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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Alice Tate profile picture
Alice Tate
21 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Fantastic doc and I wouldn’t go to anyone else!
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Tracey Sullivan
1 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien and Dr Vacas’ teams are all so easy to work with. They are knowledgeable and so pleasant! Going to the office is a pleasure.
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Kathie Einstein
14 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent staff and experience!!! Dr. Steven Fagien is a wonderful Doctor. I totally trust his medical judgment and would choose him first over any other practice!
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Alexandra Vanella
15 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I had the best experience thanks to Dr. Vaca. We did an in-office chin lipo procedure in January 2021. I’m still seeing results everyday. It was extremely quick & easy. I couldn’t be happier with the results!
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Healthgrades User
17 July 2025
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Best Dr and Best Staff Dr Fagien and his entire staff went above and beyond to ensure my procedure was a tremendous success. Whatever questions or concerns I have had were addressed immediately. They have been attentive every single day - before and after the procedure. Thank you!
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Renee Doehler
25 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I was extremely impressed with Dr Fagien and his office staff. I went in for a consultation with Dr Fagien to have my tear troughs injected. He told me I was not a good candidate and I would not achieve the look I desired. I asked him about other options and he said in the future to come and see him but that I wasn’t ready for anything yet. His honesty and professionalism is amazing! When it is time I will definitely return to see Dr Fagien.
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Delray Beach, FL
1 March 2017
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Dr. 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.
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jordan labinger
10 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Peg Anderson
26 November 2021
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Dr.Vaca’s expertise can’t be overstated. His in-depth knowledge and training at the best hospitals with the finest professionals is outstanding. I’m beyond happy with the results of my procedures and highly recommend Dr. Vaca
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Debbie Acosta
11 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
The best of the best - kind and gentle! Staff is wonderful too! Highly recommend
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Suzette Botero
18 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best of the best! The only person I trust when it comes to eye surgery and injectables. My mother’s eyes look great and my injectables super natural! Love his professionalism, and his staff is SUPERB!
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Maia Pinzur
7 August 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
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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CHERYL SURTEL
19 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
My 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.
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Lauren
22 December 2023
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1000/10 My sister and I both had a lower blepharoplasty done and everything about our experience, from the appointments to the surgical procedure, was amazing. Dr. Faigen and his staff went above and beyond to make sure we had the best care and results. You can tell everyone there truly cares about their patients. Highly recommended! We're still recovering from the procedure, but we are already so happy with the results!
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Beth D
7 March 2024
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Dr. Fagien and staff are amazing! From the moment of my consultation I knew Dr. Fagien was the doctor I needed for my upper and lower blepharoplasty. His expert knowledge along with extreme passion for his work showed immediately. My surgery was in late October 2023 and I could not be happier with the results.
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Mark
28 January 2020
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I waited less than 5 minutes in waiting room. Dr Fagien came in exam room with in 3 minutes. We you honest and let me know what my options were. He told me to save my money that I wouldn’t get results that I was looking for . I’m very happy he was honest with me and not looking at my as dollar signs. Definitely would recommend him.
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Grace Marilyn Parsons in Boynton Beach, FL
7 August 2018
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Very pleasant and organized office with excellent explanation of procedures.
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Healthgrades User
23 May 2025
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Exceptional Eyelid Surgery-life changing results! I cannot recommend Dr.Fagien enough for my upper and lower eyelid surgery. From the initial consultation to post op care, Dr Fagien and their team were professional, attentive, and genuinely caring. Their expertise and attention to detail put me at ease, and the results have exceeded my expectations my eyes look natural refreshed youthful, with minimal scarring and a smooth recovery. What sets Dr. Fagien apart is his unique and personalized technique to detail in my procedure . The entire staff was also welcoming and supportive throughout the process. If you’re considering eyelid surgery, trust Dr. Fagien you’re in the best hands! Thank you for giving me renewed confidence and 30 years of my youth back .
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Betina Garcia
29 January 2025
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Definitely will recommend Dr Fagien and all the staff were great. As soon as you walk in the door they make you feel confortable and cared for. My upper eyelid surgery was a success , no pain and quick recovery. Dr Fagien is not only an artist but a great human being.
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Lori Glover
23 April 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best plastics eye surgeon ! I also have had Botox and fillers and always get great results that last over 4 months. His staff are very nice and very knowledgeable! Love him!!!!
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Healthgrades User
12 July 2018
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Comfortable environment for thorough conversation with all concerns addressed. Very friendly and supportive staff. Excellent experience!
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Katherine Hamlet, M.D. in Aiken SC
5 May 2018
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Dr. Fagien performed bilateral upper and lower blepharoplasty 15 years ago with great results so I returned to have a repeat procedure. He’s a fantastic physician: friendly, caring, honest, technically superb, respectful of his patients and staff, all factors that lead to a calm reassurance of optimal outcome.
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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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Irene Zingg
11 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is simply the best eyelid surgeon out there. Do yourself a favor and save time by going straight to him. I saw two other popular plastic surgeons before I met him, and I was just not impressed with either one. I had the bar set very high though, since I worked with a famous plastic surgeon in my other life. Yet as soon as I met Dr Fagien and saw his work, I knew he was the one! So much so, that I barely asked him any questions, I just scheduled my surgery. Three weeks after my surgery, I went to a wedding and no one noticed I had surgery, but people kept telling me how great I looked. It’s been four months now and I absolutely love the results! My eyes look amazing, and I couldn’t be happier. His entire staff is wonderful. The outpatient facility is wonderful! The anesthesiologist was super nice. The recovery was a breeze. I would only suggest that you don’t see yourself in the mirror until the day your stitches come out😊 Dr Fagien is an amazing doctor and a wonderful human being. Caring, professional, super nice, and even funny. Absolutely nothing needs improvement in his practice. Irene Zingg
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B Glazer
17 April 2021
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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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Judi Nelson
10 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am not embarrassed to say that at 63 I had my upper lids done by Dr. Fagien. He was warm and professional as was his staff. The eyes came out great. 9 days post surgery now and I am thrilled. Dr. Fagien also repaired a botched eyelid surgery my husband had. He is the best. Highly recommend!
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Healthgrades User
9 April 2025
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Perfection I recently underwent a brow lift with Dr. Cava and I couldn’t be more happy with the results. The entire team was professional, and attentive. Dr Cava has a kind and gentle demeanor. He was very good at listening which told me that he was very detailed oriented and a perfectionist I am six months post-op and the results were better than expected! Thank you.
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Thelma Moya
3 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is a articulate professional, who did my lip filler approximately 2 weeks ago, and I am very thrilled with the results. I highly recommend him to do any of your services. He is very pleasant and pays attention to detail and most of all very honest.
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Maria Marquez
4 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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
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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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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Healthgrades User
6 January 2021
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I had a procedure with Dr Fagien almost 3 weeks ago. At the initial consultation, Dr. Fagien answered all of my questions very clearly and patiently . His knowledge and excellent reputation made me feel that I was in very good hands. The surgical coordinator , Davina carefully explained everything I needed to do pre and post op. She was also at the surgical facility on the day of my procedure , taking such great care of me, making sure I was relaxed and comfortable. She also called to check on me after the proceedure to see how I was doing. Amber and Thelma the nurses , thoughtfully answered of all of my questions and concerns after my proceedure and were always kind and helpfull. I was very happy with my whole experience at this medical practice.
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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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Jana in Boca, Fl
11 April 2018
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Always professional and pleasant. His work speaks for itself
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Jahlecia Newland
11 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is an exceptional Surgeon who has truly changed my life. he restored my self-esteem when he performed surgery on my ear to remove a very large tumor that I had for many years. The tumor haunted me for years and I could not find anyone willing to remove it. I was truly blessed when I was introduced to Dr. Vaca by my aunt who believed that Dr. Vaca was the best person to remove this tumor. Without hesitation, Dr. Vaca agreed. From the moment I met Dr. Vaca, I was impressed by his professionalism, empathy, and dedication to patient care. He made me feel calm, safe, secure, and completely at ease throughout the procedure. Dr. Vaca took the time to thoroughly explain my procedure, ensuring that I understood every step. The surgery itself was a success beyond my expectations. Dr. Vaca's expertise was evident throughout my recovery. I was free from scarring to my surgical site, and looking on my ears, you cannot tell which ear had the surgery. Post-surgery instructions and care were exemplary. I would highly recommend Dr. Vaca to anyone seeking top-notch surgery. Thank you Dr. Vaca and your exceptional team for your exceptional work and for making a significant difference in my life. I am blessed to have you as my doctor. Jahlecia Newland.
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Beth Johnston
24 August 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I am very pleased with the procedure outcome as well as the professionalism of Dr. Fagien. His staff is knowledgeable and the service is beyond 5 stars.
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Julie Shide
5 June 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. 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.
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Joyce C.
4 June 2023
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The BEST I had eyelid surgery in March and cannot be more pleased with the results! Dr. Fagien is simply the BEST and his staff is wonderful. I am so glad that I trusted my eyes to Dr. Fagien - he is truly an artist extraordinaire who gave me the natural look that I desired. He has a wonderful and caring personality as well, and he and his amazing team including Dani, Devina, Victoria, and Hannah (apologies if I am missing anyone) “held my hand” the entire journey and answered any and all questions, anytime that I asked. The surgery and recovery was exactly as explained with minimal discomfort. Even two weeks after the surgery I was hearing “you look great” and “were you on vacation?” from people and co-workers who didn’t know I had my eyelids done. 10 weeks after surgery, I am thrilled and the results will only keep improving as I heal completely. Thank you, Dr. Fagien and team - truly love the way I look and appreciate the excellent care that I received !!
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Healthgrades User
17 August 2019
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Dr. 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!
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Lynett
15 April 2022
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A wonderful experience Dr FAGIEN is patient, relaxed, and so skilled. He takes the time to study your face and tailor his work to your specific issues. Injections are virtually painless. The staff is lovely, kind and professional.
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Andrea Quain
2 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is an amazing surgeon. He is so meticulous and detailed in his work. I had a BA done by him 3 weeks ago in May and it could not have gone smoother. Dr. Vaca is so sweet and guides you through the process with ease and understanding. I absolutely love my results and I am SO glad he was my surgeon. I will be a lifetime client of his & I have already referred him to family. If you are considering a plastic surgeon look no further. :)
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Kate Collins Brown
12 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am so happy with my results. Definitely choose Dr. Fagien. The entire process was easy and I wish I did this sooner! I am much more confident in my appearance… he is the best of the best and so kind and caring. I couldn’t be happier with this decision and doctor.
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Healthgrades User
8 February 2019
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Very warm, honest and friendly doctor. Would absolutely recommend him to friends and family.
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Peter Niramon
25 September 2019
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Dr. Fagien is very high professional, excellent staffs, and his office is very clean and nice decor.
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George in Harrisonburg, VA
3 July 2018
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Dr 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!
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Janet
5 June 2021
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Very professional. Took their time explaining everything, friendly, didn't have to wait. Would definitely recommend family & friends.
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Diana Elise
4 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I could not be more pleased with my results from Dr. Vaca. From the first moment you step into the beautiful suite you are greeted warmly by the receptionist and wait only mere minutes before being escorted to a consultation room. Dr. Vaca’s gentle and kind demeanor make the consultation effortless. After assessing your concerns Dr. Vaca will show you his previous work so that you may see beautiful results from other patients. His aesthetic compliments and enhances your natural beauty without overdoing it. He is careful in his assessments and is very honest with how he would proceed in correcting your concerns. Not only is his demeanor gentle, but his hands are as well, causing no pain throughout the entire process. I am so happy and lucky to have found such a wonderful surgeon!
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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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Mandi Fiddle Bergenfeld
24 December 2024
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Kind and fabulous doctor!!!
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Joanns Shore
12 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is a magician. The results of my upper eye surgery succeeded my expectations, I’m beyond happy with my eyes. The whole experience was comforting and inspired confidence, and delivered! The staff is knowledgeable, warm and kind and appointments quick and to the point. Thank you!
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Linda in Fort Lauderdale, FL
30 January 2019
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Absolutely the best.
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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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Megan E McNally
22 January 2025
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5 stars is not enough for Dr. Vaca. I found him by way of Dr. Fagien but needed more than an upper bleph (brow lift also) so went with Dr. Vaca. From the moment I met him in my consult I just thought he was so kind and knowledgeable. I felt safe with him and his work on Instagram was just beautiful. He kept nailing the brow lift and upper blephs and most importantly each woman just looked so natural like they didn’t have anything done. I had my surgery last week and have felt so well cared for. My results are so beautiful! I still feel like me! My dermatologist here in Miami asked for all of his info bc she couldn’t believe how beautiful it looks. Who knows what plastic surgery I will consider in the future as but if I do I know that I will trust Dr. Vaca. He’s a star!!!
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GINA JUNGLES
17 March 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
The best experience and results!! Dr.Fagien & staff members are the best. . Thank you
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Todd R.
14 December 2019
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Dr. Fagien is the perfect example of someone "going above and beyond". I've had the opportunity to visit him three times and he truly cares about his work and making his patients happy.
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Judi Nelson
18 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is amazing. One week post-op neck and facelift and I feel great. Still a little swollen but I can see it is going to be great! He is meticulous and talented but also kind and considerate. The whole office is wonderful.
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Nancy Jetta
16 August 2022
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In July 2022 I had a brow lift done by Dr. Vaca. I knew I needed the work done and was a great candidate for it but I wasn’t sure what to expect as I had never had one done before. I cannot be more pleased with the results! I look so much younger, my eyebrows look amazing and one can actually see my (pretty) eyes now. The recovery was simple, and the procedure painless. I would do it again in a second ! Thank you to all the staff at Dr. Vaca’s office and the surgical center also. They could not have been kinder.
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Rick Leto
21 October 2021
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A perfect and seamless experience. Can’t say enough about the Doctor and his entire team. The pre procedure and Post were handled with professionalism and thoroughness not often experienced today.
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Lana in Baltimore , MD
1 July 2019
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He is the best in the field.
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Michelle Doherty
22 April 2019
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Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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Linda Von Allmen
14 August 2021
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Great team… Dr Fagien is a perfectionist ! He's a master at what he does. Would never go to anyone else!!!!
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Kathy Pace
11 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien, is truly one of the worlds finest oculoplastic, surgeons. His brilliant techniques, and caring abilities are outstanding! Also, his staff will do everything to make you feel comfortable and secure! Thank you 🙏
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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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Gail Altman
22 November 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’m sending a personal thank you to Dr. Fagien for his ongoing attention to making sure his patients are completely satisfied with their results. Gail A.
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Eugenia Matos-Oliveira profile picture
Eugenia Matos-Oliveira
12 December 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. 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!
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Lisa Nolasco
26 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Being 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.
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Laurie Ziomek profile picture
Laurie Ziomek
25 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an awesome ocular esthetic physician not only surgically but with injectables as well. He doesn't push you to do anything but rather allows the patient to decide what he/she wants. He and his staff are warm and caring as soon as you enter the office! Highly recommend!!
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elizabeth mastro
18 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is by far the most talented surgeon I have seen. Not only does he have an artists eye he has an artists hands with surgeon skills. Dr Fagien strives for and achieves natural results which enhance beauty and restore a youthful appearance. The staff is also compassionate and knowledgeable. Overall my experience has been extremely positive and I look forward to continuing care with Dr Fagien.
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David Goldman profile picture
David Goldman
23 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I write this review as a dermatologist and Mohs micrographic skin cancer surgeon with 42 years of clinical experience in general, surgical and cosmetic dermatology. I have also reconstructed numerous facial wounds after removing complex skin cancers on many of my patients’ faces. With my experience, I have a full appreciation for the complexity of eyelid surgery. I have referred numerous patients for ocular plastic surgery during my career. 18 years ago, I had disappointing cosmetic eyelid surgery that ultimately left me uncomfortable and disfigured. I consulted with three other ocular plastic surgeons who recommended that I do nothing and simply live with the result. I heard Dr. Fagien speak at a cosmetic surgery meeting, where he addressed the particular problem that I had. In that presentation, he spoke about the techniques he had developed to reconnect the outside parts of eyelids to the surrounding bone. I was relieved to know that someone would be able to correct my problematic previous result. I met with Dr. Fagan at which time we discussed my concerns. All of my questions were answered with compassion and respect. In my case, the lack of eyelid support by the orbital bone and excessive surrounding skin created unnatural webbing, narrowing of the opening of my eyes and discomfort from displaced and ingrowing eyelashes. The procedure that Dr. Fagien performed, known as lateral canthoplasty with retinacular suspension, enabled correction of the discomfort and disfiguring changes that had developed. I could not be more grateful or happier! And I think I look a few years younger, but all of my friends and family say I look at least 10 to 20 years younger, especially since Dr. Fagien removed those pesky bags under my eyes, as well🤩! Dr. Fagien carries world renowned stature for his skills, innovations, publications and kindness. I would trust him with any of my patients, family members or friends. In addition, Dr. Fagien and his staffs’ professionalism and attention to detail are unparalleled!
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Cindy Goldfarb
25 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I loved Dr. Fagien’s candidness. He suggested I go to my endocrinologist to have my thyroid checked because my eyes and bridge over my noise are so swollen. After that, he suggested I come back in for a consultation.
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Tanya Cozzarelli
11 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
The best thing that could have happen to me is finding Dr. Vaca to have my brows lifted. They look better than when I was 20 years old. Can’t wait to get the rest of my face done when gravity calls.
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Margo Hatt
19 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I felt like I was in good hands with Dr Fagien and Amber. They answered all my questions and were professional.
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Annie Berman
12 October 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the best! Extremely professional excellent staff. I couldn’t be happier
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A R profile picture
A R
10 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had two facial surgeries done with Dr. Vaca. I am blown away by the beautiful and elegant results. From the initial consultation to the surgery I felt truly cared for as Dr. Vaca was so kind and also so mathematically precise with his considerations and measurements of my eyes and of the harmony of my face. Even the staff at the surgery center commented on how they try to get into the OR to watch his innovative techniques. I would trust him with my face again. He is a truly gifted surgeon and a very kind, compassionate person.
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Kiara Maldonado
20 February 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is very patient and caring. There are other doctors who will rush the process and all they see is a dollar sign over your head. If you are looking for someone to take their time and truly value you as a patient of their practice, this is the doctor you need to see!! He has a sharp eye for perfection and is very honest and thorough with his work. 15/10 recommend!
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B P
30 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Courtney DuBois profile picture
Courtney DuBois
30 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had an ear lobe repair done by Dr. Vaca and it was an incredibly easy and painless experience. Dr. Vaca was caring, detailed in his explanations and his work was excellent. I am extremely happy with the entire experience. The outcome was better than I expected! I would highly recommend this office and doctor.
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Healthgrades User
9 May 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
THE BEST Everything he did was top notch! His bedside manner is behind compare & the staff as well. Would highly recommend him for any type of cosmetic surgery.
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Jennifer L
18 June 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Best Experience Ever Dr. Faigen and his staff are absolutely fantastic. From my first consultation, to pre-op, to surgery and post op, I felt completely at ease and had the most amazing results. Dr. Faigen was straight forward about what results could be achieved, and I couldn’t be happier I highly recommend him for anyone looking for a natural and beautiful result.
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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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Healthgrades User
4 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I’m always happy with the results. I’ve been treated by Dr. Fagien for many years. I wouldn’t trust anyone else!
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MV profile picture
MV
1 March 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
A 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!
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Ron Granados
18 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca was very professional and took the time to explain in patient friendly terms what to expect from my procedure. Would highly recommend!
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Healthgrades User
24 February 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Highly Recommend Last month I had surgery with both Dr. Fagien and Dr. Vaca. My entire experience with Dr. Fagien, Dr. Vaca and their office was fantastic. My initial consultation was informative. Drs. Fagien and Vaca listened to my concerns, did an assessment, and gave me their recommendations. They explained everything clearly and answered all of my questions. They took their time. I’ve never felt rushed at any of my appointments. My surgery went wonderfully. I felt safe and well cared for throughout. My recovery went as expected and I am completely thrilled with my results. My follow up care has been great. Appointments are on time. The physicians are attentive and truly take pride in their work. Everyone in the office is friendly and professional. The office itself is beautiful. Drs. Fagien and Vaca were highly recommended to me by several of my colleagues who work in healthcare, and I certainly agree with those recommendations. I highly recommend.
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Nina profile picture
Nina
26 January 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien- the best plastic surgeon I had a lip filler treatment done with Dr. Fagien two months ago, and I couldn’t be happier with my decision. I used to have downturned corners of my mouth and very thin lips, but now the corners are lifted, and my lips are fuller, beautifully shaped, and incredibly natural-looking. My facial expressions, speaking, and all movements are as normal as ever.I feel like my face looks more youthful and vibrant, and my self-confidence has significantly increased. Even those around me, who usually don’t approve of cosmetic treatments, have complimented my new lips and said they love how natural they look.Thank you so much, Dr. Fagien for giving me such beautifully shaped lips and a smile that I truly love!
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Jessica W profile picture
Jessica W
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best decision I ever made was coming to Dr. Fagien! I had a right ptsosis repair done on my upper eyelid and he is a magician with his hands. I was a special case with having different shaped eye folds, different colored eyes AND glaucoma in my right eye. He magically create symmetry in my face (never had before) and matched my eye fold beautifully without any scarring. I had consultations all around South Florida and in San Francisco, CA (where I am from) and ultimately decided on his expertise and I couldn't be happier! His staff is thoughtful and they all take the time to explain the process, what to expect, etc. Do yourself a favor and go see him! He's restored my confidence and made me feel beautiful again! Thank you so much to Dr. Fagien and his staff!!
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Jodi Kahn profile picture
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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Ellen Niles profile picture
Ellen Niles
3 January 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I just looked in the mirror at my upper and lower blepharoplasty from three years ago. It still looks wonderful, I m so pleased. Dr. Fagin, thank you for your great work!
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Healthgrades User
24 February 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I 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.
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B Mac profile picture
B Mac
8 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone from front desk, to Dani and Hannah and Dr Fagien were fantastic. Very responsive, kind, pleasant and of course very knowledgeable. Highly recommend.
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Rivka Liberman profile picture
Rivka Liberman
2 June 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Excelente Doctor and excelente staff. Love you all.
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Stephanie Cardona profile picture
Stephanie Cardona
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have met! His skills are superb, he is kind and patient, taking the time to explain the procedures he will perform, answering questions, and setting real expectations. Highly highly recommend!
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Healthgrades User
12 August 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Face and Neck List HAPPY HAPPY HAPPY!! I’m so HAPPY, I could say it 1000 times but it wouldn’t express how happy I am with my new younger neck and face, it restored the younger me! I owe it all to the exceptional talented meticulous, Dr Vaca. I would give you the highest Michelin star if there was such a thing for plastic surgery!! And I want to say thank you to the girls in the office you’re all fabulous!! Thank you, Dr Vaca I’ll be forever grateful and thank you, Dr. Fagien for putting me in the hands of such an artist
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Diane Procini profile picture
Diane Procini
27 July 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the most talented surgeon on earth!! And so kind!!
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Healthgrades User
6 November 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
my 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!
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bob S profile picture
bob S
10 December 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Recently had some under eye surgery performed by Dr. Steven Fagien. My Dermatologist had recommended him and after a thorough consultation chose him as he specializes in only eye surgery. He has been performing these surgeries for many years and aside from his knowledge and great personality he did an amazing job. The difference was dramatic and I have received so many compliments since the surgery . After the procedure, much to my surprise, I only had slight discomfort. He is amazing. Thanks Dr Fagien. His staff is incredible also especially Hanna Gross and Danny Pico. Thank you both. He is the best!! Bob S.
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James McLaughlin DMD
24 February 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The Best As a retired medical professional I have high standards for where I get treatment. Everything about this office and Dr is beyond reproach. You wil get the very best care and treatment here. Very pleased with the results of my eye bag surgery.

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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.