DR. WORLDWIDE GETS SOCIAL
DR. WORLDWIDE GET TO KNOW HIM
Frank Agullo, MD, FACS — known globally as Dr. WorldWide — is a double board-certified plastic surgeon in El Paso, Texas. He is a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center and Affiliate Professor at the University of Texas at El Paso. Specializing in preservation-based aesthetic surgery and the Deep Plane Facelift, he has been named a Castle Connolly Top Doctor for thirteen consecutive years and has a global social following of over 3.5 million across Instagram, TikTok, and Snapchat. He is the founder of Southwest Plastic Surgery and Plastic Surgery Studios.
Meet Dr.WWDR. WORLDWIDE GET TO KNOW HIM
Frank Agullo, MD, FACS is the plastic surgeon the world watches. Known globally as Dr. WorldWide, he has built one of the largest followings of any surgeon on the planet (over 3.5 million on Instagram @RealDrWorldWide) by pulling back the curtain on plastic surgery and showing what extraordinary results actually look like. Celebrities, influencers, and patients from across the United States and around the world make the trip to El Paso, Texas, because when you have seen the work up close, there is nowhere else to go. More than 80% of his patients travel from outside El Paso. The practice handles every detail of their journey.
Dr. Agullo is double board-certified, Mayo Clinic fellowship-trained, and a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. But credentials only tell part of the story. What sets him apart is a philosophy built on preservation: enhancing, restoring, and elevating what is already there rather than changing who you are. Not cookie cutter. Every plan is molded around the individual patient's desires, their anatomy, their life.
That philosophy drives every decision in the operating room. His Motiva Preserve breast augmentations deliver results that feel as natural as they look. His deep plane and endoscopic deep plane facelifts turn back time without announcing themselves. His Supercharged BBL has been refined, published, and presented on international stages. And his ability to combine face and body procedures in a single operative session is a capability few surgeons in the world can offer safely at his level.
The same philosophy applies outside the OR. Forget synthetic fillers. Dr. Agullo restores volume with regenerative grafts including Alloclae, Lipoderma, exosomes, and platelet-derived growth factors. Recovery is treated as part of the result: lymphatic massages, scar management, and Elixir MD LED light therapy ensure that what happens after surgery is as intentional as what happens during it.
Castle Connolly Top Doctor for eleven consecutive years. Texas Super Doctors Hall of Fame. Best Plastic Surgeon in El Paso for thirteen consecutive years. Aesthetic Everything Top Plastic Surgeon 2026. Founding Vice President and President of the World Association of Gluteal Surgeons, where he helped write the global safety standards for gluteal surgery.
The results are daily. The standard is uncompromising. The philosophy is simple: #MakeItHappen. #HappyIsBeautiful. #StayBeautiful.
#PlasticSurgeryIsMyPassion
GLAMOUR SHOTS
Plastic Surgery is a very personal choice and a unique experience for every individual who chooses to undergo a change, be it a discreet or major surgery. The one thing in common for my patients though is that they experience an inner transformation which ultimately shines through as confidence in themselves. Confident is Beautiful!
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- Posted on: November 13th 2026
- Category: Commentary, Weight Loss
More Americans now use a GLP-1 than smoke, Newsweek noted in August, and a 552-patient study tied fast weight loss before surgery to more complications. I sent the reporter my answer in July. Here is the part the story did not have room for.
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- Posted on: November 13th 2026
- Category: Commentary, Weight Loss
Newsweek ran it on August 12 under the headline “GLP-1 Use Could Boost Risky US Plastic Surgery Demand.” The setup was a Gallup number: injectable GLP-1 use for weight loss has nearly quadrupled since 2024, and about 11 percent of Americans are on some form of the drug, which is more people than smoke. The payoff was a 2026 study of 552 patients that found the more weight people lost before abdominal contouring, and the faster they lost it, the more complications they had.
I was one of the sources the reporter asked in July. I sent my answer. It did not run. That is fine; a piece has room for two voices, not twenty. But the answer is still the most honest thing I have on the subject, so here it is, in the words I sent.
The first thing I told her is what the drug does, and what it leaves behind.
“The medication takes the fat out of the body but does not tighten skin, which is stretched from the fat in the patient’s body. After losing weight (40-100 pounds) on Ozempic or another GLP-1 drug, patients find excess hanging skin along the abdomen, arms, inner thighs and neck because decades of stretching diminished their skin’s elasticity.”
“The GLP-1 medications solve the fat. They do not solve the skin. When someone loses 60 or 80 pounds, the skin that was stretched for years does not snap back, and no cream, freeze, or laser will lift it. That is why we are seeing so many of these patients in the operating room. The medication got them most of the way, and surgery finishes the job.”
And that the demand the story is worried about is not new. It is bigger.
“The most dramatic change I have noticed in my practice over the past two or three years is how patients have become different. Many patients arrive in my practice requesting excess skin sagging removal after massive weight loss thanks to semaglutide, tirzepatide, or one of the other new medications for weight loss.”
The devices get asked about first. I was honest about where they stop.
“While some work best for patients with minor fat deposits and good underlying skin tone, I want patients to understand how these technologies perform for the type of skin loss seen with GLP-1 weight loss: they do little to address significant overhang or drooping that requires a medical professional. When the problem of excess skin is severe, surgery remains the most effective solution.”
“Honesty in consultations is paramount. We must address the correct issue, as a patient predominantly dealing with excess skin will undoubtedly be displeased with a device treatment.”
Then the part the headline was really about. “Risky” is a timing problem, and timing is something a surgeon controls.
“Another common piece of advice I impart is to achieve a stable weight before surgery. I require approximately two to three months of consistent weight without any significant fluctuations.”
“Active smokers should abstain, patients with uncontrolled medical issues like elevated blood glucose levels should wait, and individuals who are still losing weight at a rapid pace must first achieve stability. Performing surgery too soon often leads to poorer outcomes and an increased risk of complications.”
That is the whole answer. The study Newsweek leaned on and my rule in the consult room say the same thing from two directions: the patient who is still dropping weight fast is the one you do not operate on yet. Who is actually a candidate, with the table of what works and what does not, is in the full post on Agullo Plastic Surgery. The device side is on Southwest Plastic Surgery. My first pass at this, from before the Reuters and Newsweek pieces, is here, and the men’s version ran yesterday.
Ready to Talk?
I am Frank Agullo, MD, FACS, double board-certified, Mayo Clinic fellowship trained, Clinical Associate Professor of Plastic Surgery at Texas Tech, Castle Connolly Top Doctor 2014 through 2026. Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com/appointments. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: November 12th 2026
- Category: Botox, Commentary, Injectables
Allergan’s biggest offer of the year lands on November 18: two $50 BOTOX Cosmetic gift cards for $50, one purchase per Allē member. I get toxin myself every three to four months. Here is what a deal day changes, and the one thing it never will.
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- Posted on: November 12th 2026
- Category: Botox, Commentary, Injectables
Allergan’s BOTOX Cosmetic Day is next Wednesday, November 18. From 12 pm Eastern, Allē members can buy a $50 BOTOX Cosmetic gift card online and get a second one free, one purchase per member, while they last. The cards do not expire. It is the company’s biggest offer of the year, and in my practice it is the busiest injectables week on the calendar.
I like the day. I get toxin myself, and I have said so in print.
“It really is a maintenance therapy. I myself get botulinum toxin in the forehead, crow’s feet, and glabella lines every three to four months, just to maintain the wrinkle free appearance with a dose that still lets me express my face without looking abnormal. I believe the skin quality in these areas is also maintained with the use of botulinum toxin.”
So here is what the deal changes. It changes the price of a treatment I already think is worth having, for people who already know they want it. That is all it changes, and the rest of this post is about the things it does not.
It does not change the dose.
“Patients also need to understand that a lot of things matter in regard to how long the Botox treatment will last. Dose, dilution, injection placement, and product choice matter more than whether you are active or inactive. These are all customized depending on each patient’s consultation. For example, patients with very strong frontalis muscles, glabellar muscles, or masseters will require a higher dose than others.”
A first-timer who asks how many units two gift cards buy is asking the wrong question. The exam sets the units. The cards come off the bill afterward.
It does not change what is in the vial, or who is holding the syringe. Deal weeks bring discount offers from places that are not Allergan, and I wrote down last month exactly how my practice keeps that out of the room.
“We buy directly from the manufacturers, Galderma, Allergan, and Evolus. The toxin is shipped to us directly from them in temperature controlled containers. The vials are stored in a medical temperature controlled refrigerator that is monitored 24 hours a day for temperature variations.”
“We do not use a middle man or discount pharmacy to order our toxins. Botulinum toxin are reconstituted and administered by registered aesthetic nurses, nurse practitioners supervised by Dr. Agullo. Dr. Agullo also administers the treatments. Patients can see the vial at any time.”
“The danger with counterfeit products is that we only find out because they go to the ED because of severe life threatening complications. Some counterfeit products result in no result at all because they do not contain the botulinum toxin.”
And it does not change the day-after rules.
“I do ask patients not to exercise for twenty-four hours after a botulinum toxin injection, but this is not because it is going to wear off sooner. It is because I want the solution to stay exactly where I injected it, and strenuous exercise immediately after an injection could increase the risk of the product migrating, complications, and swelling.”
One more thing a deal day cannot do: it cannot turn a surgical problem into an injectable one. Toxin relaxes a muscle. It does not lift a brow that has fallen or remove skin that is resting on the lashes. If you have been adding units every visit and getting less, that is the conversation to have, and it is on the Agullo Plastic Surgery version of this post.
The deal mechanics, the table of what the cards cover and do not, and how the front desk at Southwest Plastic Surgery applies them are in the full post. My read on the two-week toxin that is not here yet is in Boey.
Ready to Talk?
I am Frank Agullo, MD, FACS, double board-certified, Mayo Clinic fellowship trained, Clinical Associate Professor of Plastic Surgery at Texas Tech, Castle Connolly Top Doctor 2014 through 2026. Call (915) 590-7900, text 1-866-814-0038, or book at swplasticsurgery.com/med-spa. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
