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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Juan Velasquez profile picture
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
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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Judith Fernandez
14 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Still continues to be my favorite physicians office for the overall care and professionalism of all staff I encounter. Office continues to abide by recommendations regarding Covid which protects us both. I met some new staff this visit who are as committed to Dr,. Fagien’s practice as he is. My visit this time was more maintenance and lasted approximately 50 minutes. As usual, every line, and wrinkle was inspected and documented along with conversation regarding my perceived wants vs. what the physician felt I needed which is interestingly less. Actual prep and procedure time 30 mins, minimal discomfort, no down time and I left a happy more rested looking woman. I work hard, I play hard and enjoy taking this time for myself. I appreciate the skill and talent of healthcare professionals and a smooth operating medical office. Thanks Dr Fagien and team!
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Mary Daniels
17 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I have been seeing Dr. Fagien for approximately 12 years for fillers. He has helped me avoid the deep Marionette lines around my mouth area. Dr. Fagien graciously listens to my woes about NOT wanting to go through surgery and, in my opinion, helps me maintain a natural appearance.
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Healthgrades User
8 August 2021
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My experience with Dr. Vaca was top notch, he is very professional and very knowledgeable in his craft. He make you feel very comfortable and is always eager to listen to any of your concerns. I had an upper lip lift and cannot be happier! If you need an honest and caring physician, do not hesitate to seek him out.
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Lisa RP
24 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is an artist. He is also kind, extremely skilled and a pleasure to know. he has helped not only me, but several of my close friends to regain our more youthful looks. I highly recommend him and his work.
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Mary Amado
31 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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Juan David Velasquez
25 February 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades 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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Andrés K
3 November 2023
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The best. No question about it Doc and staff extremely professional and nice . Results are amazing . I did my eyelids .Do your research . He is the best
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P V
29 August 2022
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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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Lori Martinez
18 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
I love Dr. Fagien. He is kind and his office and staff are amazing. My face will always look beautiful because of him.
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Healthgrades User
26 January 2020
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He and his staff could not have been more patient and thorough in explaining the procedures and follow up.
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Healthgrades User
6 December 2019
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I have been going to Dr. Fagien For cheek filler for several years. He does such an excellent job that I come from out of state for the appointment.
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B P
30 December 2021
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I am one of the most qualified patients to recommend Dr. Elbert Vaca, as I had multiple surgeries with him in 2021. What began with one surgery ended with three (TT, neck/face lift and breast reduction), as each surgery over-exceeded my expectations. He's an exceptional plastic surgeon, but also a kind and caring person. During office consultations, Dr. Vaca was patient and generous with his time, addressing my many questions and concerns. He thoroughly prepares his patients for surgery as he wants them to have a successful outcome. I never doubted his recommendations and completely trusted his honest opinion. I was very happy with both the surgery and post-op recovery, as I was well prepared and felt great! I could not have asked for a better surgeon, as he delivers natural looking results. He's highly trained and very proud of his work. I recommend Dr. Elbert Vaca enthusiastically and without reservation.
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Vanessa C
22 July 2020
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Beautiful office, lovely staff and a clear and thorough consultation with the Dr. Already feel confident in his skills! Definitely going to proceed with procedure.
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Wendy Kupfer
21 June 2019
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Dr. Fagien is terrific I thoroughly trust him. I’m always pleased with the results and he does everything he can to make the procedure pleasant. I highly recommend Dr.Fagien!!!
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Kendal & Sasha
26 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien was extremely professional, I met with him regarding under eye fillers that I wanted to do. He was surprisingly honest and did not recommend I do this procedure as he did not think it would give me the results I wanted. He took the time to go through what the likely outcome would look like, showing images etc. I would 100% recommend his services as he clearly will not give advise on the basis of filling his pockets, but rather his client's genuine interests. While I did not leave with fillers, I did leave with a better understanding and knowledge of my structure and options available to me.
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Marilyn P
26 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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Vincent Traina
9 January 2019
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A wonderful experience with outstanding results. Honest, Passionate, Gentle, Kind, Friendly, Knowledgeable. Three thumbs up to Dr. Fagien and The Fagien Team. Highly Recommended. :-)
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Jen Star
30 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent MD!! I would recommend him to everyone!
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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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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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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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jackie armour
3 December 2019
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Professional staff and wonderful doctor.
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Jennifer Mendez
12 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Love the staff and office! Always a pleasure every time I come for my follow up! Dr. Fagien is an amazing doctor and so sweet! He is the best!!! You will not regret!
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Ina
13 December 2021
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Dr. Fagien saved me a lot of money because he was very honest, he did not try to make money, he tried to help. He found out that I only have to go to a dermatologist and gave me a referral. Thank you very much.
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C V
25 August 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Blepharoplasty with Dr. Fagien: A Review I recently had a blepharoplasty performed by Dr. Fagien, and I couldn't be happier with the results. Before the procedure, I had very hooded eyelids, but now I have a visible eyelid—a change so subtle and natural that I don't even feel the need to wear makeup anymore. The results are incredibly refreshing, making me look more awake and like the best version of myself. From the very first consultation to the final follow-ups, Dr. Fagien's kindness and care were exceptional. He is a true perfectionist with an incredible eye for even the smallest detail, which put me completely at ease. He genuinely cares about his patients' comfort and outcomes, and his surgical skill is second to none. I was also impressed by his specific post-operative care protocol, which I followed precisely. My recovery was surprisingly easy, with no pain, no bruising, and only mild swelling for about a week. Within a few days, most people had no idea I had even had surgery! The entire experience far exceeded my expectations. I am so grateful to Dr. Fagien for his precision, surgical skill, and genuine kindness. I highly recommend him to anyone considering eyelid surgery.
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Anonymous in Boynton Beach
10 September 2022
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“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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Beth Johnston
24 August 2019
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I am very pleased with the procedure outcome as well as the professionalism of Dr. Fagien. His staff is knowledgeable and the service is beyond 5 stars.
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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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Cynthia Spear
1 February 2022
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Very Professional!
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Healthgrades User
4 May 2026
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Wonderful doctor When seeking referrals for a doctor to perform cosmetic eye surgery, one name consistently came up: Dr. Steven Faigen. After my own experience, I completely understand why.Two months after my surgery, I’m so glad I followed those recommendations. I’m truly thrilled with my results, and the entire experience—from consultation through recovery—was outstanding.If you’re considering this procedure, don’t hesitate to contact his office and schedule a consultation.
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Larry Sala
21 March 2021
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amazing doctor, caring staff ... and most importantly PERFECT results! thank you!!
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Patti Max
5 March 2025
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Dr. Steven Fagien is a genius Dr. Steven Fagien is a genius and a super talented surgeon. He is in a league of his own. He dedicate the time to perfect every surgery. He listens, cares, and has an innate ability to understand understand every patient’s wish, and turns those wishes into a reality. I recently underwent an upper and lower blepharoplasty. I am a perfectionist, and even I am amazed at how this master surgeon opened up my eyes to look 10 to 15 years younger in a most natural way. Dr. Fagien, is very kind and compassionate. Is it any wonder that his office staff are caring unprofessional? They handled all my needs, including following through all medication refills. My eyes were blessed with Dr. Steven Fagan‘s hands.
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yaminah lopez
20 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca was very friendly, he makes you very comfortable and actually sits and talks with you. Most places make you feel rushed and unimportant. He took the time to explain things, and answer questions I had! I can not wait to have my procedure done !
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Jana Hamade
30 January 2022
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Dr. Vaca and his staff are truly amazing. They make you feel very comfortable everytime you come in and always check up on you! He has great bedside manner and truly listens and gives his honest opinion! I went in to get filler for the first time and he helped me figure out exactly what I wanted. He is an artist who pays close attention to details. I will for sure be returning for all future botox and filler! He goes above and beyond to make sure every patient is satisfied.
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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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Vasila Queen
27 August 2024
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I am extremely happy with the care and treatment I received from Dr. Elbert Vaca. He is not only a highly talented doctor but also genuinely cares about his patients. From the moment I walked into his office I felt confident that I was in the best hands. His expertise and attention to detail are remarkable, and he took the time to explain every step of my treatment, ensuring that I felt comfortable and informed throughout the process. I am truly grateful for the exceptional care I received and would highly recommend Dr. Vaca to anyone seeking top-notch medical care.
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Teofilo Bucaram
15 October 2021
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So far, for my first time visit to Dr Faigien office it was amazing!! Starting with his staff, very friendly and understanding. This is my first time doing this type of procedure and i felt very comfortable and we'll informed. Doctor Faigien , an amazing guy, straight to the point and know what you are looking for. I already booked my surgery with them . Can't wait to do a part 2 of this review 😁 UPDATE I stand strong backing up what I said, Dr Faigen and his amazing staff Rock!!! I been around for a while and let me tell you that the level of professionalism and care are beyond expectations. This team has something rare and unique and is called principles..They know their work and they do care about the patient and results. This guy's are not here to take your money and just doodle or overdo things in your face. They work with balance and proper symmetry , now I know why Dr Faigen has such excellent reputation, because is not about the money it's about the results and confidence.Anybody can be a butcher but very few can be a master at what they do and be humble and caring like Dr Faigen. Much integrity and honesty in the world of Dr. Faigen. I feel very lucky to be his patient . Thank you again Doc!!!
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Healthgrades User
3 March 2022
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Surrounded by Kindness It’s always a pleasure to visit Dr. Fagien! The staff is warm and helpful, and Dr. Fagien is a true master with an engaging sense of humor! It’s a wonderful experience, and I always leave feeling lucky to have found a doctor that cares. … and the outcome is always fantastic!
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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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Lauren Posner
22 December 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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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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Annie Berman
12 October 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the best! Extremely professional excellent staff. I couldn’t be happier
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Healthgrades User
13 May 2019
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Dr. Fagien is extremely professional and has a very gentle touch and an artistic eye. He maintains a soft spoken and kind bedside manner. He treats his patients with respect and is an expert within his field. I highly recommend him.
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Megan E McNally
22 January 2025
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5 stars is not enough for Dr. Vaca. I found him by way of Dr. Fagien but needed more than an upper bleph (brow lift also) so went with Dr. Vaca. From the moment I met him in my consult I just thought he was so kind and knowledgeable. I felt safe with him and his work on Instagram was just beautiful. He kept nailing the brow lift and upper blephs and most importantly each woman just looked so natural like they didn’t have anything done. I had my surgery last week and have felt so well cared for. My results are so beautiful! I still feel like me! My dermatologist here in Miami asked for all of his info bc she couldn’t believe how beautiful it looks. Who knows what plastic surgery I will consider in the future as but if I do I know that I will trust Dr. Vaca. He’s a star!!!
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Angela Neave
24 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Josie Murray
13 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Honestly wonderful experience from start to finish. I had an accident and needed stitches in my eyelid. I was scared and upset and the team was great. It’s nice to feel heard and understood from a doctors office, especially when you’re in crisis. Dani at the front desk really listened to what was happening and made sure I could be seen as soon as possible and answered all my questions. Dr. Vaca worked quick and well. It was such a fast and painless process. They answered any and all questions without judgement. When it was time to remove the stitches I was in and out the fastest I’ve ever been at a doctors office. Effective, efficient and kind place. Would definitely recommend.
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Katherine Hamlet, M.D. in Aiken SC
5 May 2018
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Dr. Fagien performed bilateral upper and lower blepharoplasty 15 years ago with great results so I returned to have a repeat procedure. He’s a fantastic physician: friendly, caring, honest, technically superb, respectful of his patients and staff, all factors that lead to a calm reassurance of optimal outcome.
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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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Healthgrades User
6 January 2021
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His name was recommended to me from the PA at my Miami cosmetic Derm’s office. His office & staff are superb - very clean, beautiful aesthetic & very helpful. He has a great energy that put me at ease & no worries as I tend to be worried. I did my R lower eyelid Dec 3rd, 2020 to even out both my eyes from my natural bags & use of under eye filler throughout the years. It’s been 5 weeks. No one can tell I had something done. The first week was hard just due to the sleeping up but his work is very detailed, healed well & fast. I am coming to see him for my 5 week. I am very happy with his work. Thank you Dr. Fagien. I can’t wait to go back to him when I need to do the rest.
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Matthew Hughes
11 February 2025
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My wife and I had procedures in December. We highly recommend Dr Fagien. Words do not do justice for the quality of care he and his staff provide. They are truly wonderful people and exceptional at what they do for their clients . Thank you so much for everything.
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Lyubov Vayner
23 May 2024
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I was extremely hesitant in choosing a doctor in Florida, since I had an established physician and team in Beverly Hills. When travel became impractical, I searched for a local Physician for my cosmetic care. My first appointment with Dr. Vaca put my anxiety at ease. From beginning to end, he listened to me, paying meticulous attention to my features and establishing balance where i did not even realize was needed. Thank you so much, Dr. Vaca for listening to and really hearing your patients. I feel my best under your care, see you soon!
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Melanie Wantuck
19 September 2020
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I have been a nurse at Northwestern Hospital for over 20 years, so I have seen many doctors come and go. I work in the PACU and recover patients after various surgeries. Plastic surgery is one of them. So about 2 years ago there is all this talk about this guy in plastics who is a true “prodigy”.... of course my curiosity got the best of me and I started asking around. Elbert Vaca...Dr. Elbert Vaca... the best surgeon anyone has come across in a very long time.... ( this talk is coming from well known (experienced) surgeons ) ... Over the next 2 years, I was able to recover Dr. Vaca’s patients after various types of plastic surgeries. And the results were dumbfounding....he was Incredible .....his results impeccable...honestly, “perfection” in its truest form... I have Personally seen him for Botox and filler.... his work is amazing. *People look like a better version of themselves, not fake or unrecognizable.* I am 48 years old and will travel to Florida to see Dr.Vaca when the time comes for me to get my face and neck lift... this will also include my upper and lower eyes. He is going to do some fat transfer into my faces as well.. ( Trend alert: this is the new filler ladies!!!).......... I want the world to know about Dr. Vaca because he is so gifted. This is an example of where “years of experience” need not be considered... he is a prodigy. He was born to do this and if you go to him... your life will change! I no longer have a fear of aging..... as long as he is around! That is also a gift.
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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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K G
9 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Wendy Lewis & Co Ltd
28 May 2016
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the go to guy for cosmetic eye surgery and facial injections in South Fla. He has great hands and doesn't overdo it. Results are always natural and artfully done. Highly recommended!
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Dr Fredric Haberman
19 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Kelly Ingarra in Palm Beach Gardens , FL profile picture
Kelly Ingarra in Palm Beach Gardens , FL
9 September 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Sevigne profile picture
Sevigne
25 March 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Alicia Kalvin profile picture
Alicia Kalvin
29 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Jodi Kahn profile picture
Jodi Kahn
24 September 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen... I've been going to him for 18 years. He has done my eyes, the results exceeded my expectations. He is also the only one to go to for botox and fillers. He is simply the best
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Kerri Benson profile picture
Kerri Benson
16 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Look no further than WONDERFUL Dr Steven Fagien. There are no words to describe this amazing doctor. He is a truly a master in his field. His staff is equally wonderful. His office sets the tone for a calming, secure and overall positive experience Dr Fagien is everything that one could hope for when choosing the BEST doctor for cosmetic eye surgery. He is brilliant, kind, caring and honest. I could not be happier with the results. Dr Fagien is the definition of what every knowledgeable patient looks for when choosing a doctor. Thank you Dr Fagien for simply being you!
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Aurelia Papitto profile picture
Aurelia Papitto
23 April 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Patricia Chevrier profile picture
Patricia Chevrier
20 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I would very highly recommend both Dr. Vaca and Dr. Fagien. I was referred to this practice by a number of individuals and doctors. I also did a lot of research on my own before making my decision to have cosmetic surgery. I could not be happier. I found they listened to me, offered excellent advise and did exactly as I asked. The entire staff is professional and really care about their patients.
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Chelsea Parra profile picture
Chelsea Parra
29 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently started seeing Dr. Fagien. His office is beautiful & squeaky clean & the staff have all been helpful and wonderful! I would highly recommend going to see him!
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RB Cutie profile picture
RB Cutie
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
So far I have loved my experience with Dr. Vaca. The consultation was amazing, and I felt very comfortable with him. Last week was my surgery, and so far, I feel awesome! I went in thinking I was going to be in so much pain after the surgery, but I was completely wrong (everyone is different). The day of the surgery I was a little nervous, but Dr. Vaca and everyone on his staff made me feel well taken care of. He is an absolutely amazing doctor.! Super happy and excited about my results, In only one week.
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Ashley Calandra profile picture
Ashley Calandra
12 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is truly amazing! From start to finish, my experience with him and his team was nothing short of exceptional. I had a procedure with him, and the results exceeded my expectations—I only wish I had found him sooner! His skill, precision, and attention to detail are unmatched, and I felt completely at ease throughout the entire process. Beyond his expertise, his staff is incredibly kind, attentive, and accommodating, making every step seamless and stress-free. I've already recommended Dr. Vaca to so many people in my network, and I will continue to do so without hesitation. He's an artist :) :) 10/10
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Healthgrades User
15 June 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent Dr. Vaca listens, understands and delivers results with a professional and caring manner. Great surgeon. Great eye!
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james mclaughlin profile picture
james mclaughlin
23 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Tatyana Nudel profile picture
Tatyana Nudel
12 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I did my due diligence picking Dr Fagien and did he delver! Hands down THE best surgeon, very meticulous and detail oriented. Very particular and deliberate with his approach, pre-op instructions, surgical facility and anesthesiologists, his surgical technique is superb ( I am a doctor I know). My eyes look amazing! Today is less than 24 hours. No pain, virtually no swelling, no blood at all, no crusting. Have not taken single pain killer. I waited for this procedure with Dr Fagian for 2 years and it was totally worth it! I wish more surgeons would be like him. Totally a class act and bed side manner is so warm and professional. Better schedule your consult ASAP. I promise you will not need sorry
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Rivka Liberman profile picture
Rivka Liberman
2 June 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Excelente Doctor and excelente staff. Love you all.
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Jeevanpre Jowhal profile picture
Jeevanpre Jowhal
18 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
EXCEPTIONAL! Dr Fagien is simply exceptional. I’ve known him for 20+ years, and that level of trust made my decision to undergo surgery an easy one. His approach is both refined & conservative, resulting in beautifully natural, classy outcomes- my results exceeded my expectations! He took the time to genuinely listen to my concerns- which feels increasingly rare these days, lol- and made me feel completely at ease. What truly sets him apart is his honesty, warmth & the way he treats you as a person, not just a number. He’s not trying to sell himself or any procedure, how refreshing! His staff is equally capable, professional & supportive, making the experience seamless. He is an expert in his craft & I’m incredibly grateful.
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Roberta Deutsch profile picture
Roberta Deutsch
3 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Nine years ago, I had a consultation with Dr. Fagien . Over the years, I’ve seen him for fillers and Botox with great results. No one ever knows that I’ve had anything done. He believes you should just look as if you’ve been on vacation and you do. In July, I finally had the time for the surgery. The results are outstanding. Dr. Fagien is not only an extraordinary surgeon, he is meticulous and precise in everything that he does and that is clearly reflected in the results he obtains. He has such a wonderful bedside manner and the temperature in the room goes down a notch just when he enters. He is kind and generous with his time and will explain anything you ask about what he is doing and why. He has a very detailed protocol pre-and post surgery that produces the very best of results if you follow it. His staff is outstanding as well, welcoming and kind, very knowledgeable about what they are doing, which obviously comes from him and from being around him. There are really no adequate words to describe how fabulous I feel and how great I look, thanks to Dr. Fagien, and there is no one else I would trust but him.
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Tammy Costa profile picture
Tammy Costa
15 March 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing staff and Dr.!! I told them I would love to just hang out there because they are so much fun!! Dr. Fagien has the most gentle touch and great personality!!
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Allyne Cole profile picture
Allyne Cole
16 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.Fagien is truly a master at his craft. He is a highly respected expert in oculoplastic surgical and non-surgical procedures for a plethora of reasons. He approaches each patient with a sincere desire to create a natural, more youthful appearance with an artist’s eye, years of experience, and a deep sense of caring. His bedside manner truly adds to why he is beloved by all who meet him.
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Beth D profile picture
Beth D
7 March 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien and staff are amazing! From the moment of my consultation I knew Dr. Fagien was the doctor I needed for my upper and lower blepharoplasty. His expert knowledge along with extreme passion for his work showed immediately. My surgery was in late October 2023 and I could not be happier with the results.
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Healthgrades User
17 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Minimal wait and office staff were professional. Didn’t feel hurried. Dr. Was Soft spoken and gracious. Details were discussed and my questions answered.
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Rick Tobin profile picture
Rick Tobin
8 July 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Top notch!
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CHERYL SURTEL profile picture
CHERYL SURTEL
19 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca and his staff was wonderful. He has precise attention to detail and ensured the outcome of my procedure would be perfect! I would recommend him to my family and friends for any plastic surgery needs.
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Healthgrades User
12 August 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Face and Neck List HAPPY HAPPY HAPPY!! I’m so HAPPY, I could say it 1000 times but it wouldn’t express how happy I am with my new younger neck and face, it restored the younger me! I owe it all to the exceptional talented meticulous, Dr Vaca. I would give you the highest Michelin star if there was such a thing for plastic surgery!! And I want to say thank you to the girls in the office you’re all fabulous!! Thank you, Dr Vaca I’ll be forever grateful and thank you, Dr. Fagien for putting me in the hands of such an artist
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Lory Reyes profile picture
Lory Reyes
25 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The best! Dr. Fagien has fixed my previous eyelid surgery and U’m so happy with the results! He is personable, competent and an excellent surgeon.
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B Mac profile picture
B Mac
8 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Let it Glow Inc profile picture
Let it Glow Inc
1 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have ever worked with. Working in this industry for many years he is definitely one of the best out there. I really enjoyed his attention to detail and making sure I was comfortable. I am not one for getting work done that doesn’t look natural and he helped me achieve my goal with a more natural look. He also has an amazing vibe and great bedside manner. Highly recommended to anyone in the South Florida area.
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Amy profile picture
Amy
11 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
My experience with dr Vaca was fantastic! He’s extremely detailed, calm, self assured in the best way and realistic with what the outcome will look like. Dr Vaca far surpassed my very high expectations and I couldn’t be happier. His support staff are very kind and professional as well, so the overall experience is great. Anyone choosing this practice will truly be pleased.
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J profile picture
J
19 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his staff are absolutely amazing. I had Rt. lower blepharoplasty done for sagging skin and the results speak for themselves. Not only am I happy with the results, but the process in general was so easy. The day of the procedure Dr. Fagien and nurses gave me much peace and expectations. Surely weeks later I can testify of a wonderful experience. I thank God for allowing me to meet such wonderful Doctor. I would highly recommend his services. So if your looking for a truly professional and excellent facial plastic surgeon Dr Fagien is your answer. Worth every penny. Jen
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Denise Cody profile picture
Denise Cody
9 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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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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ZILÄ BLÜE profile picture
ZILÄ BLÜE
13 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Extremely talented with a perfect outcome. Everyone is also very nice at the office. - Veit
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Lana in Baltimore , MD
1 July 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
He is the best in the field.
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Healthgrades User
8 March 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
As soon I walked into Dr Fagien office I was greeted warmly by the staff. They made made feel very welcome. The Dr is a true professional. He listened to my issues and questions and made me feel at ease that he could do what I had gone to see him for. I would highly recommend him to any of my friends and my family.
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Maureen Meil in Delray Beach, FL profile picture
Maureen Meil in Delray Beach, FL
27 November 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I'm having my surgery done in a week and a half. Dr. Fagien explained everything in detail and took lots of pictures. He was refereed to me by another surgeon in Philadelphia. I feel very comfortable with the fact that Dr. Fagien will be performing my surgery. He has a great reputation.
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Judi Nelson profile picture
Judi Nelson
10 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am not embarrassed to say that at 63 I had my upper lids done by Dr. Fagien. He was warm and professional as was his staff. The eyes came out great. 9 days post surgery now and I am thrilled. Dr. Fagien also repaired a botched eyelid surgery my husband had. He is the best. Highly recommend!
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Lori Defillipo profile picture
Lori Defillipo
27 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Betina Garcia profile picture
Betina Garcia
29 January 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Definitely will recommend Dr Fagien and all the staff were great. As soon as you walk in the door they make you feel confortable and cared for. My upper eyelid surgery was a success , no pain and quick recovery. Dr Fagien is not only an artist but a great human being.
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Healthgrades User
17 November 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Tracy Brinker profile picture
Tracy Brinker
3 November 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing is an understatement …… Dr. Fagien is one of those people from the start knows what is best for you and then explains the process to get there - imagine in healthcare in 2023 a doctor who cares? Well you don’t need to look further because not only does he care he cares deeply and so does his wonderful, kind, gentle and loving staff. I am just so happy with my procedure, came out of state and the process was made so very simple for me to understand and Trust. Don’t even consider anyone else and I have said the same to my sister who commentates on TV - when or if you want to have your eyes reviewed or surgery performed you are in the right hands - I have never seen such talent (if ever). Thank you sounds like not enough to Dr. Fagien and his staff!!!!!
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VMarie profile picture
VMarie
19 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien and his office staff could not be more professional or nicer! I had my eyelids done and took off my steri strips in my sleep. It was Sat morning so I called the answering service. Seconds later Dr. Fagien called me to meet him at the office and fix the problem. My Fiancé is a surgeon as well and could not have been more impressed with his perfect stitches and attention to detail. Thank you for everything Dr. Fagien, Devina , & Olivia I will definitely be recommending your office.
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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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Susan V profile picture
Susan V
28 July 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is one of the most ethical plastic surgeons I have ever met. I would highly recommend him. After leaving his office he advised me that I really didn’t need the work I was asking for and advised me to see my health care provider. I don’t know many if any plastic surgeons that would do that.