumbfounding....he was Incredible .....his results impeccable...honestly, “perfection” in its truest form... I have Personally seen him for Botox and filler.... his work is amazing. *People look like a better version of themselves, not fake or unrecognizable.* I am 48 years old and will travel to Florida to see Dr.Vaca when the time comes for me to get my face and neck lift... this will also include my upper and lower eyes. He is going to do some fat transfer into my faces as well.. ( Trend alert: this is the new filler ladies!!!).......... I want the world to know about Dr. Vaca because he is so gifted. This is an example of where “years of experience” need not be considered... he is a prodigy. He was born to do this and if you go to him... your life will change! I no longer have a fear of aging..... as long as he is around! That is also a gift.
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Susan Feldhaus
30 January 2021
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Had my upper eyelids done. He is a skilled surgeon and made me feel very comfortable and at ease. I had a post operative issue (totally my fault) and he met me at the office on a Sunday and was unbelievably kind and caring. If you need eye improvement, he is your professional. This is not a paid review. Thanks Dr. Fagien
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Lori Defillipo
27 April 2023
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Dr. Vaca not only is a very skilled surgeon but also considerate and kind. He explained in detail his recommendations for my eyebrow lift and provided multiple opportunities for questions, even on the day of the procedure. I felt very comfortable with him, his surgical team and office staff and am extremely pleased my outcome! He and Dr. Fagien are my dream team!
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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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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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Juan Velasquez
25 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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Heather Nottingham profile picture
Heather Nottingham
29 March 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough good things about Dr. Fagien and his entire team. They are wonderful caring and skilled at what they do. I am very happy after my surgery and I would recommend Dr. Fagien and his team to anyone needing eyelid surgery! The results are very natural and I look younger and more rested! They take great care of you and make you feel comfortable throughout the entire process.
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Diane Procini profile picture
Diane Procini
27 July 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the most talented surgeon on earth!! And so kind!!
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Bob S profile picture
Bob S
11 December 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Judith Fernandez profile picture
Judith Fernandez
14 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Still continues to be my favorite physicians office for the overall care and professionalism of all staff I encounter. Office continues to abide by recommendations regarding Covid which protects us both. I met some new staff this visit who are as committed to Dr,. Fagien’s practice as he is. My visit this time was more maintenance and lasted approximately 50 minutes. As usual, every line, and wrinkle was inspected and documented along with conversation regarding my perceived wants vs. what the physician felt I needed which is interestingly less. Actual prep and procedure time 30 mins, minimal discomfort, no down time and I left a happy more rested looking woman. I work hard, I play hard and enjoy taking this time for myself. I appreciate the skill and talent of healthcare professionals and a smooth operating medical office. Thanks Dr Fagien and team!
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Brie Jones profile picture
Brie Jones
4 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
The most wonderful experience— Dr. Vaca is an expert in his field! I’ve wanted surgery for several years, but I was always unsure about which surgeon to see until I met Dr. Vaca. The entire process from consultation to surgery day to post-op has been incredibly smooth. The entire team (office staff & surgical center staff) are top notch. Thank you for being amazing!!!
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Claudine G profile picture
Claudine G
21 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing Professional Office Dr. Fagien is truly a Professional Oculoplastic Surgeon who is very compassionate and thoughtful of your concerns. He gives his full attention to you and puts you at ease, leaving you with full confidence that everything will be 100% better. 2 weeks ago, I had upper and lower Blepharopalsty and so far I'm very super happy at the results. A big shoutout to his staff.. all are very friendly, well trained and most of all compassionate. Dani, his assistant is very kind and truly cares and takes the time to answer any of your concerns. I absolutely highly recommend Dr Fagien and his team!
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Alisa Landy profile picture
Alisa Landy
12 November 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Nancy Vezza profile picture
Nancy Vezza
11 August 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Esin Pinarli profile picture
Esin Pinarli
16 June 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Faigen and Dr. Vaca are at the top of their game on Every level . Not only is Dr. Faigen a consummate professional and an artist at his craft, he is humble, funny and gracious. It is very rare to have a doctor undersell, while having impeccable bedside manners and also be the absolute best at what they do. Love him and his whole team. I felt safe and cared for. He is a brilliant, gifted surgeon and has been my doctor for Over 10 years. He has a keen eye for detail and is a perfectionistic. I would not have any other doctor touch my face period.
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Healthgrades User profile picture
Healthgrades User
10 June 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I had minor eyelid surgery and couldn’t have felt more comfortable with Dr. Fagien and his staff. Excellent service and care!
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Katherine Hamlet, M.D. in Aiken SC profile picture
Katherine Hamlet, M.D. in Aiken SC
5 May 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien performed bilateral upper and lower blepharoplasty 15 years ago with great results so I returned to have a repeat procedure. He’s a fantastic physician: friendly, caring, honest, technically superb, respectful of his patients and staff, all factors that lead to a calm reassurance of optimal outcome.
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martha sanchez profile picture
martha sanchez
10 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is very knowledgeable and honest. We are unable to perform the surgery we wanted because it would not give the results we were looking for and he was up front about it. We went to two others surgeons before him and they both recommended the surgery. Which proves that he is honest not in it just for the money.
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Mary Daniels profile picture
Mary Daniels
28 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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
23 February 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Perfection
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Brit E profile picture
Brit E
12 May 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Highly recommend Dr Fagien. He is a very skilled surgeon who achieves exceptional results. His professionalism combined with his warm, caring personality puts you at ease immediately. His staff is top notch too, and always eager to respond to any questions or concerns you may have. I am truly thrilled with the results of my surgery and so glad I chose Dr Fagien as my doctor.
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Suzette Botero profile picture
Suzette Botero
18 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Y M profile picture
Y M
16 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Definitely 5 Star!!
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Aurelia Papitto profile picture
Aurelia Papitto
23 April 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
My Favorite Doctor! Dr. Fagien was the best - out of four consultants I went with him. Patience is his middle name. The staff was great also. Thank you for making me look and feel 20 years younger! You’re #1 doctor and staff in Florida!
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Laurie Ziomek profile picture
Laurie Ziomek
25 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an awesome ocular esthetic physician not only surgically but with injectables as well. He doesn't push you to do anything but rather allows the patient to decide what he/she wants. He and his staff are warm and caring as soon as you enter the office! Highly recommend!!
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Amy profile picture
Amy
11 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
My experience with dr Vaca was fantastic! He’s extremely detailed, calm, self assured in the best way and realistic with what the outcome will look like. Dr Vaca far surpassed my very high expectations and I couldn’t be happier. His support staff are very kind and professional as well, so the overall experience is great. Anyone choosing this practice will truly be pleased.
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Healthgrades User
20 August 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Exceptional Results I cannot say enough wonderful things about Dr. Elbert Vaca. From the moment I walked into his office, I felt completely at ease. He takes the time to truly listen, answer every question with patience, and explain all options in a way that is clear and comforting. His caring nature is evident not only in how he treats his patients, but also in the beautiful and natural results he delivers.The quality of his work speaks for itself — precise, thoughtful, and done with such an artistic eye that enhances rather than changes who you are. What I appreciate most is how much he genuinely cares about his patients’ well-being, both physically and emotionally. You never feel rushed or like 'just another appointment'; he treats you as if you’re the most important person in the room.If you are looking for a cosmetic surgeon who combines exceptional skill with true compassion, I wholeheartedly recommend Dr. Vaca. He is a rare find, and I feel so grateful to be in his care.
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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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Maria Victoria Tomic profile picture
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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Christine N profile picture
Christine N
1 June 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Definitely Dr Fagien was very good at setting expectations and explaining. Very kind, does excellent work and has excellent staff!
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Healthgrades User profile picture
Healthgrades User
4 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I’m always happy with the results. I’ve been treated by Dr. Fagien for many years. I wouldn’t trust anyone else!
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Ft Lauderdale, FL profile picture
Ft Lauderdale, FL
3 May 2017
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien is one of the best doctors in south florida for eyelid surgery and botox and filler. He has a great personality and makes you feel confident and comfortable. The eye lid surgery took at least 5 years off and the botox and filler is the best I have had and I have been to several others. The staff is also amazing, efficient and helpful. I am not the only one that feels this way about him. Many people I know also agree Dr Fagien and his staff are the best!!!!!!!!!!!!!!!!!
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Antoinette Heyman profile picture
Antoinette Heyman
5 March 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
This is the friendliest staff I have been to and I have been to many different offices in New York City and Florida. The doctor is Incredibly talented So much so that I will get on a plane and fly from New York to Boca for his services.
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Lisa Schaller profile picture
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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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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Gina Leone profile picture
Gina Leone
28 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I had an upper blepharoplasty with Dr. Fagan, and I could not be happier with my experience and results. From my initial consultation through my surgery and follow-up care, Dr. Fagan was professional, kind, attentive, and made me feel completely comfortable and confident in my decision. My results look incredibly natural and refreshed—exactly what I was hoping for. The entire process was smooth, and I truly appreciated the time Dr. Fagan took to answer my questions and make sure I felt comfortable every step of the way. I would highly recommend Dr. Fagan to anyone considering an upper blepharoplasty. I’m so grateful for the care I received and absolutely love my results. Five stars all around!
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Odalis profile picture
Odalis
23 January 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Knowledge, Precision, Experience The Dr. offers extreme knowledge, precision and skill with a perfect result. The staff very friendly, amazing work
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Heather Irurzun profile picture
Heather Irurzun
14 August 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Yolly Bolasini profile picture
Yolly Bolasini
10 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
My whole experience was wonderful! My dermatologist had recommended Dr Fagien for my eyes surgery, but I was a little hesitant after hearing so bad stories about other doctors. One year ago I finally decided to take the chance and today I thank myself for doing it! My eyes look so good yet so natural that most of my friends didn't notice about a surgery! They just say I look so young and pretty! Dr Fagien is very kind and extremely good professional! He took care of me all the way, he kindly answered all my doubts and concerns and helped me out through the whole process. Also his team, all the staff at his offices are really nice and knowledgeable. I recommend this doctor to anyone who wants their eyes to look amazing!
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Ellen Levine profile picture
Ellen Levine
10 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
An absolutely perfect experience!!!! Staff was super. I felt like everyone paid attention to exactly what I wanted. Dr. Faigen is remarkable. He explained everything and demonstrated real concern for my comfort I love my results (and have been at this with other doctors many times before) I’m actually bring a friend in, who saw me “after” Thanks to all of you
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Healthgrades User
19 March 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Facelift De. Vaca is meticulous and talented but also very kind. A combination not always found in surgeons. My facelift was only a week ago but it’s looking great already. The whole office is great!
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Jacqueline Rodriguez (Dezer Platinum Realty LLC) profile picture
Jacqueline Rodriguez (Dezer Platinum Realty LLC)
2 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Amaing office, staff and doctor.
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OL profile picture
OL
21 February 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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 profile picture
Healthgrades User
19 October 2026
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
very knowledgeable Dr. Vaca was very informative and patient during a recent consult that I had with him. He explained everything very well and heard my questions and concerns. He even offered steroid shots for some scarring from a previous surgery/surgeon, without a charge. He is very compassionate and educated. I will definitely choose to work with him in the future!
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Jenet Star in Pembroke Pines , FL profile picture
Jenet Star in Pembroke Pines , FL
13 May 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent MD & bed side manner. You will be super pleased with his injection technique & you will definitely want to return.
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Vlad profile picture
Vlad
20 February 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The best results possible. Dr. Fagien was outstanding — attentive, charismatic, and fully dedicated to achieving the best possible results. He proactively and carefully addressed all potential concerns throughout my surgery journey. I’m beyond happy with the results and highly recommend him.
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S N T profile picture
S N T
18 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Without a doubt, he is the Best eye surgeon in the world. His attention to detail, precision, and dedication to perfection are truly extraordinary, his surgical precision is simply unmatched. What makes him even more special is the kind and beautiful person he is. It is not easy to find a doctor who combines exceptional talent with a genuinely caring heart, and he embodies both. His staff is equally amazing. Ownie and Dani are attentive, warm, and highly professional. They make the entire experience smooth and comforting from beginning to end. I am truly grateful. Susy
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April Gagliardi profile picture
April Gagliardi
29 June 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Very Thorough and professional, highly recommend!!!
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Renee Doehler profile picture
Renee Doehler
25 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I was extremely impressed with Dr Fagien and his office staff. I went in for a consultation with Dr Fagien to have my tear troughs injected. He told me I was not a good candidate and I would not achieve the look I desired. I asked him about other options and he said in the future to come and see him but that I wasn’t ready for anything yet. His honesty and professionalism is amazing! When it is time I will definitely return to see Dr Fagien.
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Thelma Moya profile picture
Thelma Moya
3 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Tara H profile picture
Tara H
16 March 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Vaca is patient, thorough and meticulous in his work. I had asked to “backfill” the volume that I had lost over the years in my lips. He listened to what I wanted and gave valuable suggestions. He then allowed me the time to make my decision and I am more than pleased with my results.

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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.