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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emmitt rhodes profile picture
emmitt rhodes
20 November 2023
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This is the only man you should trust with your eye improvements surgery. His resume, experience, and medical publications are above and beyond reproach. He has been doing this for so long and has developed insights and new procedures to maximize the benefit and minimize the pain and downtime, that he is considered a master by the other doctors in this particular niche of surgery. His office is neat, clean, and crisp and inviting. The staff is so very supportive and really go the extra step to make sure you are comfortable throughout the whole process. My results were fabulous and the whole experience was much easier than anticipated. I have never had elective surgery and was very frightened to go through with this. But my eyes were rejuvenated and i am very comfortable now with the look and feel of my upgraded eyelids. Truly real pros in every aspect.
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Healthgrades User
30 July 2020
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He is an excellent Dr.
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Judi Nelson profile picture
Judi Nelson
10 February 2021
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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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Joan R.
27 May 2023
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Dr. Fagien does amazing surgery. My results were perfect, the process was smooth, the attention was excellent and I would recommend Dr. Fagien and his team highly. I have had surgeries before and this was by far my best experience! Bravo to the surgical team and the office assistants who were exceptional!
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Tammy Costa
15 March 2019
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Amazing staff and Dr.!! I told them I would love to just hang out there because they are so much fun!! Dr. Fagien has the most gentle touch and great personality!!
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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
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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Y M
16 September 2022
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Definitely 5 Star!!
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Floridagal
9 May 2019
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Dr. Fagien is extremely professional with a gentle and kind demeanor and an artistic eye. He is very personal in his approach to the patient and is sensitive to differences in facial features and what would best suit each patient individually. He is a perfectionist in the best way, and truly helps the patient feel comfortable and confident in his care. His staff is well-trained and attentive. His facilities are top-notch, clean and modern. I highly recommend him. I couldn't be happier. His results are superb.
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Lauren Posner
22 December 2023
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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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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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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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Azul Iglesias
3 March 2026
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From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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Elena S. S.
7 May 2026
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Had upper and lower lid surgery two months ago. A wonderful experience from beginning to end. I am extremely satisfied with the results, as well as with the professional and kind care I received throughout the process. Dr. Faigen is exceptional, and I highly recommend him and his team.
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John Fehn
20 April 2019
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Excellent service with a friendly careing attitude definitely recommend .
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Christine N
1 June 2024
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Definitely Dr Vaca does excellent work and always very patient and helpful with questions. Excellent surgeon.
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Healthgrades User
24 February 2025
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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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Healthgrades User
22 July 2021
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Traveled from Nashville for blepharoplasty with Dr. Fagien, and my experience has been outstanding. Dr. Fagien is one of, if not the best, oculoplastic surgeons in the U.S., his staff is top notch, and my outcome has exceeded my expectations! Absolutely would do it again.
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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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Healthgrades User
11 October 2024
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Great Experience; Great results Dr. Fagien did an amazing job and his staff is as nice as he is!
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Healthgrades User
8 July 2023
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Wish more doctors were like Dr. Vaca In an age of acceleration and rush, Dr. Vaca stands alone with his uncommon patience, sincere kindness and genuine care. He explains procedures thoroughly and his clinical skills are extraordinary. As a highly discerning patient, I can’t recommend Dr. Vaca highly enough.
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Andrea Virgin
4 May 2022
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Dr. Elbert Vaca is one of the very best plastic surgeons around. His absolute attention to detail is outstanding, he listens intently to his patients, and produces exceptional results. Highly recommend him to anyone looking for anything from simple to very complex!!
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Tirso San Jose
11 August 2021
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Dr. Fagien and his entire team were amazing! From the moment you contact them for an initial consultation to post surgery, Dr. Fagien and team were courteous, on time, and professional. Dr. Fagien never once over sold his services and offered only those that specifically pertained to my situation. Also, worthy of mentioning is the Eye Institute where the procedure was actually performed. The staff there from the intake nurse to the one who wheeled me out after surgery ALL were extremely kind and sensitive. I highly recommend Dr. Fagien and his team
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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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Tours and info by Simo Boggio Byrne
20 March 2021
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Dr Fagien did a fantastic job to my eyes, I had no pain at all and the result is amazing. All his staff is excellent. I highly recommend Dr Fagien
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Cindy Goldfarb
25 August 2021
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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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Susan Feldhaus
30 January 2021
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Had my upper eyelids done. He is a skilled surgeon and made me feel very comfortable and at ease. I had a post operative issue (totally my fault) and he met me at the office on a Sunday and was unbelievably kind and caring. If you need eye improvement, he is your professional. This is not a paid review. Thanks Dr. Fagien
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Danielle Roth
22 July 2021
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Dr. Fagien is amazing! I had a lower blepharoplasty done in February and I am extremely satisfied with the results. The doctor as well as his staff really took their time with me and answered all my questions to make me feel as comfortable as possible. I had virtually no pain and am thrilled w the results. Thanks doc!!!
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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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Lisa RP
24 October 2025
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Dr Fagien is an artist. He is also kind, extremely skilled and a pleasure to know. he has helped not only me, but several of my close friends to regain our more youthful looks. I highly recommend him and his work.
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Ed Hall
13 June 2024
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Dr. Fagien and his staff are world class. I am a very happy patient. Excellent care and follow up.
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Kim Romano
28 March 2021
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Dr.Faigen is a stupendous individual, he is friendly , kind honest and very pleasant with the utmost professionalism He is also an expert in his field and very up to date on all the latest developments. The office is immaculate and your appointment time is honored. I would trust him with any type of procedure surgical or esthetics.,He and his phenomenal team are the most friendly honest and extremely pleasant and professional group I have dealt with. Hannah is a smart, knowledgeable individual who makes a patient feel very comfortable and also provides a very pleasant experience. The office is run very efficiently and I would recommend it to anyone who is looking for an all around great experience .
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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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Alicia Kalvin profile picture
Alicia Kalvin
29 April 2021
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Dr Fagien and his team are the best! I had my upper eyes done in August 2020, they turned out terrific and the doctor’s office called me every day for a week to check on me and see how I was healing after my surgery. I’m so glad I made this decision and I highly recommend Dr. Fagien for anyone who wants beautiful youthful eyes.
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Donna V. Molinaro
26 July 2021
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I’ve seen Dr Faigen for injectables. You may feel confident in Dr Faigen’s work. His approach is comforting, his work distinguished. He listens and creates a wonderful, natural look. He and his staff’s care and warmth is apparent during the entire experience. I have recommended him to family and friends, which is the greatest compliment.
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Lbm Teach
27 November 2022
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A year and a half later—and I couldn’t be happier! Thank you, Dr. Fagien! … After having to look at myself in Zoom reflections for more than a year, I knew it was time to do something. I was told by a Miami physician whose professional opinion I value more than I can say, that Dr. Fagien is the ONLY doctor to see. Dr. Fagien and his staff are incomparable. He is kind, warm, and patient. The results of my surgery are beautiful and natural. He took at least ten years of sagging stress from my eyes with an upper/lower transconj blepharoplasty. I'm grateful and so happy that I don't look sad anymore. Truly, he is the best!
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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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Judi Nelson
18 March 2024
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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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Max Lehrman
26 May 2023
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I cannot speak highly enough of Dr. Vaca and his team. Dr. Vaca fixed my deviated septum. The results have been fantastic with no complications or issues. Dr. Vaca and his team were always incredible to work with - always extremely pleasant, communicative, and responsive. Additionally, Dr. Vaca's knowledge and expertise is beyond impressive.
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Healthgrades User
5 September 2022
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I hv not had anything done yet. My visit was very nice and pleasant. I liked everyone in the office. Everyone seems happy. They are very welcoming. I look forward to some necessary good changes for myself. Like the Doc also.
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Kerri Benson
16 December 2025
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Look no further than WONDERFUL Dr Steven Fagien. There are no words to describe this amazing doctor. He is a truly a master in his field. His staff is equally wonderful. His office sets the tone for a calming, secure and overall positive experience Dr Fagien is everything that one could hope for when choosing the BEST doctor for cosmetic eye surgery. He is brilliant, kind, caring and honest. I could not be happier with the results. Dr Fagien is the definition of what every knowledgeable patient looks for when choosing a doctor. Thank you Dr Fagien for simply being you!
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Tracey Sullivan
1 July 2021
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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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Maria Victoria Tomic
29 September 2020
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My experience with Dr. Vaca was one to rave about! I was nervous to get Botox for the first time, but he was incredibly professional, patient and experienced. His bedside manner is informative yet calming. Also, his academic and professional accolades pretty much speak for themselves. I highly recommend using him!
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Liz Martelle
22 March 2021
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Simply a pleasure! to work with. He has that old bedside manner that has been lost in a lot of physician's. I would say his work was impeccable since everyone thinks I look great and not "different". The staff is very pleasant and they make you feel comfortable. I would highly recommend Dr. Vaca!
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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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Marilyn S
20 November 2022
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Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!
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Tony Ramudo
8 June 2022
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Can’t say enough good things about Dr Vaca. An easygoing bedside manner paired with excellent training makes for a great Dr. Highly recommend!
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Healthgrades User
25 February 2026
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Upper blepharoplasty Dr. Fagien, who did my blepharoplasty, I truly do not have enough words. He came highly recommended by over 12 individuals who had nothing but incredible things to say about him and his work, and now I completely understand why. For over two and a half years I struggled with hooded eyelids. I stopped wearing makeup and I did not feel like myself.He is truly exceptional at what he does. His work reflects a level of precision and perfectionism that is rare to find. He is incredibly gifted at his craft, and it shows in every detail. His approach is conservative yet flawless. The lines are beautiful, the healing has been incredible, and the result is exactly what I hoped for, refreshed and natural, not altered. I am beyond grateful for his skill, his care, and the beautiful result he gave me.
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Barbara Joyce
17 July 2023
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I had an amazing experience Dr Vaca took his time making sure he was doing what I wanted.His staff was also wonderfull to work with.I would definitely advise my friends and family to use him for any plastic surgery that needs to be done
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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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Tara H
16 March 2021
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Dr Vaca is patient, thorough and meticulous in his work. I had asked to “backfill” the volume that I had lost over the years in my lips. He listened to what I wanted and gave valuable suggestions. He then allowed me the time to make my decision and I am more than pleased with my results.
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Linda Mayer
12 October 2020
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My visits to Dr Fagien’s office have been awesome from the moment I’ve walked in , from the beautiful decor to his amazing personable, professional staff!! Dr Fagien is a warm, artistic , talented Doctor that I would highly recommend and can’t say enough great things about him!! I’ve had injectables by him and feel and look like a version of my younger self!! I would never consider going to any one else and when I’m ready I’ll get my eyes done by him! Thank you Dr Fagien !!
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Yolanda Martinez
8 November 2022
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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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Healthgrades User
17 November 2019
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This is the best team of medical staff I have ever had. I was truly impressed with the facility and the caring staff. I received the best possible treatment and owe my life to Dr. Fagien. I had a reaction one weekend while he was out of town and he still retuned my call within a very short time. He is so knowledgeable and was able to identify and resolve the problem. I felt so safe and knew I was in good hands. I could not have asked for any better care. Dr. Fagien and his staff are exceptional.
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Angela Neave
24 May 2022
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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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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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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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Taylor M.
28 July 2023
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I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
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Beth Johnston
24 August 2019
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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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Eunice Vazquez
28 April 2021
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He is very knowledgeable and pleasant, made me feel very comfortable. I will keep coming to see him!
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Healthgrades User
12 August 2024
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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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Allyne Cole
16 June 2021
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Dr.Fagien is truly a master at his craft. He is a highly respected expert in oculoplastic surgical and non-surgical procedures for a plethora of reasons. He approaches each patient with a sincere desire to create a natural, more youthful appearance with an artist’s eye, years of experience, and a deep sense of caring. His bedside manner truly adds to why he is beloved by all who meet him.
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Wendy Lewis & Co Ltd
28 May 2016
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Dr Fagien is the go to guy for cosmetic eye surgery and facial injections in South Fla. He has great hands and doesn't overdo it. Results are always natural and artfully done. Highly recommended!
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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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Warangkhana P
5 February 2026
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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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Lyubov Vayner
23 May 2024
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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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Jahlecia Newland
11 July 2024
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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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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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Barbara Estis
6 December 2020
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Dr Fagien did a beautiful job on my surgery. It’s been 5 weeks and everyday my eyes look better. I cannot wait to see the final results in the next few weeks. The surgery was virtually painless. You can expect a few bumps along the way, but it is well worth it.
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Iris Nystrom
18 August 2019
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Dr. Fagien is my good news doctor....he and his staff are always warm and professional ....I've sent many people and they always appreciate that he helps them look and feel their best, well, maybe better than their best....
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Jodi Kahn
24 September 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen... I've been going to him for 18 years. He has done my eyes, the results exceeded my expectations. He is also the only one to go to for botox and fillers. He is simply the best
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Aurelia Papitto
23 April 2024
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My Favorite Doctor! Dr. Fagien was the best - out of four consultants I went with him. Patience is his middle name. The staff was great also. Thank you for making me look and feel 20 years younger! You’re #1 doctor and staff in Florida!
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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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Ina
13 December 2021
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Dr. Fagien saved me a lot of money because he was very honest, he did not try to make money, he tried to help. He found out that I only have to go to a dermatologist and gave me a referral. Thank you very much.
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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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ingrid levine
22 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
An amazing experience from the staff to the doctor everything was wonderful would highly recommend going to this office and having a procedure done no regrets!!
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Kelly in Boca Raton, FL
2 January 2016
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Dr, Fagien pays attention to every detail and over delivers! I am so pleased with my result!!! I highly recommend him!
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Robert poole in Ft Lauderdale, FL
23 September 2017
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The doctor was honest and informative
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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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Sara Lowell
7 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and kind staff. Always warm and friendly. My results are beyond amazing. I highly recommend Dr Fagien
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Brian C
18 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best. The entire staff is amazing. Highly recommend
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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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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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Ferne Toccin
24 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is a fabulous doctor. I can"t say enough about his talents, his kindness and his humor, He took droopy eyes and made them look beautiful again. No more droop. No pain! He worked with Dr Vaca, and he did a temporal brow lift. He was wonderful as well. The office staff is kind and welcoming and addresses all by their name. I can't say enough about these doctors' skills and I will return for touch ups over the years!
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Lisa Coppola
10 November 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Had a wonderful experience . Dr Fagien was very informative.
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Amy profile picture
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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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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Naples, FL
14 April 2018
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After interviewing many surgeons in south Florida, I picked Dr Fagien to perform my upper eyelid surgery. The results are amazing. More importantly he and his staff put me at ease during the procedure. Now he does my injectables, too
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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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Denise Levin
11 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone was friendly and professional. All aspects of the treatment were explained. The staff has been great about follow up visits, and Dr. Fagien is great.
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H.Cohen
30 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I was very impressed by Dr Fagiens explanation and patience about the procedure he would be doing on me.He made me feel very comfortable and would use him,also .staff was terrific . Would highly recommended Dr Fagien
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Rifka Maidan
29 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing experience. Professional caring gentle procedure,wonderful staff great support and I look fabulous.
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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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Jacqueline Rofe profile picture
Jacqueline Rofe
10 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is excellent at the art of enhancement with fillers and Botox. I feel confident that he will not overdo or make me look “done”. He’s also extremely careful about disinfecting the areas before he starts. He’s doesn’t rush.
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Lori Martinez profile picture
Lori Martinez
18 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
I love Dr. Fagien. He is kind and his office and staff are amazing. My face will always look beautiful because of him.
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Susan V
28 July 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is one of the most ethical plastic surgeons I have ever met. I would highly recommend him. After leaving his office he advised me that I really didn’t need the work I was asking for and advised me to see my health care provider. I don’t know many if any plastic surgeons that would do that.
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Healthgrades User
8 October 2025
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Superior Doctor!!! I cannot say enough about Dr. Fagen. He is absolutely flawless — the most professional, skilled, and compassionate physician I have ever encountered. His expertise in eye procedures is unmatched, and his calm, confident manner immediately puts you at ease. From start to finish, the experience was exceptional. I trust him completely and wouldn’t consider going anywhere else!
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Ks
23 November 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is a true artist. I have been seeing him for several years now and could not be any happier with the results and the relationship. He is great at minimizing pain and bruising during and following injections. He never pressures unnecessary procedures. The staff is delightful, and they most obviously like the doctor as well. Could not ask for better. Don’t look for bargains with your face!
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Tracy Brinker
3 November 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
SO SO SO HAPPY!!! Dr. Vaca is officially my plastic surgeon for- EVER. Do not (i repeat) go anywhere else. He is just so kind and he listens and honestly let’s face it - this is all about Trust. I had full trust in him from the beginning to the end and he made me feel my best throughout the process. Honestly I have found more items now to do and look forward to seeing him again. My brows are amazing Dr. Vaca!!!!!! Just so so happy!
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Catherine S profile picture
Catherine S
14 October 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr.Fagien and his extra pleasant staff made me so comfortable for my upcoming surgery . It was a breeze with no pain , and the outcome looks wonderful , though I’m still swollen and the full results will be seen in a month or so . He is very kind, comforting and a true artist . I give him a 10!

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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.