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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A R profile picture
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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Amy Amy
7 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
A Life-Changing Experience with Dr. Fagien! I can’t thank Dr. Fagien enough for literally “fixing” my eyes after a botched procedure in New York. From the moment I walked into his office, I knew I was in good hands. Dr. Fagien and his entire staff are beyond wonderful—professional, kind, and truly dedicated to their patients' well-being. If you’re out of state and looking for the best doctor, I highly recommend making the trip to Florida. The quality of care, expertise, and attention to detail is absolutely unmatched. I honestly wish I had come to him first. The results speak for themselves, and I’m so grateful for the positive change he’s made in my life. If you’re considering eye surgery or any related procedures, don’t hesitate—Dr. Fagien is the doctor to trust! You will not regret it!
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Ranchida SauAu
14 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
As always Dr. Steven Fagien is wonderful! He makes sure you are comfortable through any procedure. He has a wonderful eye for what needs to be done or not. His office staff is always a pleasure to deal with. Also Friendly and helpful!! I definitely recommend :)
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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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Kim Champion
12 September 2023
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Above And Beyond! Boca has lots of good plastic surgeons. My experience with Dr. Vaca is that he is a Great plastic surgeon! During my recent surgery, he encountered some undiagnosed problems. He worked about two extra hours in surgery to fix all of that, plus finish the job we originally planned. If I wasn’t totally knocked out with anesthesia I would have given him a standing ovation in the operating room! I read the other reviews left by previous patients. I agree with all the wonderful attributes they listed about Dr. Vaca.
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Orlando Lopez-Fernandez
25 January 2024
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Not only were the surgical results outstanding, but being a physician I can attest to the fact that the high level of kind professionalism displayed by the entire staff is very rarely encountered & therefore noteworthy & must be acknowledged & mentioned.
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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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Donna V. Molinaro
26 July 2021
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I’ve seen Dr Faigen for injectables. You may feel confident in Dr Faigen’s work. His approach is comforting, his work distinguished. He listens and creates a wonderful, natural look. He and his staff’s care and warmth is apparent during the entire experience. I have recommended him to family and friends, which is the greatest compliment.
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K G
9 September 2020
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In June 2020 Dr. Vaca performed a facelift using the SMAS technique. From the first day we met, during many emails and phone calls, day of surgery, post-op visits and again, many calls and emails, Dr. Vaca was informative, caring and patient. Dr. Vaca is very detailed and made sure that I fully understood everything regarding my health and procedure. Every question was answered. I am thrilled with the outcome and happy to speak to anyone who still has questions about Dr. Vaca.
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Jennifer L
18 June 2024
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Best Experience Ever Dr. Faigen and his staff are absolutely fantastic. From my first consultation, to pre-op, to surgery and post op, I felt completely at ease and had the most amazing results. Dr. Faigen was straight forward about what results could be achieved, and I couldn’t be happier I highly recommend him for anyone looking for a natural and beautiful result.
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Alicia Kalvin
29 April 2021
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Dr Fagien and his team are the best! I had my upper eyes done in August 2020, they turned out terrific and the doctor’s office called me every day for a week to check on me and see how I was healing after my surgery. I’m so glad I made this decision and I highly recommend Dr. Fagien for anyone who wants beautiful youthful eyes.
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Christina Costa
7 May 2021
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Dr. Fagien is great and so is Hanna! They both made me feel comfortable and took great care of me. Thank you for everything & I can’t wait to come back!
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Kelly in Boca Raton, FL
2 January 2016
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Dr, Fagien pays attention to every detail and over delivers! I am so pleased with my result!!! I highly recommend him!
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Healthgrades User
11 September 2026
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Dr. Vaca is incredibly talented! From my first visit with Dr. Vaca I felt instantly at ease and highly impressed with his knowledge and expertise. His educational background is stellar. I completely trust his recommendations and truly appreciate his honesty and conservative approach. I can’t recommend him enough! Thank you Dr. Vaca.
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Healthgrades User
24 September 2024
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10 Years Younger! Dr Vaca is a true artist as well as a skilled surgeon. He has a very caring nature and makes you feel comfortable. His staff is kind and helpful. No question is too small to ask. I highly recommend him!
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Sandra Muvdi
21 May 2020
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For about 20 years I have trusted Dr. Fagien for cosmetic facial procedures (Botox and fillers) and I am 100% satisfied. When it comes to my face, only the very best.
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Diane Procini
27 July 2025
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Simply the most talented surgeon on earth!! And so kind!!
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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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Janet
5 June 2021
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Very professional. Took their time explaining everything, friendly, didn't have to wait. Would definitely recommend family & friends.
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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
21 July 2020
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I had a virtual appointment with Dr. Fagien and really appreciated his assessment of what I needed and didn’t need. If I decide to have the eye surgery this is definitely the doctor I will do it with.
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W in Diamond
14 April 2018
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Excellent service from the moment you walk thrpufh the waiting room door. The office staff and assistants are only surpassed by the genuine care that Dr Fagian delivers to his patients.
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John Fehn
20 April 2019
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Excellent service with a friendly careing attitude definitely recommend .
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Angela Neave
24 May 2022
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Dr. Fagien did an amazing job and my eyes look beautiful. Everyone in his office treated me kindly and with care. I understood the process every step of the way and felt confident I was getting the best possible care.
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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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Healthgrades User
2 November 2019
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If you want/need your eyes done in any matter, look no further. I am the type of women who believes that when it comes to ANY surgery, you fined the BEST. Well, save yourself anymore investigation. He’s IT! My surgery was 1 week ago. YUP, He’s the best’
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alan brandfon
6 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and the entire office personnel are absolutely fantastic! Professional, knowledgeable, and first rate. Thank you!
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Juan Velasquez
25 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Healthgrades User
12 July 2018
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Comfortable environment for thorough conversation with all concerns addressed. Very friendly and supportive staff. Excellent experience!
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Cindy Grafman
31 October 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
The BEST !!!!! I wouldn't let anyone BUT Dr. Fagien touch me.. ! He's gentle, kind & treats his staff like family.. He "listens" to what & how you want a procedure unlike so many other plastic surgeon's.... Staff is very professional & caring ... I highly recommend Dr.Steven Fagien for any procedure... That is how he gets his impeccable reputation....
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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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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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Y M
16 September 2022
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Definitely 5 Star!!
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Healthgrades User
8 October 2025
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Superior Doctor!!! I cannot say enough about Dr. Fagen. He is absolutely flawless — the most professional, skilled, and compassionate physician I have ever encountered. His expertise in eye procedures is unmatched, and his calm, confident manner immediately puts you at ease. From start to finish, the experience was exceptional. I trust him completely and wouldn’t consider going anywhere else!
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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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Lisa Schaller
10 April 2018
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Everything was fantastic from my first consultation through my recovery. The staff is warm and friendly. Dr. Fagien is professional and really put my nerves at bay.
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Cynthia Brown
24 July 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I would highly recommend Dr Vaca! Great bedside manner making you feel comfortable and confident you have made the right decision. He is a true artist. The results are better than I expected. Life changing. Never having anything like this done before, choosing the right doctor is everything. I made the right choice.
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Healthgrades User
25 January 2021
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A friend had recommended Dr. Fagien while I was visiting in Florida. I decided to stay in Florida beyond my expected departure and made my appointment with Dr. Fagien. I can’t believe the different between my prior experiences and with Dr. Fagien and his staff. The office was impeccable and I felt like I was the only patient there as they have strict Covid policies. I was brought into meet Dr. Fagien exactly on time. Dr. Fagien evaluate me and explained my options in exquisite detail including what I could expect from each of the treatments. His treatment nearly painless and had minimal signs of treatment. I was thrilled with the experience and the results as were my friend who was also impressed. I will be flying back down to Florida for my next treatments and when I need eyelid surgery. Thank you Dr. Fagien and your amazing staff!
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Stephanie Cardona
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have met! His skills are superb, he is kind and patient, taking the time to explain the procedures he will perform, answering questions, and setting real expectations. Highly highly recommend!
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Rifka Maidan
29 June 2022
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Amazing experience. Professional caring gentle procedure,wonderful staff great support and I look fabulous.
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Healthgrades User
6 November 2020
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my experience was fantastic. my eyes look like 10 years ago and nobody can see that there was a surgery. He is very friendly and puts the patient at ease. I can only highly recommend him!
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Healthgrades User
21 February 2019
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I just had my eye surgery done by Dr.Fagien and I cant say enough wonderful things about him and his office staff. My surgery went wonderful and the follow up with the office staff was something I never experienced . I cant say enough wonderful things about him.
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Healthgrades User
17 November 2019
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This is the best team of medical staff I have ever had. I was truly impressed with the facility and the caring staff. I received the best possible treatment and owe my life to Dr. Fagien. I had a reaction one weekend while he was out of town and he still retuned my call within a very short time. He is so knowledgeable and was able to identify and resolve the problem. I felt so safe and knew I was in good hands. I could not have asked for any better care. Dr. Fagien and his staff are exceptional.
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Healthgrades User
17 July 2025
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Best Dr and Best Staff Dr Fagien and his entire staff went above and beyond to ensure my procedure was a tremendous success. Whatever questions or concerns I have had were addressed immediately. They have been attentive every single day - before and after the procedure. Thank you!
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Healthgrades User
14 June 2019
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He is an excellent doctor!
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Hilda Castellanos
24 May 2022
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What a positive experience! My whole experience with Dr. Vaca and his staff has been exceptional. Dr Vaca spent as much time as I needed during my consult to make sure I had answers to all of my questions. I felt so content that I cancelled my other consults - I knew Dr Vaca was the one. I am so very happy with the results of my mommy makeover procedure. My self esteem has enhanced ten fold! Not only does Dr Vaca have great bedside manners, but he also possesses extremely impeccable talented, artistically gifted and he is also a perfectionist, he was able to keep my tattoos aligned from my tummy tuck to my breast augmentation /lift with no pain afterwards & No scars. Dr Vaca left me absolutely speechless I feel so honored that he worked on me with his artistry .I will truly be a loyal life time patient to him.He is truly a prodigy, Dr.Vaca was born to do this!!
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Danielle Bratek
23 January 2020
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I'm so pleased with my surgical results! Dr. Fagien is very personable and professional. He spends time to discuss the particulars and is clearly an expert in his craft. His office operates on schedule and staff is attentive and friendly. Highly recommend!
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Healthgrades User
2 September 2022
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AMAZING Dr. Vaca is truly an incredible doctor!! His expertise, bed side manner, and he is meticulous which helped me feel confident and comfortable. Only a week out and already can see he did an excellent job with my brow lift and upper eyelid surgery. The office staff is great, and everyone was kind and helpful making it an amazing experience!
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Ellen Niles
3 January 2023
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I just looked in the mirror at my upper and lower blepharoplasty from three years ago. It still looks wonderful, I m so pleased. Dr. Fagin, thank you for your great work!
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Healthgrades User
26 August 2020
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Knowledgeable staff and comfortable office facility
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Lana in Baltimore , MD
1 July 2019
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He is the best in the field.
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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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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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Lidia
1 October 2025
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This is it! Excellent doctor, staff and facilities. Amazing results and overall experience.
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Healthgrades User
30 July 2020
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He is an excellent Dr.
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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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Healthgrades User
12 April 2023
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Eye Surgery Dr Fagien and his team are the best. I got a fantastic result with my eyelid surgery and it was relatively painless. I was at my office 48 hours after surgery. Everything went exactly as planned and Dr Fagien exceeded my expectations in every way. He is for sure the “Eye Guy”.
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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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CHERYL FRIEDMAN
27 July 2022
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Dr Fagien is the best. He’s very personable and the best ever…Ide never go anywhere else. Office is beautiful, staff is wonderful. There arent enough nice things I could say about him.👍🏻👍🏻 Or them.
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Andrea Virgin
4 May 2022
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Dr. Elbert Vaca is one of the very best plastic surgeons around. His absolute attention to detail is outstanding, he listens intently to his patients, and produces exceptional results. Highly recommend him to anyone looking for anything from simple to very complex!!
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Barbara Estis
6 December 2020
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Dr Fagien did a beautiful job on my surgery. It’s been 5 weeks and everyday my eyes look better. I cannot wait to see the final results in the next few weeks. The surgery was virtually painless. You can expect a few bumps along the way, but it is well worth it.
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Annie Berman
12 October 2024
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Simply the best! Extremely professional excellent staff. I couldn’t be happier
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April Gagliardi
29 June 2023
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Very Thorough and professional, highly recommend!!!
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Jenet Star in Pembroke Pines , FL
13 May 2018
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Excellent MD & bed side manner. You will be super pleased with his injection technique & you will definitely want to return.
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Sevigne
25 March 2024
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Upper Eye Absolutely spectacular! Great staff, always followed up and answered any questions asap! Dr Faigen is a master at his craft . No bruising and super easy recovery. Highly recommend!
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Healthgrades User
13 November 2020
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Office immaculate and staff extremely friendly and knowledgeable! Spent lots of time to listen to my concerns and what procedures I had questions about.
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Scott Brennan
1 October 2021
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Another easy visit with superb results. Never any issues. Knowing Dr. Fagien's abilities always makes it a calm and stress/anxiety free visit. And his support staff is unbelievably polite, courteous, and most of all professional.
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Healthgrades User
8 December 2020
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Dr. Faigen is amazing. He has the patience of a saint and I couldn’t be happier. This was not my first experience with injections and fillers, but it was definitely the best.
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Brit E
12 May 2021
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Highly recommend Dr Fagien. He is a very skilled surgeon who achieves exceptional results. His professionalism combined with his warm, caring personality puts you at ease immediately. His staff is top notch too, and always eager to respond to any questions or concerns you may have. I am truly thrilled with the results of my surgery and so glad I chose Dr Fagien as my doctor.
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Healthgrades User
2 April 2019
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Very professional. Knows what is necessary but not overly aggressive.
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Crystal Craig Larsen
15 August 2020
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Dr. Fagien is an amazing plastic surgeon. He is so skilled and meticulous and I am so pleased with the results of my upper and lower eyelid surgery. He is thorough and personable and that was very comforting. The staff is also so kind, helpful and available whenever I had any questions or concerns. I highly recommend Dr. Fagien.
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H.Cohen
30 August 2019
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I was very impressed by Dr Fagiens explanation and patience about the procedure he would be doing on me.He made me feel very comfortable and would use him,also .staff was terrific . Would highly recommended Dr Fagien
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Lbm Teach
27 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
A year and a half later—and I couldn’t be happier! Thank you, Dr. Fagien! … After having to look at myself in Zoom reflections for more than a year, I knew it was time to do something. I was told by a Miami physician whose professional opinion I value more than I can say, that Dr. Fagien is the ONLY doctor to see. Dr. Fagien and his staff are incomparable. He is kind, warm, and patient. The results of my surgery are beautiful and natural. He took at least ten years of sagging stress from my eyes with an upper/lower transconj blepharoplasty. I'm grateful and so happy that I don't look sad anymore. Truly, he is the best!
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james mclaughlin
23 February 2024
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Excellent doctor, office and results. I am beyond pleased with my eye bag surgery. As a retired medical professional I am a very observant patient and they deserve the highest recommendation possible.
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Gwynne Beatty
4 May 2022
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Dr Fagien is the only person I would trust with my face. He is an ARTIST and he is funny!!!
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OL
21 February 2023
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Simply the Best! There is a reason Dr. Vaca is consistently rated 5 Stars. The experience starts with a phenomenal staff. From the moment you first call, you are treated with the utmost professionalism and personal touch. I just underwent a mini face lift with Dr. Vaca and could not be more pleased to have had him as my surgeon. He has impecable bedside manners. He takes tremendous pride in his craft, and as such, is meticulous and thourough. He listens attentively, addresses every concern, explains timelines, and sets realistic expectations. He takes his time to make sure the patient feels comfortable. At no point will you ever feel rushed. The procedure went so very smoothly, and so did the recovery. There was zero bruising, and very mild swelling! I was able to return to work within a week, and the end result was a very natural look! A youthful, and rested look. It is the combination of personal care and attention coupled with such quality of medical care that makes Dr. Vaca an exceptional surgeon
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Jana D'Agostino
16 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Susan in Lake Worth, FL
15 April 2018
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Dr Fagien is a wonderful eye surgeon. His artistry is top notch, he has a kind bedside manner and actually cares about his patient. I am thrilled with my outcome and would highly recommend his services. His staff is competent and kind. You can’t go wrong using Dr Fagien. Thank you to Dr Fagien and his team.
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Healthgrades User
3 February 2022
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This is my second surgery with Dr.Fagien. I have never met a person with such a wonderful bedside manner. He has been very helpful in my recovery and I would recommend him to anyone!
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Floridagal
9 May 2019
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Dr. Fagien is extremely professional with a gentle and kind demeanor and an artistic eye. He is very personal in his approach to the patient and is sensitive to differences in facial features and what would best suit each patient individually. He is a perfectionist in the best way, and truly helps the patient feel comfortable and confident in his care. His staff is well-trained and attentive. His facilities are top-notch, clean and modern. I highly recommend him. I couldn't be happier. His results are superb.
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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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Ed Hall
13 June 2024
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Dr. Fagien and his staff are world class. I am a very happy patient. Excellent care and follow up.
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Healthgrades User
18 August 2021
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I highly recommend Dr. Vaca. Not only is he professional and made me feel at ease but I was able to understand everything he explained to me. His bedside manner is excellent and reassuring. I felt very safe and beyond happy with my results. Thank you
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Iris Nystrom
18 August 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is my good news doctor....he and his staff are always warm and professional ....I've sent many people and they always appreciate that he helps them look and feel their best, well, maybe better than their best....
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Laurence Wiriath
11 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Just perfect, so natural!
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Gina Berlin
25 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Laura Montero
1 December 2020
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Dr Fagien performed lower blepharoplasty. It took me quite sometime to go see him because I live one hour away. It’s hard with busy schedule. I’m so happy I finally made it. He did an amazing job. He’s very knowledgeable and makes you feel at ease. He’s a leader in his field and rightly so. He has a wonderful staff and impecable office. I highly recommend him.
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Healthgrades User
8 March 2022
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this was my first experience and it was truly wonderful. dr Fagien takes his time and does a meticulously fantastic job doing the fillers. You do not have to be nervous because of the way they numb you and because of the tools dr Fagien uses. Basically painless. Everything about this office is so professional and friendly, that I can highly recommend to everyone who wants a bit of beautification. And the best thing is that nobody really notices what happened to me, but they just tell that I look good. And that is what I wanted.
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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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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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Liz Martelle
22 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply a pleasure! to work with. He has that old bedside manner that has been lost in a lot of physician's. I would say his work was impeccable since everyone thinks I look great and not "different". The staff is very pleasant and they make you feel comfortable. I would highly recommend Dr. Vaca!
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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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Grace Marilyn Parsons in Boynton Beach, FL
7 August 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Very pleasant and organized office with excellent explanation of procedures.
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Healthgrades User
19 March 2024
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Facelift De. Vaca is meticulous and talented but also very kind. A combination not always found in surgeons. My facelift was only a week ago but it’s looking great already. The whole office is great!
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Douglas Rolfe
24 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I had my upper and lower lids done at the end of June, so I'm a month and a half post-op. I am extremely pleased with everything in this regard. Not only is Dr. Fagien incredible and talented, but every interaction with any member of his staff was always 5-star. I would highly recommend him.
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Healthgrades User
11 September 2025
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Dr. Vaca If you are reading this review, chances are you are searching for a qualified cosmetic surgeon. My search began in January of 2025. I live in Coral Gables, FL and had full consultations with three highly recommended surgeons within a few miles of my home. While I was certain that all of these doctors could satisfactorily get the job done, I left each consultation feeling like something was missing. I simply could not make a decision. My continued research led me to Dr. Vaca in Boca Raton and after reading his credentials and reviews, I scheduled a consultation. At the end of this lengthy, informative, enjoyable meeting I knew that my search was finally over. I had found my surgeon and my indecision was replaced with certainty and excitement. I have now experienced two surgeries with Dr. Vaca and I am very happy! Everyone who works with him is professional and supportive. If you are searching for a cosmetic surgeon, schedule a consultation with Dr. Vaca…find what you have been missing.
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Shanna Bernkrant
25 September 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I highly recommend Dr. Vaca. He is kind, professional, knowledgeable and skilled. The staff is also an A+. I highly recommend this office if you are looking for a surgeon and team that will take care of you.
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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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Mark
28 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I waited less than 5 minutes in waiting room. Dr Fagien came in exam room with in 3 minutes. We you honest and let me know what my options were. He told me to save my money that I wouldn’t get results that I was looking for . I’m very happy he was honest with me and not looking at my as dollar signs. Definitely would recommend him.
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Eunice Vazquez
28 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
He is very knowledgeable and pleasant, made me feel very comfortable. I will keep coming to see him!

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Results may vary. We are reputable for complete customer satisfaction for completed treatments. Before and after images reflect real results from real patients, although individual results may vary. No treatment is promised to provide permanent results. A guarantee is neither provided nor implied. Statements estimating treatment duration and the number of treatments required are based on the typical experience or our patients, however individual experiences may vary.