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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BP
30 December 2021
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I am one of the most qualified patients to recommend Dr. Elbert Vaca, as I had multiple surgeries with him in 2021. What began with one surgery ended with three (TT, neck/face lift and breast reduction), as each surgery over-exceeded my expectations. He's an exceptional plastic surgeon, but also a kind and caring person. During office consultations, Dr. Vaca was patient and generous with his time, addressing my many questions and concerns. He thoroughly prepares his patients for surgery as he wants them to have a successful outcome. I never doubted his recommendations and completely trusted his honest opinion. I was very happy with both the surgery and post-op recovery, as I was well prepared and felt great! I could not have asked for a better surgeon, as he delivers natural looking results. He's highly trained and very proud of his work. I recommend Dr. Elbert Vaca enthusiastically and without reservation.
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Kim Goodnan in Davie FL
13 April 2018
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Amazing, wonderful experience !
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Healthgrades User
2 June 2018
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Excellent! Awesome staff. Very supportive and skilled. Once you meet this doctor and his staff you won’t want to go anywhere else.
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Healthgrades User
15 June 2023
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Excellent Dr. Vaca listens, understands and delivers results with a professional and caring manner. Great surgeon. Great eye!
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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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Max Lehrman
26 May 2023
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I cannot speak highly enough of Dr. Vaca and his team. Dr. Vaca fixed my deviated septum. The results have been fantastic with no complications or issues. Dr. Vaca and his team were always incredible to work with - always extremely pleasant, communicative, and responsive. Additionally, Dr. Vaca's knowledge and expertise is beyond impressive.
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Juan David Velasquez
25 February 2021
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I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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Maia Pinzur
7 August 2024
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Dr. Vaca and his team are so amazing!! I received a rhinoplasty and chin implant and couldn’t be happier! I healed so well and was checked up on multiple times during recovery. Dr. Vaca understood my wants and concerns with the surgery and was with me every step of the way. My results have truly changed my life and I’m so happy with my decision choosing Dr. Vaca. I felt very secure because he is confident in himself, which was a very important aspect when ultimately deciding which doctor I wanted to move forward with. I am 2 months post op and could not have asked for better results. I received exactly what I asked for and am over the moon! A big thank you to Dr. Vaca and his team!!
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Maria Marquez
4 July 2021
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Dr. Steven is an excellent surgeon, I had my eyes done in May and the outcome was perfect. There was absolutely no pain, the customer service from his staff and from the hospital he uses are extraordinary. If you are thinking about having your eyes done, Dr. Steven is on excellent choice. Also I have to mention that results are very natural.
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Sevigne
25 March 2024
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Upper Eye Absolutely spectacular! Great staff, always followed up and answered any questions asap! Dr Faigen is a master at his craft . No bruising and super easy recovery. Highly recommend!
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Nancy Vezza
11 August 2023
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Dr. Vaca was just amazing! He took a lot of time with my concerns, and I was highly impressed by him. Cindy, the office manager was extremely helpful in booking my appointment and the office is just beautiful.
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Danielle Bratek
23 January 2020
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I'm so pleased with my surgical results! Dr. Fagien is very personable and professional. He spends time to discuss the particulars and is clearly an expert in his craft. His office operates on schedule and staff is attentive and friendly. Highly recommend!
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Shawn -Satisfied Customer
24 July 2024
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Honest Dr. Vaca is amazing at his craft. His staff was helpful and patient in addressing any concerns. I’m glad I went to him. He did a great job. Thanks Dr. Vaca.
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Chaya Goldman
6 February 2022
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Dr F has the best bedside manner … quick and painless with the best results every time
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Ina
13 December 2021
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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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VMarie
19 January 2020
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Dr. Fagien and his office staff could not be more professional or nicer! I had my eyelids done and took off my steri strips in my sleep. It was Sat morning so I called the answering service. Seconds later Dr. Fagien called me to meet him at the office and fix the problem. My Fiancé is a surgeon as well and could not have been more impressed with his perfect stitches and attention to detail. Thank you for everything Dr. Fagien, Devina , & Olivia I will definitely be recommending your office.
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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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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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Ferne Toccin
24 August 2023
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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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Andrea Virgin
4 May 2022
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Dr. Elbert Vaca is one of the very best plastic surgeons around. His absolute attention to detail is outstanding, he listens intently to his patients, and produces exceptional results. Highly recommend him to anyone looking for anything from simple to very complex!!
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Healthgrades User
13 November 2020
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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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Healthgrades User
3 March 2026
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Rhinoplasty and bilateral browlift I can’t say enough good things about Dr. Vaca. I recently went to Dr. Vaca for a rhinoplasty and browlift and I could not be happier with the results! There is no other surgeon I’d trust with any plastic surgery especially my nose. Dr. Vaca listened to what I wanted to change and I trusted his opinion on what he thought would look best for my specific features. He will always tell me when he thinks I don’t need something done and when he thinks something will look unnatural. I had minimal bruising, swelling, or scarring after my surgery and I attribute that to Dr. Vaca’s expertise as a surgeon. He is calm and confident which always made me feel at ease. Dr. Vaca and his staff truly care about their patients and take the time to make sure you are comfortable throughout the entire surgery and recovery process. Any questions or concerns I had both before surgery and months later they made sure to answer and had solutions for. Thank you so much to Dr. Vaca and staff!
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Diana Murdock
1 June 2018
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It's a beautiful office with friendly and knowledgeable staff. Dr. Fagien has an excellent manner, is very experienced, and gave me his honest opinion of my situation. He actually discouraged me from having upper eyelid surgery, saying that the result would not be what I said I hoped for, but would provide only minimal improvement.
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Andrés K
3 November 2023
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The best. No question about it Doc and staff extremely professional and nice . Results are amazing . I did my eyelids .Do your research . He is the best
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Danielle Roth
22 July 2021
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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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Healthgrades User
8 July 2023
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Wish more doctors were like Dr. Vaca In an age of acceleration and rush, Dr. Vaca stands alone with his uncommon patience, sincere kindness and genuine care. He explains procedures thoroughly and his clinical skills are extraordinary. As a highly discerning patient, I can’t recommend Dr. Vaca highly enough.
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Healthgrades User
18 October 2021
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Wonderful experience and very happy with the results. Customer service was 5 stars!
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Monica Silva
22 May 2024
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Dr Vaca is amazing! He is meticulous, talented and very kind. The entire staff in his office is also very kind. I did a neck and facelift and Dr Vaca did a great job. Minimum pain after my surgery, only took Tylenol for 2 days. Highly recommend!
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Leslie Crisco
19 December 2020
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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
10 June 2020
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I had minor eyelid surgery and couldn’t have felt more comfortable with Dr. Fagien and his staff. Excellent service and care!
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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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Lori Martinez
18 April 2018
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I love Dr. Fagien. He is kind and his office and staff are amazing. My face will always look beautiful because of him.
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Healthgrades User
30 July 2020
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He is an excellent Dr.
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Michelle M
17 August 2022
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The 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.
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Bonnie
30 August 2020
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I 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.
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Robert poole in Ft Lauderdale, FL
23 September 2017
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The doctor was honest and informative
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Camille Straham
14 January 2026
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Dr. Fagien performed upper and lower eye lid surgery on me and I am very pleased with the results. I look 10 years younger. It has definitely boosted my confidence. Dr. Fagien is very detail oriented and precise in his approach. You can’t even tell that I had surgery. You can tell that Dr. Fagien loves what he does because it shows in his workmanship. His team is just as dedicated as he his. They were all so kind and very helpful. I would without hesitation do this all over again with Dr. Fagien and his team. Hats off to you all! 👏🏽👏🏽
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Krista Nasse
22 July 2021
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Dr. Vaca is amazing. He takes his time and explains everything. He is super gentle when injecting!!! Best experience you won’t be disappointed.
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Beth W.
24 June 2020
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I love my eyes! Thank you! Dr Fagien and his staff are informative and very friendly. Dr Fagien’s work is amazing!
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Anonymous in Boynton Beach
10 September 2022
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“Simply the Best!” I’m pleased to have an opportunity to share my experience with Dr. Steven Faigien. I’m an 81 year old woman who’s had 3 eyelid surgeries in the past. Because of this I was anxious about how I would heal. Dr. Fagien assured me that since I am in good health , there should be no problems. He proceeded to tell me what would be the best result for me. He was absolutely right! I had my surgery a few days ago and am healing quickly and I love the way my eyes look. I would be remiss in sharing my experience with Dr. Fagien if I didn’t mention his wonderful and caring staff. They are always kind and very helpful. Last, but definitely not least, is Dr. Fagien himself. He is very personable and quickly put me at ease. He is easy to talk to and has a great smile and sense of humor. I am truly humbled by his expertise and his caring for his patients. He is “Simply the Best!”
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Dr. Scott Denny
3 October 2023
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Dr. Fagien is a terrific surgeon and his staff is fantastic. I am extremely pleased and highly recommend his practice.
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Hilda Castellanos
24 May 2022
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What 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!!
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Taylor M.
28 July 2023
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I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
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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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Diane Procini
27 July 2025
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Simply the most talented surgeon on earth!! And so kind!!
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Cindy Montero
1 April 2021
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Dr. Vaca is one of the best plastic surgeons I have ever worked with. Working in this industry for many years he is definitely one of the best out there. I really enjoyed his attention to detail and making sure I was comfortable. I am not one for getting work done that doesn’t look natural and he helped me achieve my goal with a more natural look. He also has an amazing vibe and great bedside manner. Highly recommended to anyone in the South Florida area.
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Healthgrades User
5 September 2022
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I hv not had anything done yet. My visit was very nice and pleasant. I liked everyone in the office. Everyone seems happy. They are very welcoming. I look forward to some necessary good changes for myself. Like the Doc also.
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Jana D'Agostino
16 September 2021
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Dr Fagien and his staff are amazing. His office is very clean and beautiful. He truly listens and gives his honest opinion about what you need. I have been coming to him for Botox and fillers in my forehead for over 2 years and he is a true artist and pays close attention to details. After going to multiple doctors before him and not having the results I wanted, he came highly recommended. He was the only doctor that was honest and said that Botox alone would not help my deep lines in my forehead. He goes above and beyond to make sure you are happy with your results. I will be his patient for life.
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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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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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jordan labinger
10 June 2022
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Dr. Faigen is a MF rockstar! I had a lower blepharoplasty performed by him due to complications from under eye filler last month. Make an appointment, I can guarantee you will be happy you did.
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Healthgrades User
26 January 2020
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He and his staff could not have been more patient and thorough in explaining the procedures and follow up.
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DC
3 November 2021
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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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Rifka Maidan
29 June 2022
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Amazing experience. Professional caring gentle procedure,wonderful staff great support and I look fabulous.
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Healthgrades User
26 August 2020
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Knowledgeable staff and comfortable office facility
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yaminah lopez
20 April 2021
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Dr. Vaca was very friendly, he makes you very comfortable and actually sits and talks with you. Most places make you feel rushed and unimportant. He took the time to explain things, and answer questions I had! I can not wait to have my procedure done !
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Todd
17 January 2023
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Excellent Eyelid Surgeon Dr Fagien is an excellent eye surgeon! Every step of the process was perfect. Anytime I had a question or issue, I was able to see Dr Fagien or his amazing staff quickly and the office was always helpful and kind. My results were also fantastic. I would highly reccommend Dr Fagien and his office to anyone thinking about having eyelid or other eye plastic surgery.
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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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Claudine G
21 July 2022
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Amazing Professional Office Dr. Fagien is truly a Professional Oculoplastic Surgeon who is very compassionate and thoughtful of your concerns. He gives his full attention to you and puts you at ease, leaving you with full confidence that everything will be 100% better. 2 weeks ago, I had upper and lower Blepharopalsty and so far I'm very super happy at the results. A big shoutout to his staff.. all are very friendly, well trained and most of all compassionate. Dani, his assistant is very kind and truly cares and takes the time to answer any of your concerns. I absolutely highly recommend Dr Fagien and his team!
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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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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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Ciara
23 September 2025
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Dr. Fagien, and his Team are the best!
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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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Leslie M
20 March 2025
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Dr. Faigen is the best! His confidence, expertise and sincerity through out the process makes the surgery a great experience. I could not be more satisfied with my results! His office staff is superb as well! I could not recommend him enough!
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Juan Velasquez
25 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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Christine
14 October 2021
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I am a repeat customer. I am a Commercial Airline Pilot and I only wanted the best doctor to work on my eyes. I wanted a plastic surgeon who specialized in eyes. I heard great things about Dr. Fagien’s work. Ten years ago Dr. Fagien did my upper eyelids. They looked amazing. They looked very natural and I was very happy with the outcome. Ten years later I had my lower lids done. Even though it’s a bit of a drive for me I never even considered another doctor. He gives me the natural, refreshed look that I want. His staff at both his office and the surgical center are very helpful and answered all my questions. I highly recommend him.
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Susan S
10 October 2019
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Book your appointment- he’s the best!
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Randy Lebowitz
29 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is THE BEST eyelid plastic surgeon possibly in the US. I would highly recommend his work for anybody thinking about their eyes and having surgery!!
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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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Diana_Microbiology
18 July 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is knowledgeable and honest. I got Botox and very satisfied with the result. Dr. Fagien is definitely the doctor who fits my needs. Thank you Dr. Fagien and all the staff.
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Healthgrades User
2 September 2022
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AMAZING 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!
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Jodi Kahn
7 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
SImply the BEST! I've been going to the brilliant Dr. Faigen for 16 years. He NEVER pushes you into something, even if you want it lol. He's honest, talented and conservative. You'll always leave looking like yourself, only better! Thank you for being consistently the greatest Dr. there is <3
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Fay Suninan
21 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I had a great experience. It was my first time doing Botox. It was professional. I will definitely be going back.
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Laurie Ziomek
25 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an awesome ocular esthetic physician not only surgically but with injectables as well. He doesn't push you to do anything but rather allows the patient to decide what he/she wants. He and his staff are warm and caring as soon as you enter the office! Highly recommend!!
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Chelsea Parra
29 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently started seeing Dr. Fagien. His office is beautiful & squeaky clean & the staff have all been helpful and wonderful! I would highly recommend going to see him!
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Homegirl40 at gmail com Do i need this account profile picture
Homegirl40 at gmail com Do i need this account
15 January 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Went for a consultation. Very Professional and knowledgeable. Clean office. Would recommend highly. Will use their services when time is right.
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Healthgrades User
11 September 2025
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Dr. Vaca If you are reading this review, chances are you are searching for a qualified cosmetic surgeon. My search began in January of 2025. I live in Coral Gables, FL and had full consultations with three highly recommended surgeons within a few miles of my home. While I was certain that all of these doctors could satisfactorily get the job done, I left each consultation feeling like something was missing. I simply could not make a decision. My continued research led me to Dr. Vaca in Boca Raton and after reading his credentials and reviews, I scheduled a consultation. At the end of this lengthy, informative, enjoyable meeting I knew that my search was finally over. I had found my surgeon and my indecision was replaced with certainty and excitement. I have now experienced two surgeries with Dr. Vaca and I am very happy! Everyone who works with him is professional and supportive. If you are searching for a cosmetic surgeon, schedule a consultation with Dr. Vaca…find what you have been missing.
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Amy Appel
17 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.
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C “Siin” D
9 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Best eyelid surgeon.
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Healthgrades User
14 June 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
He is an excellent doctor!
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Kim Romano
28 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.Faigen is a stupendous individual, he is friendly , kind honest and very pleasant with the utmost professionalism He is also an expert in his field and very up to date on all the latest developments. The office is immaculate and your appointment time is honored. I would trust him with any type of procedure surgical or esthetics.,He and his phenomenal team are the most friendly honest and extremely pleasant and professional group I have dealt with. Hannah is a smart, knowledgeable individual who makes a patient feel very comfortable and also provides a very pleasant experience. The office is run very efficiently and I would recommend it to anyone who is looking for an all around great experience .
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Connie Ortiz
20 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent and caring doctor, I had Bell Palsy, and he was able to help me and gave me options. Dr. Fagien is the best eye doctor I have ever visited. I wish more doctors and staff members would care about their patients like Dr. Fagien and his staff.
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Susan V
28 July 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is one of the most ethical plastic surgeons I have ever met. I would highly recommend him. After leaving his office he advised me that I really didn’t need the work I was asking for and advised me to see my health care provider. I don’t know many if any plastic surgeons that would do that.
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Vlad
20 February 2025
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The best results possible. Dr. Fagien was outstanding — attentive, charismatic, and fully dedicated to achieving the best possible results. He proactively and carefully addressed all potential concerns throughout my surgery journey. I’m beyond happy with the results and highly recommend him.
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martha sanchez
10 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is very knowledgeable and honest. We are unable to perform the surgery we wanted because it would not give the results we were looking for and he was up front about it. We went to two others surgeons before him and they both recommended the surgery. Which proves that he is honest not in it just for the money.
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Dr Fredric Haberman
19 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful experience. Dr Fagien is very professional and caring. He took his time and explained things very well. I highly recommend Dr Fagien!
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Azul Iglesias profile picture
Azul Iglesias
3 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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Jana Hamade
12 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is one of a kind! He has the best staff, best office manager, and all around great atmosphere. He always delivers the top results and really listens to your concerns. The most caring, calm, and trustworthy plastic surgeon in boca!
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Kelly in Boca Raton, FL
2 January 2016
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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C V
25 August 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Blepharoplasty with Dr. Fagien: A Review I recently had a blepharoplasty performed by Dr. Fagien, and I couldn't be happier with the results. Before the procedure, I had very hooded eyelids, but now I have a visible eyelid—a change so subtle and natural that I don't even feel the need to wear makeup anymore. The results are incredibly refreshing, making me look more awake and like the best version of myself. From the very first consultation to the final follow-ups, Dr. Fagien's kindness and care were exceptional. He is a true perfectionist with an incredible eye for even the smallest detail, which put me completely at ease. He genuinely cares about his patients' comfort and outcomes, and his surgical skill is second to none. I was also impressed by his specific post-operative care protocol, which I followed precisely. My recovery was surprisingly easy, with no pain, no bruising, and only mild swelling for about a week. Within a few days, most people had no idea I had even had surgery! The entire experience far exceeded my expectations. I am so grateful to Dr. Fagien for his precision, surgical skill, and genuine kindness. I highly recommend him to anyone considering eyelid surgery.
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Alicia Kalvin profile picture
Alicia Kalvin
29 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien and his team are the best! I had my upper eyes done in August 2020, they turned out terrific and the doctor’s office called me every day for a week to check on me and see how I was healing after my surgery. I’m so glad I made this decision and I highly recommend Dr. Fagien for anyone who wants beautiful youthful eyes.
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Sara Lowell
7 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and kind staff. Always warm and friendly. My results are beyond amazing. I highly recommend Dr Fagien
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Gabrielle Sacheli
15 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is by far the best in South Florida. His attention to detail and honesty is what keeps me coming back. I would highly recommend him and his entire office staff, they are wonderful.
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Healthgrades User
10 September 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Never a doubt I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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Brenda Mussman profile picture
Brenda Mussman
25 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien was very knowledgeable & considerate of my concerns.. We spoke about the eye procedure I was considering and he reassured me that it was an easy procedure. He also suggested another eye procedure to think about to be done at the same time.There was no pressure to decide anything that day.
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Denise Levin profile picture
Denise Levin
11 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone was friendly and professional. All aspects of the treatment were explained. The staff has been great about follow up visits, and Dr. Fagien is great.
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Sylvia profile picture
Sylvia
17 July 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is a miracle plastic surgeon. He gave me my eyes back. He gave me my life back. I am forever grateful. I couldn't even go out without sunglasses to cover my how my eyes looked. He takes his time, is extremely knowledgeable and professional and creates miracles when others couldn't. His staff is very knowledgeable and caring. His appointments are always on time. Amber was super sweet and even calmed me down on day of procedure. Dr Fagien cares about his patients and I owe him so much. I am more than happy with my results. Better than I expected.
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B Glazer
17 April 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
From the lovely waiting room till my last visit I’ve enjoyed great care. The front desk nurses are smart and welcoming. All the nurses in the office and at the hospital were warm and caring. Dr Fagan is marvelous and has done a wonderful job. I highly recommend him!
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Lana
23 June 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Healthgrades User
8 December 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Faigen is amazing. He has the patience of a saint and I couldn’t be happier. This was not my first experience with injections and fillers, but it was definitely the best.

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