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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.
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.
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.
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.
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Floridagal9 May 2019
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.Posted on Healthgrades
Healthgrades User15 June 2023
Most definitely would recommend On consultation, Dr Fagien suggested a different path than I had thought to achieve the results I wanted. He was exactly right. He’s a real expert in cosmetic eye surgery. His staff reflects his experienced and expert qualities, with everyone truly impressing with their professionalism and pleasant demeanor. 100% recommendedPosted on Healthgrades
Carol A.14 July 2022Dr. Vaca I had my surgery. He’s the best! He’s upfront and honest about potential outcome. He is a really excellent surgeon.Posted on Google
Beatriz Cuervo1 September 2025I 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!Posted on Google
Brian C18 May 2021The best. The entire staff is amazing. Highly recommendPosted on Google
Rick Tobin8 July 2026Top notch!Posted on Google
RB Cutie26 August 2021So far I have loved my experience with Dr. Vaca. The consultation was amazing, and I felt very comfortable with him. Last week was my surgery, and so far, I feel awesome! I went in thinking I was going to be in so much pain after the surgery, but I was completely wrong (everyone is different). The day of the surgery I was a little nervous, but Dr. Vaca and everyone on his staff made me feel well taken care of. He is an absolutely amazing doctor.! Super happy and excited about my results, In only one week.Posted on Google
Let it Glow Inc1 April 2021Dr. 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.Posted on Google
Martine Lloyd25 January 2022Dr Vaca is a master in his craft. He aims for very natural results and takes the time to explain the procedures. He is very kind and patient and I could not be happier with my lip lift results. I would recommend him with 10 stars!Posted on Google
Yolanda Martinez8 November 2022I’ll never tire of saying what a gentleman Dr. Fagien is, but most important, what an outstanding, awesome doctor he is. When I moved to this area some years ago I asked another Doctor to recommend me an Oculoplastic Surgeon, and without hesitation he said, “Steve Fagien, he is the best of the best, and I trust him blindly”. He was right 101%.Posted on Healthgrades
Kelly in Boca Raton, FL2 January 2016Dr, Fagien pays attention to every detail and over delivers! I am so pleased with my result!!! I highly recommend him!Posted on Healthgrades
Healthgrades User27 July 2023The best! My surgical experience with Dr. Vaca was extremely positive. I so appreciate his empathy for my concerns and professionalism in laying out reasonable expectations. I had facial and breast surgery, my stitches are nearly invisible. He and his staff were very available to answer questions along the way. Their kindness and attention to detail give me great confidence in recommending their practice. Superb results!Posted on Healthgrades
Healthgrades User22 July 2021Traveled from Nashville for blepharoplasty with Dr. Fagien, and my experience has been outstanding. Dr. Fagien is one of, if not the best, oculoplastic surgeons in the U.S., his staff is top notch, and my outcome has exceeded my expectations! Absolutely would do it again.Posted on HealthgradesHealthgrades User17 August 2019Dr. Steve Fagien is an exceptional surgeon. He performed under eye surgery on my daughter in June 2018. She had developed dark circles under eyes at a young age and was very sad about her looks. She wouldn't go without makeup on. I was concerned and afraid of the surgery because of her young age. The results from the surgery were simply amazing. She is so happy and looks so beautiful. As a mother, I can't tell you how delighted I am to see her smile and love her looks again. He and his staff are personable and very accessible. They were there for us before, during and after the surgery. I give the whole experience a 10. He is the best!Posted on HealthgradesBonnie30 August 2020I have been a patient for many years and continue to return because Dr. Fagien is a wonderful doctor. He performed my cosmetic eye surgery and because of the results I have sent many people to him. He is an artist with fillers and other injectables and the outcome is natural and beautiful. I highly recommend him and his excellent staff.Posted on HealthgradesBeth D7 March 2024Dr. 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.Posted on Google
Margot Miller29 July 2020Always a pleasant experience at Dr Fagien’s office! Everyone is very helpful and kind. Office extremely clean and safe during the Cova virus.Posted on Google
Kimberly M6 September 2022I can’t say enough great things about Dr. Vaca. I trust him completely.Posted on Google
Nancy Jetta16 August 2022In 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.Posted on Healthgrades
Man17 August 2021After visited i look like 5 years young er, I am very happyPosted on Google
Marie Koehler9 June 2020Dr. Fagien is a caring,, kind ,and exceptional physician. His work reflects his meticulous nature, as does his office and staff. I have always felt valued as a patient, and highly recommend Dr. Fagien.Posted on HealthgradesGeorge in Harrisonburg, VA3 July 2018Dr Fagien is the best! I’ve now seen him for a number of years and he was one of very few physicians in the US who could diagnose and help me with my problem. He’s alway friendly, gentle, and effective. I feel so fortunate that I found him!Posted on HealthgradesEugenia Matos-Oliveira12 December 2019Dr. Fagien and his staff are very professional and they put me at ease from the very first appointment. I had upper and lower eye lid surgery, and I couldn't be happier! Thank you!Posted on Google
Ranchida SauAu14 October 2020As always Dr. Steven Fagien is wonderful! He makes sure you are comfortable through any procedure. He has a wonderful eye for what needs to be done or not. His office staff is always a pleasure to deal with. Also Friendly and helpful!! I definitely recommend :)Posted on Google
Jana D'Agostino16 September 2021Dr Fagien and his staff are amazing. His office is very clean and beautiful. He truly listens and gives his honest opinion about what you need. I have been coming to him for Botox and fillers in my forehead for over 2 years and he is a true artist and pays close attention to details. After going to multiple doctors before him and not having the results I wanted, he came highly recommended. He was the only doctor that was honest and said that Botox alone would not help my deep lines in my forehead. He goes above and beyond to make sure you are happy with your results. I will be his patient for life.Posted on HealthgradesHepracer25 June 2021Office is relaxing and staff friendly. Dr. Fagien is thorough and listens. Haven't had my surgery yet but feel confident in Dr. Fagien. Another doctor said she "wouldn't let anyone else touch her eyes but Dr. Fagien." Works for me!Posted on Google
Cynthia Brown24 July 2022I would highly recommend Dr Vaca! Great bedside manner making you feel comfortable and confident you have made the right decision. He is a true artist. The results are better than I expected. Life changing. Never having anything like this done before, choosing the right doctor is everything. I made the right choice.Posted on Healthgrades
Maureen Meil in Delray Beach, FL27 November 2018I'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.Posted on Google
Christina Costa7 May 2021Dr. Fagien is great and so is Hanna! They both made me feel comfortable and took great care of me. Thank you for everything & I can’t wait to come back!Posted on Google
Shanna Bernkrant25 September 2024I highly recommend Dr. Vaca. He is kind, professional, knowledgeable and skilled. The staff is also an A+. I highly recommend this office if you are looking for a surgeon and team that will take care of you.Posted on Google
William Cash1 March 2020Dr.faigan restored years of bad choices I had .made...Chronic Alcoholism and Drug abuse...Now at 49yrs old and a devout Christian I had to come to realize I needed to be freshened up...Nothing to drastic just little filler here and there with some botox and I must say first visit was beyond my exspectations... Dr.faigan made it very clear that this would be a process not an over night fix...So after 3 visits I look 10 years younger....For any one considering Dr.faigan I would say this is the doctor you want. He's honest caring and his staff are all sweethearts...My first visit i told him what i wanted and the next 2 visits i asked that he decided what he thought....You must decide your buget meaning how much can you afford as I did research prior to visit to see what things cost today...I was surprised on my check out that hes quite fair and reasonable on his work....Amazing results.....Felt as if I was in Gods hands the whole time...Ladies look him up for yourself.....He teaches and has written several books ...Dr.Faigan thank you and God Bless you and your Staff.....Sincerely Dori CashPosted on Healthgrades
Marilyn S20 November 2022Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!Posted on HealthgradesYolanda Martinez13 May 2022Looooove Dr. Fagien ! It is always a pleasure to see Dr. Fagien; he is an excellent doctor, and an excellent gentleman. On top of that, a very, very nice staff who go out of their way to make you feel that as a patient, you matter. From 1 to 10, 11 !Posted on HealthgradesJames McLaughlin DMD24 February 2024The 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.Posted on HealthgradesHealthgrades User23 January 2020Honesty is the best policy, and I found Dr Fagien honest and reassuring and extremely caringPosted on HealthgradesBrit E12 May 2021Highly 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.Posted on Healthgrades
Naples, FL14 April 2018After 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, tooPosted on Google
Mandi Fiddle Bergenfeld24 December 2024Kind and fabulous doctor!!!Posted on HealthgradesHealthgrades User24 February 2021I just had my first app with Dr. Vaca and Dr. Fagien, both are very professional and honest, they will not do any procedure that you don't need...Office and staff are very professional, prices are average... I will recommend these Doctors to anyone that wants to improve their looks.Posted on HealthgradesB Glazer17 April 2021From 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!Posted on Google
Alicia Kalvin29 April 2021Dr Fagien and his team are the best! I had my upper eyes done in August 2020, they turned out terrific and the doctor’s office called me every day for a week to check on me and see how I was healing after my surgery. I’m so glad I made this decision and I highly recommend Dr. Fagien for anyone who wants beautiful youthful eyes.Posted on HealthgradesHealthgrades User6 November 2020my experience was fantastic. my eyes look like 10 years ago and nobody can see that there was a surgery. He is very friendly and puts the patient at ease. I can only highly recommend him!Posted on Google
Randy Lebowitz29 October 2025Dr Fagien is THE BEST eyelid plastic surgeon possibly in the US. I would highly recommend his work for anybody thinking about their eyes and having surgery!!Posted on Google
Kim Romano28 March 2021Dr.Faigen is a stupendous individual, he is friendly , kind honest and very pleasant with the utmost professionalism He is also an expert in his field and very up to date on all the latest developments. The office is immaculate and your appointment time is honored. I would trust him with any type of procedure surgical or esthetics.,He and his phenomenal team are the most friendly honest and extremely pleasant and professional group I have dealt with. Hannah is a smart, knowledgeable individual who makes a patient feel very comfortable and also provides a very pleasant experience. The office is run very efficiently and I would recommend it to anyone who is looking for an all around great experience .Posted on HealthgradesKristin Padowitz19 December 2024Look 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.Posted on HealthgradesKs23 November 2019Dr 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!Posted on Google
Suzette Botero18 October 2020Dr. 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!Posted on Google
Monique Rose10 February 2022Great experience with both Doctor & Staff. Very professional & followed up with every detail.Posted on Google
Eunice Vazquez28 April 2021He is very knowledgeable and pleasant, made me feel very comfortable. I will keep coming to see him!Posted on Google
Laurence Wiriath11 April 2022Just perfect, so natural!Posted on Google
Beth Johnston24 August 2019I 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.Posted on Google
Ellen Glantz-Tucker17 July 2026Dr. Faigen is spectacular! Kind, talented……my results far exceeded my expectations! I cannot thank him enough. So highly recommend him.Posted on Google
Judith Fernandez14 May 2022Still 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!Posted on Google
Lisa Nolasco26 April 2023Being in the Eyecare industry and knowing Dr. Fagien’s stellar reputation, he was clearly the only choice for my upper & lower lid surgery. He is an artistic genius. My results are incredible and I will be forever grateful to him.Posted on Google
Michelle Doherty22 April 2019Beautiful 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.Posted on HealthgradesMV1 March 2023A True Professional and Wonderful Office staff I underwent a tummy tuck and liposuction one year ago with Dr. Vaca. To say I was nervous is an understatement. I was a bit of a challenging case as I’d had a tumor removed 25 years ago which left me with a vertical and horizontal scar on my abdomen and upper stomach. I knew that anyone Dr Fagien would partner with would be amazing and after meeting Dr Vaca I never felt the need for a 2nd opinion. I especially appreciated how he took the time to think through my procedure considering the challenging scar he had to deal with. His bedside manner is so calming and I truly felt at ease and confident with him. A couple of weeks before the surgery I was so nervous I asked for another meeting just to go over everything with him and his office didn’t hesitate to accommodate me. My results have been absolutely outstanding. I truly have a new lease on life and absolutely love getting dressed every morning! I would not hesitate to recommend any of my family or friends to him!!! Thank you Dr Vaca!Posted on Google
lish1 April 2025Dr. Faigen is truly a skilled artist. He and his entire staff are professional and welcoming. I am absolutely thrilled with the results. If you are considering having your eyes done look no further than Dr. Faigen.Posted on HealthgradesStu Rosenholtz4 March 2022My wife and I have gone to Dr Fagien for a number of years. I would definitely recommend Dr Fagien to both friends and familyPosted on HealthgradesTatyana Nudel20 January 2024masterful artistry This is unsolicited unpaid genuine review. I am a doctor and I did a lot of research and chose Dr. Fagien based on his reputation, experience, and cases. I had zero doubts when I scheduled my consultation for which I had to wait nine months and then my surgery was nine months later. I was told that I will not have any pain and will not need a single after the procedure. Dr. Fagien is a perfectionist and is a great seasoned meticulous surgeon who has protocols based on science and experience. The surgical center was extremely professional, surgery went off without a hitch exactly as he described in the initial consultation. I had absolutely zero pain. I was back to work four days later with stitches, that nobody even noticed, including my own patients. I went out to social events without Make Up and had no reservations. If you’re contemplating any eye surgery Run don’t walk because you will have to wait at least two years!Posted on Google
Tatyana Nudel12 January 2024I did my due diligence picking Dr Fagien and did he delver! Hands down THE best surgeon, very meticulous and detail oriented. Very particular and deliberate with his approach, pre-op instructions, surgical facility and anesthesiologists, his surgical technique is superb ( I am a doctor I know). My eyes look amazing! Today is less than 24 hours. No pain, virtually no swelling, no blood at all, no crusting. Have not taken single pain killer. I waited for this procedure with Dr Fagian for 2 years and it was totally worth it! I wish more surgeons would be like him. Totally a class act and bed side manner is so warm and professional. Better schedule your consult ASAP. I promise you will not need sorryPosted on Google
Liz Martelle22 March 2021Simply a pleasure! to work with. He has that old bedside manner that has been lost in a lot of physician's. I would say his work was impeccable since everyone thinks I look great and not "different". The staff is very pleasant and they make you feel comfortable. I would highly recommend Dr. Vaca!Posted on Google
Michelle M17 August 2022The front desk staff was welcoming and professional. During my consultation with Dr. Fagien all my questions were answered and concerns addressed. Aside from his professionalism, Dr. Fagien is personable and friendly! Hannah, the patient coordinator, also did a great job of answering questions and was very friendly.Posted on Google
Amy Appel17 January 2019Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.Posted on Google
Julie Shide5 June 2024Dr. Fagien did a medically necessary procedure on my eyes. He did an excellent job and was honest about what to expect each step of the way, including the post year and a half of monitoring. He is deeply knowledgeable and has a winning personality. I am pleased that a doctor of his caliber was available for my needs.Posted on HealthgradesDC3 November 2021Dr. Fagien came very highly recommended by three different friends. I had gone for two prior consultations with other docs in FL and NY for my eyelids which were droopy with excess skin and dark circles below. Once I met with Dr. Fagien, I knew that he was the right choice immediately. He is a highly respected oculoplastic surgeon whose work is the gold standard in this field. He performed upper and lower blepharoplasty on me, and I couldn't be happier with the natural results! I 100% recommend him. I have had so many complements on my 'refreshed' look and am SO happy I chose him to perform the surgery. Your eyes will thank you.Posted on Google
Olivia Focazio21 October 2020Dr Fagien is the master of his craft. He never fails to deliver amazing results! Ive had Botox and filler and always have come out looking natural and a more beautiful version of myself. Not only is he an artist and extremely knowledgeable, but he is so down to earth and cares for his patients wholeheartedly. His staff is amazing and so professional. I recommend him and his practice to everyone I know, without any hesitation. Dr. Fagien is unquestionably the best in the business. Thank you for everything you do! You are the best :)Posted on Google
pamela rosen7 August 2022As a plastic surgeon I knew exactly who to trust for my recent eyelid surgery. Dr Fagien is a talented, skillful and detail-oriented surgeon who did a beautiful blepharoplasty for me. His office staff are very responsive and helpful, as are his operating room team. I highly, highly recommend Dr Fagien - he is truly a "surgeon's surgeon".Posted on HealthgradesHealthgrades User10 September 2023Amazing!!! I have had several cosmetic procedures done over my 50 years of aging. I am very conservative and well researched. I consulted several top oculoplastic surgeons before choosing Dr. Fagien to perform my bletharoplasty.Dr. Fagien's consultation was informative and very reassuring. The result was perfect. No scar, no mistakes, no sign of any work done. THIS DOCTOR IS INCREDIBLY TALENTED. If you live in Florida go see him, if you live anywhere else, get on a plane and go see him it's worth it.Posted on HealthgradesJenet Star in Pembroke Pines , FL13 May 2018Excellent MD & bed side manner. You will be super pleased with his injection technique & you will definitely want to return.Posted on HealthgradesHealthgrades User10 December 2025Happy 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.Posted on HealthgradesVlad20 February 2025The 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.Posted on Google
Carol Calling3 September 2025“An absolutely flawless, natural transformation — and some honest tips for your journey!” I had a face and neck lift 12 weeks ago with Dr. Vaca, and I couldn’t be happier with the results. From start to finish, he was calm, professional, and a true perfectionist — but in the best way possible. His approach is meticulous yet subtle, delivering a natural, balanced outcome that miraculously looks completely real. Everyone tells me I look fresh and younger because the past few years approaching 50 I began quickly developing pre-mature "creppy" sagging skin on my cheeks, jawline, and neck) that needed to be revised, but without looking pulled or "fixed". What I received from Dr Vaca is like a natural (major) glow-up that no one can put their finger on! My sons, who are in their twenties, saw me four weeks post-op and had zero clue (what do boys notice anyway?!). My husband, being equally picky, said there are no negative signs of the surgery (unless you raise my hair up in the back and see the fresh pink scars). So no suspicious onlookers other than the fact that my face looks fresh and beautiful and I often catch my husband looking at my face deeply and following up with a heart-melting compliment about how amazing I look and what a great decision it was (he was initially against the idea of me doing surgery). I was blessed with the result I wanted: to look naturally much fresher, but not “done.” Dr. Vaca also did very tiny fat transfers (1.5 volume or less) in a few areas of my face, and his precision is unreal. I still have a few natural surface lines on my lower cheeks, just as he said I would, but I’m 50 years old and 90% of the crepe and wrinkles I had there are gone! The skin isn’t tight or stretched, nor does it sag — it’s just right. If I were to count, there were at least 50 lines on my cheeks and now there are pretty much zero. But no pulling or plumping whatsoever! Now, a few honest tips: my husband stayed with me every minute the first three days after surgery, which I highly recommend. Everyone warns you about feeling doubts or regrets in those first 48 hours, and they’re not joking! Especially if you have a paranoid reaction to whatever trippy opioid they put in the IV drip post surgery. LOL ... Don’t be alone—you need a loving “slave” to take care of you. Then, like magic, by day four, the emotional shock fades and you start feeling wonderful about the ordeal. Also, I noticed something funny: in those first few days (day 1 to 4), all face-lift patients look eerily similar and unrecognizable from the side-view — kind of like how all people with Down syndrome have specific shared facial features with each other. I think that was comforting for me, seeing all previous ladies with the same face. But by day 7, you’re unmistakably yourself again, just with a little bruising. In summary, I look soooo much better!!! And there’s a million-to-one chance anyone would guess I had surgery on my face or neck because all is so perfectly balanced and healed so quickly (just strategically styling my ponytails). 😜 I feel incredibly lucky to have found such a talented surgeon. Even great doctors can have an off day, but Dr. Vaca delivered an incredible, natural result that I’m so proud of. If you want a refresh that truly respects your natural beauty, he’s your guy.Posted on HealthgradesHealthgrades User2 September 2022AMAZING Dr. Vaca is truly an incredible doctor!! His expertise, bed side manner, and he is meticulous which helped me feel confident and comfortable. Only a week out and already can see he did an excellent job with my brow lift and upper eyelid surgery. The office staff is great, and everyone was kind and helpful making it an amazing experience!Posted on Healthgrades
Healthgrades User23 February 2022PerfectionPosted on HealthgradesHealthgrades User10 September 2025Never a doubt I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.Posted on HealthgradesHealthgrades User12 November 2025Best 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!Posted on Google
S Andrews9 August 2022Highly recommend. Staff was friendly courteous and professional. Dr. Fagien made the procedure seem so simple amd pleasant. Very pleased with the results 👍Posted on HealthgradesHealthgrades User18 February 2022I had upper eyelid blepharoplasty done less than two weeks ago. The whole experience has been wonderful. Dr. Fagien has a comforting bedside manner but more importantly he is an excellent surgeon, a perfectionist. The office staff is top notch and has been in touch with me every step of the way. My results are amazing but I had no doubt they would be due to Dr. Fagiens exceptional skills in his field. I am so thankful for all he has done for me and I recommend him to anyone considering having this procedure. The only regret I have is not doing this sooner! Thank you Dr. Fagien!Posted on HealthgradesTodd17 January 2023Excellent Eyelid Surgeon Dr Fagien is an excellent eye surgeon! Every step of the process was perfect. Anytime I had a question or issue, I was able to see Dr Fagien or his amazing staff quickly and the office was always helpful and kind. My results were also fantastic. I would highly reccommend Dr Fagien and his office to anyone thinking about having eyelid or other eye plastic surgery.Posted on Google
Thelma Moya3 February 2021Dr. 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.Posted on Google
Mary Daniels28 June 2021Dr. 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.Posted on Google
Hilda Castellanos24 May 2022What a positive experience! My whole experience with Dr. Vaca and his staff has been exceptional. Dr Vaca spent as much time as I needed during my consult to make sure I had answers to all of my questions. I felt so content that I cancelled my other consults - I knew Dr Vaca was the one. I am so very happy with the results of my mommy makeover procedure. My self esteem has enhanced ten fold! Not only does Dr Vaca have great bedside manners, but he also possesses extremely impeccable talented, artistically gifted and he is also a perfectionist, he was able to keep my tattoos aligned from my tummy tuck to my breast augmentation /lift with no pain afterwards & No scars. Dr Vaca left me absolutely speechless I feel so honored that he worked on me with his artistry .I will truly be a loyal life time patient to him.He is truly a prodigy, Dr.Vaca was born to do this!!Posted on Google
Cynthia Spear1 February 2022Very Professional!Posted on HealthgradesBP30 December 2021I 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.Posted on HealthgradesHealthgrades User19 June 2021I am so happy I chose Dr. Fagien to perform my eyelid surgery. He was professional, personable and he approached my case with medical expertise and visual artistry. He clearly communicated his plan for my surgery and showed me pictures of what I could expect. His entire staff was absolutely amazing from my first consultation to my post op appointments. All instructions were clearly written out, and I was frequently checked on during the week after surgery. Most importantly, I am so happy with the results and would highly recommend Dr. Fagien! Thank you for being so attentive and skilled!Posted on Google
S N T18 February 2026Without 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. SusyPosted on Google
Joanne Barone11 March 2026Dr 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.Posted on Google
Antoinette Heyman5 March 2020This 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.Posted on HealthgradesP V29 August 2022Love my new breasts! Hands down the best Plastic Surgeon I have come to know in my search for someone to fix my breasts. After breast feeding my children and dealing with asymmetrical breasts my whole life, I set out to find a surgeon to help me feel revitalized. I interviewed many but Dr. Vaca checked all the boxes. He has an elite academic pedigree. He carries himself with a reassuring confidence yet is somehow approachable and nice. I could go on but the results speak for themselves. The meticulous attention to detail in his plan and execution is superb. The size, positioning and symmetry between my breasts couldn't be more perfect. Dr. Vaca is a true artist and gentleman and I recommend him without hesitation.Posted on HealthgradesAurelia Papitto23 April 2024My 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!Posted on Google
Lbm Teach27 November 2022A year and a half later—and I couldn’t be happier! Thank you, Dr. Fagien! … After having to look at myself in Zoom reflections for more than a year, I knew it was time to do something. I was told by a Miami physician whose professional opinion I value more than I can say, that Dr. Fagien is the ONLY doctor to see. Dr. Fagien and his staff are incomparable. He is kind, warm, and patient. The results of my surgery are beautiful and natural. He took at least ten years of sagging stress from my eyes with an upper/lower transconj blepharoplasty. I'm grateful and so happy that I don't look sad anymore. Truly, he is the best!Posted on Google
CHERYL SURTEL19 June 2022My experience with Dr. Vaca and his staff was wonderful. He has precise attention to detail and ensured the outcome of my procedure would be perfect! I would recommend him to my family and friends for any plastic surgery needs.Posted on Google
Ron Granados18 May 2021Dr. Vaca was very professional and took the time to explain in patient friendly terms what to expect from my procedure. Would highly recommend!Posted on Google
Mary Amado31 March 2026Dr Fagien is the best ❤️❤️❤️❤️! It worth itPosted on HealthgradesDelray Beach, FL1 March 2017Dr. Fagien and his wonderful staff made me feel like family. Our initial consultation put me at ease. He gave thoughtful advice. And the execution was flawless. Enthusiastically recommended.Posted on Google
Danna Noik4 February 2021Doctor 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.Posted on HealthgradesFort Laudedale, FL31 October 2018He is the best. I have trusted my face to Dr. Fagien for 20 years. I also value his honest opinion.Posted on Google
Christopher Rivera30 December 2020Dr. Steven Fagien is awesome and professional. I really enjoy coming into his immaculate office and working with his AMAZING staff. I would highly recommend anyone looking for oculoplastic surgery to come and see him.Posted on Google
Jeneida Valdes16 November 2019I am very pleaset. Everything is fine, i am very HAPPY.Posted on HealthgradesPatti Max5 March 2025Dr. Steven Fagien is a genius Dr. Steven Fagien is a genius and a super talented surgeon. He is in a league of his own. He dedicate the time to perfect every surgery. He listens, cares, and has an innate ability to understand understand every patient’s wish, and turns those wishes into a reality. I recently underwent an upper and lower blepharoplasty. I am a perfectionist, and even I am amazed at how this master surgeon opened up my eyes to look 10 to 15 years younger in a most natural way. Dr. Fagien, is very kind and compassionate. Is it any wonder that his office staff are caring unprofessional? They handled all my needs, including following through all medication refills. My eyes were blessed with Dr. Steven Fagan‘s hands.