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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Eugenia Matos-Oliveira profile picture
Eugenia Matos-Oliveira
12 December 2019
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Dr. Fagien and his staff are very professional and they put me at ease from the very first appointment. I had upper and lower eye lid surgery, and I couldn't be happier! Thank you!
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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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Azul Iglesias
3 March 2026
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From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍
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Dr Fredric Haberman
19 January 2022
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Wonderful experience. Dr Fagien is very professional and caring. He took his time and explained things very well. I highly recommend Dr Fagien!
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Marilyn S
20 November 2022
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Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!
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Jacqueline Rodriguez (Dezer Platinum Realty LLC)
2 August 2018
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Amaing office, staff and doctor.
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Rivka Liberman
2 June 2025
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Excelente Doctor and excelente staff. Love you all.
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ZILÄ BLÜE
13 January 2025
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Extremely talented with a perfect outcome. Everyone is also very nice at the office. - Veit
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Hepracer
25 June 2021
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Office is relaxing and staff friendly. Dr. Fagien is thorough and listens. Haven't had my surgery yet but feel confident in Dr. Fagien. Another doctor said she "wouldn't let anyone else touch her eyes but Dr. Fagien." Works for me!
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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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Lauren Posner
22 December 2023
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My sister and I both had a lower blepharoplasty done and everything about our experience, from the appointments to the surgical procedure, was amazing. Dr. Fagien and his staff went above and beyond to make sure we had the best care and results. You can tell everyone there truly cares about their patients. Highly recommended! We're still recovering from the procedure, but we're already so happy with the results!
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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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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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Krista Nasse
22 July 2021
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Dr. Vaca is amazing. He takes his time and explains everything. He is super gentle when injecting!!! Best experience you won’t be disappointed.
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Karen N.
14 September 2022
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The Best! This doctor takes so much pride in his work. I recently had upper/lower bleph and ptosis repair on 8/29/22. From the first visit I felt so comfortable. He takes sooooo much time with you during your visit. He has the best bedside manner. Office staff is great also. I'm still healing, but I love what I see so far. I would not hesitate to recommend Dr. Fagien 1000 times over!
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Kelly Ingarra in Palm Beach Gardens , FL
9 September 2018
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Hello, I had my surgery back in May and everything went beautifully! I am very happy with the results! However, I was very shocked to learn that Dr. Faigen has a non-medical non licensed person treating patients and removing stitches!? Granted, she did a beautiful job but, she’s not a nurse and she’s not licensed and that really shocked me. Just food for thought.
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Healthgrades User
9 April 2025
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Perfection I recently underwent a brow lift with Dr. Cava and I couldn’t be more happy with the results. The entire team was professional, and attentive. Dr Cava has a kind and gentle demeanor. He was very good at listening which told me that he was very detailed oriented and a perfectionist I am six months post-op and the results were better than expected! Thank you.
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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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jenjenenjen Puyanic
9 December 2022
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Dr. Fagien is a world class gifted surgeon. He is conservative, meticulous, and has an artistic eye. He approaches each patient individually resulting in procedures that enhance your natural features. I would not let any other doctor touch my face as I couldn’t be happier with my results. My friends that have gone to him feel the same. I trust and highly recommend him.
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Healthgrades User
19 June 2021
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I am so happy I chose Dr. Fagien to perform my eyelid surgery. He was professional, personable and he approached my case with medical expertise and visual artistry. He clearly communicated his plan for my surgery and showed me pictures of what I could expect. His entire staff was absolutely amazing from my first consultation to my post op appointments. All instructions were clearly written out, and I was frequently checked on during the week after surgery. Most importantly, I am so happy with the results and would highly recommend Dr. Fagien! Thank you for being so attentive and skilled!
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Kim Goodnan in Davie FL
13 April 2018
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Amazing, wonderful experience !
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Christopher Rivera
30 December 2020
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Dr. Steven Fagien is awesome and professional. I really enjoy coming into his immaculate office and working with his AMAZING staff. I would highly recommend anyone looking for oculoplastic surgery to come and see him.
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Renee Doehler
25 February 2019
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I was extremely impressed with Dr Fagien and his office staff. I went in for a consultation with Dr Fagien to have my tear troughs injected. He told me I was not a good candidate and I would not achieve the look I desired. I asked him about other options and he said in the future to come and see him but that I wasn’t ready for anything yet. His honesty and professionalism is amazing! When it is time I will definitely return to see Dr Fagien.
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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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Michelle Doherty
22 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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Healthgrades User
6 January 2021
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I had a procedure with Dr Fagien almost 3 weeks ago. At the initial consultation, Dr. Fagien answered all of my questions very clearly and patiently . His knowledge and excellent reputation made me feel that I was in very good hands. The surgical coordinator , Davina carefully explained everything I needed to do pre and post op. She was also at the surgical facility on the day of my procedure , taking such great care of me, making sure I was relaxed and comfortable. She also called to check on me after the proceedure to see how I was doing. Amber and Thelma the nurses , thoughtfully answered of all of my questions and concerns after my proceedure and were always kind and helpfull. I was very happy with my whole experience at this medical practice.
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elizabeth mastro
18 February 2021
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Dr Fagien is by far the most talented surgeon I have seen. Not only does he have an artists eye he has an artists hands with surgeon skills. Dr Fagien strives for and achieves natural results which enhance beauty and restore a youthful appearance. The staff is also compassionate and knowledgeable. Overall my experience has been extremely positive and I look forward to continuing care with Dr Fagien.
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Jana D'Agostino
16 September 2021
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Dr Fagien and his staff are amazing. His office is very clean and beautiful. He truly listens and gives his honest opinion about what you need. I have been coming to him for Botox and fillers in my forehead for over 2 years and he is a true artist and pays close attention to details. After going to multiple doctors before him and not having the results I wanted, he came highly recommended. He was the only doctor that was honest and said that Botox alone would not help my deep lines in my forehead. He goes above and beyond to make sure you are happy with your results. I will be his patient for life.
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B Mac
8 November 2022
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Everyone from front desk, to Dani and Hannah and Dr Fagien were fantastic. Very responsive, kind, pleasant and of course very knowledgeable. Highly recommend.
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Vinny Frisone
17 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Fagien did an unbelievable job on my eyes. I had my upper and lower eyes done and i look Completely refreshed and much younger. Thank you to the staff and Owni who Took very good care of any of my needs and any questions that I had along the way and before and after. Surgery went smooth there was no pain at all. Throughout the whole process, Dr. Fagien was always available and easy to reach. Don't look anywhere else there is no one better.
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Krisztina Kover
19 April 2021
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Dr. Fagien is amazing with so much experience, kindness and professionalism! He takes time to explain your options, all the details, supports your decision, and makes you feel comfortable throughout the entire process. Fantastic staff and beautiful office. I am extremely happy with the outcome and I would highly recommend Dr. Fagien! Thank you🌺
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Gina Berlin
25 August 2026
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Dr. Fagien is the best eye surgeon hands down! My whole experience from start to finish was exceptional. His professionalism and incredible staff make the whole process seamless. I would, without a doubt, refer him to all my friends and family. Thank you Dr. Fagien!!
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Ferne Toccin
24 August 2023
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Dr Fagien is a fabulous doctor. I can"t say enough about his talents, his kindness and his humor, He took droopy eyes and made them look beautiful again. No more droop. No pain! He worked with Dr Vaca, and he did a temporal brow lift. He was wonderful as well. The office staff is kind and welcoming and addresses all by their name. I can't say enough about these doctors' skills and I will return for touch ups over the years!
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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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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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Beth W.
24 June 2020
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I love my eyes! Thank you! Dr Fagien and his staff are informative and very friendly. Dr Fagien’s work is amazing!
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Healthgrades User
8 July 2023
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Wish more doctors were like Dr. Vaca In an age of acceleration and rush, Dr. Vaca stands alone with his uncommon patience, sincere kindness and genuine care. He explains procedures thoroughly and his clinical skills are extraordinary. As a highly discerning patient, I can’t recommend Dr. Vaca highly enough.
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Fort Laudedale, FL
31 October 2018
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He is the best. I have trusted my face to Dr. Fagien for 20 years. I also value his honest opinion.
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Healthgrades User
24 May 2019
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Top rated!
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Healthgrades User
8 February 2019
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Very warm, honest and friendly doctor. Would absolutely recommend him to friends and family.
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Linda Von Allmen
14 August 2021
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Great team… Dr Fagien is a perfectionist ! He's a master at what he does. Would never go to anyone else!!!!
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Kelly V.
10 June 2023
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Highly recommend Dr. Fagien! He is the best!! The past couple years, I’ve been researching which doctor to perform my upper and lower blepharoplasty. After several consults with doctors in Beverly Hills, I was referred to Dr. Fagien, from my cosmetic dermatologist, in Miami. After meeting Dr. Fagien and his staff, I knew he was the right one. The results are beyond my expectation! From start to finish, my experience was positive and I would highly recommend Dr. Fagien and his team. Thank you for everything!!
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Healthgrades User
2 June 2018
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Excellent! Awesome staff. Very supportive and skilled. Once you meet this doctor and his staff you won’t want to go anywhere else.
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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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Beatriz Cuervo
1 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I was referred to Dr. Fagien by my dermatologist, Dr. Martha Viera, and I have had the best experience with him and his entire team. He is not only an outstanding professional but also an incredible human being. I have lived with a vascular condition in my eyes for more than 20 years. From the very first appointment, Dr. Fagien made it clear that he would only perform my surgery if my retina specialist, Dr. Janet Davis,, approved it. That level of professionalism and care gave me complete confidence in him. The surgery itself was complex due to my condition, but he performed it with excellence. What was already a very special procedure became even more meaningful under those circumstances. The results have been very positive. It has now been two months, and I am still in recovery, noticing improvements every week, with final results expected at six months. Throughout this journey, I have received invaluable support from his team, who have always ensured smooth communication between the doctor and me. I want to highlight the professionalism and kindness of Owni, Devina, Henry. Thanks to them And the other ones in his office, I have always felt cared for and received prompt answers from the doctor whenever I needed guidance. If you are considering eyelid or under-eye bag surgery, I wholeheartedly recommend Dr. Fagien. He is, without a doubt, the best choice!
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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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Yolanda Martinez
8 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ll never tire of saying what a gentleman Dr. Fagien is, but most important, what an outstanding, awesome doctor he is. When I moved to this area some years ago I asked another Doctor to recommend me an Oculoplastic Surgeon, and without hesitation he said, “Steve Fagien, he is the best of the best, and I trust him blindly”. He was right 101%.
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Gina Leone
28 August 2026
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I had an upper blepharoplasty with Dr. Fagan, and I could not be happier with my experience and results. From my initial consultation through my surgery and follow-up care, Dr. Fagan was professional, kind, attentive, and made me feel completely comfortable and confident in my decision. My results look incredibly natural and refreshed—exactly what I was hoping for. The entire process was smooth, and I truly appreciated the time Dr. Fagan took to answer my questions and make sure I felt comfortable every step of the way. I would highly recommend Dr. Fagan to anyone considering an upper blepharoplasty. I’m so grateful for the care I received and absolutely love my results. Five stars all around!
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Robert poole in Ft Lauderdale, FL
23 September 2017
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The doctor was honest and informative
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Tara H
16 March 2021
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Dr Vaca is patient, thorough and meticulous in his work. I had asked to “backfill” the volume that I had lost over the years in my lips. He listened to what I wanted and gave valuable suggestions. He then allowed me the time to make my decision and I am more than pleased with my results.
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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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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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Amy Appel
17 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Friendly and attentive staff, clean and comfortable office and a great doctor with a wonderful bedside manor.
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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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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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Delray Beach, FL
1 March 2017
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Dr. Fagien and his wonderful staff made me feel like family. Our initial consultation put me at ease. He gave thoughtful advice. And the execution was flawless. Enthusiastically recommended.
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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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Jessica W
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best decision I ever made was coming to Dr. Fagien! I had a right ptsosis repair done on my upper eyelid and he is a magician with his hands. I was a special case with having different shaped eye folds, different colored eyes AND glaucoma in my right eye. He magically create symmetry in my face (never had before) and matched my eye fold beautifully without any scarring. I had consultations all around South Florida and in San Francisco, CA (where I am from) and ultimately decided on his expertise and I couldn't be happier! His staff is thoughtful and they all take the time to explain the process, what to expect, etc. Do yourself a favor and go see him! He's restored my confidence and made me feel beautiful again! Thank you so much to Dr. Fagien and his staff!!
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Danielle Roth
22 July 2021
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Dr. Fagien is amazing! I had a lower blepharoplasty done in February and I am extremely satisfied with the results. The doctor as well as his staff really took their time with me and answered all my questions to make me feel as comfortable as possible. I had virtually no pain and am thrilled w the results. Thanks doc!!!
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Let it Glow Inc
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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Healthgrades User
23 May 2025
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Exceptional Eyelid Surgery-life changing results! I cannot recommend Dr.Fagien enough for my upper and lower eyelid surgery. From the initial consultation to post op care, Dr Fagien and their team were professional, attentive, and genuinely caring. Their expertise and attention to detail put me at ease, and the results have exceeded my expectations my eyes look natural refreshed youthful, with minimal scarring and a smooth recovery. What sets Dr. Fagien apart is his unique and personalized technique to detail in my procedure . The entire staff was also welcoming and supportive throughout the process. If you’re considering eyelid surgery, trust Dr. Fagien you’re in the best hands! Thank you for giving me renewed confidence and 30 years of my youth back .
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Carolann Boos
31 July 2020
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Staff is extremely helpful. Doctor Fagin extremely knowledgeable.
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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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Deborah Neilson
20 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Jeneida Valdes
16 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I am very pleaset. Everything is fine, i am very HAPPY.
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jordan labinger profile picture
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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Stuart Rosenholtz profile picture
Stuart Rosenholtz
19 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is wonderful and is great when it comes to cosmetic eye surgery
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Linda Mayer profile picture
Linda Mayer
12 October 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
My visits to Dr Fagien’s office have been awesome from the moment I’ve walked in , from the beautiful decor to his amazing personable, professional staff!! Dr Fagien is a warm, artistic , talented Doctor that I would highly recommend and can’t say enough great things about him!! I’ve had injectables by him and feel and look like a version of my younger self!! I would never consider going to any one else and when I’m ready I’ll get my eyes done by him! Thank you Dr Fagien !!
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florina kollins
24 March 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional really good experience. Excellent!!!
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Leslie M profile picture
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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Andrea Virgin
12 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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A.N.
17 August 2022
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Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.
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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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Kat profile picture
Kat
27 February 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien has a gentle and calming manner and the ability to make you feel comfortable. He does not push you to have more done than what you are comfortable with. He is one of the few doctors that can make an injection barely noticeable. I trust him totally.
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Jacqueline Rofe profile picture
Jacqueline Rofe
10 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is excellent at the art of enhancement with fillers and Botox. I feel confident that he will not overdo or make me look “done”. He’s also extremely careful about disinfecting the areas before he starts. He’s doesn’t rush.
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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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Joanne Barone profile picture
Joanne Barone
11 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is clearly the expert in his field. I had under eye bags which can be challenging. I am extremely pleased with the procedure; the results are very natural. He is a medical doctor and artist with great care for his patients! The entire team is great to work with they provide excellent aftercare.
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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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P V profile picture
P V
29 August 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Love my new breasts! Hands down the best Plastic Surgeon I have come to know in my search for someone to fix my breasts. After breast feeding my children and dealing with asymmetrical breasts my whole life, I set out to find a surgeon to help me feel revitalized. I interviewed many but Dr. Vaca checked all the boxes. He has an elite academic pedigree. He carries himself with a reassuring confidence yet is somehow approachable and nice. I could go on but the results speak for themselves. The meticulous attention to detail in his plan and execution is superb. The size, positioning and symmetry between my breasts couldn't be more perfect. Dr. Vaca is a true artist and gentleman and I recommend him without hesitation.
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Gwen Hudson profile picture
Gwen Hudson
12 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Kathy Pace profile picture
Kathy Pace
11 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien, is truly one of the worlds finest oculoplastic, surgeons. His brilliant techniques, and caring abilities are outstanding! Also, his staff will do everything to make you feel comfortable and secure! Thank you 🙏
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Shawn -Satisfied Customer
24 July 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Honest Dr. Vaca is amazing at his craft. His staff was helpful and patient in addressing any concerns. I’m glad I went to him. He did a great job. Thanks Dr. Vaca.
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Marie Koehler profile picture
Marie Koehler
9 June 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is a caring,, kind ,and exceptional physician. His work reflects his meticulous nature, as does his office and staff. I have always felt valued as a patient, and highly recommend Dr. Fagien.
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B P profile picture
B P
30 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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A R profile picture
A R
10 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Anonymous in Boynton Beach
10 September 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
“Simply the Best!” I’m pleased to have an opportunity to share my experience with Dr. Steven Faigien. I’m an 81 year old woman who’s had 3 eyelid surgeries in the past. Because of this I was anxious about how I would heal. Dr. Fagien assured me that since I am in good health , there should be no problems. He proceeded to tell me what would be the best result for me. He was absolutely right! I had my surgery a few days ago and am healing quickly and I love the way my eyes look. I would be remiss in sharing my experience with Dr. Fagien if I didn’t mention his wonderful and caring staff. They are always kind and very helpful. Last, but definitely not least, is Dr. Fagien himself. He is very personable and quickly put me at ease. He is easy to talk to and has a great smile and sense of humor. I am truly humbled by his expertise and his caring for his patients. He is “Simply the Best!”
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Cynthia Brown profile picture
Cynthia Brown
23 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone in the office is kind and truly cares. Dr. Steven Fagien is an artist. The results were better than I expected giving me a much younger appearance and a very natural look. I am so very happy with the results and kindness of his team.
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Wendy Kupfer profile picture
Wendy Kupfer
21 June 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Claudine G profile picture
Claudine G
21 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing Professional Office Dr. Fagien is truly a Professional Oculoplastic Surgeon who is very compassionate and thoughtful of your concerns. He gives his full attention to you and puts you at ease, leaving you with full confidence that everything will be 100% better. 2 weeks ago, I had upper and lower Blepharopalsty and so far I'm very super happy at the results. A big shoutout to his staff.. all are very friendly, well trained and most of all compassionate. Dani, his assistant is very kind and truly cares and takes the time to answer any of your concerns. I absolutely highly recommend Dr Fagien and his team!
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annie quinnell profile picture
annie quinnell
23 December 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Vaca is extremely skilled and caring. His office staff tended to all my needs and questions. I was informed of all the details pertaining to my surgery so I could achieve a great result. They continue to care about my recovery journey. I would highly recommend Dr Vaca for all your cosmetic needs. He has turned back my clock 10 years!
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elena stuart
17 June 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Roberta M .Deutsch profile picture
Roberta M .Deutsch
10 June 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I have been going to Dr. Fagien since 2012. He is a consummate professional and has a great bedside manner in addition to exceptional skills. I always look like I just went on vacation, really natural. I rarely bruise and this is because he numbs you from the inside. I wouldn’t go to anyone else and I wholeheartedly recommend him to anyone wanting to look refreshed and rejuvenated. He has an excellent skilled staff ready, willing and able to take care of you during your visit. He’s just the best.
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kanita puangboot
20 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I choose Dr. Steven Fagien with all the trusty. Recently, my Botox which I had on my forehead turned out very well done. It’s made me so happy overall... And Even that was the first Botox in my entire 35 years. It was full of concern. But now , I’m considered to get more in another area , of course! I will pick Dr. Steven Fagien !!
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Monica Silva profile picture
Monica Silva
22 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Vaca is amazing! He is meticulous, talented and very kind. The entire staff in his office is also very kind. I did a neck and facelift and Dr Vaca did a great job. Minimum pain after my surgery, only took Tylenol for 2 days. Highly recommend!
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Linda Wolf profile picture
Linda Wolf
12 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Samantha Teitz profile picture
Samantha Teitz
12 May 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
My entire experience was a pleasure! Dr. Fagien was patient and answered all my questions, his office staff is pleasant and professional. They kept a close eye on me during my recovery period as well. 10/10 recommend!!
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Catherine S profile picture
Catherine S
14 October 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr.Fagien and his extra pleasant staff made me so comfortable for my upcoming surgery . It was a breeze with no pain , and the outcome looks wonderful , though I’m still swollen and the full results will be seen in a month or so . He is very kind, comforting and a true artist . I give him a 10!
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Juan David Velasquez
25 February 2021
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I would encourage anyone seeking attention to detail, perfectionism and tact to see Dr. Vaca. The process from beginning to end was smooth, at ease, well informed and last but most importantly exquisitely executed. I’ll continue to visit his practice and refer him to anyone I know.
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David Kimmel in Hudson, FL profile picture
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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Floridagal
9 May 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is extremely professional with a gentle and kind demeanor and an artistic eye. He is very personal in his approach to the patient and is sensitive to differences in facial features and what would best suit each patient individually. He is a perfectionist in the best way, and truly helps the patient feel comfortable and confident in his care. His staff is well-trained and attentive. His facilities are top-notch, clean and modern. I highly recommend him. I couldn't be happier. His results are superb.