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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Beth Johnston profile picture
Beth Johnston
24 August 2019
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I am very pleased with the procedure outcome as well as the professionalism of Dr. Fagien. His staff is knowledgeable and the service is beyond 5 stars.
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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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Ferne Toccin
24 August 2023
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Dr Fagien is a fabulous doctor. I can"t say enough about his talents, his kindness and his humor, He took droopy eyes and made them look beautiful again. No more droop. No pain! He worked with Dr Vaca, and he did a temporal brow lift. He was wonderful as well. The office staff is kind and welcoming and addresses all by their name. I can't say enough about these doctors' skills and I will return for touch ups over the years!
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Lana
23 June 2019
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I had consulted other plastic surgeon who said I need a brow lift . But dr. Fagien suggested just a minor upper lid skin removal. I scheduled my procedure. That was 6 years ago . I could not be happier. He is perfectionist . I returned for fillers and Botox when was in town. And have to say results were fantastic. I highly recommend dr. Fagien.
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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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Dr Bret Ribotsky
20 June 2019
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As a surgeon in this area - nothing is as important as my health. Dr Fagien is a doctor that other doctors count on. What he does and says is what it is. We’re lucky to have him in our community
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Brie Jones
4 April 2024
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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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Stu Rosenholtz
4 March 2022
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My wife and I have gone to Dr Fagien for a number of years. I would definitely recommend Dr Fagien to both friends and family
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Cynthia Spear
1 February 2022
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Very Professional!
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Nina profile picture
Nina
26 January 2025
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Dr. Fagien- the best plastic surgeon I had a lip filler treatment done with Dr. Fagien two months ago, and I couldn’t be happier with my decision. I used to have downturned corners of my mouth and very thin lips, but now the corners are lifted, and my lips are fuller, beautifully shaped, and incredibly natural-looking. My facial expressions, speaking, and all movements are as normal as ever.I feel like my face looks more youthful and vibrant, and my self-confidence has significantly increased. Even those around me, who usually don’t approve of cosmetic treatments, have complimented my new lips and said they love how natural they look.Thank you so much, Dr. Fagien for giving me such beautifully shaped lips and a smile that I truly love!
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Michelle Cox
1 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I wasn’t sure if it was time to look into anti-aging procedures and went to Dr Faigen and Dr Vaca and they advised me it isn’t time yet. Not a cash grab but ethical and kind surgeons. I look forward to seeing them again in perhaps a few years
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Bonnie Barnett
2 February 2022
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Dr. Faigan and his staff are Extremely professional and Dr. Faigan is one of the best doctors that I could ever recommend to anyone!
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Floridagal
9 May 2019
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Dr. Fagien is extremely professional with a gentle and kind demeanor and an artistic eye. He is very personal in his approach to the patient and is sensitive to differences in facial features and what would best suit each patient individually. He is a perfectionist in the best way, and truly helps the patient feel comfortable and confident in his care. His staff is well-trained and attentive. His facilities are top-notch, clean and modern. I highly recommend him. I couldn't be happier. His results are superb.
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Healthgrades User
20 April 2020
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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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Rivka Liberman
2 June 2025
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Excelente Doctor and excelente staff. Love you all.
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Stuart Rosenholtz
19 August 2022
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Dr Fagien is wonderful and is great when it comes to cosmetic eye surgery
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Healthgrades User
8 March 2022
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this was my first experience and it was truly wonderful. dr Fagien takes his time and does a meticulously fantastic job doing the fillers. You do not have to be nervous because of the way they numb you and because of the tools dr Fagien uses. Basically painless. Everything about this office is so professional and friendly, that I can highly recommend to everyone who wants a bit of beautification. And the best thing is that nobody really notices what happened to me, but they just tell that I look good. And that is what I wanted.
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Kerri Benson
16 December 2025
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Look no further than WONDERFUL Dr Steven Fagien. There are no words to describe this amazing doctor. He is a truly a master in his field. His staff is equally wonderful. His office sets the tone for a calming, secure and overall positive experience Dr Fagien is everything that one could hope for when choosing the BEST doctor for cosmetic eye surgery. He is brilliant, kind, caring and honest. I could not be happier with the results. Dr Fagien is the definition of what every knowledgeable patient looks for when choosing a doctor. Thank you Dr Fagien for simply being you!
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Beth Johnston in Lantana, FL
24 August 2019
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Dr. Fagien did an excellent job on my eyelid lift. He and his staff are professional and courteous. I highly recommend his services.
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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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Linda in Fort Lauderdale, FL
30 January 2019
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Absolutely the best.
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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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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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Jenet Star in Pembroke Pines , FL
13 May 2018
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Excellent MD & bed side manner. You will be super pleased with his injection technique & you will definitely want to return.
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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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Carolynne Bodine
8 January 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
After thoroughly investigating Doctor Faigen, I learned he’s a master, & gained such respect. When I personally sat down & consulted w/ Dr Fagien, my hopes were better than expected. He’s board certified, beyond educated, an educator, he advances medicine & his peers applaud his findings & study under him. Beyond his aesthetic eye & skilled hands, he’s cool, funny, makes you at ease & THATS totally unexpected. He’s not pushy, but gracious w/ your time, & very personable. His staff loves him. When I mention his name to other Dr’s there is such respect. He’s such a valuable human being, in medicine & to me now. My only regret was that I waited so long to meet him.
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Jahlecia Newland
11 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is an exceptional Surgeon who has truly changed my life. he restored my self-esteem when he performed surgery on my ear to remove a very large tumor that I had for many years. The tumor haunted me for years and I could not find anyone willing to remove it. I was truly blessed when I was introduced to Dr. Vaca by my aunt who believed that Dr. Vaca was the best person to remove this tumor. Without hesitation, Dr. Vaca agreed. From the moment I met Dr. Vaca, I was impressed by his professionalism, empathy, and dedication to patient care. He made me feel calm, safe, secure, and completely at ease throughout the procedure. Dr. Vaca took the time to thoroughly explain my procedure, ensuring that I understood every step. The surgery itself was a success beyond my expectations. Dr. Vaca's expertise was evident throughout my recovery. I was free from scarring to my surgical site, and looking on my ears, you cannot tell which ear had the surgery. Post-surgery instructions and care were exemplary. I would highly recommend Dr. Vaca to anyone seeking top-notch surgery. Thank you Dr. Vaca and your exceptional team for your exceptional work and for making a significant difference in my life. I am blessed to have you as my doctor. Jahlecia Newland.
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Tanya Cozzarelli
11 April 2023
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The best thing that could have happen to me is finding Dr. Vaca to have my brows lifted. They look better than when I was 20 years old. Can’t wait to get the rest of my face done when gravity calls.
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Kelly in Boca Raton, FL
2 January 2016
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Dr, Fagien pays attention to every detail and over delivers! I am so pleased with my result!!! I highly recommend him!
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Healthgrades User
14 May 2021
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It was great, Dr Fagien makes you feel relaxed and comfortable while treating you,I’ve gone to him for many years and am very happy with his treatments.
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Healthgrades User
18 August 2021
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I highly recommend Dr. Vaca. Not only is he professional and made me feel at ease but I was able to understand everything he explained to me. His bedside manner is excellent and reassuring. I felt very safe and beyond happy with my results. Thank you
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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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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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Kelly Ingarra in Palm Beach Gardens , FL
9 September 2018
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Hello, I had my surgery back in May and everything went beautifully! I am very happy with the results! However, I was very shocked to learn that Dr. Faigen has a non-medical non licensed person treating patients and removing stitches!? Granted, she did a beautiful job but, she’s not a nurse and she’s not licensed and that really shocked me. Just food for thought.
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Michelle Doherty
22 April 2019
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Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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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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Naples, FL
14 April 2018
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After interviewing many surgeons in south Florida, I picked Dr Fagien to perform my upper eyelid surgery. The results are amazing. More importantly he and his staff put me at ease during the procedure. Now he does my injectables, too
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Joi in FL
15 August 2018
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The staff was very professional. The doctor was as very nice and explained everything very clearly.
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Healthgrades User
19 September 2024
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For your eyes only! Dr. Fagien is truly a genius at his specialty!
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annie quinnell
23 December 2024
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Dr Vaca is extremely skilled and caring. His office staff tended to all my needs and questions. I was informed of all the details pertaining to my surgery so I could achieve a great result. They continue to care about my recovery journey. I would highly recommend Dr Vaca for all your cosmetic needs. He has turned back my clock 10 years!
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Maureen Meil in Delray Beach, FL
27 November 2018
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I'm having my surgery done in a week and a half. Dr. Fagien explained everything in detail and took lots of pictures. He was refereed to me by another surgeon in Philadelphia. I feel very comfortable with the fact that Dr. Fagien will be performing my surgery. He has a great reputation.
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Jana Hamade
12 November 2020
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Dr. Fagien is one of a kind! He has the best staff, best office manager, and all around great atmosphere. He always delivers the top results and really listens to your concerns. The most caring, calm, and trustworthy plastic surgeon in boca!
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elizabeth mastro
18 February 2021
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Dr Fagien is by far the most talented surgeon I have seen. Not only does he have an artists eye he has an artists hands with surgeon skills. Dr Fagien strives for and achieves natural results which enhance beauty and restore a youthful appearance. The staff is also compassionate and knowledgeable. Overall my experience has been extremely positive and I look forward to continuing care with Dr Fagien.
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Michelle Lymber
18 August 2022
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Dr Fagien and his support staff are fantastic! So professional, friendly and welcoming.
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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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Healthgrades User
14 June 2022
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Excellent and Professional Excellent experience from consultation to surgery. Doctor is very professional and meticulous. Staff is very professional as well. Highly recommend Dr. Steven Fagien.
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Oxana Cummings
15 September 2026
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Amazing doctor! Everything went absolutely perfectly, and I love my eye so much. The doctor and his staff are professional, kind, and caring. They made me feel completely at ease before, during, and after the surgery. I’m extremely happy with my experience and would highly recommend them!
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C V
25 August 2025
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Blepharoplasty with Dr. Fagien: A Review I recently had a blepharoplasty performed by Dr. Fagien, and I couldn't be happier with the results. Before the procedure, I had very hooded eyelids, but now I have a visible eyelid—a change so subtle and natural that I don't even feel the need to wear makeup anymore. The results are incredibly refreshing, making me look more awake and like the best version of myself. From the very first consultation to the final follow-ups, Dr. Fagien's kindness and care were exceptional. He is a true perfectionist with an incredible eye for even the smallest detail, which put me completely at ease. He genuinely cares about his patients' comfort and outcomes, and his surgical skill is second to none. I was also impressed by his specific post-operative care protocol, which I followed precisely. My recovery was surprisingly easy, with no pain, no bruising, and only mild swelling for about a week. Within a few days, most people had no idea I had even had surgery! The entire experience far exceeded my expectations. I am so grateful to Dr. Fagien for his precision, surgical skill, and genuine kindness. I highly recommend him to anyone considering eyelid surgery.
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Alexandra Vanella
15 April 2021
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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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Ft Lauderdale, FL
3 May 2017
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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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Judith Fernandez
14 May 2022
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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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Ciara
23 September 2025
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Dr. Fagien, and his Team are the best!
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Y M
16 September 2022
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Definitely 5 Star!!
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monroe gang
31 July 2025
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I enjoyed an extremely positive experience with Dr Steven Fagien and his staff. I did a Blepharoplasty, upper and lower. My recovery was amazing and his staff and facility far exceeded my expectations. If I had more eyes, I would do them there as well. lol
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S N T
18 February 2026
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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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Ks
23 November 2019
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Dr Fagien is a true artist. I have been seeing him for several years now and could not be any happier with the results and the relationship. He is great at minimizing pain and bruising during and following injections. He never pressures unnecessary procedures. The staff is delightful, and they most obviously like the doctor as well. Could not ask for better. Don’t look for bargains with your face!
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Linda Mayer
12 October 2020
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My visits to Dr Fagien’s office have been awesome from the moment I’ve walked in , from the beautiful decor to his amazing personable, professional staff!! Dr Fagien is a warm, artistic , talented Doctor that I would highly recommend and can’t say enough great things about him!! I’ve had injectables by him and feel and look like a version of my younger self!! I would never consider going to any one else and when I’m ready I’ll get my eyes done by him! Thank you Dr Fagien !!
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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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Diana Elise
4 March 2021
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I could not be more pleased with my results from Dr. Vaca. From the first moment you step into the beautiful suite you are greeted warmly by the receptionist and wait only mere minutes before being escorted to a consultation room. Dr. Vaca’s gentle and kind demeanor make the consultation effortless. After assessing your concerns Dr. Vaca will show you his previous work so that you may see beautiful results from other patients. His aesthetic compliments and enhances your natural beauty without overdoing it. He is careful in his assessments and is very honest with how he would proceed in correcting your concerns. Not only is his demeanor gentle, but his hands are as well, causing no pain throughout the entire process. I am so happy and lucky to have found such a wonderful surgeon!
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Joanne Barone
11 March 2026
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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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Healthgrades User
6 January 2021
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His name was recommended to me from the PA at my Miami cosmetic Derm’s office. His office & staff are superb - very clean, beautiful aesthetic & very helpful. He has a great energy that put me at ease & no worries as I tend to be worried. I did my R lower eyelid Dec 3rd, 2020 to even out both my eyes from my natural bags & use of under eye filler throughout the years. It’s been 5 weeks. No one can tell I had something done. The first week was hard just due to the sleeping up but his work is very detailed, healed well & fast. I am coming to see him for my 5 week. I am very happy with his work. Thank you Dr. Fagien. I can’t wait to go back to him when I need to do the rest.
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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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ingrid levine
22 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
An amazing experience from the staff to the doctor everything was wonderful would highly recommend going to this office and having a procedure done no regrets!!
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Monique Rose
10 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Great experience with both Doctor & Staff. Very professional & followed up with every detail.
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Crystal Craig Larsen
15 August 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an amazing plastic surgeon. He is so skilled and meticulous and I am so pleased with the results of my upper and lower eyelid surgery. He is thorough and personable and that was very comforting. The staff is also so kind, helpful and available whenever I had any questions or concerns. I highly recommend Dr. Fagien.
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Kendal & Sasha
26 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien was extremely professional, I met with him regarding under eye fillers that I wanted to do. He was surprisingly honest and did not recommend I do this procedure as he did not think it would give me the results I wanted. He took the time to go through what the likely outcome would look like, showing images etc. I would 100% recommend his services as he clearly will not give advise on the basis of filling his pockets, but rather his client's genuine interests. While I did not leave with fillers, I did leave with a better understanding and knowledge of my structure and options available to me.
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Kristen Gentile
4 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!
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Rick Tobin
8 July 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Top notch!
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Healthgrades User
24 May 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien and staff are excellent! I wouldn't trust my eyes to anyone else
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Donna V. Molinaro
26 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Healthgrades User
21 July 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I had a virtual appointment with Dr. Fagien and really appreciated his assessment of what I needed and didn’t need. If I decide to have the eye surgery this is definitely the doctor I will do it with.
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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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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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Ina profile picture
Ina
13 December 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien saved me a lot of money because he was very honest, he did not try to make money, he tried to help. He found out that I only have to go to a dermatologist and gave me a referral. Thank you very much.
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A L profile picture
A L
30 July 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Danna Noik
4 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Doctor Fagien is a Master at his craft! I cannot recommend him highly enough. To be a patient of his is an absolute privilege and the results are just spectacular.
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Kieran Duffy
22 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Barbara Estis
6 December 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien did a beautiful job on my surgery. It’s been 5 weeks and everyday my eyes look better. I cannot wait to see the final results in the next few weeks. The surgery was virtually painless. You can expect a few bumps along the way, but it is well worth it.
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Ferne Toccin
24 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I hight recommend Dr Vaca. He is a superlative doctor who has an artistic flair. He is kind with a great bedside manner. He made me feel at ease, and I had a feeling of comfort with him. The pain was minimal , if any at all. Also, the staff is warm and friendly. You feel like a person in this office not just a number. I would use Dr Vaca and this office without any hesitation.
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Alice Tate
21 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Fantastic doc and I wouldn’t go to anyone else!
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Leslie Crisco profile picture
Leslie Crisco
19 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Could not have been a better experience. Dr. Fagien and his staff are all truly wonderful!! Dr. Fagien ‘magically’ made all of my bags disappear. He makes Houdini look like an amateur. Truly truly amazing.
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Healthgrades User
26 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
He and his staff could not have been more patient and thorough in explaining the procedures and follow up.
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DC profile picture
DC
3 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca is an Outstanding surgeon and a caring, well trained physician. He communicates well, & is extraordinarily patient and considerate. After reading several reviews from other surgeons and nurses with whom he worked during his training, I decided to choose him as my plastic surgeon. They had described as a prodigy and highly skilled in terms of both technique and artistry. I agree! I am beyond thrilled with my results. He performed abdominoplasty (tummy tuck) with flank liposuction. The results after 4 months are way beyond my expectations. I am 59, two adult children and had abdominal liposuction 15 years ago. During those 15 years, my tummy became lumpy and uneven due to age & changing hormones etc... Dr. Vaca skillfully used a variety of modern techniques to achieve a FLAT tummy. It looks incredible and my belly button looks like it did 30 years ago! I recommend him to all my friends seeking plastic surgery advice. I will use him again in future - I 100% recommended!!!
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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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daniela izquierdo
8 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Very punctual and clear in explanations of procedures- staff all very well informed, diligent and friendly•
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Healthgrades User
12 August 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Face and Neck List HAPPY HAPPY HAPPY!! I’m so HAPPY, I could say it 1000 times but it wouldn’t express how happy I am with my new younger neck and face, it restored the younger me! I owe it all to the exceptional talented meticulous, Dr Vaca. I would give you the highest Michelin star if there was such a thing for plastic surgery!! And I want to say thank you to the girls in the office you’re all fabulous!! Thank you, Dr Vaca I’ll be forever grateful and thank you, Dr. Fagien for putting me in the hands of such an artist
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Beatriz Cuervo
1 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I was referred to Dr. Fagien by my dermatologist, Dr. Martha Viera, and I have had the best experience with him and his entire team. He is not only an outstanding professional but also an incredible human being. I have lived with a vascular condition in my eyes for more than 20 years. From the very first appointment, Dr. Fagien made it clear that he would only perform my surgery if my retina specialist, Dr. Janet Davis,, approved it. That level of professionalism and care gave me complete confidence in him. The surgery itself was complex due to my condition, but he performed it with excellence. What was already a very special procedure became even more meaningful under those circumstances. The results have been very positive. It has now been two months, and I am still in recovery, noticing improvements every week, with final results expected at six months. Throughout this journey, I have received invaluable support from his team, who have always ensured smooth communication between the doctor and me. I want to highlight the professionalism and kindness of Owni, Devina, Henry. Thanks to them And the other ones in his office, I have always felt cared for and received prompt answers from the doctor whenever I needed guidance. If you are considering eyelid or under-eye bag surgery, I wholeheartedly recommend Dr. Fagien. He is, without a doubt, the best choice!
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Healthgrades User
21 November 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Healthgrades User
13 November 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Office immaculate and staff extremely friendly and knowledgeable! Spent lots of time to listen to my concerns and what procedures I had questions about.
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David Goldman profile picture
David Goldman
23 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Andrea Virgin
12 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I've been seeing Dr. Vaca for years now and he is a dream to work with! His attention to detail, bedside manner, ability to translate the information in an understandable way, and his follow-up are all outstanding. His background, experience, education and training are also incredibly impressive. I highly recommend Dr. Vaca to anyone for any service, no matter how simple or complex! Thank you Dr. Vaca for the great service over the years!
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Danielle Roth profile picture
Danielle Roth
22 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is amazing! I had a lower blepharoplasty done in February and I am extremely satisfied with the results. The doctor as well as his staff really took their time with me and answered all my questions to make me feel as comfortable as possible. I had virtually no pain and am thrilled w the results. Thanks doc!!!
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Margo Hatt
19 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I felt like I was in good hands with Dr Fagien and Amber. They answered all my questions and were professional.
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Patricia Chevrier
20 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I would very highly recommend both Dr. Vaca and Dr. Fagien. I was referred to this practice by a number of individuals and doctors. I also did a lot of research on my own before making my decision to have cosmetic surgery. I could not be happier. I found they listened to me, offered excellent advise and did exactly as I asked. The entire staff is professional and really care about their patients.
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Healthgrades User
11 April 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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
6 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Chrissy Dunhill profile picture
Chrissy Dunhill
25 November 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien & Staff are Professionals in every way. I felt welcome the moment I walked in the office. I’m greeted with a smile each time & a staff who is very caring. Dr.Fagien is gentle with procedures & comfortable. His technique is Perfect! He cares about his patients. I’m extremely happy with my results. If I didn’t live in florida or even if I was on the other coast, It’s well worth the travel to know You are in “Good Gentle Hands!” I Highly recommend Dr. Fagien, I’ve worked with Doctors since 1980, If Any one Knows, I do. Sincerely, Christine Dunhill
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Healthgrades User
8 March 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
As soon I walked into Dr Fagien office I was greeted warmly by the staff. They made made feel very welcome. The Dr is a true professional. He listened to my issues and questions and made me feel at ease that he could do what I had gone to see him for. I would highly recommend him to any of my friends and my family.
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W in Diamond
14 April 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent service from the moment you walk thrpufh the waiting room door. The office staff and assistants are only surpassed by the genuine care that Dr Fagian delivers to his patients.
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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