Dr. Fagien is an internationally recognized world authority in aesthetic eyelid surgery and cosmetic injectable treatments and he has been featured in Vogue, Allure, New Beauty, The New York Times, and W magazine. He completed his medical training at the University of Florida and his fellowship in oculoplastic surgery at the University of Illinois Eye and Ear Infirmary.

He has authored over 350 publications in peer-reviewed scientific journals, served on the editorial board of the Journal of Plastic & Reconstructive Surgery, and penned his own best-selling textbook on Cosmetic Oculoplastic Surgery.

Growing up in South Florida, Dr. Fagien chose to return after his extensive specialty training in 1988. Dr. Fagien has over 30 years of experience and he has focused his practice exclusively on aesthetic eyelid surgery and cosmetic injectable treatments. Dr. Fagien has made more than 1,500 presentations about his innovations, techniques and best practices to surgeons around the globe. He pioneered teaching and instructional courses at the major society meetings including the American Society for Aesthetic Plastic Surgeons and the American Society of Plastic Surgeons when injectable agents were first introduced to the US. His innovations have changed the course of aesthetic surgery and have become reference materials for surgeons around the world.

Dr. Fagien's international reputation and stature draw patients from Europe, Asia and beyond, proving Dr. Fagien’s position as one of the most sought-after oculoplastic surgeons worldwide. Whether you one of his many A-list celebrities or entertainers, plastic surgeon or dermatology colleague, fortune 500 CEO, out of state/country resident or a South Florida friend or neighbor, Dr. Fagien's goal with each patient is to deliver the best, personalized care to meet or exceed their expectations.


Dr. Fagien majored in Chemistry at the University of Florida. He was elected President of the Pre-medical honor society, Alpha Epsilon Delta during his undergraduate years. He earned his medical degree (M.D.) and completed residency in Ophthalmology at the University of Florida which at the time was one of the top rated and competitive residency training programs in the world. Dr. Fagien’s unique style as an effective and innovative educator of his peers during his residency training program was noticed by all of the faculty, particularly the program chairman and one of Dr. Fagien’s heroes, Dr. Mel Rubin, who publicly stated that he was one of the best residents that he had ever trained and encouraged him to consider oculoplastic surgery as his chosen sub-specialty.

Following residency, Dr. Fagien was selected for fellowship in Oculoplastic Surgery at the highly sought and competitive University of Illinois Eye & Ear Infirmary under the mentorship of Dr. Allen Putterman, one of the world pioneers in aesthetic eyelid surgery. Dr. Fagien and Dr. Putterman have remained close friends after his training and Dr. Putterman proudly introduced Dr. Fagien when he received the Henry Baylis Cosmetic Surgery Award for his contributions to the field of cosmetic oculoplastic surgery.

Dr. Fagien is a Diplomate of the American Society for Aesthetic Plastic Surgery, the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Society for Dermatologic Surgery, the American Academy of Ophthalmology and the American College of Surgeons. Dr. Fagien is Board Certified by the American Board of Ophthalmology.


University of Illinois Eye and Ear Infirmary

Ophthalmic Plastic & Reconstructive Surgery with Allen M. Putterman, MD


University of Florida College of Medicine


Medical Degree

University of Florida College of Medicine

Doctor of Medicine

Undergraduate Degree

University of Florida

Bachelor of Science, Chemistry


Dr. Fagien has earned his reputation as a thought leader and innovator in the field of aesthetic surgery due to his refined aesthetic sense and obsession to better understand beauty and the factors responsible for facial aging. Per Dr. Fagien, “The deeper you focus in on a subject and the more experience that you have, the more you notice the fine details. Perfecting the finer details of my craft through a clearer understanding of anatomy and the aging process has been my life’s work and passion – this has allowed me to deliver the best possible results for my patients and to push the field of cosmetic surgery forward.”

Dr. Fagien has demonstrated his unparalleled ability to create the most beautiful, natural and youthful eyes, utilizing advances and techniques he has developed and perfected. In addition to his impeccable surgical skills, he has been a pioneer in the uses of injectable agents including botulinum neuromodulators (such as Botox® Cosmetic) and filling agents (like Juvéderm® and Restylane®). He has been chosen repeatedly over the years as a principal investigator for FDA trials for their eventual approval in the US for nearly every injectable agent available in facial aesthetics and has presented his data on numerous occasions to the FDA on his experiences leading to the approval of many of the commonly used products in aesthetic medicine. Dr. Fagien also works constantly with many of the major pharmaceutical companies to develop innovations and next generation injectable products for facial rejuvenation.


Highlighted Publications

Fagien S. Botox® for the Treatment of Dynamic and Hyperkinetic Facial Lines and Furrows: Adjunctive Use in Facial Aesthetic Surgery. Plast Reconstr Surg. 1999; 103(2): 701-713.

Fagien S. Algorithm for Canthoplasty. The Lateral Retinacular Suspension: A Simplified Suture Canthopexy. Plast Reconstr Surg. 1999; 103(7): 2042-2053.

Fagien S. Facial Soft Tissue Augmentation with Injectable Autologous and Allogeneic Human Tissue Collagen Matrix (Autologen and Dermalogen). Plast Reconstr Surg. 2000; 105(1): 362-373.

Fagien S. Advanced Rejuvenative Upper Blepharoplasty: Enhancing Aesthetics of the Upper Periorbita. Plast Reconstr Surg. 2002; 110(1): 278-291.

Fagien S. Botulinum Toxin Type A for Facial Aesthetic Enhancement: Role in Facial Shaping. Plastic Reconstr Surg. 2003; 112(5): 6S-18S.

Fagien S. Temporary Management of Upper Lid Ptosis, Lid Malposition, and Eyelid Fissure Asymmetry with Botulinum Toxin. Plast Reconstr Surg. 2004; 114(7): 1892-1902.

Fagien S. Lower Blepharoplasty: Blending the Lid/Cheek Junction. In: Cosmetic Oculoplastic Surgery; 4th edition. Edited by S. Fagien. Elsevier Publishers, London UK. 2007; 161-180.

Fagien S. The Role of the Orbicularis Oculi Muscle and the Eyelid Crease in Optimizing Results in Aesthetic Upper Blepharoplasty: A New Look at the Surgical Treatment of Mild Upper Eyelid Fissure and Fold Asymmetries. Plast Reconstr Surg. 2010; 125(4): 1250-1256.

Fagien S. Variable reconstitution of injectable hyaluronic acid with local anesthetic for expanded applications in facial aesthetic enhancement. Derm Surg. 2010; 36, 815-821.

Fagien S, Cassuto D. Reconstituted Injectable Hyaluronic Acid: Expanded Applications in Facial Aesthetics and Additional Thoughts on the Mechanism of Action in Cosmetic Medicine. Plast Reconstr Surg. 2012; 130 (1): 208 – 217.

Fagien S, Bertucci V, von Grote E, Mashburn J: Rheologic and Physicochemical Properties Used to Differentiate Injectable Hyaluronic Acid Filler Products. Plast Reconstr Surg. 2019; 143 (4): 707e-720e.