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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Leslie M profile picture
Leslie M
20 March 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Faigen is the best! His confidence, expertise and sincerity through out the process makes the surgery a great experience. I could not be more satisfied with my results! His office staff is superb as well! I could not recommend him enough!
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Bonnie
30 August 2020
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I have been a patient for many years and continue to return because Dr. Fagien is a wonderful doctor. He performed my cosmetic eye surgery and because of the results I have sent many people to him. He is an artist with fillers and other injectables and the outcome is natural and beautiful. I highly recommend him and his excellent staff.
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Troy Rusk
22 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had the privilege of being under the care of Dr. Vaca and his exceptional team. From the moment I step into his office, I felt welcomed and at ease. The results exceeded my expectations! Dr. Vaca's skillful hands transformed my appearance, making me feel more confident. The natural-looking outcome truly reflects his mastery and skills. I would definitely recommend Dr. Vaca and his team. Their commitment to patient well-being, combined with his surgical skills, set them apart.
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Annie Berman
12 October 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Simply the best! Extremely professional excellent staff. I couldn’t be happier
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OL
21 February 2023
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Simply the Best! There is a reason Dr. Vaca is consistently rated 5 Stars. The experience starts with a phenomenal staff. From the moment you first call, you are treated with the utmost professionalism and personal touch. I just underwent a mini face lift with Dr. Vaca and could not be more pleased to have had him as my surgeon. He has impecable bedside manners. He takes tremendous pride in his craft, and as such, is meticulous and thourough. He listens attentively, addresses every concern, explains timelines, and sets realistic expectations. He takes his time to make sure the patient feels comfortable. At no point will you ever feel rushed. The procedure went so very smoothly, and so did the recovery. There was zero bruising, and very mild swelling! I was able to return to work within a week, and the end result was a very natural look! A youthful, and rested look. It is the combination of personal care and attention coupled with such quality of medical care that makes Dr. Vaca an exceptional surgeon
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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.
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Alice Tate
21 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Fantastic doc and I wouldn’t go to anyone else!
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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!
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Stu Rosenholtz
4 March 2022
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My wife and I have gone to Dr Fagien for a number of years. I would definitely recommend Dr Fagien to both friends and family
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Crystal Craig Larsen
15 August 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an amazing plastic surgeon. He is so skilled and meticulous and I am so pleased with the results of my upper and lower eyelid surgery. He is thorough and personable and that was very comforting. The staff is also so kind, helpful and available whenever I had any questions or concerns. I highly recommend Dr. Fagien.
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Mary Amado
31 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien is the best ❤️❤️❤️❤️! It worth it
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Jeevanpre Jowhal
18 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
EXCEPTIONAL! Dr Fagien is simply exceptional. I’ve known him for 20+ years, and that level of trust made my decision to undergo surgery an easy one. His approach is both refined & conservative, resulting in beautifully natural, classy outcomes- my results exceeded my expectations! He took the time to genuinely listen to my concerns- which feels increasingly rare these days, lol- and made me feel completely at ease. What truly sets him apart is his honesty, warmth & the way he treats you as a person, not just a number. He’s not trying to sell himself or any procedure, how refreshing! His staff is equally capable, professional & supportive, making the experience seamless. He is an expert in his craft & I’m incredibly grateful.
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Vinny Frisone
17 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Steven Fagien did an unbelievable job on my eyes. I had my upper and lower eyes done and i look Completely refreshed and much younger. Thank you to the staff and Owni who Took very good care of any of my needs and any questions that I had along the way and before and after. Surgery went smooth there was no pain at all. Throughout the whole process, Dr. Fagien was always available and easy to reach. Don't look anywhere else there is no one better.
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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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Linda Englander
27 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Fagien took the time to listen and explain the issues. He was very straight forward and didn't try to sell me on procedures I didn't need.
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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
19 October 2026
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very knowledgeable Dr. Vaca was very informative and patient during a recent consult that I had with him. He explained everything very well and heard my questions and concerns. He even offered steroid shots for some scarring from a previous surgery/surgeon, without a charge. He is very compassionate and educated. I will definitely choose to work with him in the future!
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S N T
18 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Without a doubt, he is the Best eye surgeon in the world. His attention to detail, precision, and dedication to perfection are truly extraordinary, his surgical precision is simply unmatched. What makes him even more special is the kind and beautiful person he is. It is not easy to find a doctor who combines exceptional talent with a genuinely caring heart, and he embodies both. His staff is equally amazing. Ownie and Dani are attentive, warm, and highly professional. They make the entire experience smooth and comforting from beginning to end. I am truly grateful. Susy
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Kelly in Boca Raton, FL
2 January 2016
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Dr, Fagien pays attention to every detail and over delivers! I am so pleased with my result!!! I highly recommend him!
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Lauren
22 December 2023
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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!
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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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Kieran Duffy
22 August 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Top of the food chain. Most professional Dr I have experienced. Spent time explaining what could, should and most especially what should not be done. Excellent follow up. Easy, cordial and professional.
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Odalis
23 January 2025
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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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
17 October 2026
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Great surgeon Great team, personalized service and care, perfect results
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Brenna Hennessey
30 August 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
He is an amazing and talented surgeon! I cannot recommend him enough. Extremely detail-oriented with a wonderful bedside manner.
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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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Randall McGee
2 August 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Consultation was very informative and not rushed. I was given a comprehensive evaluation and alternatives. Much appreciated.
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Healthgrades User
11 September 2026
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca is incredibly talented! From my first visit with Dr. Vaca I felt instantly at ease and highly impressed with his knowledge and expertise. His educational background is stellar. I completely trust his recommendations and truly appreciate his honesty and conservative approach. I can’t recommend him enough! Thank you Dr. Vaca.
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Leslie Crisco
19 December 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Could not have been a better experience. Dr. Fagien and his staff are all truly wonderful!! Dr. Fagien ‘magically’ made all of my bags disappear. He makes Houdini look like an amateur. Truly truly amazing.
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Gabrielle Sacheli
15 March 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca is by far the best in South Florida. His attention to detail and honesty is what keeps me coming back. I would highly recommend him and his entire office staff, they are wonderful.
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Jodi Kahn
7 November 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
SImply the BEST! I've been going to the brilliant Dr. Faigen for 16 years. He NEVER pushes you into something, even if you want it lol. He's honest, talented and conservative. You'll always leave looking like yourself, only better! Thank you for being consistently the greatest Dr. there is <3
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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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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.
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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!
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Donna V. Molinaro
26 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ve seen Dr Faigen for injectables. You may feel confident in Dr Faigen’s work. His approach is comforting, his work distinguished. He listens and creates a wonderful, natural look. He and his staff’s care and warmth is apparent during the entire experience. I have recommended him to family and friends, which is the greatest compliment.
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Laura Montero
1 December 2020
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Dr Fagien performed lower blepharoplasty. It took me quite sometime to go see him because I live one hour away. It’s hard with busy schedule. I’m so happy I finally made it. He did an amazing job. He’s very knowledgeable and makes you feel at ease. He’s a leader in his field and rightly so. He has a wonderful staff and impecable office. I highly recommend him.
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A R profile picture
A R
10 January 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I recently had two facial surgeries done with Dr. Vaca. I am blown away by the beautiful and elegant results. From the initial consultation to the surgery I felt truly cared for as Dr. Vaca was so kind and also so mathematically precise with his considerations and measurements of my eyes and of the harmony of my face. Even the staff at the surgery center commented on how they try to get into the OR to watch his innovative techniques. I would trust him with my face again. He is a truly gifted surgeon and a very kind, compassionate person.
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Kim Goodnan in Davie FL
13 April 2018
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Amazing, wonderful experience !
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Healthgrades User
14 June 2019
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He is an excellent doctor!
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Cathy Daly
30 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
From the first call, his office staff has been friendly and organized. They have a few main people who are always available and on top of your progress. You can get ahold of them at any time if you have a question. Appointments were always right on time with no wait. I always look forward to my office visits, too bad I'm healing so fast. As far as Dr. Vaga and Dr. Faigen, all I can say is that there is a reason that they are the top people to see in the US. They are friendly, kind, involved and incredibly skilled. I cannot recommend his office enough for quality care. I also wanted to say that the surgery center was top notch. I was comfortable and the medical team were incredible. I would give more stars if I had the option.
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Lori Martinez profile picture
Lori Martinez
18 April 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
I love Dr. Fagien. He is kind and his office and staff are amazing. My face will always look beautiful because of him.
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Healthgrades User
24 May 2019
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Dr Fagien and staff are excellent! I wouldn't trust my eyes to anyone else
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Nancy Vezza
11 August 2023
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Excellent Doctor! Dr. Vaca was amazing! He spent a great deal of time in my consultation explaining my options in detail. I was very impressed by him.
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Pam R
11 August 2022
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Best eyelid surgeon! Dr Fagien is a talented and meticulous surgeon who did a beautiful blepharoplasty procedure for me. Great office/support staff as well.
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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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Mark profile picture
Mark
28 January 2020
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I waited less than 5 minutes in waiting room. Dr Fagien came in exam room with in 3 minutes. We you honest and let me know what my options were. He told me to save my money that I wouldn’t get results that I was looking for . I’m very happy he was honest with me and not looking at my as dollar signs. Definitely would recommend him.
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Diana profile picture
Diana
5 March 2021
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I could not be more pleased with my results from Dr. Vaca. From the first moment you step into the beautiful suite you are greeted warmly by the receptionist and wait only mere minutes before being escorted to a consultation room. Dr. Vaca’s gentle and kind demeanor make the consultation effortless. After assessing your concerns Dr. Vaca will show you his previous work so that you may see beautiful results from other patients. His aesthetic compliments and enhances your natural beauty without overdoing it. He is careful in his assessments and is very honest with how he would proceed in correcting your concerns. Not only is his demeanor gentle, but his hands are as well, causing no pain throughout the entire process. I am so happy and lucky to have found such a wonderful surgeon!
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VMarie
19 January 2020
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Dr. Fagien and his office staff could not be more professional or nicer! I had my eyelids done and took off my steri strips in my sleep. It was Sat morning so I called the answering service. Seconds later Dr. Fagien called me to meet him at the office and fix the problem. My Fiancé is a surgeon as well and could not have been more impressed with his perfect stitches and attention to detail. Thank you for everything Dr. Fagien, Devina , & Olivia I will definitely be recommending your office.
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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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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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Elena S. S. profile picture
Elena S. S.
7 May 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Had upper and lower lid surgery two months ago. A wonderful experience from beginning to end. I am extremely satisfied with the results, as well as with the professional and kind care I received throughout the process. Dr. Faigen is exceptional, and I highly recommend him and his team.
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Lana
23 June 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
I had consulted other plastic surgeon who said I need a brow lift . But dr. Fagien suggested just a minor upper lid skin removal. I scheduled my procedure. That was 6 years ago . I could not be happier. He is perfectionist . I returned for fillers and Botox when was in town. And have to say results were fantastic. I highly recommend dr. Fagien.
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Chrissy Dunhill
25 November 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien & Staff are Professionals in every way. I felt welcome the moment I walked in the office. I’m greeted with a smile each time & a staff who is very caring. Dr.Fagien is gentle with procedures & comfortable. His technique is Perfect! He cares about his patients. I’m extremely happy with my results. If I didn’t live in florida or even if I was on the other coast, It’s well worth the travel to know You are in “Good Gentle Hands!” I Highly recommend Dr. Fagien, I’ve worked with Doctors since 1980, If Any one Knows, I do. Sincerely, Christine Dunhill
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Alexandra Vanella
15 April 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
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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Wendy Kupfer
21 June 2019
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Dr. Fagien is terrific I thoroughly trust him. I’m always pleased with the results and he does everything he can to make the procedure pleasant. I highly recommend Dr.Fagien!!!
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Healthgrades User
17 July 2025
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Best Dr and Best Staff Dr Fagien and his entire staff went above and beyond to ensure my procedure was a tremendous success. Whatever questions or concerns I have had were addressed immediately. They have been attentive every single day - before and after the procedure. Thank you!
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Ks profile picture
Ks
23 November 2019
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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!
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Antoinette Heyman
5 March 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
This is the friendliest staff I have been to and I have been to many different offices in New York City and Florida. The doctor is Incredibly talented So much so that I will get on a plane and fly from New York to Boca for his services.
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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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Lisa Nolasco
26 April 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
Being in the Eyecare industry and knowing Dr. Fagien’s stellar reputation, he was clearly the only choice for my upper & lower lid surgery. He is an artistic genius. My results are incredible and I will be forever grateful to him.
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Healthgrades User
5 October 2018
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Dr. Fagien and his staff were amazing! They answered all of my questions and made me feel comfortable with my decision to go forward with surgery.
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Bob S
11 December 2024
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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.
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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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Tammy Costa
15 March 2019
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Amazing staff and Dr.!! I told them I would love to just hang out there because they are so much fun!! Dr. Fagien has the most gentle touch and great personality!!
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Marilyn P
26 January 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is an extraordinary ocular plastic surgeon! He is extremely knowledgeable and has years of experience. My son is a plastic surgeon and he ONLY wanted me to have my surgery with Dr. Fagien. Great doctor , great staff!
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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.
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Happy woman!
15 April 2022
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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!
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RB Cutie
26 August 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
So far I have loved my experience with Dr. Vaca. The consultation was amazing, and I felt very comfortable with him. Last week was my surgery, and so far, I feel awesome! I went in thinking I was going to be in so much pain after the surgery, but I was completely wrong (everyone is different). The day of the surgery I was a little nervous, but Dr. Vaca and everyone on his staff made me feel well taken care of. He is an absolutely amazing doctor.! Super happy and excited about my results, In only one week.
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Andrés K
3 November 2023
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The best. No question about it Doc and staff extremely professional and nice . Results are amazing . I did my eyelids .Do your research . He is the best
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Jen Star
30 January 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent MD!! I would recommend him to everyone!
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A L profile picture
A L
30 July 2023
Google star 1Google star 2Google star 3Google star 4Google star 5
I had upper and lower eyelid surgery with Dr. Fagien in March. This was the first cosmetic surgery I have ever had. It took me about 5 years to make the decision to do it and then another year to find the right surgeon for me. Someone told me that when you meet the right doctor for you it’s like an “aha” moment and that’s how I felt when I had my first consultation. He was very pleasant and patient and addressed all my concerns without being dismissive. To be honest, I was extremely nervous the day of surgery but it helped that everyone at the surgery facility was attentive and very caring. I am extremely thankful and fortunate that Dr. Fagien did my surgery. He and his amazing staff, Victoria, Dani and Devina, made themselves accessible by phone/email, did follow-ups on any issues that I had post surgery. I never felt worried about the care I received and if I had any concern, no matter how trivial or serious, it was addressed. My appointments never felt rushed. Due to Dr. Fagien’s expertise and skillful hands, my expectations were met - my eyes feel and look great and natural. I can’t express enough thanks to Dr. Fagien and his staff for giving me the care I needed. They are indeed the best!
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William Cash
1 March 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.faigan restored years of bad choices I had .made...Chronic Alcoholism and Drug abuse...Now at 49yrs old and a devout Christian I had to come to realize I needed to be freshened up...Nothing to drastic just little filler here and there with some botox and I must say first visit was beyond my exspectations... Dr.faigan made it very clear that this would be a process not an over night fix...So after 3 visits I look 10 years younger....For any one considering Dr.faigan I would say this is the doctor you want. He's honest caring and his staff are all sweethearts...My first visit i told him what i wanted and the next 2 visits i asked that he decided what he thought....You must decide your buget meaning how much can you afford as I did research prior to visit to see what things cost today...I was surprised on my check out that hes quite fair and reasonable on his work....Amazing results.....Felt as if I was in Gods hands the whole time...Ladies look him up for yourself.....He teaches and has written several books ...Dr.Faigan thank you and God Bless you and your Staff.....Sincerely Dori Cash
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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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Sandra Muvdi
21 May 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
For about 20 years I have trusted Dr. Fagien for cosmetic facial procedures (Botox and fillers) and I am 100% satisfied. When it comes to my face, only the very best.
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Brie Jones
4 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
The most wonderful experience— Dr. Vaca is an expert in his field! I’ve wanted surgery for several years, but I was always unsure about which surgeon to see until I met Dr. Vaca. The entire process from consultation to surgery day to post-op has been incredibly smooth. The entire team (office staff & surgical center staff) are top notch. Thank you for being amazing!!!
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C “Siin” D
9 June 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Best eyelid surgeon.
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Linda Von Allmen
14 August 2021
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
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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Kim Romano
28 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr.Faigen is a stupendous individual, he is friendly , kind honest and very pleasant with the utmost professionalism He is also an expert in his field and very up to date on all the latest developments. The office is immaculate and your appointment time is honored. I would trust him with any type of procedure surgical or esthetics.,He and his phenomenal team are the most friendly honest and extremely pleasant and professional group I have dealt with. Hannah is a smart, knowledgeable individual who makes a patient feel very comfortable and also provides a very pleasant experience. The office is run very efficiently and I would recommend it to anyone who is looking for an all around great experience .
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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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Kimberly M
6 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough great things about Dr. Vaca. I trust him completely.
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Barbara Estis profile picture
Barbara Estis
6 December 2020
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Dr Fagien did a beautiful job on my surgery. It’s been 5 weeks and everyday my eyes look better. I cannot wait to see the final results in the next few weeks. The surgery was virtually painless. You can expect a few bumps along the way, but it is well worth it.
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Linda Mayer
12 October 2020
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
My visits to Dr Fagien’s office have been awesome from the moment I’ve walked in , from the beautiful decor to his amazing personable, professional staff!! Dr Fagien is a warm, artistic , talented Doctor that I would highly recommend and can’t say enough great things about him!! I’ve had injectables by him and feel and look like a version of my younger self!! I would never consider going to any one else and when I’m ready I’ll get my eyes done by him! Thank you Dr Fagien !!
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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 !!
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David Kimmel in Hudson, FL profile picture
David Kimmel in Hudson, FL
16 October 2017
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Dr.. Dr. Fagien and his staff are terrrfic. From the first phone call to our vary last appointment . Class act and my surgery came out great!
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Denise Cody profile picture
Denise Cody
9 September 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
I first worked with Dr. Fagien early in my career as an operating room nurse and knew then that if I ever needed cosmetic eye surgery, he would be the one I trusted. Thirty years later, after also working alongside his mentor, Dr. Fagien remained the only surgeon I felt completely comfortable choosing for my upper and lower blepharoplasty. His team is exemplary—professional, kind, and attentive—and their bedside manner put me at ease throughout the process. I am absolutely ecstatic with my results, though I never doubted that would be the case with Dr. Fagien.
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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!
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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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Healthgrades User
11 September 2025
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Dr. Vaca If you are reading this review, chances are you are searching for a qualified cosmetic surgeon. My search began in January of 2025. I live in Coral Gables, FL and had full consultations with three highly recommended surgeons within a few miles of my home. While I was certain that all of these doctors could satisfactorily get the job done, I left each consultation feeling like something was missing. I simply could not make a decision. My continued research led me to Dr. Vaca in Boca Raton and after reading his credentials and reviews, I scheduled a consultation. At the end of this lengthy, informative, enjoyable meeting I knew that my search was finally over. I had found my surgeon and my indecision was replaced with certainty and excitement. I have now experienced two surgeries with Dr. Vaca and I am very happy! Everyone who works with him is professional and supportive. If you are searching for a cosmetic surgeon, schedule a consultation with Dr. Vaca…find what you have been missing.
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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.
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Roshan Mody profile picture
Roshan Mody
3 February 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
His expertise is unparalleled when it comes to the eyes.
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Maia Pinzur profile picture
Maia Pinzur
7 August 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Vaca and his team are so amazing!! I received a rhinoplasty and chin implant and couldn’t be happier! I healed so well and was checked up on multiple times during recovery. Dr. Vaca understood my wants and concerns with the surgery and was with me every step of the way. My results have truly changed my life and I’m so happy with my decision choosing Dr. Vaca. I felt very secure because he is confident in himself, which was a very important aspect when ultimately deciding which doctor I wanted to move forward with. I am 2 months post op and could not have asked for better results. I received exactly what I asked for and am over the moon! A big thank you to Dr. Vaca and his team!!
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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.
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Carol A. profile picture
Carol A.
14 July 2022
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Dr. Vaca I had my surgery. He’s the best! He’s upfront and honest about potential outcome. He is a really excellent surgeon.
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Kerri Benson profile picture
Kerri Benson
16 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Look no further than WONDERFUL Dr Steven Fagien. There are no words to describe this amazing doctor. He is a truly a master in his field. His staff is equally wonderful. His office sets the tone for a calming, secure and overall positive experience Dr Fagien is everything that one could hope for when choosing the BEST doctor for cosmetic eye surgery. He is brilliant, kind, caring and honest. I could not be happier with the results. Dr Fagien is the definition of what every knowledgeable patient looks for when choosing a doctor. Thank you Dr Fagien for simply being you!
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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.
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Healthgrades User
12 August 2024
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Face and Neck List HAPPY HAPPY HAPPY!! I’m so HAPPY, I could say it 1000 times but it wouldn’t express how happy I am with my new younger neck and face, it restored the younger me! I owe it all to the exceptional talented meticulous, Dr Vaca. I would give you the highest Michelin star if there was such a thing for plastic surgery!! And I want to say thank you to the girls in the office you’re all fabulous!! Thank you, Dr Vaca I’ll be forever grateful and thank you, Dr. Fagien for putting me in the hands of such an artist
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Warangkhana P profile picture
Warangkhana P
5 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Fagien is truly exceptional. He is professional, knowledgeable, and takes the time to make you feel comfortable and well informed. The staff is wonderful and friendly and always welcoming. I would highly recommend Dr. Fagien and his office
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Healthgrades User
24 May 2019
Healthgrades star 1Healthgrades star 2Healthgrades star 3Healthgrades star 4Healthgrades star 5
Top rated!
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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.

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