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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.
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.
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.
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.
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alan brandfon6 March 2024
Dr. Fagien and the entire office personnel are absolutely fantastic! Professional, knowledgeable, and first rate. Thank you!Posted on Google
Debbie Acosta11 November 2019The best of the best - kind and gentle! Staff is wonderful too! Highly recommendPosted on Healthgrades
Healthgrades User3 May 2019
This was my first time with Dr Fagien and I was very pleased Office staff was helpful and friendly. Dr. F knew exactly what to do and was very thorough. I've had injectables got years from the best doctor in NYC. Dr Fagien is right up there!Posted on Healthgrades
OL21 February 2023Simply 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 surgeonPosted on Google
Teofilo Bucaram15 October 2021So 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!!!Posted on Google
Patricia Chevrier20 September 2022I 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.Posted on Google
Marilyn P26 January 2021Dr. 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!Posted on Google
Max Lehrman26 May 2023I cannot speak highly enough of Dr. Vaca and his team. Dr. Vaca fixed my deviated septum. The results have been fantastic with no complications or issues. Dr. Vaca and his team were always incredible to work with - always extremely pleasant, communicative, and responsive. Additionally, Dr. Vaca's knowledge and expertise is beyond impressive.Posted on Healthgrades
Healthgrades User5 October 2018Dr. Fagien and his staff were amazing! They answered all of my questions and made me feel comfortable with my decision to go forward with surgery.Posted on Google
Linda Wolf12 December 2021I've had some Botox for around my eye area and deep wrinkles on my nose close to my forehead area and fillers for deep lines in my lip area and cheeks as well and a shot of botox in my jaw area for grinding teeth at night this is not necessarily aesthetic. Its been about a week and I am taking double takes when I walk by mirror. My eye liner stays where I put it and I have cheekbones and my mouth is pouting. I'm 72 next week. He's that good!!Posted on Google
Dr Fredric Haberman19 January 2022Wonderful experience. Dr Fagien is very professional and caring. He took his time and explained things very well. I highly recommend Dr Fagien!Posted on Healthgrades
Healthgrades User17 November 2019This 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.Posted on HealthgradesVanessa C22 July 2020Beautiful office, lovely staff and a clear and thorough consultation with the Dr. Already feel confident in his skills! Definitely going to proceed with procedure.Posted on Healthgrades
Healthgrades User10 September 2023Amazing!!! I have had several cosmetic procedures done over my 50 years of aging. I am very conservative and well researched. I consulted several top oculoplastic surgeons before choosing Dr. Fagien to perform my bletharoplasty.Dr. Fagien's consultation was informative and very reassuring. The result was perfect. No scar, no mistakes, no sign of any work done. THIS DOCTOR IS INCREDIBLY TALENTED. If you live in Florida go see him, if you live anywhere else, get on a plane and go see him it's worth it.Posted on HealthgradesHealthgrades User30 May 2026HIGHLY RECOMMEND My 18 year old had lower bleph surgery in December . She looks great, feels great, is more confident than ever before. Everyone at Dr. Fagien’s office is exceptionally professional and shows such empathy and support for their patients and families. We love Dr. Fagien & We love Owni!!!!Posted on HealthgradesBob S11 December 2024Amazing Cosmetic Eye Surgeon Recently had some under eye surgery performed by Dr. Steven Fagien. My Dermatologist had recommended him and after a thorough consultation chose him as he specializes in only eye surgery. He has been performing these surgeries for many years and aside from his knowledge and great personality he did an amazing job. The difference was dramatic and I have received so many compliments since the surgery . After the procedure, much to my surprise, I only had slight discomfort. He is amazing. Thanks Dr Fagien. His staff is incredible also especially Hanna Gross and Danny Pico. Thank you both. He is the best!!Bob S.Posted on Google
Gwynne Beatty4 May 2022Dr Fagien is the only person I would trust with my face. He is an ARTIST and he is funny!!!Posted on Google
Fay Suninan21 February 2019I had a great experience. It was my first time doing Botox. It was professional. I will definitely be going back.Posted on HealthgradesHealthgrades User8 October 2025Superior 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!Posted on HealthgradesKim Goodnan in Davie FL13 April 2018Amazing, wonderful experience !Posted on Google
Gail Altman22 November 2024I’m sending a personal thank you to Dr. Fagien for his ongoing attention to making sure his patients are completely satisfied with their results. Gail A.Posted on Healthgrades
Healthgrades User22 December 2025Lower face neck lift Utmost professionalism. Delivered exactly what was promised. Expectations managed and reassured every step of the way.Posted on Google
Lauren Posner22 December 2023My 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!Posted on Google
Brian C18 May 2021The best. The entire staff is amazing. Highly recommendPosted on Google
Binkie Orthwein19 May 2021Dr. F is one of the Most meticulous, timely and precise doctors I know and have. The office is lovely. The staff is helpful and kind and he always spot on with my treatments.Posted on Google
C “Siin” D9 June 2022Best eyelid surgeon.Posted on Google
jenjenenjen Puyanic9 December 2022Dr. Fagien is a world class gifted surgeon. He is conservative, meticulous, and has an artistic eye. He approaches each patient individually resulting in procedures that enhance your natural features. I would not let any other doctor touch my face as I couldn’t be happier with my results. My friends that have gone to him feel the same. I trust and highly recommend him.Posted on Healthgrades
Betina Garcia29 January 2025Definitely 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.Posted on HealthgradesMarilyn S20 November 2022Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!Posted on Google
Madelyn Strauss6 June 2022I found Dr. Vaca to be absolutely terrific. Not only did a fantastic job sewing up my forehead where I had fallen but such an understanding and terrific human being. I’m a slow healer but his tiny immaculate stitching was hardly noticeable after a much quieter time than I expected going by past wounds I’ve ever received and with a drop of makeup within just a couple of weeks is hardly noticeable. I expect that even that will practically disappear in a short time. I can’t recommend him any higher and I expect that anyone else will feel the exact same way.Posted on Healthgrades
Veronika26 April 2021Another plastic surgeon told me he would not do my eye lids because the results would not be good. Dr Fagien said he could do them and did the surgery with amazing result. He is also the kindest doctor I’ve ever met. I can’t say enough good things about him and his entire staff.Posted on HealthgradesHealthgrades User8 March 2019As 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.Posted on Google
Jana Cooper26 September 2019Dr Faigen is the best!! His office is gorgeous, immaculate and everyone is attentive and kind. Never a wait. Absolutely thrilled with my results and my choice of surgeons. Highly recommend!Posted on Google
Lori Martinez18 April 2018I love Dr. Fagien. He is kind and his office and staff are amazing. My face will always look beautiful because of him.Posted on Healthgrades
Lissette E in Miami, FL12 February 2019I recently had Dr. Fagien perform injectables on my face, for the second time. The experience was painless, stress-free and very comfortable. He is truly an expert in his field, compounded with kindness and making his patients feel cared for.Posted on HealthgradesHealthgrades User19 June 2021I am so happy I chose Dr. Fagien to perform my eyelid surgery. He was professional, personable and he approached my case with medical expertise and visual artistry. He clearly communicated his plan for my surgery and showed me pictures of what I could expect. His entire staff was absolutely amazing from my first consultation to my post op appointments. All instructions were clearly written out, and I was frequently checked on during the week after surgery. Most importantly, I am so happy with the results and would highly recommend Dr. Fagien! Thank you for being so attentive and skilled!Posted on Google
Larry Sala21 March 2021amazing doctor, caring staff ... and most importantly PERFECT results! thank you!!Posted on Google
Sandra Muvdi21 May 2020For 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.Posted on Google
Tatyana Nudel12 January 2024I 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 sorryPosted on Google
Heather Irurzun14 August 2025Dr. Steven Fagien did an amazing job on my Upper eye eyelids! Heavy lids run in my family and my sister went to him over 10 years ago and said he was the best and she was right! The team at his office is so friendly and so is Dr. Fagien😊 All of my family members keep telling me how much younger I look so thank you so much to Dr. Fagien and his team of employees😊Posted on HealthgradesJana in Boca, Fl11 April 2018Always professional and pleasant. His work speaks for itselfPosted on HealthgradesTatyana Nudel20 January 2024masterful artistry This is unsolicited unpaid genuine review. I am a doctor and I did a lot of research and chose Dr. Fagien based on his reputation, experience, and cases. I had zero doubts when I scheduled my consultation for which I had to wait nine months and then my surgery was nine months later. I was told that I will not have any pain and will not need a single after the procedure. Dr. Fagien is a perfectionist and is a great seasoned meticulous surgeon who has protocols based on science and experience. The surgical center was extremely professional, surgery went off without a hitch exactly as he described in the initial consultation. I had absolutely zero pain. I was back to work four days later with stitches, that nobody even noticed, including my own patients. I went out to social events without Make Up and had no reservations. If you’re contemplating any eye surgery Run don’t walk because you will have to wait at least two years!Posted on Google
Azul Iglesias3 March 2026From the very first consultation, I knew I was in the right place. Instead of pointing out flaws like many surgeons do, he asked me one simple and powerful question, “What bothers you when you look in the mirror?” That approach alone speaks volumes about who he is. He promotes beauty in a healthy and balanced way, rooted in confidence and self acceptance, not insecurity. His team is exceptional. Every detail, every visit, and every interaction made me feel cared for and respected. I felt amazing from day one through every follow up appointment. The procedure itself was fast and smooth, something I had wanted to do for a long time, and I truly felt I was in the best hands possible. What impacted me the most happened after surgery. Over the weekend, I noticed a small tear mixed with blood and got really scared. I called the office and within ten minutes he personally called me back. Not an assistant. The doctor himself. On a weekend. That level of humanity is rare. He explained calmly what was happening and what to expect next, and everything unfolded exactly as he said it would. That gave me so much peace. He is not only an incredibly skilled surgeon, he is human, compassionate, and deeply committed to his patients. He makes you feel safe, respected, and truly taken care of. I recommend him one million times over. 🤍Posted on Google
monroe gang31 July 2025I enjoyed an extremely positive experience with Dr Steven Fagien and his staff. I did a Blepharoplasty, upper and lower. My recovery was amazing and his staff and facility far exceeded my expectations. If I had more eyes, I would do them there as well. lolPosted on Google
Alisa Landy12 November 2023It 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.Posted on Google
Ron Granados18 May 2021Dr. Vaca was very professional and took the time to explain in patient friendly terms what to expect from my procedure. Would highly recommend!Posted on HealthgradesBeth Johnston in Lantana, FL24 August 2019Dr. Fagien did an excellent job on my eyelid lift. He and his staff are professional and courteous. I highly recommend his services.Posted on Google
Jacqueline Rodriguez (Dezer Platinum Realty LLC)2 August 2018Amaing office, staff and doctor.Posted on Google
Andrea Virgin4 May 2022Dr. 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!!Posted on HealthgradesA.N.17 August 2022Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.Posted on Google
J19 January 2022Dr. 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. JenPosted on HealthgradesHealthgrades User25 February 2026Upper blepharoplasty Dr. Fagien, who did my blepharoplasty, I truly do not have enough words. He came highly recommended by over 12 individuals who had nothing but incredible things to say about him and his work, and now I completely understand why. For over two and a half years I struggled with hooded eyelids. I stopped wearing makeup and I did not feel like myself.He is truly exceptional at what he does. His work reflects a level of precision and perfectionism that is rare to find. He is incredibly gifted at his craft, and it shows in every detail. His approach is conservative yet flawless. The lines are beautiful, the healing has been incredible, and the result is exactly what I hoped for, refreshed and natural, not altered. I am beyond grateful for his skill, his care, and the beautiful result he gave me.Posted on Google
Matthew Hughes11 February 2025My 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.Posted on Google
Ferne Toccin24 August 2023I hight recommend Dr Vaca. He is a superlative doctor who has an artistic flair. He is kind with a great bedside manner. He made me feel at ease, and I had a feeling of comfort with him. The pain was minimal , if any at all. Also, the staff is warm and friendly. You feel like a person in this office not just a number. I would use Dr Vaca and this office without any hesitation.Posted on HealthgradesJoanna9 December 2020The whole experience was very comforting, caring and inspired confidence. I considered getting my eyes done for a long time but when I was finally ready Dr. Fagien and his stuff made this process wonderful. My results are incredible and I would recommend this practice to everyone who considers any kind of plastic eye surgery.Posted on Google
Jessica W26 August 2021The best decision I ever made was coming to Dr. Fagien! I had a right ptsosis repair done on my upper eyelid and he is a magician with his hands. I was a special case with having different shaped eye folds, different colored eyes AND glaucoma in my right eye. He magically create symmetry in my face (never had before) and matched my eye fold beautifully without any scarring. I had consultations all around South Florida and in San Francisco, CA (where I am from) and ultimately decided on his expertise and I couldn't be happier! His staff is thoughtful and they all take the time to explain the process, what to expect, etc. Do yourself a favor and go see him! He's restored my confidence and made me feel beautiful again! Thank you so much to Dr. Fagien and his staff!!Posted on Google
K G9 September 2020In 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.Posted on Google
daniela izquierdo8 April 2022Very punctual and clear in explanations of procedures- staff all very well informed, diligent and friendly•Posted on Google
Cynthia Brown24 July 2022I 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.Posted on Google
Homegirl40 at gmail com Do i need this account15 January 2020Went for a consultation. Very Professional and knowledgeable. Clean office. Would recommend highly. Will use their services when time is right.Posted on Google
John Fehn20 April 2019Excellent service with a friendly careing attitude definitely recommend .Posted on HealthgradesTara H16 March 2021Dr Vaca is patient, thorough and meticulous in his work. I had asked to “backfill” the volume that I had lost over the years in my lips. He listened to what I wanted and gave valuable suggestions. He then allowed me the time to make my decision and I am more than pleased with my results.Posted on Google
Diane Procini27 July 2025Simply the most talented surgeon on earth!! And so kind!!Posted on Google
S N T18 February 2026Without a doubt, he is the Best eye surgeon in the world. His attention to detail, precision, and dedication to perfection are truly extraordinary, his surgical precision is simply unmatched. What makes him even more special is the kind and beautiful person he is. It is not easy to find a doctor who combines exceptional talent with a genuinely caring heart, and he embodies both. His staff is equally amazing. Ownie and Dani are attentive, warm, and highly professional. They make the entire experience smooth and comforting from beginning to end. I am truly grateful. SusyPosted on HealthgradesHealthgrades User3 February 2022This 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!Posted on HealthgradesOdalis23 January 2025Knowledge, Precision, Experience The Dr. offers extreme knowledge, precision and skill with a perfect result. The staff very friendly, amazing workPosted on Google
Maia Pinzur7 August 2024Dr. Vaca and his team are so amazing!! I received a rhinoplasty and chin implant and couldn’t be happier! I healed so well and was checked up on multiple times during recovery. Dr. Vaca understood my wants and concerns with the surgery and was with me every step of the way. My results have truly changed my life and I’m so happy with my decision choosing Dr. Vaca. I felt very secure because he is confident in himself, which was a very important aspect when ultimately deciding which doctor I wanted to move forward with. I am 2 months post op and could not have asked for better results. I received exactly what I asked for and am over the moon! A big thank you to Dr. Vaca and his team!!Posted on Google
C V25 August 2025Blepharoplasty 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.Posted on Google
Jana Hamade30 January 2022Dr. 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.Posted on Google
Deisy Escobar9 November 2020Mi experiencia con el Dr. Elbert Vaca fué extraordinaria, me explicó claro y conciso todo lo concerniente al procedimiento que yo quería, después de este haberse realizado cumplió con todas mis expectativas durante el procedimiento me hizo sentir tranquila y confiada. Muchas gracias Dr. Vaca por tan excelente trabajo, lo recomiendo satisfactoriamente.Posted on Google
Kristen Gentile4 February 2026Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!Posted on HealthgradesTodd R.14 December 2019Dr. Fagien is the perfect example of someone "going above and beyond". I've had the opportunity to visit him three times and he truly cares about his work and making his patients happy.Posted on Google
David Goldman23 August 2026I write this review as a dermatologist and Mohs micrographic skin cancer surgeon with 42 years of clinical experience in general, surgical and cosmetic dermatology. I have also reconstructed numerous facial wounds after removing complex skin cancers on many of my patients’ faces. With my experience, I have a full appreciation for the complexity of eyelid surgery. I have referred numerous patients for ocular plastic surgery during my career. 18 years ago, I had disappointing cosmetic eyelid surgery that ultimately left me uncomfortable and disfigured. I consulted with three other ocular plastic surgeons who recommended that I do nothing and simply live with the result. I heard Dr. Fagien speak at a cosmetic surgery meeting, where he addressed the particular problem that I had. In that presentation, he spoke about the techniques he had developed to reconnect the outside parts of eyelids to the surrounding bone. I was relieved to know that someone would be able to correct my problematic previous result. I met with Dr. Fagan at which time we discussed my concerns. All of my questions were answered with compassion and respect. In my case, the lack of eyelid support by the orbital bone and excessive surrounding skin created unnatural webbing, narrowing of the opening of my eyes and discomfort from displaced and ingrowing eyelashes. The procedure that Dr. Fagien performed, known as lateral canthoplasty with retinacular suspension, enabled correction of the discomfort and disfiguring changes that had developed. I could not be more grateful or happier! And I think I look a few years younger, but all of my friends and family say I look at least 10 to 20 years younger, especially since Dr. Fagien removed those pesky bags under my eyes, as well🤩! Dr. Fagien carries world renowned stature for his skills, innovations, publications and kindness. I would trust him with any of my patients, family members or friends. In addition, Dr. Fagien and his staffs’ professionalism and attention to detail are unparalleled!Posted on HealthgradesHealthgrades User22 October 2021Professional, kind, listens. The staff is patient and efficient. Office atmosphere is very calmingPosted on HealthgradesTracy Brinker3 November 2023Amazing 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!!!!!Posted on HealthgradesHealthgrades User11 May 2019As always it is such a pleasure to be in the hands of such an excellent professionalPosted on Google
Taylor M.28 July 2023I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.Posted on Google
Michelle Lymber18 August 2022Dr Fagien and his support staff are fantastic! So professional, friendly and welcoming.Posted on Google
Kate Collins Brown12 December 2021I am so happy with my results. Definitely choose Dr. Fagien. The entire process was easy and I wish I did this sooner! I am much more confident in my appearance… he is the best of the best and so kind and caring. I couldn’t be happier with this decision and doctor.Posted on Healthgrades
Katherine Hamlet, M.D. in Aiken SC5 May 2018Dr. 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.Posted on Google
RB Cutie26 August 2021So 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.Posted on HealthgradesVeronica Zarco29 October 2022Amazing Everything about my visit was exceptionally amazing. From the staff to the DrPosted on Google
Rick RPB14 May 2024Professional office and top surgeon, none better. As a physician myself I could not have asked for a better experience and outcome. Thank you !!Posted on Google
Donna DeBalko11 July 2025Dr. Vaca explained the procedure in detail and made me feel comfortable during the entire process. I am very happy with how everything turned out and would recommend him without hesitation.Posted on HealthgradesRobert poole in Ft Lauderdale, FL23 September 2017The doctor was honest and informativePosted on HealthgradesDelray Beach, FL1 March 2017Dr. Fagien and his wonderful staff made me feel like family. Our initial consultation put me at ease. He gave thoughtful advice. And the execution was flawless. Enthusiastically recommended.Posted on HealthgradesAurelia Papitto23 April 2024My 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!Posted on Google
Jordana Herschthal30 October 2022Amazing and attentive staff and best Oculoplastic surgeon in the world! I love my results!!Posted on HealthgradesHealthgrades User24 February 2025Highly Recommend Last month I had surgery with both Dr. Fagien and Dr. Vaca. My entire experience with Dr. Fagien, Dr. Vaca and their office was fantastic. My initial consultation was informative. Drs. Fagien and Vaca listened to my concerns, did an assessment, and gave me their recommendations. They explained everything clearly and answered all of my questions. They took their time. I’ve never felt rushed at any of my appointments. My surgery went wonderfully. I felt safe and well cared for throughout. My recovery went as expected and I am completely thrilled with my results. My follow up care has been great. Appointments are on time. The physicians are attentive and truly take pride in their work. Everyone in the office is friendly and professional. The office itself is beautiful. Drs. Fagien and Vaca were highly recommended to me by several of my colleagues who work in healthcare, and I certainly agree with those recommendations. I highly recommend.Posted on Google
Brenna Hennessey30 August 2020He is an amazing and talented surgeon! I cannot recommend him enough. Extremely detail-oriented with a wonderful bedside manner.Posted on Google
Alicia Wynn26 April 2018Always go with the best. Dr Fagien is the best.Posted on HealthgradesHealthgrades User9 April 2025Magic hands! I couldn’t be happier with my experience with Dr. Fagien and his team! From the very first consultation, he made me feel comfortable and confident in my decision to undergo an upper and lower eyelid surgery. Specifically, went to see him for a corrective surgery on my lower eyelid. I had a fat transfer gone bad from a previous surgeon which left a bump under my eye. With Dr. Fagan‘s magic hands he was able to remove most of the excessive fat in this very delicate surgery. I highly recommend Dr. Fagan as he is a very skilled surgeon who genuinely cares about his patients and delivers amazing results. Thank you!!Posted on Google
Antoinette Heyman5 March 2020This is the friendliest staff I have been to and I have been to many different offices in New York City and Florida. The doctor is Incredibly talented So much so that I will get on a plane and fly from New York to Boca for his services.Posted on HealthgradesH.Cohen30 August 2019I 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 FagienPosted on Google
Roshan Mody3 February 2022His expertise is unparalleled when it comes to the eyes.Posted on Google
Leslie M20 March 2025Dr. Faigen is the best! His confidence, expertise and sincerity through out the process makes the surgery a great experience. I could not be more satisfied with my results! His office staff is superb as well! I could not recommend him enough!Posted on Google
Warangkhana P5 February 2026Dr. Fagien is truly exceptional. He is professional, knowledgeable, and takes the time to make you feel comfortable and well informed. The staff is wonderful and friendly and always welcoming. I would highly recommend Dr. Fagien and his officePosted on Google
S Andrews9 August 2022Highly recommend. Staff was friendly courteous and professional. Dr. Fagien made the procedure seem so simple amd pleasant. Very pleased with the results 👍Posted on Google
Spring Wieder5 April 2018Incredibly impressed with my botox injections. This is the first time my crows feet have been injected and I can still smile naturally. My forehead looks amazing yet no one has said “oh you just had Botox” because it looks so great!!! Plus I added filler this time around and the results are so natural I can’t even believe it’s in there unless I look at the before photo and see wrinkles/lines that are now gone!!!!Posted on Google
Chrissy Dunhill25 November 2018Dr. Fagien & Staff are Professionals in every way. I felt welcome the moment I walked in the office. I’m greeted with a smile each time & a staff who is very caring. Dr.Fagien is gentle with procedures & comfortable. His technique is Perfect! He cares about his patients. I’m extremely happy with my results. If I didn’t live in florida or even if I was on the other coast, It’s well worth the travel to know You are in “Good Gentle Hands!” I Highly recommend Dr. Fagien, I’ve worked with Doctors since 1980, If Any one Knows, I do. Sincerely, Christine Dunhill
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