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

Posted on Google Google
alan brandfon profile picture
alan brandfon
6 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and the entire office personnel are absolutely fantastic! Professional, knowledgeable, and first rate. Thank you!
Posted on Healthgrades Healthgrades
Marilyn S profile picture
Marilyn S
20 November 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Knowledgeable & caring. Excellent practice Wonderful doctor, great results. Staff is terrific!
Posted on Google Google
martha sanchez profile picture
martha sanchez
10 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is very knowledgeable and honest. We are unable to perform the surgery we wanted because it would not give the results we were looking for and he was up front about it. We went to two others surgeons before him and they both recommended the surgery. Which proves that he is honest not in it just for the money.
Posted on Google Google
Mary Daniels profile picture
Mary Daniels
28 June 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his staff have always given me exceptional care and attention during my treatments. The office has a calming ambiance and treatment areas immaculate without being too clinical. The treatments Dr Fagien has given me were done with precision and skill. I consider my results successful.
Posted on Healthgrades Healthgrades
Peg Anderson profile picture
Peg Anderson
26 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr.Vaca’s expertise can’t be overstated. His in-depth knowledge and training at the best hospitals with the finest professionals is outstanding. I’m beyond happy with the results of my procedures and highly recommend Dr. Vaca
Posted on Healthgrades Healthgrades
Bob S profile picture
Bob S
11 December 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing 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 Google
Ellen Glantz-Tucker profile picture
Ellen Glantz-Tucker
17 July 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen is spectacular! Kind, talented……my results far exceeded my expectations! I cannot thank him enough. So highly recommend him.
Posted on Healthgrades Healthgrades
Barbara Estis profile picture
Barbara Estis
6 December 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien did a beautiful job on my surgery. It’s been 5 weeks and everyday my eyes look better. I cannot wait to see the final results in the next few weeks. The surgery was virtually painless. You can expect a few bumps along the way, but it is well worth it.
Posted on Google Google
Tours and info by Simo Boggio Byrne profile picture
Tours and info by Simo Boggio Byrne
20 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien did a fantastic job to my eyes, I had no pain at all and the result is amazing. All his staff is excellent. I highly recommend Dr Fagien
Posted on Google Google
Wendy Lewis & Co Ltd profile picture
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!
Posted on Google Google
Maria Marquez profile picture
Maria Marquez
4 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven is an excellent surgeon, I had my eyes done in May and the outcome was perfect. There was absolutely no pain, the customer service from his staff and from the hospital he uses are extraordinary. If you are thinking about having your eyes done, Dr. Steven is on excellent choice. Also I have to mention that results are very natural.
Posted on Google Google
Renee Doehler profile picture
Renee Doehler
25 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I was extremely impressed with Dr Fagien and his office staff. I went in for a consultation with Dr Fagien to have my tear troughs injected. He told me I was not a good candidate and I would not achieve the look I desired. I asked him about other options and he said in the future to come and see him but that I wasn’t ready for anything yet. His honesty and professionalism is amazing! When it is time I will definitely return to see Dr Fagien.
Posted on Healthgrades Healthgrades
Danielle profile picture
Danielle
27 January 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Fantastic experience! Dr. Fagien and staff are professional, knowledgeable and pleasant. Appointments are on time.
Posted on Google Google
Danielle Bratek profile picture
Danielle Bratek
23 January 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
I'm so pleased with my surgical results! Dr. Fagien is very personable and professional. He spends time to discuss the particulars and is clearly an expert in his craft. His office operates on schedule and staff is attentive and friendly. Highly recommend!
Posted on Healthgrades Healthgrades
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.
Posted on Healthgrades Healthgrades
Patti Max profile picture
Patti Max
5 March 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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.
Posted on Google Google
Matthew Hughes profile picture
Matthew Hughes
11 February 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
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.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
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
Posted on Google Google
Dr Fredric Haberman profile picture
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!
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
26 August 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Knowledgeable staff and comfortable office facility
Posted on Healthgrades Healthgrades
Janet profile picture
Janet
5 June 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Very professional. Took their time explaining everything, friendly, didn't have to wait. Would definitely recommend family & friends.
Posted on Healthgrades Healthgrades
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.
Posted on Google Google
Cynthia Brown profile picture
Cynthia Brown
23 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Everyone in the office is kind and truly cares. Dr. Steven Fagien is an artist. The results were better than I expected giving me a much younger appearance and a very natural look. I am so very happy with the results and kindness of his team.
Posted on Google Google
Esin Pinarli profile picture
Esin Pinarli
16 June 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Faigen and Dr. Vaca are at the top of their game on Every level . Not only is Dr. Faigen a consummate professional and an artist at his craft, he is humble, funny and gracious. It is very rare to have a doctor undersell, while having impeccable bedside manners and also be the absolute best at what they do. Love him and his whole team. I felt safe and cared for. He is a brilliant, gifted surgeon and has been my doctor for Over 10 years. He has a keen eye for detail and is a perfectionistic. I would not have any other doctor touch my face period.
Posted on Healthgrades Healthgrades
Susan in Lake Worth, FL profile picture
Susan in Lake Worth, FL
15 April 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is a wonderful eye surgeon. His artistry is top notch, he has a kind bedside manner and actually cares about his patient. I am thrilled with my outcome and would highly recommend his services. His staff is competent and kind. You can’t go wrong using Dr Fagien. Thank you to Dr Fagien and his team.
Posted on Google Google
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.
Posted on Healthgrades Healthgrades
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.
Posted on Google Google
Binkie Orthwein profile picture
Binkie Orthwein
19 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. 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 Google
Stephanie Cardona profile picture
Stephanie Cardona
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have met! His skills are superb, he is kind and patient, taking the time to explain the procedures he will perform, answering questions, and setting real expectations. Highly highly recommend!
Posted on Healthgrades Healthgrades
Lauren profile picture
Lauren
22 December 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
1000/10 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. Faigen 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 are already so happy with the results!
Posted on Healthgrades Healthgrades
Krista Nasse profile picture
Krista Nasse
22 July 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca is amazing. He takes his time and explains everything. He is super gentle when injecting!!! Best experience you won’t be disappointed.
Posted on Healthgrades Healthgrades
Ann N profile picture
Ann N
21 April 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is an excellent Doctor! His staff is very friendly and professional. He did an amazing job on my eyes. Very happy and satisfied. I would highly recommend him. A++
Posted on Healthgrades Healthgrades
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.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
12 July 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Comfortable environment for thorough conversation with all concerns addressed. Very friendly and supportive staff. Excellent experience!
Posted on Healthgrades Healthgrades
Beth Johnston in Lantana, FL profile picture
Beth Johnston in Lantana, FL
24 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. 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 Google
Joanns Shore profile picture
Joanns Shore
12 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is a magician. The results of my upper eye surgery succeeded my expectations, I’m beyond happy with my eyes. The whole experience was comforting and inspired confidence, and delivered! The staff is knowledgeable, warm and kind and appointments quick and to the point. Thank you!
Posted on Google Google
Rick RPB profile picture
Rick RPB
14 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional office and top surgeon, none better. As a physician myself I could not have asked for a better experience and outcome. Thank you !!
Posted on Google Google
Ariel Williams profile picture
Ariel Williams
2 July 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Went to Dr. Vaca for a deviated septum and rhinoplasty. He has a reputation for being extremely detail oriented and knowledgeable. I am only about 3 weeks out, but for the first time I am waking up feeling well rested! My nose already looks amazing and finally fits my face. I know my case was not the easiest and I am so thankful I chose him! Highly recommend!
Posted on Healthgrades Healthgrades
Tatyana Nudel profile picture
Tatyana Nudel
20 January 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
masterful 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 Google
florina kollins profile picture
florina kollins
24 March 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional really good experience. Excellent!!!
Posted on Google Google
Nancy Stephens profile picture
Nancy Stephens
18 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing person , outstanding Physician and surgeon . Meticulous attention to details . fabulous staff ..
Posted on Google Google
Maria Victoria Tomic profile picture
Maria Victoria Tomic
29 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was one to rave about! I was nervous to get Botox for the first time, but he was incredibly professional, patient and experienced. His bedside manner is informative yet calming. Also, his academic and professional accolades pretty much speak for themselves. I highly recommend using him!
Posted on Google Google
Rick Tobin profile picture
Rick Tobin
8 July 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Top notch!
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
23 May 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Exceptional Eyelid Surgery-life changing results! I cannot recommend Dr.Fagien enough for my upper and lower eyelid surgery. From the initial consultation to post op care, Dr Fagien and their team were professional, attentive, and genuinely caring. Their expertise and attention to detail put me at ease, and the results have exceeded my expectations my eyes look natural refreshed youthful, with minimal scarring and a smooth recovery. What sets Dr. Fagien apart is his unique and personalized technique to detail in my procedure . The entire staff was also welcoming and supportive throughout the process. If you’re considering eyelid surgery, trust Dr. Fagien you’re in the best hands! Thank you for giving me renewed confidence and 30 years of my youth back .
Posted on Google Google
Jacqueline Rodriguez (Dezer Platinum Realty LLC) profile picture
Jacqueline Rodriguez (Dezer Platinum Realty LLC)
2 August 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Amaing office, staff and doctor.
Posted on Healthgrades Healthgrades
A.N. profile picture
A.N.
17 August 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca is fantastic! He talked me through my procedure so I felt comfortable with the process. He spent considerable time explaining post op instructions and I look and feel great.
Posted on Google Google
Rita Steiner profile picture
Rita Steiner
30 January 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful experience Punctual , both staff and doctor Zero pain , worth the commute Very professional
Posted on Healthgrades Healthgrades
Estelle T. profile picture
Estelle T.
27 February 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
A great experience! From Amber, Hannah, Delfina and, of course Dr. Fagien, I felt comfortable and important! Time and consideration was given for listening and answering my concerns and questions.. The results of their expertise was matched by the Boca Raton Surgical outpatient staff. My expectations were exceeded! Dr. Fagien was recommended by 2 of his patients who were treated by him in the past. Plus! His participation,involvement and leadership in philanthropic commitments are exemplary to what ‘the practice of medicine ‘ should be all about! Thank you.
Posted on Google Google
Ranchida SauAu profile picture
Ranchida SauAu
14 October 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
As always Dr. Steven Fagien is wonderful! He makes sure you are comfortable through any procedure. He has a wonderful eye for what needs to be done or not. His office staff is always a pleasure to deal with. Also Friendly and helpful!! I definitely recommend :)
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
30 May 2026
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
HIGHLY 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 Google Google
daniela izquierdo profile picture
daniela izquierdo
8 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Very punctual and clear in explanations of procedures- staff all very well informed, diligent and friendly•
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
17 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Steve Fagien is an exceptional surgeon. He performed under eye surgery on my daughter in June 2018. She had developed dark circles under eyes at a young age and was very sad about her looks. She wouldn't go without makeup on. I was concerned and afraid of the surgery because of her young age. The results from the surgery were simply amazing. She is so happy and looks so beautiful. As a mother, I can't tell you how delighted I am to see her smile and love her looks again. He and his staff are personable and very accessible. They were there for us before, during and after the surgery. I give the whole experience a 10. He is the best!
Posted on Google Google
Amy Amy profile picture
Amy Amy
7 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
A Life-Changing Experience with Dr. Fagien! I can’t thank Dr. Fagien enough for literally “fixing” my eyes after a botched procedure in New York. From the moment I walked into his office, I knew I was in good hands. Dr. Fagien and his entire staff are beyond wonderful—professional, kind, and truly dedicated to their patients' well-being. If you’re out of state and looking for the best doctor, I highly recommend making the trip to Florida. The quality of care, expertise, and attention to detail is absolutely unmatched. I honestly wish I had come to him first. The results speak for themselves, and I’m so grateful for the positive change he’s made in my life. If you’re considering eye surgery or any related procedures, don’t hesitate—Dr. Fagien is the doctor to trust! You will not regret it!
Posted on Google Google
Dee I profile picture
Dee I
7 November 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Exceptional Experience with My Upper Blepharoplasty! I cannot say enough wonderful things about Dr. Fagien! From my very first consultation, I felt completely confident that I was in the best hands with the best doctor. The entire process—from pre-op to recovery—was seamless. The staff was professional, kind, and attentive, and I felt genuinely cared for every step of the way. The recovery process was a breeze, and my results are beyond what I imagined: natural, refreshed, and beautifully balanced. Friends keep telling me I look “rested,” and that i look younger, which is exactly what I wanted—subtle, yet transformative. If you’re considering an upper blepharoplasty, I couldn’t recommend Dr. Fagien more highly. His artistry and skill truly set him apart, and I’m so grateful for the confidence this experience has given me.
Posted on Google Google
Deisy Escobar profile picture
Deisy Escobar
9 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Mi 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 Google
Yui Thain profile picture
Yui Thain
27 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven was very professional and nice. It was a great experience getting my Botox done with him. Wouldn’t want to go to anyone else. Thank you
Posted on Google Google
Donna DeBalko profile picture
Donna DeBalko
11 July 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. 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 Google Google
Melanie Wantuck profile picture
Melanie Wantuck
19 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
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.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
12 December 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Best of the Best I went to see Dr. Fagien for upper and lower eyelid surgery. The minute I stepped into his office I knew without a doubt that I was in the right place. His office is aesthetically pleasing. His staff is so friendly and welcoming. Dr. Fagien hands down is the best doctor/surgeon that I have ever met in my life. He is so professional and has such a calming demeanor. As it got closer to my surgery his staff kept me informed and engaged every step of the way. I shared with many of them my fears and anxiety about this, my first surgery in life, and they were so reassuring which helped to put me in a peaceful place. The days leading up to and immediately following the surgery they kept in constant contact with me and checked on me regularly. They went above and beyond. Dr. Fagien is a top notch doctor who is very careful, precisioned, and a laser focused surgeon. He ialso has a very calming spirit about himself that put me instantly at ease. I highly, highly recommend Dr. Fagien.
Posted on Google Google
Jana Hamade profile picture
Jana Hamade
12 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is one of a kind! He has the best staff, best office manager, and all around great atmosphere. He always delivers the top results and really listens to your concerns. The most caring, calm, and trustworthy plastic surgeon in boca!
Posted on Healthgrades Healthgrades
Todd R. profile picture
Todd R.
14 December 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. 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 Google
Lidia profile picture
Lidia
1 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
This is it! Excellent doctor, staff and facilities. Amazing results and overall experience.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
22 October 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Professional, kind, listens. The staff is patient and efficient. Office atmosphere is very calming
Posted on Google Google
Margo Hatt profile picture
Margo Hatt
19 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I felt like I was in good hands with Dr Fagien and Amber. They answered all my questions and were professional.
Posted on Healthgrades Healthgrades
MV profile picture
MV
1 March 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
A True Professional and Wonderful Office staff I underwent a tummy tuck and liposuction one year ago with Dr. Vaca. To say I was nervous is an understatement. I was a bit of a challenging case as I’d had a tumor removed 25 years ago which left me with a vertical and horizontal scar on my abdomen and upper stomach. I knew that anyone Dr Fagien would partner with would be amazing and after meeting Dr Vaca I never felt the need for a 2nd opinion. I especially appreciated how he took the time to think through my procedure considering the challenging scar he had to deal with. His bedside manner is so calming and I truly felt at ease and confident with him. A couple of weeks before the surgery I was so nervous I asked for another meeting just to go over everything with him and his office didn’t hesitate to accommodate me. My results have been absolutely outstanding. I truly have a new lease on life and absolutely love getting dressed every morning! I would not hesitate to recommend any of my family or friends to him!!! Thank you Dr Vaca!
Posted on Healthgrades Healthgrades
Carolann Boos profile picture
Carolann Boos
31 July 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Staff is extremely helpful. Doctor Fagin extremely knowledgeable.
Posted on Healthgrades Healthgrades
Nancy Schwarzberg profile picture
Nancy Schwarzberg
19 September 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Office was immaculate. Staff was very welcoming. Dr Fagien did an amazing job- I look rested and relaxed- just perfectly natural looking.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
8 July 2023
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Wish more doctors were like Dr. Vaca In an age of acceleration and rush, Dr. Vaca stands alone with his uncommon patience, sincere kindness and genuine care. He explains procedures thoroughly and his clinical skills are extraordinary. As a highly discerning patient, I can’t recommend Dr. Vaca highly enough.
Posted on Google Google
Bonnie Barnett profile picture
Bonnie Barnett
2 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigan and his staff are Extremely professional and Dr. Faigan is one of the best doctors that I could ever recommend to anyone!
Posted on Google Google
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.
Posted on Google Google
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.
Posted on Google Google
Cynthia Spear profile picture
Cynthia Spear
1 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Very Professional!
Posted on Healthgrades Healthgrades
BP profile picture
BP
30 December 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
I am one of the most qualified patients to recommend Dr. Elbert Vaca, as I had multiple surgeries with him in 2021. What began with one surgery ended with three (TT, neck/face lift and breast reduction), as each surgery over-exceeded my expectations. He's an exceptional plastic surgeon, but also a kind and caring person. During office consultations, Dr. Vaca was patient and generous with his time, addressing my many questions and concerns. He thoroughly prepares his patients for surgery as he wants them to have a successful outcome. I never doubted his recommendations and completely trusted his honest opinion. I was very happy with both the surgery and post-op recovery, as I was well prepared and felt great! I could not have asked for a better surgeon, as he delivers natural looking results. He's highly trained and very proud of his work. I recommend Dr. Elbert Vaca enthusiastically and without reservation.
Posted on Healthgrades Healthgrades
Delray Beach, FL profile picture
Delray Beach, FL
1 March 2017
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien and his wonderful staff made me feel like family. Our initial consultation put me at ease. He gave thoughtful advice. And the execution was flawless. Enthusiastically recommended.
Posted on Healthgrades Healthgrades
EM profile picture
EM
17 November 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Love everything about Dr. Fagien and his office staff! I wouldn't hesitate to refer him.
Posted on Healthgrades Healthgrades
Robert poole in Ft Lauderdale, FL profile picture
Robert poole in Ft Lauderdale, FL
23 September 2017
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
The doctor was honest and informative
Posted on Google Google
Taylor M. profile picture
Taylor M.
28 July 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
14 May 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
It was great, Dr Fagien makes you feel relaxed and comfortable while treating you,I’ve gone to him for many years and am very happy with his treatments.
Posted on Google Google
Ferne Toccin profile picture
Ferne Toccin
24 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
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!
Posted on Healthgrades Healthgrades
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.
Posted on Healthgrades Healthgrades
DC profile picture
DC
3 November 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Fagien came very highly recommended by three different friends. I had gone for two prior consultations with other docs in FL and NY for my eyelids which were droopy with excess skin and dark circles below. Once I met with Dr. Fagien, I knew that he was the right choice immediately. He is a highly respected oculoplastic surgeon whose work is the gold standard in this field. He performed upper and lower blepharoplasty on me, and I couldn't be happier with the natural results! I 100% recommend him. I have had so many complements on my 'refreshed' look and am SO happy I chose him to perform the surgery. Your eyes will thank you.
Posted on Google Google
Randy Lebowitz profile picture
Randy Lebowitz
29 October 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is THE BEST eyelid plastic surgeon possibly in the US. I would highly recommend his work for anybody thinking about their eyes and having surgery!!
Posted on Google Google
Deborah Parnell profile picture
Deborah Parnell
6 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was amazing. His presentation is warm , knowledgeable and sincere. I had stomach FAT that wouldn't go away. Dr. Vaca evaluated my abdomen and due to my previous C sections recommended abdominalplasty. I LOOK GREAT now. I asked him about the sagging jawline (jowls) and wanted a quick fix. He assessed the face and recommended a modified face lift procedure. Because of his proven honesty and talent, I agreed and I cannot be HAPPIER. He is a truly talented and humble surgeon. Never thought I would use those two adjectives in one sentence about a surgeon, but that's the magic of Dr. Vaca. As a RN whose specialty s Operating Room nursing, I have worked with many surgeons. Dr. Vaca is an exceptional surgeon. That is my personal AND professional opinion.
Posted on Google Google
Ed Hall profile picture
Ed Hall
13 June 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien and his staff are world class. I am a very happy patient. Excellent care and follow up.
Posted on Google Google
Ciara profile picture
Ciara
23 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien, and his Team are the best!
Posted on Google Google
B P profile picture
B P
30 December 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am one of the most qualified patients to recommend Dr. Elbert Vaca, as I had multiple surgeries with him in 2021. What began with one surgery ended with three (TT, neck/face lift and breast reduction), as each surgery over-exceeded my expectations. He's an exceptional plastic surgeon, but also a kind and caring person. During office consultations, Dr. Vaca was patient and generous with his time, addressing my many questions and concerns. He thoroughly prepares his patients for surgery as he wants them to have a successful outcome. I never doubted his recommendations and completely trusted his honest opinion. I was very happy with both the surgery and post-op recovery, as I was well prepared and felt great! I could not have asked for a better surgeon, as he delivers natural looking results. He's highly trained and very proud of his work. I recommend Dr. Elbert Vaca enthusiastically and without reservation.
Posted on Google Google
Courtney DuBois profile picture
Courtney DuBois
30 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had an ear lobe repair done by Dr. Vaca and it was an incredibly easy and painless experience. Dr. Vaca was caring, detailed in his explanations and his work was excellent. I am extremely happy with the entire experience. The outcome was better than I expected! I would highly recommend this office and doctor.
Posted on Healthgrades Healthgrades
Ks profile picture
Ks
23 November 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr Fagien is a true artist. I have been seeing him for several years now and could not be any happier with the results and the relationship. He is great at minimizing pain and bruising during and following injections. He never pressures unnecessary procedures. The staff is delightful, and they most obviously like the doctor as well. Could not ask for better. Don’t look for bargains with your face!
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
18 October 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Wonderful experience and very happy with the results. Customer service was 5 stars!
Posted on Google Google
Jessica W profile picture
Jessica W
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best decision I ever made was coming to Dr. Fagien! I had a right ptsosis repair done on my upper eyelid and he is a magician with his hands. I was a special case with having different shaped eye folds, different colored eyes AND glaucoma in my right eye. He magically create symmetry in my face (never had before) and matched my eye fold beautifully without any scarring. I had consultations all around South Florida and in San Francisco, CA (where I am from) and ultimately decided on his expertise and I couldn't be happier! His staff is thoughtful and they all take the time to explain the process, what to expect, etc. Do yourself a favor and go see him! He's restored my confidence and made me feel beautiful again! Thank you so much to Dr. Fagien and his staff!!
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
3 February 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
This is my second surgery with Dr.Fagien. I have never met a person with such a wonderful bedside manner. He has been very helpful in my recovery and I would recommend him to anyone!
Posted on Healthgrades Healthgrades
Happy woman! profile picture
Happy woman!
15 April 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Excellent experienced!!! Dr. Fagien was so professional knowledgeable very different with other Doctors. He explained me all I needed to know. If you need eyelid surgery He is the one!!! Thank you Dr. Fagien!
Posted on Google Google
Christopher Rivera profile picture
Christopher Rivera
30 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Fagien is awesome and professional. I really enjoy coming into his immaculate office and working with his AMAZING staff. I would highly recommend anyone looking for oculoplastic surgery to come and see him.
Posted on Google Google
Fay Suninan profile picture
Fay Suninan
21 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I had a great experience. It was my first time doing Botox. It was professional. I will definitely be going back.
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
13 November 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Office immaculate and staff extremely friendly and knowledgeable! Spent lots of time to listen to my concerns and what procedures I had questions about.
Posted on Healthgrades Healthgrades
DAZ profile picture
DAZ
22 April 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
TEN STARS! From my first consultation to my surgery and follow ups, this staff and surgeon was one of the best experiences I have ever had! Professional, friendly and caring staff. Dr. Fagien is one of the finest surgeons you will find. He came HIGHLY recommended & was everything and more! If you considering this surgery, do not look any further, make your appt for consult and get it done! - I am beyond thrilled with the results . Dr Fagien and his entire team will go above and beyond in taking care of you. - He is world renowned for a reason! I cannot say enough positive remarks about my experience with Dr. Steven Fagien and his team. Thank you Dr. Fagien and staff! Dustie
Posted on Google Google
Krisztina Kover profile picture
Krisztina Kover
19 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is amazing with so much experience, kindness and professionalism! He takes time to explain your options, all the details, supports your decision, and makes you feel comfortable throughout the entire process. Fantastic staff and beautiful office. I am extremely happy with the outcome and I would highly recommend Dr. Fagien! Thank you🌺
Posted on Healthgrades Healthgrades
Healthgrades User profile picture
Healthgrades User
8 March 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
this was my first experience and it was truly wonderful. dr Fagien takes his time and does a meticulously fantastic job doing the fillers. You do not have to be nervous because of the way they numb you and because of the tools dr Fagien uses. Basically painless. Everything about this office is so professional and friendly, that I can highly recommend to everyone who wants a bit of beautification. And the best thing is that nobody really notices what happened to me, but they just tell that I look good. And that is what I wanted.
Posted on Google Google
jordan labinger profile picture
jordan labinger
10 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen is a MF rockstar! I had a lower blepharoplasty performed by him due to complications from under eye filler last month. Make an appointment, I can guarantee you will be happy you did.
Posted on Google Google
Kathie Einstein profile picture
Kathie Einstein
14 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent staff and experience!!! Dr. Steven Fagien is a wonderful Doctor. I totally trust his medical judgment and would choose him first over any other practice!