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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martha sanchez profile picture
martha sanchez
10 August 2018
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Dr Fagien is very knowledgeable and honest. We are unable to perform the surgery we wanted because it would not give the results we were looking for and he was up front about it. We went to two others surgeons before him and they both recommended the surgery. Which proves that he is honest not in it just for the money.
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A R
10 January 2022
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I recently had two facial surgeries done with Dr. Vaca. I am blown away by the beautiful and elegant results. From the initial consultation to the surgery I felt truly cared for as Dr. Vaca was so kind and also so mathematically precise with his considerations and measurements of my eyes and of the harmony of my face. Even the staff at the surgery center commented on how they try to get into the OR to watch his innovative techniques. I would trust him with my face again. He is a truly gifted surgeon and a very kind, compassionate person.
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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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Debbie Acosta
11 November 2019
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The best of the best - kind and gentle! Staff is wonderful too! Highly recommend
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Rick Tobin
8 July 2026
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Top notch!
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Healthgrades User
26 September 2023
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Dr. Fagien and staff are the best! When considering upper eyelid surgery, I knew Dr. Fagien was the top surgeon in his field so my decision was easy. However, Dr. Fagien and his staff exceeded my expectations! Everyone was so professional, friendly and caring. Six months later, I am thrilled with my results! My eyes look amazing! Dr. Fagien is the best at what he does and I highly recommend him.
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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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April Gagliardi
29 June 2023
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Very Thorough and professional, highly recommend!!!
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Joanna
9 December 2020
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The whole experience was very comforting, caring and inspired confidence. I considered getting my eyes done for a long time but when I was finally ready Dr. Fagien and his stuff made this process wonderful. My results are incredible and I would recommend this practice to everyone who considers any kind of plastic eye surgery.
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james mclaughlin
23 February 2024
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Excellent doctor, office and results. I am beyond pleased with my eye bag surgery. As a retired medical professional I am a very observant patient and they deserve the highest recommendation possible.
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Healthgrades User
2 June 2018
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Excellent! Awesome staff. Very supportive and skilled. Once you meet this doctor and his staff you won’t want to go anywhere else.
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Kimberly M
6 September 2022
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I can’t say enough great things about Dr. Vaca. I trust him completely.
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Krisztina Kover
19 April 2021
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Dr. Fagien is amazing with so much experience, kindness and professionalism! He takes time to explain your options, all the details, supports your decision, and makes you feel comfortable throughout the entire process. Fantastic staff and beautiful office. I am extremely happy with the outcome and I would highly recommend Dr. Fagien! Thank you🌺
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Rick RPB
14 May 2024
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Professional office and top surgeon, none better. As a physician myself I could not have asked for a better experience and outcome. Thank you !!
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Vincent Traina
9 January 2019
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A wonderful experience with outstanding results. Honest, Passionate, Gentle, Kind, Friendly, Knowledgeable. Three thumbs up to Dr. Fagien and The Fagien Team. Highly Recommended. :-)
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Cindy Montero
1 April 2021
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Dr. Vaca is one of the best plastic surgeons I have ever worked with. Working in this industry for many years he is definitely one of the best out there. I really enjoyed his attention to detail and making sure I was comfortable. I am not one for getting work done that doesn’t look natural and he helped me achieve my goal with a more natural look. He also has an amazing vibe and great bedside manner. Highly recommended to anyone in the South Florida area.
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Brenda Mussman
25 April 2022
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Dr. Fagien was very knowledgeable & considerate of my concerns.. We spoke about the eye procedure I was considering and he reassured me that it was an easy procedure. He also suggested another eye procedure to think about to be done at the same time.There was no pressure to decide anything that day.
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Tammy VanGenderen
28 July 2018
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Patty, Dr. Fagien’s nurse is extremely kind and professional. The staff always kindly acknowledges me when I come in for my visits. Dr. Fagien is professional and kind as well. Always a pleasure to visit! I would recommend Dr.Fagien and his staff without reservation.
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Diana Elise
4 March 2021
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I could not be more pleased with my results from Dr. Vaca. From the first moment you step into the beautiful suite you are greeted warmly by the receptionist and wait only mere minutes before being escorted to a consultation room. Dr. Vaca’s gentle and kind demeanor make the consultation effortless. After assessing your concerns Dr. Vaca will show you his previous work so that you may see beautiful results from other patients. His aesthetic compliments and enhances your natural beauty without overdoing it. He is careful in his assessments and is very honest with how he would proceed in correcting your concerns. Not only is his demeanor gentle, but his hands are as well, causing no pain throughout the entire process. I am so happy and lucky to have found such a wonderful surgeon!
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Larry Sala
21 March 2021
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amazing doctor, caring staff ... and most importantly PERFECT results! thank you!!
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Ks
23 November 2019
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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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Harriet
3 August 2023
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Dr Fagien is an excellent oculoplastic surgeon and I highly recommend him.
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S Andrews
9 August 2022
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Highly recommend. Staff was friendly courteous and professional. Dr. Fagien made the procedure seem so simple amd pleasant. Very pleased with the results 👍
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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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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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elena stuart
17 June 2026
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I had upper and lower blepharoplasty with Dr. Fagien eight weeks ago, and I couldn’t be happier with the results. I had no bruising at all, and my eyes look refreshed and completely natural. Dr. Fagien was thorough, honest, and reassuring throughout the entire process, and one thing that truly sets his practice apart is that when you call the office, you actually reach a real person right away..no voicemail runaround or waiting days for a response like most places nowadays. His staff is warm, attentive, and always available, and the team at the ambulatory center was amazing, making the whole experience smooth and stress‑free. I highly recommend Dr. Fagien for anyone considering eyelid surgery.
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Lory Reyes
25 July 2022
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The best! Dr. Fagien has fixed my previous eyelid surgery and U’m so happy with the results! He is personable, competent and an excellent surgeon.
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Vlad
20 February 2025
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The best results possible. Dr. Fagien was outstanding — attentive, charismatic, and fully dedicated to achieving the best possible results. He proactively and carefully addressed all potential concerns throughout my surgery journey. I’m beyond happy with the results and highly recommend him.
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Healthgrades User
22 October 2021
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Professional, kind, listens. The staff is patient and efficient. Office atmosphere is very calming
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Orlando Lopez-Fernandez
25 January 2024
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Not only were the surgical results outstanding, but being a physician I can attest to the fact that the high level of kind professionalism displayed by the entire staff is very rarely encountered & therefore noteworthy & must be acknowledged & mentioned.
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Healthgrades User
12 December 2025
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Best of the Best I went to see Dr. Fagien for upper and lower eyelid surgery. The minute I stepped into his office I knew without a doubt that I was in the right place. His office is aesthetically pleasing. His staff is so friendly and welcoming. Dr. Fagien hands down is the best doctor/surgeon that I have ever met in my life. He is so professional and has such a calming demeanor. As it got closer to my surgery his staff kept me informed and engaged every step of the way. I shared with many of them my fears and anxiety about this, my first surgery in life, and they were so reassuring which helped to put me in a peaceful place. The days leading up to and immediately following the surgery they kept in constant contact with me and checked on me regularly. They went above and beyond. Dr. Fagien is a top notch doctor who is very careful, precisioned, and a laser focused surgeon. He ialso has a very calming spirit about himself that put me instantly at ease. I highly, highly recommend Dr. Fagien.
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Krista Nasse
22 July 2021
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Dr. Vaca is amazing. He takes his time and explains everything. He is super gentle when injecting!!! Best experience you won’t be disappointed.
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Healthgrades User
10 June 2020
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I had minor eyelid surgery and couldn’t have felt more comfortable with Dr. Fagien and his staff. Excellent service and care!
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Diana_Microbiology
18 July 2022
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Dr. Fagien is knowledgeable and honest. I got Botox and very satisfied with the result. Dr. Fagien is definitely the doctor who fits my needs. Thank you Dr. Fagien and all the staff.
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Healthgrades User
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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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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Healthgrades User
13 May 2019
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Dr. Fagien is extremely professional and has a very gentle touch and an artistic eye. He maintains a soft spoken and kind bedside manner. He treats his patients with respect and is an expert within his field. I highly recommend him.
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Susan in Lake Worth, FL
15 April 2018
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Dr Fagien is a wonderful eye surgeon. His artistry is top notch, he has a kind bedside manner and actually cares about his patient. I am thrilled with my outcome and would highly recommend his services. His staff is competent and kind. You can’t go wrong using Dr Fagien. Thank you to Dr Fagien and his team.
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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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Michelle Lymber
18 August 2022
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Dr Fagien and his support staff are fantastic! So professional, friendly and welcoming.
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Judith Fernandez
14 May 2022
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Still continues to be my favorite physicians office for the overall care and professionalism of all staff I encounter. Office continues to abide by recommendations regarding Covid which protects us both. I met some new staff this visit who are as committed to Dr,. Fagien’s practice as he is. My visit this time was more maintenance and lasted approximately 50 minutes. As usual, every line, and wrinkle was inspected and documented along with conversation regarding my perceived wants vs. what the physician felt I needed which is interestingly less. Actual prep and procedure time 30 mins, minimal discomfort, no down time and I left a happy more rested looking woman. I work hard, I play hard and enjoy taking this time for myself. I appreciate the skill and talent of healthcare professionals and a smooth operating medical office. Thanks Dr Fagien and team!
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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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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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Ann N
21 April 2021
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Dr Fagien is an excellent Doctor! His staff is very friendly and professional. He did an amazing job on my eyes. Very happy and satisfied. I would highly recommend him. A++
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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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Kim Goodnan in Davie FL
13 April 2018
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Amazing, wonderful experience !
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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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Y M
16 September 2022
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Definitely 5 Star!!
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Gina Berlin
25 August 2026
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Dr. Fagien is the best eye surgeon hands down! My whole experience from start to finish was exceptional. His professionalism and incredible staff make the whole process seamless. I would, without a doubt, refer him to all my friends and family. Thank you Dr. Fagien!!
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Catherine S
14 October 2020
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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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Healthgrades User
8 October 2026
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Margarita Dr Fagin is an amazing plastic eye sergeant I got exceptional results. I am very happy. The staff was very kind and helpful
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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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David Hidalgo
6 April 2023
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I am a plastic surgeon and just went to Dr. Fagien for upper and lower eyelid surgery. The procedure was easy, painless, and looks great already, only two weeks later. Knowing everyone in the business means I could have gone anywhere. Dr. Fagien is the very best and is also one of the kindest and most compassionate individuals I know. If you found him, look no further.
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Peter Niramon
25 September 2019
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Dr. Fagien is very high professional, excellent staffs, and his office is very clean and nice decor.
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Marcy Busch
4 July 2022
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I have been going to Dr. Fagien for almost 10 years now.., the best physician and office staff in South Florida..... love him and his staff ??
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Healthgrades User
17 October 2026
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Great surgeon Great team, personalized service and care, perfect results
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Bonnie Barnett
2 February 2022
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Dr. Faigan and his staff are Extremely professional and Dr. Faigan is one of the best doctors that I could ever recommend to anyone!
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A.N.
17 August 2022
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Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.
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Diana muvdi
9 August 2019
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He is excellent !!
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Healthgrades User
8 August 2021
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My experience with Dr. Vaca was top notch, he is very professional and very knowledgeable in his craft. He make you feel very comfortable and is always eager to listen to any of your concerns. I had an upper lip lift and cannot be happier! If you need an honest and caring physician, do not hesitate to seek him out.
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Margo Hatt
19 August 2021
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I felt like I was in good hands with Dr Fagien and Amber. They answered all my questions and were professional.
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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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Sally in Stuart, FL
11 March 2016
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Dr. Fagien is extremely skilled, and the results of his work are far above other providers.
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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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Diane Procini
27 July 2025
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Simply the most talented surgeon on earth!! And so kind!!
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Kristen Gentile
4 February 2026
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Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!
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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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Michelle Doherty
22 April 2019
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Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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Marilyn S
20 November 2022
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Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!
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Kelly V.
10 June 2023
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Highly recommend Dr. Fagien! He is the best!! The past couple years, I’ve been researching which doctor to perform my upper and lower blepharoplasty. After several consults with doctors in Beverly Hills, I was referred to Dr. Fagien, from my cosmetic dermatologist, in Miami. After meeting Dr. Fagien and his staff, I knew he was the right one. The results are beyond my expectation! From start to finish, my experience was positive and I would highly recommend Dr. Fagien and his team. Thank you for everything!!
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Healthgrades User
5 October 2018
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Dr. Fagien and his staff were amazing! They answered all of my questions and made me feel comfortable with my decision to go forward with surgery.
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David Kimmel in Hudson, FL
16 October 2017
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Dr.. Dr. Fagien and his staff are terrrfic. From the first phone call to our vary last appointment . Class act and my surgery came out great!
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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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Healthgrades User
14 June 2022
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Excellent and Professional Excellent experience from consultation to surgery. Doctor is very professional and meticulous. Staff is very professional as well. Highly recommend Dr. Steven Fagien.
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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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Chaya Goldman
6 February 2022
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Dr F has the best bedside manner … quick and painless with the best results every time
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Maria Marquez
4 July 2021
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Dr. Steven is an excellent surgeon, I had my eyes done in May and the outcome was perfect. There was absolutely no pain, the customer service from his staff and from the hospital he uses are extraordinary. If you are thinking about having your eyes done, Dr. Steven is on excellent choice. Also I have to mention that results are very natural.
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Kristin Padowitz
19 December 2024
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Look no further! Dr. Fagien is the best of the best. I am a very high maintenance patient, extremely nervous and anxious. Dr. Fagien and his staff were incredibly caring and comforting. Dr. Fagien’s bedside manner helped me feel relaxed and gave me the knowledge that I had picked the right doctor for the job.
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Tracy Brinker
3 November 2023
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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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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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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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Healthgrades User
11 September 2026
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Dr. Vaca is incredibly talented! From my first visit with Dr. Vaca I felt instantly at ease and highly impressed with his knowledge and expertise. His educational background is stellar. I completely trust his recommendations and truly appreciate his honesty and conservative approach. I can’t recommend him enough! Thank you Dr. Vaca.
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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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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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Healthgrades User
8 March 2022
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this was my first experience and it was truly wonderful. dr Fagien takes his time and does a meticulously fantastic job doing the fillers. You do not have to be nervous because of the way they numb you and because of the tools dr Fagien uses. Basically painless. Everything about this office is so professional and friendly, that I can highly recommend to everyone who wants a bit of beautification. And the best thing is that nobody really notices what happened to me, but they just tell that I look good. And that is what I wanted.
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Jacqueline Rofe
10 June 2021
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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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Nancy Vezza
11 August 2023
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Excellent Doctor! Dr. Vaca was amazing! He spent a great deal of time in my consultation explaining my options in detail. I was very impressed by him.
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Cynthia Spear
1 February 2022
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Very Professional!
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Stuart Rosenholtz
19 August 2022
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Dr Fagien is wonderful and is great when it comes to cosmetic eye surgery
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pamela rosen
7 August 2022
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As a plastic surgeon I knew exactly who to trust for my recent eyelid surgery. Dr Fagien is a talented, skillful and detail-oriented surgeon who did a beautiful blepharoplasty for me. His office staff are very responsive and helpful, as are his operating room team. I highly, highly recommend Dr Fagien - he is truly a "surgeon's surgeon".
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DC
3 November 2021
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Dr. Fagien came very highly recommended by three different friends. I had gone for two prior consultations with other docs in FL and NY for my eyelids which were droopy with excess skin and dark circles below. Once I met with Dr. Fagien, I knew that he was the right choice immediately. He is a highly respected oculoplastic surgeon whose work is the gold standard in this field. He performed upper and lower blepharoplasty on me, and I couldn't be happier with the natural results! I 100% recommend him. I have had so many complements on my 'refreshed' look and am SO happy I chose him to perform the surgery. Your eyes will thank you.
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Healthgrades User
6 January 2021
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His name was recommended to me from the PA at my Miami cosmetic Derm’s office. His office & staff are superb - very clean, beautiful aesthetic & very helpful. He has a great energy that put me at ease & no worries as I tend to be worried. I did my R lower eyelid Dec 3rd, 2020 to even out both my eyes from my natural bags & use of under eye filler throughout the years. It’s been 5 weeks. No one can tell I had something done. The first week was hard just due to the sleeping up but his work is very detailed, healed well & fast. I am coming to see him for my 5 week. I am very happy with his work. Thank you Dr. Fagien. I can’t wait to go back to him when I need to do the rest.
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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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Shawn -Satisfied Customer
24 July 2024
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Honest Dr. Vaca is amazing at his craft. His staff was helpful and patient in addressing any concerns. I’m glad I went to him. He did a great job. Thanks Dr. Vaca.
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Alicia Wynn
26 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Always go with the best. Dr Fagien is the best.
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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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Healthgrades User
8 March 2019
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As soon I walked into Dr Fagien office I was greeted warmly by the staff. They made made feel very welcome. The Dr is a true professional. He listened to my issues and questions and made me feel at ease that he could do what I had gone to see him for. I would highly recommend him to any of my friends and my family.
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Healthgrades User
18 October 2025
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My Miracle Man! Dr. Fagien is well worth the wait! When it came to trusting somebody to doing my eyes, there was no other choice. He is the best of the best!!!! His work, and referral from patients and colleagues, speaks for itself. I had absolutely no reservations that I would have my eyes back the way they were, and not have them look fixed. He is caring, spends time explaining things to you, and goes beyond in every way. I can’t tell you how pleased I am!!!! Have no reservations about Dr. Fagien, he is truly and eye artist!!!
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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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Judi Nelson
18 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is amazing. One week post-op neck and facelift and I feel great. Still a little swollen but I can see it is going to be great! He is meticulous and talented but also kind and considerate. The whole office is wonderful.

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