Doctors

Dr. Fagien & Dr. Vaca Aesthetic Plastic Surgery in Boca Raton, FL

MEET DR. FAGIEN AND DR. VACA

Dr. Steven Fagien and Dr. Elbert Vaca possess a passion for artistry, beauty, and a dedication to delivering exceptional results at one of the world's premier plastic surgery practices.

They are committed to the continued scientific advancement of aesthetic surgery and to the delivery of personalized, beautiful and natural appearing results.

Our Philosophy

Precision

Precision

Because details matter...

Details matter. Getting them right is essential to achieve an excellent result.

Dr. Fagien & Dr. Vaca have dedicated themselves to advance the field of plastic surgery via a greater understanding of human proportions, contours and aesthetic balance as a means to optimize both their surgical and nonsurgical results.

Artistry

Artistry

One size does not fit all…

We carefully analyze each patient's features and intently listen to their goals.

With an artistic eye, backed by arduous surgical training, Dr. Fagien and Dr. Vaca formulate a customized treatment plan to enhance and respect each individual's unique features.

Education

Education

At the forefront...

Both Dr. Fagien and Dr. Vaca have participated in multiple FDA clinical trials and pride themselves on being leaders in the field of aesthetic medicine.

As respected educators, Dr. Fagien and Dr. Vaca have lectured both nationally and internationally and have published their research in the premier plastic surgery scientific journals including Plastic & Reconstructive Surgery and The Aesthetic Surgery Journal.

GALLERY

PATIENT REVIEWS

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Healthgrades User
19 September 2024
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For your eyes only! Dr. Fagien is truly a genius at his specialty!
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John Fehn
20 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent service with a friendly careing attitude definitely recommend .
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Lana in Baltimore , MD
1 July 2019
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He is the best in the field.
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Megan E McNally
22 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
5 stars is not enough for Dr. Vaca. I found him by way of Dr. Fagien but needed more than an upper bleph (brow lift also) so went with Dr. Vaca. From the moment I met him in my consult I just thought he was so kind and knowledgeable. I felt safe with him and his work on Instagram was just beautiful. He kept nailing the brow lift and upper blephs and most importantly each woman just looked so natural like they didn’t have anything done. I had my surgery last week and have felt so well cared for. My results are so beautiful! I still feel like me! My dermatologist here in Miami asked for all of his info bc she couldn’t believe how beautiful it looks. Who knows what plastic surgery I will consider in the future as but if I do I know that I will trust Dr. Vaca. He’s a star!!!
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Judi Nelson
10 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I am not embarrassed to say that at 63 I had my upper lids done by Dr. Fagien. He was warm and professional as was his staff. The eyes came out great. 9 days post surgery now and I am thrilled. Dr. Fagien also repaired a botched eyelid surgery my husband had. He is the best. Highly recommend!
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Jennifer L
18 June 2024
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Best Experience Ever Dr. Faigen and his staff are absolutely fantastic. From my first consultation, to pre-op, to surgery and post op, I felt completely at ease and had the most amazing results. Dr. Faigen was straight forward about what results could be achieved, and I couldn’t be happier I highly recommend him for anyone looking for a natural and beautiful result.
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Wendy Lewis & Co Ltd
28 May 2016
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the go to guy for cosmetic eye surgery and facial injections in South Fla. He has great hands and doesn't overdo it. Results are always natural and artfully done. Highly recommended!
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W P
2 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
giving a 5 star because the only complaint I have is, this doctor who has amazing Botox reviews, isn't accepting new Botox patients.
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james mclaughlin
23 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent doctor, office and results. I am beyond pleased with my eye bag surgery. As a retired medical professional I am a very observant patient and they deserve the highest recommendation possible.
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Jean Bromson
14 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Awesome surgeon! I had a great experience 😊
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Sara Lowell
7 September 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Amazing and kind staff. Always warm and friendly. My results are beyond amazing. I highly recommend Dr Fagien
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Brian C
18 May 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
The best. The entire staff is amazing. Highly recommend
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Michelle Doherty
22 April 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Beautiful office, friendly staff. Dr. Fagien is very personable and engaging. His experience speaks for itself and he has a very conservative approach to surgery which is very refreshing. Can’t wait to schedule.
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Healthgrades User
17 January 2020
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Minimal wait and office staff were professional. Didn’t feel hurried. Dr. Was Soft spoken and gracious. Details were discussed and my questions answered.
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Kat
27 February 2020
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Dr. Fagien has a gentle and calming manner and the ability to make you feel comfortable. He does not push you to have more done than what you are comfortable with. He is one of the few doctors that can make an injection barely noticeable. I trust him totally.
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Kelly V.
10 June 2023
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Highly recommend Dr. Fagien! He is the best!! The past couple years, I’ve been researching which doctor to perform my upper and lower blepharoplasty. After several consults with doctors in Beverly Hills, I was referred to Dr. Fagien, from my cosmetic dermatologist, in Miami. After meeting Dr. Fagien and his staff, I knew he was the right one. The results are beyond my expectation! From start to finish, my experience was positive and I would highly recommend Dr. Fagien and his team. Thank you for everything!!
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Jacqueline Rodriguez (Dezer Platinum Realty LLC)
2 August 2018
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Amaing office, staff and doctor.
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bob S
10 December 2024
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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.
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Stuart Rosenholtz
19 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is wonderful and is great when it comes to cosmetic eye surgery
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Healthgrades User
2 April 2019
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Very professional. Knows what is necessary but not overly aggressive.
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B Mac
8 November 2022
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Everyone from front desk, to Dani and Hannah and Dr Fagien were fantastic. Very responsive, kind, pleasant and of course very knowledgeable. Highly recommend.
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Gail Altman
22 November 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’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.
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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.
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Margot Miller
29 July 2020
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Always a pleasant experience at Dr Fagien’s office! Everyone is very helpful and kind. Office extremely clean and safe during the Cova virus.
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Lory Reyes
25 July 2022
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The best! Dr. Fagien has fixed my previous eyelid surgery and U’m so happy with the results! He is personable, competent and an excellent surgeon.
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ZILÄ BLÜE
13 January 2025
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Extremely talented with a perfect outcome. Everyone is also very nice at the office. - Veit
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Healthgrades User
3 March 2026
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Rhinoplasty and bilateral browlift I can’t say enough good things about Dr. Vaca. I recently went to Dr. Vaca for a rhinoplasty and browlift and I could not be happier with the results! There is no other surgeon I’d trust with any plastic surgery especially my nose. Dr. Vaca listened to what I wanted to change and I trusted his opinion on what he thought would look best for my specific features. He will always tell me when he thinks I don’t need something done and when he thinks something will look unnatural. I had minimal bruising, swelling, or scarring after my surgery and I attribute that to Dr. Vaca’s expertise as a surgeon. He is calm and confident which always made me feel at ease. Dr. Vaca and his staff truly care about their patients and take the time to make sure you are comfortable throughout the entire surgery and recovery process. Any questions or concerns I had both before surgery and months later they made sure to answer and had solutions for. Thank you so much to Dr. Vaca and staff!
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Joanna
9 December 2020
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The 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.
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Healthgrades User
2 November 2019
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If you want/need your eyes done in any matter, look no further. I am the type of women who believes that when it comes to ANY surgery, you fined the BEST. Well, save yourself anymore investigation. He’s IT! My surgery was 1 week ago. YUP, He’s the best’
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Healthgrades User
9 April 2025
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Magic 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!!
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Healthgrades User
8 March 2019
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As soon I walked into Dr Fagien office I was greeted warmly by the staff. They made made feel very welcome. The Dr is a true professional. He listened to my issues and questions and made me feel at ease that he could do what I had gone to see him for. I would highly recommend him to any of my friends and my family.
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Danna Noik
4 February 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Doctor Fagien is a Master at his craft! I cannot recommend him highly enough. To be a patient of his is an absolute privilege and the results are just spectacular.
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Tara H
16 March 2021
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Dr Vaca is patient, thorough and meticulous in his work. I had asked to “backfill” the volume that I had lost over the years in my lips. He listened to what I wanted and gave valuable suggestions. He then allowed me the time to make my decision and I am more than pleased with my results.
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Lori Defillipo
27 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca not only is a very skilled surgeon but also considerate and kind. He explained in detail his recommendations for my eyebrow lift and provided multiple opportunities for questions, even on the day of the procedure. I felt very comfortable with him, his surgical team and office staff and am extremely pleased my outcome! He and Dr. Fagien are my dream team!
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Lori Glover
23 April 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is the best plastics eye surgeon ! I also have had Botox and fillers and always get great results that last over 4 months. His staff are very nice and very knowledgeable! Love him!!!!
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Healthgrades User
30 June 2023
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Awesome! Highly recommended! Listens to his patient & spends time, felt very comfortable immediately!! Office. Staff is awesome as well.
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Jana Hamade
30 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca and his staff are truly amazing. They make you feel very comfortable everytime you come in and always check up on you! He has great bedside manner and truly listens and gives his honest opinion! I went in to get filler for the first time and he helped me figure out exactly what I wanted. He is an artist who pays close attention to details. I will for sure be returning for all future botox and filler! He goes above and beyond to make sure every patient is satisfied.
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Healthgrades User
19 March 2024
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Facelift De. Vaca is meticulous and talented but also very kind. A combination not always found in surgeons. My facelift was only a week ago but it’s looking great already. The whole office is great!
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Vanessa C
22 July 2020
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Beautiful office, lovely staff and a clear and thorough consultation with the Dr. Already feel confident in his skills! Definitely going to proceed with procedure.
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Anonymous in Boynton Beach
10 September 2022
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“Simply the Best!” I’m pleased to have an opportunity to share my experience with Dr. Steven Faigien. I’m an 81 year old woman who’s had 3 eyelid surgeries in the past. Because of this I was anxious about how I would heal. Dr. Fagien assured me that since I am in good health , there should be no problems. He proceeded to tell me what would be the best result for me. He was absolutely right! I had my surgery a few days ago and am healing quickly and I love the way my eyes look. I would be remiss in sharing my experience with Dr. Fagien if I didn’t mention his wonderful and caring staff. They are always kind and very helpful. Last, but definitely not least, is Dr. Fagien himself. He is very personable and quickly put me at ease. He is easy to talk to and has a great smile and sense of humor. I am truly humbled by his expertise and his caring for his patients. He is “Simply the Best!”
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Cindy Grafman
31 October 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
The BEST !!!!! I wouldn't let anyone BUT Dr. Fagien touch me.. ! He's gentle, kind & treats his staff like family.. He "listens" to what & how you want a procedure unlike so many other plastic surgeon's.... Staff is very professional & caring ... I highly recommend Dr.Steven Fagien for any procedure... That is how he gets his impeccable reputation....
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James McLaughlin DMD
24 February 2024
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The Best As a retired medical professional I have high standards for where I get treatment. Everything about this office and Dr is beyond reproach. You wil get the very best care and treatment here. Very pleased with the results of my eye bag surgery.
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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!!
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Shanna Bernkrant
25 September 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I highly recommend Dr. Vaca. He is kind, professional, knowledgeable and skilled. The staff is also an A+. I highly recommend this office if you are looking for a surgeon and team that will take care of you.
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Monica Silva
22 May 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Vaca is amazing! He is meticulous, talented and very kind. The entire staff in his office is also very kind. I did a neck and facelift and Dr Vaca did a great job. Minimum pain after my surgery, only took Tylenol for 2 days. Highly recommend!
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Yolanda Martinez
8 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ll never tire of saying what a gentleman Dr. Fagien is, but most important, what an outstanding, awesome doctor he is. When I moved to this area some years ago I asked another Doctor to recommend me an Oculoplastic Surgeon, and without hesitation he said, “Steve Fagien, he is the best of the best, and I trust him blindly”. He was right 101%.
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Healthgrades User
26 January 2020
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He and his staff could not have been more patient and thorough in explaining the procedures and follow up.
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Debbie Acosta
11 November 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
The best of the best - kind and gentle! Staff is wonderful too! Highly recommend
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Ferne Toccin
24 August 2023
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Dr Fagien is a fabulous doctor. I can"t say enough about his talents, his kindness and his humor, He took droopy eyes and made them look beautiful again. No more droop. No pain! He worked with Dr Vaca, and he did a temporal brow lift. He was wonderful as well. The office staff is kind and welcoming and addresses all by their name. I can't say enough about these doctors' skills and I will return for touch ups over the years!
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Brenda Mussman
25 April 2022
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Dr. Fagien was very knowledgeable & considerate of my concerns.. We spoke about the eye procedure I was considering and he reassured me that it was an easy procedure. He also suggested another eye procedure to think about to be done at the same time.There was no pressure to decide anything that day.
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Let it Glow Inc
1 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is one of the best plastic surgeons I have ever worked with. Working in this industry for many years he is definitely one of the best out there. I really enjoyed his attention to detail and making sure I was comfortable. I am not one for getting work done that doesn’t look natural and he helped me achieve my goal with a more natural look. He also has an amazing vibe and great bedside manner. Highly recommended to anyone in the South Florida area.
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Healthgrades User
12 April 2023
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Eye Surgery Dr Fagien and his team are the best. I got a fantastic result with my eyelid surgery and it was relatively painless. I was at my office 48 hours after surgery. Everything went exactly as planned and Dr Fagien exceeded my expectations in every way. He is for sure the “Eye Guy”.
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Lisa Schaller
10 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Everything was fantastic from my first consultation through my recovery. The staff is warm and friendly. Dr. Fagien is professional and really put my nerves at bay.
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Laurence Wiriath
11 April 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Just perfect, so natural!
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elena stuart
17 June 2026
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I had upper and lower blepharoplasty with Dr. Fagien eight weeks ago, and I couldn’t be happier with the results. I had no bruising at all, and my eyes look refreshed and completely natural. Dr. Fagien was thorough, honest, and reassuring throughout the entire process, and one thing that truly sets his practice apart is that when you call the office, you actually reach a real person right away..no voicemail runaround or waiting days for a response like most places nowadays. His staff is warm, attentive, and always available, and the team at the ambulatory center was amazing, making the whole experience smooth and stress‑free. I highly recommend Dr. Fagien for anyone considering eyelid surgery.
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pamela rosen
7 August 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
As a plastic surgeon I knew exactly who to trust for my recent eyelid surgery. Dr Fagien is a talented, skillful and detail-oriented surgeon who did a beautiful blepharoplasty for me. His office staff are very responsive and helpful, as are his operating room team. I highly, highly recommend Dr Fagien - he is truly a "surgeon's surgeon".
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W in Diamond
14 April 2018
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Excellent service from the moment you walk thrpufh the waiting room door. The office staff and assistants are only surpassed by the genuine care that Dr Fagian delivers to his patients.
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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
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Denise Cody
9 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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CHERYL SURTEL
19 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca and his staff was wonderful. He has precise attention to detail and ensured the outcome of my procedure would be perfect! I would recommend him to my family and friends for any plastic surgery needs.
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Healthgrades User
26 September 2023
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Dr. Fagien and staff are the best! When considering upper eyelid surgery, I knew Dr. Fagien was the top surgeon in his field so my decision was easy. However, Dr. Fagien and his staff exceeded my expectations! Everyone was so professional, friendly and caring. Six months later, I am thrilled with my results! My eyes look amazing! Dr. Fagien is the best at what he does and I highly recommend him.
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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!
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Amy Amy
7 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
A Life-Changing Experience with Dr. Fagien! I can’t thank Dr. Fagien enough for literally “fixing” my eyes after a botched procedure in New York. From the moment I walked into his office, I knew I was in good hands. Dr. Fagien and his entire staff are beyond wonderful—professional, kind, and truly dedicated to their patients' well-being. If you’re out of state and looking for the best doctor, I highly recommend making the trip to Florida. The quality of care, expertise, and attention to detail is absolutely unmatched. I honestly wish I had come to him first. The results speak for themselves, and I’m so grateful for the positive change he’s made in my life. If you’re considering eye surgery or any related procedures, don’t hesitate—Dr. Fagien is the doctor to trust! You will not regret it!
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Healthgrades User
17 August 2019
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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!
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Angela Neave
24 May 2022
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Dr. Fagien did an amazing job and my eyes look beautiful. Everyone in his office treated me kindly and with care. I understood the process every step of the way and felt confident I was getting the best possible care.
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Deborah Parnell
6 September 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
My experience with Dr. Vaca was amazing. His presentation is warm , knowledgeable and sincere. I had stomach FAT that wouldn't go away. Dr. Vaca evaluated my abdomen and due to my previous C sections recommended abdominalplasty. I LOOK GREAT now. I asked him about the sagging jawline (jowls) and wanted a quick fix. He assessed the face and recommended a modified face lift procedure. Because of his proven honesty and talent, I agreed and I cannot be HAPPIER. He is a truly talented and humble surgeon. Never thought I would use those two adjectives in one sentence about a surgeon, but that's the magic of Dr. Vaca. As a RN whose specialty s Operating Room nursing, I have worked with many surgeons. Dr. Vaca is an exceptional surgeon. That is my personal AND professional opinion.
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Iris Nystrom
18 August 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is my good news doctor....he and his staff are always warm and professional ....I've sent many people and they always appreciate that he helps them look and feel their best, well, maybe better than their best....
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Healthgrades User
22 June 2026
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Best Blepharoplasty Doctor I have been waiting to do my eye surgery for several years. In the meantime I did quite a bit of research and and had friends who Dr. Fagien operated on and look spectacular. His professional and meticulous manner from the very first visit confirmed my choice and seven weeks out post surgery I have never been happier. I tell him he has a special gift and I’m grateful that he shares it with us.
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Max Lehrman
26 May 2023
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I 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.
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Eugenia Matos-Oliveira
12 December 2019
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Dr. Fagien and his staff are very professional and they put me at ease from the very first appointment. I had upper and lower eye lid surgery, and I couldn't be happier! Thank you!
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Healthgrades User
12 November 2025
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Best Decision Ever I had a temporal lift and upper bleph with Dr. Vaca. It was very important to me that I retain the natural shape of my eyes, and I wanted an effective, yet conservative, approach. Dr. Vaca listened attentively and took time to walk me through exactly what to expect during and after the procedure. I felt safe and assured that I was in capable hands. His entire team is friendly and competent. I am incredibly pleased with the results. Someone I know recently said, “I don’t know what you’re doing differently, but you look younger.” Perfect! That is exactly what I was going for. Sending a huge thank you to Dr. Vaca and his wonderful team!
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Boston Transportation Dispatch Training
10 August 2021
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If I could give Dr Fagien and his team 500 stars instead of just 5, I would! This is an amazing doctor with tons of experience. I am very satisfied with the results of my lower eye lid surgery which happens to have a fancy name: Transconjunctival Blepharoplasty. Being a business owner, a public speaker, and a zoom instructor, I have to look presentable. At some point, due to genetics, i noticed that my lower eyelids started sagging. It did not feel good. So I found the best oculoplastic doctor and asked him to fix it. Dr Fagien suggested the transconjunstival blepharoplasty. Taken into account that my skin was otherwise young and firm, no fillers and no other extra procedures were offered. The surgery and the post op was not at all painful! That was a great bonus!lol I came back to work in 5 days. I listened to all the recommendations and followups from my Dr’s office. His team deserves a special separate 5 star review! Everyone was super helpful and accommodating! I am very happy now! Thank you Dr Fagien!
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Healthgrades User
20 August 2025
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Exceptional Results I cannot say enough wonderful things about Dr. Elbert Vaca. From the moment I walked into his office, I felt completely at ease. He takes the time to truly listen, answer every question with patience, and explain all options in a way that is clear and comforting. His caring nature is evident not only in how he treats his patients, but also in the beautiful and natural results he delivers.The quality of his work speaks for itself — precise, thoughtful, and done with such an artistic eye that enhances rather than changes who you are. What I appreciate most is how much he genuinely cares about his patients’ well-being, both physically and emotionally. You never feel rushed or like 'just another appointment'; he treats you as if you’re the most important person in the room.If you are looking for a cosmetic surgeon who combines exceptional skill with true compassion, I wholeheartedly recommend Dr. Vaca. He is a rare find, and I feel so grateful to be in his care.
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Marilyn P
26 January 2021
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Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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Linda Von Allmen
14 August 2021
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Great team… Dr Fagien is a perfectionist ! He's a master at what he does. Would never go to anyone else!!!!
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George in Harrisonburg, VA
3 July 2018
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Dr Fagien is the best! I’ve now seen him for a number of years and he was one of very few physicians in the US who could diagnose and help me with my problem. He’s alway friendly, gentle, and effective. I feel so fortunate that I found him!
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Vasila Queen
27 August 2024
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I am extremely happy with the care and treatment I received from Dr. Elbert Vaca. He is not only a highly talented doctor but also genuinely cares about his patients. From the moment I walked into his office I felt confident that I was in the best hands. His expertise and attention to detail are remarkable, and he took the time to explain every step of my treatment, ensuring that I felt comfortable and informed throughout the process. I am truly grateful for the exceptional care I received and would highly recommend Dr. Vaca to anyone seeking top-notch medical care.
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Odalis
23 January 2025
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Knowledge, Precision, Experience The Dr. offers extreme knowledge, precision and skill with a perfect result. The staff very friendly, amazing work
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P V
29 August 2022
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Love my new breasts! Hands down the best Plastic Surgeon I have come to know in my search for someone to fix my breasts. After breast feeding my children and dealing with asymmetrical breasts my whole life, I set out to find a surgeon to help me feel revitalized. I interviewed many but Dr. Vaca checked all the boxes. He has an elite academic pedigree. He carries himself with a reassuring confidence yet is somehow approachable and nice. I could go on but the results speak for themselves. The meticulous attention to detail in his plan and execution is superb. The size, positioning and symmetry between my breasts couldn't be more perfect. Dr. Vaca is a true artist and gentleman and I recommend him without hesitation.
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Healthgrades User
12 July 2018
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Comfortable environment for thorough conversation with all concerns addressed. Very friendly and supportive staff. Excellent experience!
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David Goldman
23 August 2026
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I 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!
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Healthgrades User
6 December 2019
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I have been going to Dr. Fagien For cheek filler for several years. He does such an excellent job that I come from out of state for the appointment.
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Healthgrades User
21 February 2019
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I just had my eye surgery done by Dr.Fagien and I cant say enough wonderful things about him and his office staff. My surgery went wonderful and the follow up with the office staff was something I never experienced . I cant say enough wonderful things about him.
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MV
1 March 2023
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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!
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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!
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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.
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Todd R.
14 December 2019
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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.
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Healthgrades User
18 October 2021
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Wonderful experience and very happy with the results. Customer service was 5 stars!
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Judith Fernandez
14 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Still continues to be my favorite physicians office for the overall care and professionalism of all staff I encounter. Office continues to abide by recommendations regarding Covid which protects us both. I met some new staff this visit who are as committed to Dr,. Fagien’s practice as he is. My visit this time was more maintenance and lasted approximately 50 minutes. As usual, every line, and wrinkle was inspected and documented along with conversation regarding my perceived wants vs. what the physician felt I needed which is interestingly less. Actual prep and procedure time 30 mins, minimal discomfort, no down time and I left a happy more rested looking woman. I work hard, I play hard and enjoy taking this time for myself. I appreciate the skill and talent of healthcare professionals and a smooth operating medical office. Thanks Dr Fagien and team!
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Taylor M.
28 July 2023
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I am OBSESSED with my results and I cannot stop looking in the mirror! Dr. Fagien is the best in the entire facial aesthetics industry, hands down. I am SO HAPPY with the absolute transformation of my face that he was able to accomplish using just botox and filler. He has made my face completely symmetrical and balanced. I now have a refreshed, youthful, and very NATURAL look. I have always been very picky about only going to excellent doctors. But Dr. Fagien just blows everyone else out of the water. His expertise and techniques are unparalleled. I have never before had a doctor spend so much time and pay such attention to detail during my appointment. He very thoroughly studied the individual intricacies of my face and my unique musculature shapes. He then applies the most unbelievably precise technique in performing his injections… I have just never before seen any doctor be so meticulously precise. The results are OUTSTANDING. I had always heard all the buzz about Doctor Fagien and how people travel from all over the country to see him. But what finally had me picking up the phone was when I saw first-hand the miraculous transformation that he performed on a friend of mine earlier this year when he did her upper/ lower eyelid surgery. I was completely blown away....Dr. Fagien is truly the king of facial aesthetics. Oh and not to mention….His staff is also wonderful. They are friendly, attentive and always right “on the ball”.
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Todd
17 January 2023
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Excellent Eyelid Surgeon Dr Fagien is an excellent eye surgeon! Every step of the process was perfect. Anytime I had a question or issue, I was able to see Dr Fagien or his amazing staff quickly and the office was always helpful and kind. My results were also fantastic. I would highly reccommend Dr Fagien and his office to anyone thinking about having eyelid or other eye plastic surgery.
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Chaya Goldman
6 February 2022
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Dr F has the best bedside manner … quick and painless with the best results every time
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Alexandra Vanella
15 April 2021
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I had the best experience thanks to Dr. Vaca. We did an in-office chin lipo procedure in January 2021. I’m still seeing results everyday. It was extremely quick & easy. I couldn’t be happier with the results!
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Healthgrades User
15 October 2021
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I wanted to have my upper and lower eyelids done and there was no one other than Dr Fagien I would have even considered using. His reputation precedes him. He is not only an excellent surgeon but an extremely kind and caring person. He runs his practice better than any office I've ever encountered. Devina is beyond incredible throughout the surgery and postop too. I cannot say enough good things about Dr Fagien, his office and my final results. I am incredibly happy with the way my upper and lower lids turned out. He is a true gem.
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Peg Anderson
26 November 2021
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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
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Ellen Fleisher
18 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
✨Great Doctor ✨Great Office ✨Great Staff ✨Great Care ✨Great Results
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Healthgrades User
10 September 2025
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Never a doubt I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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Healthgrades User
9 May 2022
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THE BEST Everything he did was top notch! His bedside manner is behind compare & the staff as well. Would highly recommend him for any type of cosmetic surgery.
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Kristen Gentile
4 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Best decision ever!! Dr. Fagien and his staff were incredible. Highly recommend!
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jackie armour
3 December 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Professional staff and wonderful doctor.

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