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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Denise Cody profile picture
Denise Cody
9 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Kendal & Sasha
26 July 2021
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Dr. Fagien was extremely professional, I met with him regarding under eye fillers that I wanted to do. He was surprisingly honest and did not recommend I do this procedure as he did not think it would give me the results I wanted. He took the time to go through what the likely outcome would look like, showing images etc. I would 100% recommend his services as he clearly will not give advise on the basis of filling his pockets, but rather his client's genuine interests. While I did not leave with fillers, I did leave with a better understanding and knowledge of my structure and options available to me.
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Yolanda Martinez
8 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ll never tire of saying what a gentleman Dr. Fagien is, but most important, what an outstanding, awesome doctor he is. When I moved to this area some years ago I asked another Doctor to recommend me an Oculoplastic Surgeon, and without hesitation he said, “Steve Fagien, he is the best of the best, and I trust him blindly”. He was right 101%.
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Sylvia
17 July 2019
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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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Cathy Daly
30 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
From the first call, his office staff has been friendly and organized. They have a few main people who are always available and on top of your progress. You can get ahold of them at any time if you have a question. Appointments were always right on time with no wait. I always look forward to my office visits, too bad I'm healing so fast. As far as Dr. Vaga and Dr. Faigen, all I can say is that there is a reason that they are the top people to see in the US. They are friendly, kind, involved and incredibly skilled. I cannot recommend his office enough for quality care. I also wanted to say that the surgery center was top notch. I was comfortable and the medical team were incredible. I would give more stars if I had the option.
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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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MV
1 March 2023
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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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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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Warangkhana P
5 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is truly exceptional. He is professional, knowledgeable, and takes the time to make you feel comfortable and well informed. The staff is wonderful and friendly and always welcoming. I would highly recommend Dr. Fagien and his office
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Diane Samuelson
3 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I highly recommend Dr Vaca! He explains everything really well, and made me feel very comfortable prior to my procedure. The office staff is also very warm and friendly (I even received a follow up call to make sure I was doing ok the following day). The overall experience was pleasant and I’m very happy with my results.
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Veronika
26 April 2021
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Another plastic surgeon told me he would not do my eye lids because the results would not be good. Dr Fagien said he could do them and did the surgery with amazing result. He is also the kindest doctor I’ve ever met. I can’t say enough good things about him and his entire staff.
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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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Amy Amy
7 March 2025
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A Life-Changing Experience with Dr. Fagien! I can’t thank Dr. Fagien enough for literally “fixing” my eyes after a botched procedure in New York. From the moment I walked into his office, I knew I was in good hands. Dr. Fagien and his entire staff are beyond wonderful—professional, kind, and truly dedicated to their patients' well-being. If you’re out of state and looking for the best doctor, I highly recommend making the trip to Florida. The quality of care, expertise, and attention to detail is absolutely unmatched. I honestly wish I had come to him first. The results speak for themselves, and I’m so grateful for the positive change he’s made in my life. If you’re considering eye surgery or any related procedures, don’t hesitate—Dr. Fagien is the doctor to trust! You will not regret it!
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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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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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Danielle
27 January 2020
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Fantastic experience! Dr. Fagien and staff are professional, knowledgeable and pleasant. Appointments are on time.
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Michelle Lymber
18 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien and his support staff are fantastic! So professional, friendly and welcoming.
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elizabeth mastro
18 February 2021
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Dr Fagien is by far the most talented surgeon I have seen. Not only does he have an artists eye he has an artists hands with surgeon skills. Dr Fagien strives for and achieves natural results which enhance beauty and restore a youthful appearance. The staff is also compassionate and knowledgeable. Overall my experience has been extremely positive and I look forward to continuing care with Dr Fagien.
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Healthgrades User
2 November 2019
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If you want/need your eyes done in any matter, look no further. I am the type of women who believes that when it comes to ANY surgery, you fined the BEST. Well, save yourself anymore investigation. He’s IT! My surgery was 1 week ago. YUP, He’s the best’
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OL
21 February 2023
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Simply the Best! There is a reason Dr. Vaca is consistently rated 5 Stars. The experience starts with a phenomenal staff. From the moment you first call, you are treated with the utmost professionalism and personal touch. I just underwent a mini face lift with Dr. Vaca and could not be more pleased to have had him as my surgeon. He has impecable bedside manners. He takes tremendous pride in his craft, and as such, is meticulous and thourough. He listens attentively, addresses every concern, explains timelines, and sets realistic expectations. He takes his time to make sure the patient feels comfortable. At no point will you ever feel rushed. The procedure went so very smoothly, and so did the recovery. There was zero bruising, and very mild swelling! I was able to return to work within a week, and the end result was a very natural look! A youthful, and rested look. It is the combination of personal care and attention coupled with such quality of medical care that makes Dr. Vaca an exceptional surgeon
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Scott Brennan
1 October 2021
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Another easy visit with superb results. Never any issues. Knowing Dr. Fagien's abilities always makes it a calm and stress/anxiety free visit. And his support staff is unbelievably polite, courteous, and most of all professional.
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Marie Koehler
9 June 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is a caring,, kind ,and exceptional physician. His work reflects his meticulous nature, as does his office and staff. I have always felt valued as a patient, and highly recommend Dr. Fagien.
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Samantha Teitz
12 May 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
My entire experience was a pleasure! Dr. Fagien was patient and answered all my questions, his office staff is pleasant and professional. They kept a close eye on me during my recovery period as well. 10/10 recommend!!
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Leslie M
20 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Heather Nottingham
29 March 2023
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I can’t say enough good things about Dr. Fagien and his entire team. They are wonderful caring and skilled at what they do. I am very happy after my surgery and I would recommend Dr. Fagien and his team to anyone needing eyelid surgery! The results are very natural and I look younger and more rested! They take great care of you and make you feel comfortable throughout the entire process.
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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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Deerfield Beach
12 May 2018
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Dr. Fagien is an exceptional physician. He is very knowledgeable, talented, professional and caring. His results are amazing!
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Bob S profile picture
Bob S
11 December 2024
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Amazing Cosmetic Eye Surgeon 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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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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Heather Irurzun
14 August 2025
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Dr. Steven Fagien did an amazing job on my Upper eye eyelids! Heavy lids run in my family and my sister went to him over 10 years ago and said he was the best and she was right! The team at his office is so friendly and so is Dr. Fagien😊 All of my family members keep telling me how much younger I look so thank you so much to Dr. Fagien and his team of employees😊
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Jana Hamade
30 January 2022
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Dr. Vaca and his staff are truly amazing. They make you feel very comfortable everytime you come in and always check up on you! He has great bedside manner and truly listens and gives his honest opinion! I went in to get filler for the first time and he helped me figure out exactly what I wanted. He is an artist who pays close attention to details. I will for sure be returning for all future botox and filler! He goes above and beyond to make sure every patient is satisfied.
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Healthgrades User
25 January 2021
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A friend had recommended Dr. Fagien while I was visiting in Florida. I decided to stay in Florida beyond my expected departure and made my appointment with Dr. Fagien. I can’t believe the different between my prior experiences and with Dr. Fagien and his staff. The office was impeccable and I felt like I was the only patient there as they have strict Covid policies. I was brought into meet Dr. Fagien exactly on time. Dr. Fagien evaluate me and explained my options in exquisite detail including what I could expect from each of the treatments. His treatment nearly painless and had minimal signs of treatment. I was thrilled with the experience and the results as were my friend who was also impressed. I will be flying back down to Florida for my next treatments and when I need eyelid surgery. Thank you Dr. Fagien and your amazing staff!
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Irene Zingg
11 February 2022
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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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Margot Miller
29 July 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Always a pleasant experience at Dr Fagien’s office! Everyone is very helpful and kind. Office extremely clean and safe during the Cova virus.
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Gwynne Beatty
4 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the only person I would trust with my face. He is an ARTIST and he is funny!!!
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Randy Lebowitz
29 October 2025
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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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Healthgrades User
9 April 2025
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Magic hands! I couldn’t be happier with my experience with Dr. Fagien and his team! From the very first consultation, he made me feel comfortable and confident in my decision to undergo an upper and lower eyelid surgery. Specifically, went to see him for a corrective surgery on my lower eyelid. I had a fat transfer gone bad from a previous surgeon which left a bump under my eye. With Dr. Fagan‘s magic hands he was able to remove most of the excessive fat in this very delicate surgery. I highly recommend Dr. Fagan as he is a very skilled surgeon who genuinely cares about his patients and delivers amazing results. Thank you!!
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Josie Murray
13 May 2022
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Honestly wonderful experience from start to finish. I had an accident and needed stitches in my eyelid. I was scared and upset and the team was great. It’s nice to feel heard and understood from a doctors office, especially when you’re in crisis. Dani at the front desk really listened to what was happening and made sure I could be seen as soon as possible and answered all my questions. Dr. Vaca worked quick and well. It was such a fast and painless process. They answered any and all questions without judgement. When it was time to remove the stitches I was in and out the fastest I’ve ever been at a doctors office. Effective, efficient and kind place. Would definitely recommend.
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Healthgrades User
24 September 2024
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10 Years Younger! Dr Vaca is a true artist as well as a skilled surgeon. He has a very caring nature and makes you feel comfortable. His staff is kind and helpful. No question is too small to ask. I highly recommend him!
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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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Healthgrades User
6 August 2021
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Dr Vaca is so attentive and showed such amazing concern for my very damaged nose. I felt so comfortable with his recommendations to correct years of damage and subsequently had an amazing result. His staff is caring and very welcoming. Highly recommend this talented Doctor!
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Kat
27 February 2020
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Dr. Fagien has a gentle and calming manner and the ability to make you feel comfortable. He does not push you to have more done than what you are comfortable with. He is one of the few doctors that can make an injection barely noticeable. I trust him totally.
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Tatyana Nudel
12 January 2024
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I did my due diligence picking Dr Fagien and did he delver! Hands down THE best surgeon, very meticulous and detail oriented. Very particular and deliberate with his approach, pre-op instructions, surgical facility and anesthesiologists, his surgical technique is superb ( I am a doctor I know). My eyes look amazing! Today is less than 24 hours. No pain, virtually no swelling, no blood at all, no crusting. Have not taken single pain killer. I waited for this procedure with Dr Fagian for 2 years and it was totally worth it! I wish more surgeons would be like him. Totally a class act and bed side manner is so warm and professional. Better schedule your consult ASAP. I promise you will not need sorry
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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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Gail Altman
22 November 2024
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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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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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Randall McGee
2 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Consultation was very informative and not rushed. I was given a comprehensive evaluation and alternatives. Much appreciated.
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Keys Pat
13 May 2022
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Great staff, great results I cannot recommend Dr Fagien highly enough. He explained the procedure and it went exactly as planned. Pain was minimal, a bit of itching from the stitches. I had my upper eyelids done Monday and look quite presentable Friday- the stitches are the only giveaway. Best of all, I look rested, not over-pulled.
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Laurence Wiriath
11 April 2022
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Just perfect, so natural!
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Healthgrades User
30 May 2026
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HIGHLY RECOMMEND My 18 year old had lower bleph surgery in December . She looks great, feels great, is more confident than ever before. Everyone at Dr. Fagien’s office is exceptionally professional and shows such empathy and support for their patients and families. We love Dr. Fagien & We love Owni!!!!
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ZILÄ BLÜE
13 January 2025
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Extremely talented with a perfect outcome. Everyone is also very nice at the office. - Veit
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Kiara Maldonado
20 February 2023
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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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Tanya Cozzarelli
11 April 2023
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The best thing that could have happen to me is finding Dr. Vaca to have my brows lifted. They look better than when I was 20 years old. Can’t wait to get the rest of my face done when gravity calls.
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Deisy Escobar
9 November 2020
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Mi experiencia con el Dr. Elbert Vaca fué extraordinaria, me explicó claro y conciso todo lo concerniente al procedimiento que yo quería, después de este haberse realizado cumplió con todas mis expectativas durante el procedimiento me hizo sentir tranquila y confiada. Muchas gracias Dr. Vaca por tan excelente trabajo, lo recomiendo satisfactoriamente.
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Olivia Focazio
21 October 2020
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Dr Fagien is the master of his craft. He never fails to deliver amazing results! Ive had Botox and filler and always have come out looking natural and a more beautiful version of myself. Not only is he an artist and extremely knowledgeable, but he is so down to earth and cares for his patients wholeheartedly. His staff is amazing and so professional. I recommend him and his practice to everyone I know, without any hesitation. Dr. Fagien is unquestionably the best in the business. Thank you for everything you do! You are the best :)
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Amy
11 August 2021
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My experience with dr Vaca was fantastic! He’s extremely detailed, calm, self assured in the best way and realistic with what the outcome will look like. Dr Vaca far surpassed my very high expectations and I couldn’t be happier. His support staff are very kind and professional as well, so the overall experience is great. Anyone choosing this practice will truly be pleased.
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Mary Amado
31 March 2026
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Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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Michelle Cox
1 May 2024
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I wasn’t sure if it was time to look into anti-aging procedures and went to Dr Faigen and Dr Vaca and they advised me it isn’t time yet. Not a cash grab but ethical and kind surgeons. I look forward to seeing them again in perhaps a few years
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Healthgrades User
19 February 2025
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Amazing care! Dr. Fagien was amazing. Extremely professional and knowledgeable. His bedside manner is warm and friendly. Two friends, from different parts of my life, recommended him so I knew I was in great care. He was very clear and thoughtful about what would be best for me and I am just completely thrilled with the results.
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Healthgrades User
24 February 2021
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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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Healthgrades User
29 October 2025
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Upper and lower eyelids 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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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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Roberta M .Deutsch
10 June 2021
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I have been going to Dr. Fagien since 2012. He is a consummate professional and has a great bedside manner in addition to exceptional skills. I always look like I just went on vacation, really natural. I rarely bruise and this is because he numbs you from the inside. I wouldn’t go to anyone else and I wholeheartedly recommend him to anyone wanting to look refreshed and rejuvenated. He has an excellent skilled staff ready, willing and able to take care of you during your visit. He’s just the best.
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Douglas Rolfe
24 August 2026
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I had my upper and lower lids done at the end of June, so I'm a month and a half post-op. I am extremely pleased with everything in this regard. Not only is Dr. Fagien incredible and talented, but every interaction with any member of his staff was always 5-star. I would highly recommend him.
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Carolynne Bodine
8 January 2020
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After thoroughly investigating Doctor Faigen, I learned he’s a master, & gained such respect. When I personally sat down & consulted w/ Dr Fagien, my hopes were better than expected. He’s board certified, beyond educated, an educator, he advances medicine & his peers applaud his findings & study under him. Beyond his aesthetic eye & skilled hands, he’s cool, funny, makes you at ease & THATS totally unexpected. He’s not pushy, but gracious w/ your time, & very personable. His staff loves him. When I mention his name to other Dr’s there is such respect. He’s such a valuable human being, in medicine & to me now. My only regret was that I waited so long to meet him.
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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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lish profile picture
lish
1 April 2025
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Dr. Faigen is truly a skilled artist. He and his entire staff are professional and welcoming. I am absolutely thrilled with the results. If you are considering having your eyes done look no further than Dr. Faigen.
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kanita puangboot
20 October 2020
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I choose Dr. Steven Fagien with all the trusty. Recently, my Botox which I had on my forehead turned out very well done. It’s made me so happy overall... And Even that was the first Botox in my entire 35 years. It was full of concern. But now , I’m considered to get more in another area , of course! I will pick Dr. Steven Fagien !!
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K G
9 September 2020
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In June 2020 Dr. Vaca performed a facelift using the SMAS technique. From the first day we met, during many emails and phone calls, day of surgery, post-op visits and again, many calls and emails, Dr. Vaca was informative, caring and patient. Dr. Vaca is very detailed and made sure that I fully understood everything regarding my health and procedure. Every question was answered. I am thrilled with the outcome and happy to speak to anyone who still has questions about Dr. Vaca.
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Arlen
9 February 2021
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Dr. Vaca is incredible. He has an outstanding quality of medical care. I got my lips done with him for the first time ever and I can say that I am extremely happy with the results. He took his time and listened to what I wanted and then explained everything to detail. I immediately felt at ease and confident in my receiving expert medical care.
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Denise Levin
11 January 2019
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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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Angela Neave
24 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien did an amazing job and my eyes look beautiful. Everyone in his office treated me kindly and with care. I understood the process every step of the way and felt confident I was getting the best possible care.
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Cherrie
31 January 2022
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A magician Dr. Fagien can get into your head and figure out exactly what you want. You leave happy and looking natural.
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C V
25 August 2025
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Blepharoplasty with Dr. Fagien: A Review I recently had a blepharoplasty performed by Dr. Fagien, and I couldn't be happier with the results. Before the procedure, I had very hooded eyelids, but now I have a visible eyelid—a change so subtle and natural that I don't even feel the need to wear makeup anymore. The results are incredibly refreshing, making me look more awake and like the best version of myself. From the very first consultation to the final follow-ups, Dr. Fagien's kindness and care were exceptional. He is a true perfectionist with an incredible eye for even the smallest detail, which put me completely at ease. He genuinely cares about his patients' comfort and outcomes, and his surgical skill is second to none. I was also impressed by his specific post-operative care protocol, which I followed precisely. My recovery was surprisingly easy, with no pain, no bruising, and only mild swelling for about a week. Within a few days, most people had no idea I had even had surgery! The entire experience far exceeded my expectations. I am so grateful to Dr. Fagien for his precision, surgical skill, and genuine kindness. I highly recommend him to anyone considering eyelid surgery.
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Betty Bassan
23 July 2021
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I've been going to the Dr. Faigen for over 10 years. He first did my upper and lower eyelids and I’ve been going back for Botox on a regular basis. He is the only one I trust for eye cosmetic surgery. On my last visit, I was concerned about having Botox and the Covid vaccine. He sat down, explained everything in detail and I felt very comfortable with going ahead with Botox. His office is immaculate and his staff is professional. Davina is especially kind and friendly!
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Healthgrades User
3 February 2022
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This is my second surgery with Dr.Fagien. I have never met a person with such a wonderful bedside manner. He has been very helpful in my recovery and I would recommend him to anyone!
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Julie Shide profile picture
Julie Shide
5 June 2024
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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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Mandi Fiddle Bergenfeld
24 December 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Kind and fabulous doctor!!!
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Karen N. profile picture
Karen N.
14 September 2022
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The Best! This doctor takes so much pride in his work. I recently had upper/lower bleph and ptosis repair on 8/29/22. From the first visit I felt so comfortable. He takes sooooo much time with you during your visit. He has the best bedside manner. Office staff is great also. I'm still healing, but I love what I see so far. I would not hesitate to recommend Dr. Fagien 1000 times over!
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Christine profile picture
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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Gail Pezzullo-Burgs
18 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Love my eyes!
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Love V profile picture
Love V
23 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I was extremely hesitant in choosing a doctor in Florida, since I had an established physician and team in Beverly Hills. When travel became impractical, I searched for a local Physician for my cosmetic care. My first appointment with Dr. Vaca put my anxiety at ease. From beginning to end, he listened to me, paying meticulous attention to my features and establishing balance where i did not even realize was needed. Thank you so much, Dr. Vaca for listening to and really hearing your patients. I feel my best under your care, see you soon!
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Mary Daniels
11 November 2022
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An Incredibly Talented and Knowledgeable Doctor I am not new to injectables. Sometimes I’m pleased with the results and sometimes not so much. HOWEVER, Dr. Vaca has overwhelmed me with his skills and doctor-patient approach. I couldn’t be more pleased.
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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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Laura Montero profile picture
Laura Montero
1 December 2020
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Dr Fagien performed lower blepharoplasty. It took me quite sometime to go see him because I live one hour away. It’s hard with busy schedule. I’m so happy I finally made it. He did an amazing job. He’s very knowledgeable and makes you feel at ease. He’s a leader in his field and rightly so. He has a wonderful staff and impecable office. I highly recommend him.
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Brit E profile picture
Brit E
12 May 2021
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Highly recommend Dr Fagien. He is a very skilled surgeon who achieves exceptional results. His professionalism combined with his warm, caring personality puts you at ease immediately. His staff is top notch too, and always eager to respond to any questions or concerns you may have. I am truly thrilled with the results of my surgery and so glad I chose Dr Fagien as my doctor.
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Lana profile picture
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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Y M profile picture
Y M
16 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Definitely 5 Star!!
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Ron Granados profile picture
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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Janet profile picture
Janet
8 April 2021
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Beautiful and well run office. Dr. FAGIEN is amazing. I recommend this office highly!
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Patricia Chevrier profile picture
Patricia Chevrier
20 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I would very highly recommend both Dr. Vaca and Dr. Fagien. I was referred to this practice by a number of individuals and doctors. I also did a lot of research on my own before making my decision to have cosmetic surgery. I could not be happier. I found they listened to me, offered excellent advise and did exactly as I asked. The entire staff is professional and really care about their patients.
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Healthgrades User
10 September 2025
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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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Taylor M. profile picture
Taylor M.
28 July 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Tracy Brinker profile picture
Tracy Brinker
3 November 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing is an understatement …… Dr. Fagien is one of those people from the start knows what is best for you and then explains the process to get there - imagine in healthcare in 2023 a doctor who cares? Well you don’t need to look further because not only does he care he cares deeply and so does his wonderful, kind, gentle and loving staff. I am just so happy with my procedure, came out of state and the process was made so very simple for me to understand and Trust. Don’t even consider anyone else and I have said the same to my sister who commentates on TV - when or if you want to have your eyes reviewed or surgery performed you are in the right hands - I have never seen such talent (if ever). Thank you sounds like not enough to Dr. Fagien and his staff!!!!!
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Lauren Posner profile picture
Lauren Posner
22 December 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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. Fagien 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're already so happy with the results!
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Danielle Roth profile picture
Danielle Roth
22 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is amazing! I had a lower blepharoplasty done in February and I am extremely satisfied with the results. The doctor as well as his staff really took their time with me and answered all my questions to make me feel as comfortable as possible. I had virtually no pain and am thrilled w the results. Thanks doc!!!
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Healthgrades User
6 December 2019
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I have been going to Dr. Fagien For cheek filler for several years. He does such an excellent job that I come from out of state for the appointment.
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Healthgrades User
24 May 2019
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Dr Fagien and staff are excellent! I wouldn't trust my eyes to anyone else
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Healthgrades User
3 March 2026
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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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.