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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Healthgrades User
11 April 2025
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Expectations exceeded! Dr Vaca did my lower face and neck lift as well as my lower eyelids and I couldn’t be more pleased with the results! I am 9 weeks out from surgery now, but have felt like I looked fabulous since 3 weeks out. Dr Vaca’s bedside manner is amazing. I’ve felt safe and comfortable with him since my initial consultation. He is kind and caring and always available for questions or concerns. He goes above and beyond to make sure you are happy. Thank you Dr Vaca-you are the best!!!
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Veronika
26 April 2021
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Another plastic surgeon told me he would not do my eye lids because the results would not be good. Dr Fagien said he could do them and did the surgery with amazing result. He is also the kindest doctor I’ve ever met. I can’t say enough good things about him and his entire staff.
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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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Taylor M.
28 July 2023
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I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
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Healthgrades User
27 July 2023
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The best! My surgical experience with Dr. Vaca was extremely positive. I so appreciate his empathy for my concerns and professionalism in laying out reasonable expectations. I had facial and breast surgery, my stitches are nearly invisible. He and his staff were very available to answer questions along the way. Their kindness and attention to detail give me great confidence in recommending their practice. Superb results!
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Rick RPB
14 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Jacqueline Rofe
10 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is excellent at the art of enhancement with fillers and Botox. I feel confident that he will not overdo or make me look “done”. He’s also extremely careful about disinfecting the areas before he starts. He’s doesn’t rush.
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Kathie Einstein
14 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent staff and experience!!! Dr. Steven Fagien is a wonderful Doctor. I totally trust his medical judgment and would choose him first over any other practice!
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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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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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Lois Zenner
27 February 2022
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Fillers As painless as possible, excellent Dr Fagien, excellent staff!
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Andrea Quain
2 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is an amazing surgeon. He is so meticulous and detailed in his work. I had a BA done by him 3 weeks ago in May and it could not have gone smoother. Dr. Vaca is so sweet and guides you through the process with ease and understanding. I absolutely love my results and I am SO glad he was my surgeon. I will be a lifetime client of his & I have already referred him to family. If you are considering a plastic surgeon look no further. :)
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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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Betina Garcia
29 January 2025
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Definitely will recommend Dr Fagien and all the staff were great. As soon as you walk in the door they make you feel confortable and cared for. My upper eyelid surgery was a success , no pain and quick recovery. Dr Fagien is not only an artist but a great human being.
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Peg Anderson
26 November 2021
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Dr.Vaca’s expertise can’t be overstated. His in-depth knowledge and training at the best hospitals with the finest professionals is outstanding. I’m beyond happy with the results of my procedures and highly recommend Dr. Vaca
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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
12 August 2024
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Face and Neck List HAPPY HAPPY HAPPY!! I’m so HAPPY, I could say it 1000 times but it wouldn’t express how happy I am with my new younger neck and face, it restored the younger me! I owe it all to the exceptional talented meticulous, Dr Vaca. I would give you the highest Michelin star if there was such a thing for plastic surgery!! And I want to say thank you to the girls in the office you’re all fabulous!! Thank you, Dr Vaca I’ll be forever grateful and thank you, Dr. Fagien for putting me in the hands of such an artist
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Lori Glover
23 April 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best plastics eye surgeon ! I also have had Botox and fillers and always get great results that last over 4 months. His staff are very nice and very knowledgeable! Love him!!!!
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Boston Transportation Dispatch Training
10 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could give Dr Fagien and his team 500 stars instead of just 5, I would! This is an amazing doctor with tons of experience. I am very satisfied with the results of my lower eye lid surgery which happens to have a fancy name: Transconjunctival Blepharoplasty. Being a business owner, a public speaker, and a zoom instructor, I have to look presentable. At some point, due to genetics, i noticed that my lower eyelids started sagging. It did not feel good. So I found the best oculoplastic doctor and asked him to fix it. Dr Fagien suggested the transconjunstival blepharoplasty. Taken into account that my skin was otherwise young and firm, no fillers and no other extra procedures were offered. The surgery and the post op was not at all painful! That was a great bonus!lol I came back to work in 5 days. I listened to all the recommendations and followups from my Dr’s office. His team deserves a special separate 5 star review! Everyone was super helpful and accommodating! I am very happy now! Thank you Dr Fagien!
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Mary Daniels
28 June 2021
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Dr. Fagien and his staff have always given me exceptional care and attention during my treatments. The office has a calming ambiance and treatment areas immaculate without being too clinical. The treatments Dr Fagien has given me were done with precision and skill. I consider my results successful.
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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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Healthgrades User
14 June 2019
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He is an excellent doctor!
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Healthgrades User
22 June 2026
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Best Blepharoplasty Doctor I have been waiting to do my eye surgery for several years. In the meantime I did quite a bit of research and and had friends who Dr. Fagien operated on and look spectacular. His professional and meticulous manner from the very first visit confirmed my choice and seven weeks out post surgery I have never been happier. I tell him he has a special gift and I’m grateful that he shares it with us.
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Christine N
1 June 2024
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Definitely Dr Fagien was very good at setting expectations and explaining. Very kind, does excellent work and has excellent staff!
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Vincent Traina
9 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Dee I profile picture
Dee I
7 November 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Exceptional Experience with My Upper Blepharoplasty! I cannot say enough wonderful things about Dr. Fagien! From my very first consultation, I felt completely confident that I was in the best hands with the best doctor. The entire process—from pre-op to recovery—was seamless. The staff was professional, kind, and attentive, and I felt genuinely cared for every step of the way. The recovery process was a breeze, and my results are beyond what I imagined: natural, refreshed, and beautifully balanced. Friends keep telling me I look “rested,” and that i look younger, which is exactly what I wanted—subtle, yet transformative. If you’re considering an upper blepharoplasty, I couldn’t recommend Dr. Fagien more highly. His artistry and skill truly set him apart, and I’m so grateful for the confidence this experience has given me.
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Laurence Wiriath
11 April 2022
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Just perfect, so natural!
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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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emmitt rhodes
20 November 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
This is the only man you should trust with your eye improvements surgery. His resume, experience, and medical publications are above and beyond reproach. He has been doing this for so long and has developed insights and new procedures to maximize the benefit and minimize the pain and downtime, that he is considered a master by the other doctors in this particular niche of surgery. His office is neat, clean, and crisp and inviting. The staff is so very supportive and really go the extra step to make sure you are comfortable throughout the whole process. My results were fabulous and the whole experience was much easier than anticipated. I have never had elective surgery and was very frightened to go through with this. But my eyes were rejuvenated and i am very comfortable now with the look and feel of my upgraded eyelids. Truly real pros in every aspect.
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Ferne Toccin
24 August 2023
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I hight recommend Dr Vaca. He is a superlative doctor who has an artistic flair. He is kind with a great bedside manner. He made me feel at ease, and I had a feeling of comfort with him. The pain was minimal , if any at all. Also, the staff is warm and friendly. You feel like a person in this office not just a number. I would use Dr Vaca and this office without any hesitation.
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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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Vanessa C
22 July 2020
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Beautiful office, lovely staff and a clear and thorough consultation with the Dr. Already feel confident in his skills! Definitely going to proceed with procedure.
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Tammy Costa
15 March 2019
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Amazing staff and Dr.!! I told them I would love to just hang out there because they are so much fun!! Dr. Fagien has the most gentle touch and great personality!!
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B Glazer
17 April 2021
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From the lovely waiting room till my last visit I’ve enjoyed great care. The front desk nurses are smart and welcoming. All the nurses in the office and at the hospital were warm and caring. Dr Fagan is marvelous and has done a wonderful job. I highly recommend him!
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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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Deborah Parnell
6 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was amazing. His presentation is warm , knowledgeable and sincere. I had stomach FAT that wouldn't go away. Dr. Vaca evaluated my abdomen and due to my previous C sections recommended abdominalplasty. I LOOK GREAT now. I asked him about the sagging jawline (jowls) and wanted a quick fix. He assessed the face and recommended a modified face lift procedure. Because of his proven honesty and talent, I agreed and I cannot be HAPPIER. He is a truly talented and humble surgeon. Never thought I would use those two adjectives in one sentence about a surgeon, but that's the magic of Dr. Vaca. As a RN whose specialty s Operating Room nursing, I have worked with many surgeons. Dr. Vaca is an exceptional surgeon. That is my personal AND professional opinion.
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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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Alisa Landy
12 November 2023
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It takes forever to get an appointment but it is well worth the wait. I’m very very pleased with the results of the surgery (5 1/2 weeks out) and the whole process was really pretty easy. Plus the staff couldn’t be nicer in terms of answering questions and follow up. They even sent someone from the office the day of surgery to see if I had any questions and generally to put me at ease As I wrote it is worth the wait.
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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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bob S
10 December 2024
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Recently had some under eye surgery performed by Dr. Steven Fagien. My Dermatologist had recommended him and after a thorough consultation chose him as he specializes in only eye surgery. He has been performing these surgeries for many years and aside from his knowledge and great personality he did an amazing job. The difference was dramatic and I have received so many compliments since the surgery . After the procedure, much to my surprise, I only had slight discomfort. He is amazing. Thanks Dr Fagien. His staff is incredible also especially Hanna Gross and Danny Pico. Thank you both. He is the best!! Bob S.
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Healthgrades User
19 October 2026
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very knowledgeable Dr. Vaca was very informative and patient during a recent consult that I had with him. He explained everything very well and heard my questions and concerns. He even offered steroid shots for some scarring from a previous surgery/surgeon, without a charge. He is very compassionate and educated. I will definitely choose to work with him in the future!
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Yolanda Martinez
13 May 2022
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Looooove Dr. Fagien ! It is always a pleasure to see Dr. Fagien; he is an excellent doctor, and an excellent gentleman. On top of that, a very, very nice staff who go out of their way to make you feel that as a patient, you matter. From 1 to 10, 11 !
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Let it Glow Inc
1 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Troy Rusk
22 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had the privilege of being under the care of Dr. Vaca and his exceptional team. From the moment I step into his office, I felt welcomed and at ease. The results exceeded my expectations! Dr. Vaca's skillful hands transformed my appearance, making me feel more confident. The natural-looking outcome truly reflects his mastery and skills. I would definitely recommend Dr. Vaca and his team. Their commitment to patient well-being, combined with his surgical skills, set them apart.
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Healthgrades User
10 September 2025
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Never a doubt I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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Holly Devito
12 June 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Beth Johnston
24 August 2019
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I am very pleased with the procedure outcome as well as the professionalism of Dr. Fagien. His staff is knowledgeable and the service is beyond 5 stars.
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Brenna Hennessey
30 August 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
He is an amazing and talented surgeon! I cannot recommend him enough. Extremely detail-oriented with a wonderful bedside manner.
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Healthgrades User
10 December 2025
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Happy Upper and Lower Bleph patient. My surgery was on 11/3/25 and today i just completed my 5 week follow up. I am very happy with my choice in doctor and my results so far. Dr. Fagien is a master in his field and its no surprise to why he is so respected by his colleagues. My surgery went smoothly, i am healing lovely. Thankful for the staff also as they were helpful and kind.
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Healthgrades User
6 December 2019
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I have been going to Dr. Fagien For cheek filler for several years. He does such an excellent job that I come from out of state for the appointment.
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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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Diana muvdi
9 August 2019
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He is excellent !!
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Sara Lowell
7 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and kind staff. Always warm and friendly. My results are beyond amazing. I highly recommend Dr Fagien
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Lana
23 June 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I had consulted other plastic surgeon who said I need a brow lift . But dr. Fagien suggested just a minor upper lid skin removal. I scheduled my procedure. That was 6 years ago . I could not be happier. He is perfectionist . I returned for fillers and Botox when was in town. And have to say results were fantastic. I highly recommend dr. Fagien.
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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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daniela izquierdo
8 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Very punctual and clear in explanations of procedures- staff all very well informed, diligent and friendly•
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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
7 October 2020
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Fantastic experience! I highly recommend him. Dr. Fagien is an exceptional talented physician. Lovely and professional staff ( Amber, Devina, Thelma). Excellent Service and Care.
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Annie Berman
12 October 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the best! Extremely professional excellent staff. I couldn’t be happier
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Healthgrades User
15 June 2023
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Excellent Dr. Vaca listens, understands and delivers results with a professional and caring manner. Great surgeon. Great eye!
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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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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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Healthgrades User
24 May 2019
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Top rated!
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GINA JUNGLES
17 March 2023
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The best experience and results!! Dr.Fagien & staff members are the best. . Thank you
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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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Tony Ramudo
8 June 2022
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Can’t say enough good things about Dr Vaca. An easygoing bedside manner paired with excellent training makes for a great Dr. Highly recommend!
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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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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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Janet
8 April 2021
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Beautiful and well run office. Dr. FAGIEN is amazing. I recommend this office highly!
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Healthgrades User
3 May 2019
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This was my first time with Dr Fagien and I was very pleased Office staff was helpful and friendly. Dr. F knew exactly what to do and was very thorough. I've had injectables got years from the best doctor in NYC. Dr Fagien is right up there!
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Nina Lakshana
3 September 2020
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I visited Dr. Steven Fagien’s office twice and already got impressed with very nice and extremely clean office also with very professional and attentive staffs since the first visit. His wonderful staffs are very informative and friendly. I am very excited and happy to have a chance to consult about my eyelids with Dr. Steven Fagien, MD the world’s remarkable leading oculoplastic surgery specialist. He has a great personality and make me feel confident and comfortable . The best doctor for eyelid surgery. I can’t wait to make an appointment
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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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pamela rosen
7 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Bonnie Osher
20 July 2021
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Dr. Fagien is a master and he is a doctor’s doctor. Doctors go to Dr. Fagien because they know he is the the best in his field. He is honest and conservative and no one will look strange if Dr. Fagien does your treatment. He is very successful and he enjoys making everyone happy. You will get an honest opinion and he won’t do anything that will make you look freaky. I do my homework and check out doctors by getting opinions from other doctors in Florida and also other areas of the country. Steve Fagien is the only doctor to use. He takes his time and makes sure his procedures do not hurt. He and his staff are kind, caring and very professional. I am not related to the doctor and this is my first endorsement I have ever written but Dr. Fagien is truly special. The only difficulty is in spelling his name.
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J
19 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his staff are absolutely amazing. I had Rt. lower blepharoplasty done for sagging skin and the results speak for themselves. Not only am I happy with the results, but the process in general was so easy. The day of the procedure Dr. Fagien and nurses gave me much peace and expectations. Surely weeks later I can testify of a wonderful experience. I thank God for allowing me to meet such wonderful Doctor. I would highly recommend his services. So if your looking for a truly professional and excellent facial plastic surgeon Dr Fagien is your answer. Worth every penny. Jen
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Debbie Acosta
11 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
The best of the best - kind and gentle! Staff is wonderful too! Highly recommend
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Grace Marilyn Parsons in Boynton Beach, FL
7 August 2018
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Very pleasant and organized office with excellent explanation of procedures.
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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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Courtney DuBois
30 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had an ear lobe repair done by Dr. Vaca and it was an incredibly easy and painless experience. Dr. Vaca was caring, detailed in his explanations and his work was excellent. I am extremely happy with the entire experience. The outcome was better than I expected! I would highly recommend this office and doctor.
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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.
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Healthgrades User
6 August 2021
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Great staff, comfortable surrounding, and great patient care. Dr. Fagien is amazing! He takes time to explain in detail and answer questions. The entire staff was professional and caring. Thank you so much… love my results!
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Joan R. profile picture
Joan R.
27 May 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien does amazing surgery. My results were perfect, the process was smooth, the attention was excellent and I would recommend Dr. Fagien and his team highly. I have had surgeries before and this was by far my best experience! Bravo to the surgical team and the office assistants who were exceptional!
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Denise Levin
11 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone was friendly and professional. All aspects of the treatment were explained. The staff has been great about follow up visits, and Dr. Fagien is great.
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Jahlecia Newland
11 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is an exceptional Surgeon who has truly changed my life. he restored my self-esteem when he performed surgery on my ear to remove a very large tumor that I had for many years. The tumor haunted me for years and I could not find anyone willing to remove it. I was truly blessed when I was introduced to Dr. Vaca by my aunt who believed that Dr. Vaca was the best person to remove this tumor. Without hesitation, Dr. Vaca agreed. From the moment I met Dr. Vaca, I was impressed by his professionalism, empathy, and dedication to patient care. He made me feel calm, safe, secure, and completely at ease throughout the procedure. Dr. Vaca took the time to thoroughly explain my procedure, ensuring that I understood every step. The surgery itself was a success beyond my expectations. Dr. Vaca's expertise was evident throughout my recovery. I was free from scarring to my surgical site, and looking on my ears, you cannot tell which ear had the surgery. Post-surgery instructions and care were exemplary. I would highly recommend Dr. Vaca to anyone seeking top-notch surgery. Thank you Dr. Vaca and your exceptional team for your exceptional work and for making a significant difference in my life. I am blessed to have you as my doctor. Jahlecia Newland.
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Brit E profile picture
Brit E
12 May 2021
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Highly recommend Dr Fagien. He is a very skilled surgeon who achieves exceptional results. His professionalism combined with his warm, caring personality puts you at ease immediately. His staff is top notch too, and always eager to respond to any questions or concerns you may have. I am truly thrilled with the results of my surgery and so glad I chose Dr Fagien as my doctor.
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Happy woman!
15 April 2022
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Excellent experienced!!! Dr. Fagien was so professional knowledgeable very different with other Doctors. He explained me all I needed to know. If you need eyelid surgery He is the one!!! Thank you Dr. Fagien!
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Kate Collins Brown profile picture
Kate Collins Brown
12 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am so happy with my results. Definitely choose Dr. Fagien. The entire process was easy and I wish I did this sooner! I am much more confident in my appearance… he is the best of the best and so kind and caring. I couldn’t be happier with this decision and doctor.
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Max Lehrman
26 May 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Chelsea Parra
29 December 2020
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I recently started seeing Dr. Fagien. His office is beautiful & squeaky clean & the staff have all been helpful and wonderful! I would highly recommend going to see him!
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Kelly in Boca Raton, FL
2 January 2016
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Tours and info by Simo Boggio Byrne
20 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien did a fantastic job to my eyes, I had no pain at all and the result is amazing. All his staff is excellent. I highly recommend Dr Fagien
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DC profile picture
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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Diana Murdock
1 June 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
It's a beautiful office with friendly and knowledgeable staff. Dr. Fagien has an excellent manner, is very experienced, and gave me his honest opinion of my situation. He actually discouraged me from having upper eyelid surgery, saying that the result would not be what I said I hoped for, but would provide only minimal improvement.
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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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Arlen profile picture
Arlen
9 February 2021
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Dr. Vaca is incredible. He has an outstanding quality of medical care. I got my lips done with him for the first time ever and I can say that I am extremely happy with the results. He took his time and listened to what I wanted and then explained everything to detail. I immediately felt at ease and confident in my receiving expert medical care.
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Madelyn Strauss profile picture
Madelyn Strauss
6 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I found Dr. Vaca to be absolutely terrific. Not only did a fantastic job sewing up my forehead where I had fallen but such an understanding and terrific human being. I’m a slow healer but his tiny immaculate stitching was hardly noticeable after a much quieter time than I expected going by past wounds I’ve ever received and with a drop of makeup within just a couple of weeks is hardly noticeable. I expect that even that will practically disappear in a short time. I can’t recommend him any higher and I expect that anyone else will feel the exact same way.
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jackie armour
3 December 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional staff and wonderful doctor.
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Randy Lebowitz profile picture
Randy Lebowitz
29 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Lana in Baltimore , MD
1 July 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
He is the best in the field.

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