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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Nancy Jetta profile picture
Nancy Jetta
16 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
In July 2022 I had a brow lift done by Dr. Vaca. I knew I needed the work done and was a great candidate for it but I wasn’t sure what to expect as I had never had one done before. I cannot be more pleased with the results! I look so much younger, my eyebrows look amazing and one can actually see my (pretty) eyes now. The recovery was simple, and the procedure painless. I would do it again in a second ! Thank you to all the staff at Dr. Vaca’s office and the surgical center also. They could not have been kinder.
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Lois Zenner
27 February 2022
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Fillers As painless as possible, excellent Dr Fagien, excellent staff!
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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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Lori Defillipo
27 April 2023
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Dr. Vaca not only is a very skilled surgeon but also considerate and kind. He explained in detail his recommendations for my eyebrow lift and provided multiple opportunities for questions, even on the day of the procedure. I felt very comfortable with him, his surgical team and office staff and am extremely pleased my outcome! He and Dr. Fagien are my dream team!
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Ellen Fleisher
18 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
✨Great Doctor ✨Great Office ✨Great Staff ✨Great Care ✨Great Results
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Maureen Meil in Delray Beach, FL
27 November 2018
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I'm having my surgery done in a week and a half. Dr. Fagien explained everything in detail and took lots of pictures. He was refereed to me by another surgeon in Philadelphia. I feel very comfortable with the fact that Dr. Fagien will be performing my surgery. He has a great reputation.
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Mary Amado profile picture
Mary Amado
31 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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martha sanchez
10 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Fay Suninan
21 February 2019
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I had a great experience. It was my first time doing Botox. It was professional. I will definitely be going back.
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Kerri Benson profile picture
Kerri Benson
16 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Healthgrades User
19 October 2020
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Beautiful, clean office with an excellent doctor and staff!
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alan brandfon profile picture
alan brandfon
6 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and the entire office personnel are absolutely fantastic! Professional, knowledgeable, and first rate. Thank you!
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Ann N profile picture
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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Allyne Cole profile picture
Allyne Cole
16 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Martine Lloyd profile picture
Martine Lloyd
25 January 2022
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Dr Vaca is a master in his craft. He aims for very natural results and takes the time to explain the procedures. He is very kind and patient and I could not be happier with my lip lift results. I would recommend him with 10 stars!
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Susan S
10 October 2019
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Book your appointment- he’s the best!
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Wendy Kupfer
21 June 2019
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Dr. Fagien is terrific I thoroughly trust him. I’m always pleased with the results and he does everything he can to make the procedure pleasant. I highly recommend Dr.Fagien!!!
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Leslie Crisco profile picture
Leslie Crisco
19 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Could not have been a better experience. Dr. Fagien and his staff are all truly wonderful!! Dr. Fagien ‘magically’ made all of my bags disappear. He makes Houdini look like an amateur. Truly truly amazing.
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Angela Neave profile picture
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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Jordana Herschthal profile picture
Jordana Herschthal
30 October 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and attentive staff and best Oculoplastic surgeon in the world! I love my results!!
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Healthgrades User
11 September 2025
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Dr. Vaca If you are reading this review, chances are you are searching for a qualified cosmetic surgeon. My search began in January of 2025. I live in Coral Gables, FL and had full consultations with three highly recommended surgeons within a few miles of my home. While I was certain that all of these doctors could satisfactorily get the job done, I left each consultation feeling like something was missing. I simply could not make a decision. My continued research led me to Dr. Vaca in Boca Raton and after reading his credentials and reviews, I scheduled a consultation. At the end of this lengthy, informative, enjoyable meeting I knew that my search was finally over. I had found my surgeon and my indecision was replaced with certainty and excitement. I have now experienced two surgeries with Dr. Vaca and I am very happy! Everyone who works with him is professional and supportive. If you are searching for a cosmetic surgeon, schedule a consultation with Dr. Vaca…find what you have been missing.
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Tanya Cozzarelli
11 April 2023
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The best thing that could have happen to me is finding Dr. Vaca to have my brows lifted. They look better than when I was 20 years old. Can’t wait to get the rest of my face done when gravity calls.
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Matthew Hughes profile picture
Matthew Hughes
11 February 2025
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My wife and I had procedures in December. We highly recommend Dr Fagien. Words do not do justice for the quality of care he and his staff provide. They are truly wonderful people and exceptional at what they do for their clients . Thank you so much for everything.
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Susan Feldhaus
30 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Kate Collins Brown
12 December 2021
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I am so happy with my results. Definitely choose Dr. Fagien. The entire process was easy and I wish I did this sooner! I am much more confident in my appearance… he is the best of the best and so kind and caring. I couldn’t be happier with this decision and doctor.
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Kim Champion profile picture
Kim Champion
12 September 2023
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Above And Beyond! Boca has lots of good plastic surgeons. My experience with Dr. Vaca is that he is a Great plastic surgeon! During my recent surgery, he encountered some undiagnosed problems. He worked about two extra hours in surgery to fix all of that, plus finish the job we originally planned. If I wasn’t totally knocked out with anesthesia I would have given him a standing ovation in the operating room! I read the other reviews left by previous patients. I agree with all the wonderful attributes they listed about Dr. Vaca.
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Healthgrades User
20 August 2025
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Exceptional Results I cannot say enough wonderful things about Dr. Elbert Vaca. From the moment I walked into his office, I felt completely at ease. He takes the time to truly listen, answer every question with patience, and explain all options in a way that is clear and comforting. His caring nature is evident not only in how he treats his patients, but also in the beautiful and natural results he delivers.The quality of his work speaks for itself — precise, thoughtful, and done with such an artistic eye that enhances rather than changes who you are. What I appreciate most is how much he genuinely cares about his patients’ well-being, both physically and emotionally. You never feel rushed or like 'just another appointment'; he treats you as if you’re the most important person in the room.If you are looking for a cosmetic surgeon who combines exceptional skill with true compassion, I wholeheartedly recommend Dr. Vaca. He is a rare find, and I feel so grateful to be in his care.
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Healthgrades User
12 November 2025
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Best Decision Ever I had a temporal lift and upper bleph with Dr. Vaca. It was very important to me that I retain the natural shape of my eyes, and I wanted an effective, yet conservative, approach. Dr. Vaca listened attentively and took time to walk me through exactly what to expect during and after the procedure. I felt safe and assured that I was in capable hands. His entire team is friendly and competent. I am incredibly pleased with the results. Someone I know recently said, “I don’t know what you’re doing differently, but you look younger.” Perfect! That is exactly what I was going for. Sending a huge thank you to Dr. Vaca and his wonderful team!
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Denise Levin profile picture
Denise Levin
11 January 2019
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Everyone was friendly and professional. All aspects of the treatment were explained. The staff has been great about follow up visits, and Dr. Fagien is great.
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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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Spring Wieder
5 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Incredibly impressed with my botox injections. This is the first time my crows feet have been injected and I can still smile naturally. My forehead looks amazing yet no one has said “oh you just had Botox” because it looks so great!!! Plus I added filler this time around and the results are so natural I can’t even believe it’s in there unless I look at the before photo and see wrinkles/lines that are now gone!!!!
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Connie Ortiz
20 August 2021
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Excellent and caring doctor, I had Bell Palsy, and he was able to help me and gave me options. Dr. Fagien is the best eye doctor I have ever visited. I wish more doctors and staff members would care about their patients like Dr. Fagien and his staff.
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Amy Appel
17 January 2019
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Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.
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Diana muvdi
9 August 2019
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He is excellent !!
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Brie Jones profile picture
Brie Jones
4 April 2024
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The most wonderful experience— Dr. Vaca is an expert in his field! I’ve wanted surgery for several years, but I was always unsure about which surgeon to see until I met Dr. Vaca. The entire process from consultation to surgery day to post-op has been incredibly smooth. The entire team (office staff & surgical center staff) are top notch. Thank you for being amazing!!!
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Healthgrades User
30 July 2020
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He is an excellent Dr.
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Jacqueline Rofe profile picture
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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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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Andrea Virgin
12 January 2021
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I've been seeing Dr. Vaca for years now and he is a dream to work with! His attention to detail, bedside manner, ability to translate the information in an understandable way, and his follow-up are all outstanding. His background, experience, education and training are also incredibly impressive. I highly recommend Dr. Vaca to anyone for any service, no matter how simple or complex! Thank you Dr. Vaca for the great service over the years!
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Stu Rosenholtz
4 March 2022
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My wife and I have gone to Dr Fagien for a number of years. I would definitely recommend Dr Fagien to both friends and family
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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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Marilyn P profile picture
Marilyn P
26 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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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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Tirso San Jose
11 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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karine colombin
21 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Very professional. Doesn't force services. Just gives informed opinion. The best in Boca. Will recommend to everyone..❤
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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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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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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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Dr Bret Ribotsky
20 June 2019
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As a surgeon in this area - nothing is as important as my health. Dr Fagien is a doctor that other doctors count on. What he does and says is what it is. We’re lucky to have him in our community
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Betty Bassan
23 July 2021
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I've been going to the Dr. Faigen for over 10 years. He first did my upper and lower eyelids and I’ve been going back for Botox on a regular basis. He is the only one I trust for eye cosmetic surgery. On my last visit, I was concerned about having Botox and the Covid vaccine. He sat down, explained everything in detail and I felt very comfortable with going ahead with Botox. His office is immaculate and his staff is professional. Davina is especially kind and friendly!
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Stephanie Cardona
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have met! His skills are superb, he is kind and patient, taking the time to explain the procedures he will perform, answering questions, and setting real expectations. Highly highly recommend!
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Jennifer L
18 June 2024
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Best Experience Ever Dr. Faigen and his staff are absolutely fantastic. From my first consultation, to pre-op, to surgery and post op, I felt completely at ease and had the most amazing results. Dr. Faigen was straight forward about what results could be achieved, and I couldn’t be happier I highly recommend him for anyone looking for a natural and beautiful result.
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Holly Devito
12 June 2023
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Dr. Fagien and his staff are wonderful. They took care of my daughter and made her feel safe and comfortable. She had perfect results and could not be happier!
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Cherrie
31 January 2022
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A magician Dr. Fagien can get into your head and figure out exactly what you want. You leave happy and looking natural.
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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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Lidia
1 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
This is it! Excellent doctor, staff and facilities. Amazing results and overall experience.
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Yolly Bolasini
10 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
My whole experience was wonderful! My dermatologist had recommended Dr Fagien for my eyes surgery, but I was a little hesitant after hearing so bad stories about other doctors. One year ago I finally decided to take the chance and today I thank myself for doing it! My eyes look so good yet so natural that most of my friends didn't notice about a surgery! They just say I look so young and pretty! Dr Fagien is very kind and extremely good professional! He took care of me all the way, he kindly answered all my doubts and concerns and helped me out through the whole process. Also his team, all the staff at his offices are really nice and knowledgeable. I recommend this doctor to anyone who wants their eyes to look amazing!
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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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Deborah Neilson
20 January 2022
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Dr Fagen is an artist! The precision in his work is bar none the best in the Industry. I would never trust anyone else with my face!
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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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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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Healthgrades User
18 February 2022
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I had upper eyelid blepharoplasty done less than two weeks ago. The whole experience has been wonderful. Dr. Fagien has a comforting bedside manner but more importantly he is an excellent surgeon, a perfectionist. The office staff is top notch and has been in touch with me every step of the way. My results are amazing but I had no doubt they would be due to Dr. Fagiens exceptional skills in his field. I am so thankful for all he has done for me and I recommend him to anyone considering having this procedure. The only regret I have is not doing this sooner! Thank you Dr. Fagien!
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Nancy Schwarzberg
19 September 2020
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Office was immaculate. Staff was very welcoming. Dr Fagien did an amazing job- I look rested and relaxed- just perfectly natural looking.
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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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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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Gwen Hudson
12 April 2018
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I love Dr Fagien. He did my eyes ten years ago. They still look awesome. I have spoken to many professionals and his peers and they give him stellar reviews. He is very passionate and meticulous about his patients and work. I highy recommend this handsome and charming doctor. I recently visited with him and will be returning for treatment soon! He is very kind and thorough!
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Jodi Kahn
7 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
SImply the BEST! I've been going to the brilliant Dr. Faigen for 16 years. He NEVER pushes you into something, even if you want it lol. He's honest, talented and conservative. You'll always leave looking like yourself, only better! Thank you for being consistently the greatest Dr. there is <3
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Healthgrades User
12 April 2023
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Eye Surgery Dr Fagien and his team are the best. I got a fantastic result with my eyelid surgery and it was relatively painless. I was at my office 48 hours after surgery. Everything went exactly as planned and Dr Fagien exceeded my expectations in every way. He is for sure the “Eye Guy”.
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ingrid levine
22 April 2022
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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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Tammy Di Leo
10 August 2022
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I love the results I get from Dr. Fagien, he’s not only extremely talented but he does it with integrity!
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Alexandra Vanella
15 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I had the best experience thanks to Dr. Vaca. We did an in-office chin lipo procedure in January 2021. I’m still seeing results everyday. It was extremely quick & easy. I couldn’t be happier with the results!
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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
11 November 2025
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Excellence Having done some research and a few consultations, I chose Dr Vaca for my upper blepharoplasty. He is incredibly thorough, thoughtful and kind, exceptional in all aspects from the first consultation all the way through recovery. I am so happy with the results and very grateful for his brilliance, talent and expertise. If you are looking for excellence he is, hands down, the one.
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Linda Wolf
12 December 2021
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I've had some Botox for around my eye area and deep wrinkles on my nose close to my forehead area and fillers for deep lines in my lip area and cheeks as well and a shot of botox in my jaw area for grinding teeth at night this is not necessarily aesthetic. Its been about a week and I am taking double takes when I walk by mirror. My eye liner stays where I put it and I have cheekbones and my mouth is pouting. I'm 72 next week. He's that good!!
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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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B P
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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Deisy Escobar
9 November 2020
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Mi experiencia con el Dr. Elbert Vaca fué extraordinaria, me explicó claro y conciso todo lo concerniente al procedimiento que yo quería, después de este haberse realizado cumplió con todas mis expectativas durante el procedimiento me hizo sentir tranquila y confiada. Muchas gracias Dr. Vaca por tan excelente trabajo, lo recomiendo satisfactoriamente.
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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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Randall McGee
2 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Consultation was very informative and not rushed. I was given a comprehensive evaluation and alternatives. Much appreciated.
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Kim Romano
28 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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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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Veronica Zarco
29 October 2022
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Amazing Everything about my visit was exceptionally amazing. From the staff to the Dr
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Todd
17 January 2023
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Excellent Eyelid Surgeon Dr Fagien is an excellent eye surgeon! Every step of the process was perfect. Anytime I had a question or issue, I was able to see Dr Fagien or his amazing staff quickly and the office was always helpful and kind. My results were also fantastic. I would highly reccommend Dr Fagien and his office to anyone thinking about having eyelid or other eye plastic surgery.
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Leslie M
20 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen is the best! His confidence, expertise and sincerity through out the process makes the surgery a great experience. I could not be more satisfied with my results! His office staff is superb as well! I could not recommend him enough!
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Love V
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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Melanie Wantuck
19 September 2020
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I have been a nurse at Northwestern Hospital for over 20 years, so I have seen many doctors come and go. I work in the PACU and recover patients after various surgeries. Plastic surgery is one of them. So about 2 years ago there is all this talk about this guy in plastics who is a true “prodigy”.... of course my curiosity got the best of me and I started asking around. Elbert Vaca...Dr. Elbert Vaca... the best surgeon anyone has come across in a very long time.... ( this talk is coming from well known (experienced) surgeons ) ... Over the next 2 years, I was able to recover Dr. Vaca’s patients after various types of plastic surgeries. And the results were dumbfounding....he was Incredible .....his results impeccable...honestly, “perfection” in its truest form... I have Personally seen him for Botox and filler.... his work is amazing. *People look like a better version of themselves, not fake or unrecognizable.* I am 48 years old and will travel to Florida to see Dr.Vaca when the time comes for me to get my face and neck lift... this will also include my upper and lower eyes. He is going to do some fat transfer into my faces as well.. ( Trend alert: this is the new filler ladies!!!).......... I want the world to know about Dr. Vaca because he is so gifted. This is an example of where “years of experience” need not be considered... he is a prodigy. He was born to do this and if you go to him... your life will change! I no longer have a fear of aging..... as long as he is around! That is also a gift.
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Healthgrades User
14 June 2019
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He is an excellent doctor!
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John Fehn
20 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent service with a friendly careing attitude definitely recommend .
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Healthgrades User
2 September 2022
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AMAZING Dr. Vaca is truly an incredible doctor!! His expertise, bed side manner, and he is meticulous which helped me feel confident and comfortable. Only a week out and already can see he did an excellent job with my brow lift and upper eyelid surgery. The office staff is great, and everyone was kind and helpful making it an amazing experience!
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Carol Calling
3 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
“An absolutely flawless, natural transformation — and some honest tips for your journey!” I had a face and neck lift 12 weeks ago with Dr. Vaca, and I couldn’t be happier with the results. From start to finish, he was calm, professional, and a true perfectionist — but in the best way possible. His approach is meticulous yet subtle, delivering a natural, balanced outcome that miraculously looks completely real. Everyone tells me I look fresh and younger because the past few years approaching 50 I began quickly developing pre-mature "creppy" sagging skin on my cheeks, jawline, and neck) that needed to be revised, but without looking pulled or "fixed". What I received from Dr Vaca is like a natural (major) glow-up that no one can put their finger on! My sons, who are in their twenties, saw me four weeks post-op and had zero clue (what do boys notice anyway?!). My husband, being equally picky, said there are no negative signs of the surgery (unless you raise my hair up in the back and see the fresh pink scars). So no suspicious onlookers other than the fact that my face looks fresh and beautiful and I often catch my husband looking at my face deeply and following up with a heart-melting compliment about how amazing I look and what a great decision it was (he was initially against the idea of me doing surgery). I was blessed with the result I wanted: to look naturally much fresher, but not “done.” Dr. Vaca also did very tiny fat transfers (1.5 volume or less) in a few areas of my face, and his precision is unreal. I still have a few natural surface lines on my lower cheeks, just as he said I would, but I’m 50 years old and 90% of the crepe and wrinkles I had there are gone! The skin isn’t tight or stretched, nor does it sag — it’s just right. If I were to count, there were at least 50 lines on my cheeks and now there are pretty much zero. But no pulling or plumping whatsoever! Now, a few honest tips: my husband stayed with me every minute the first three days after surgery, which I highly recommend. Everyone warns you about feeling doubts or regrets in those first 48 hours, and they’re not joking! Especially if you have a paranoid reaction to whatever trippy opioid they put in the IV drip post surgery. LOL ... Don’t be alone—you need a loving “slave” to take care of you. Then, like magic, by day four, the emotional shock fades and you start feeling wonderful about the ordeal. Also, I noticed something funny: in those first few days (day 1 to 4), all face-lift patients look eerily similar and unrecognizable from the side-view — kind of like how all people with Down syndrome have specific shared facial features with each other. I think that was comforting for me, seeing all previous ladies with the same face. But by day 7, you’re unmistakably yourself again, just with a little bruising. In summary, I look soooo much better!!! And there’s a million-to-one chance anyone would guess I had surgery on my face or neck because all is so perfectly balanced and healed so quickly (just strategically styling my ponytails). 😜 I feel incredibly lucky to have found such a talented surgeon. Even great doctors can have an off day, but Dr. Vaca delivered an incredible, natural result that I’m so proud of. If you want a refresh that truly respects your natural beauty, he’s your guy.
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Linda Englander
27 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien took the time to listen and explain the issues. He was very straight forward and didn't try to sell me on procedures I didn't need.
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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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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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Kiara Maldonado
20 February 2023
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Dr. Vaca is very patient and caring. There are other doctors who will rush the process and all they see is a dollar sign over your head. If you are looking for someone to take their time and truly value you as a patient of their practice, this is the doctor you need to see!! He has a sharp eye for perfection and is very honest and thorough with his work. 15/10 recommend!
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Healthgrades User
4 May 2026
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Wonderful doctor When seeking referrals for a doctor to perform cosmetic eye surgery, one name consistently came up: Dr. Steven Faigen. After my own experience, I completely understand why.Two months after my surgery, I’m so glad I followed those recommendations. I’m truly thrilled with my results, and the entire experience—from consultation through recovery—was outstanding.If you’re considering this procedure, don’t hesitate to contact his office and schedule a consultation.
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Healthgrades User
17 August 2019
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Dr. Steve Fagien is an exceptional surgeon. He performed under eye surgery on my daughter in June 2018. She had developed dark circles under eyes at a young age and was very sad about her looks. She wouldn't go without makeup on. I was concerned and afraid of the surgery because of her young age. The results from the surgery were simply amazing. She is so happy and looks so beautiful. As a mother, I can't tell you how delighted I am to see her smile and love her looks again. He and his staff are personable and very accessible. They were there for us before, during and after the surgery. I give the whole experience a 10. He is the best!
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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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Lissette E in Miami, FL
12 February 2019
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I recently had Dr. Fagien perform injectables on my face, for the second time. The experience was painless, stress-free and very comfortable. He is truly an expert in his field, compounded with kindness and making his patients feel cared for.