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!
BLOG
- Posted on: September 20th 2026
- Category: Commentary
Two questions open every breast reduction consult. I answer both in the first hundred words, then explain why the starting price is not the ending price and why the shape is instant but the result takes six months.
BLOG
- Posted on: September 20th 2026
- Category: Commentary
Two questions open every breast reduction consult. Does insurance cover it. What does it cost.
First one first. I do not work with insurance. If you would rather have a surgeon who takes insurance, we will recommend one, and we mean that. I am not going to make you scroll for that answer.
Second one. I dictated it for this post, so here it is the way I said it.
How much does a breast reduction cost?
Dr. Agullo: “As of this writing, a breast reduction starts at 14,500 dollars. You can always find our current fees at agulloplasticsurgery.com/fees, which is the page we keep updated.”
What drives the cost up or down?
Dr. Agullo: “Several things can affect the total. One is the internal bra mesh, which provides internal support and, when it is used, adds to the cost. Liposuction is often combined with a breast reduction to refine the sides and the contour, and any additional lifting of the breast can add to the total as well. The final cost depends on the combination of these elements and the length and complexity of the procedure.”
I publish my fees. Most surgeons do not.
What $14,500 Buys
Everything but your prescriptions.
Operating room. Anesthesia. Garments, which for a reduction means two surgical bras, since you will be in one for a month. Vitamins. Scar care. You pick up your own medications. That is all that is on you.
The tissue I remove goes to a pathology lab. The lab bills your insurance directly for the analysis. It is a separate business. Nothing about it runs through my office.
Why a Quote Comes Back Higher Than the Website
| What gets added | Why it comes up |
|---|---|
| Internal bra (mesh support) | Holds the new shape up from the inside |
| Liposuction of the sides plus Renuvion J-Plasma | No fullness at the edges of the chest, and the skin there tightens |
| Additional lifting | The nipple has a long way to travel |
| Nipple graft | Severe cases only |
| Incision extended toward the back | The tissue does not stop at the breast |
| Additional operating room time | A longer case is a longer case |
The side liposuction plus Renuvion pair is the same pair that moves a gynecomastia quote. Different patient, same mechanic.
Revisions of someone else’s reduction sit above all of this and vary more from case to case.
Smaller Is Instant. Finished Is Six Months.
Both halves are true. The breast is smaller and lifted the moment you wake up. What needs to settle is everything around it.
- Drains out at one week.
- Normal, easy-going activity at one week.
- Bruising for two to three weeks.
- Exercise at four weeks.
- Four weeks in the surgical bra. No underwire, no pushup.
- Swelling takes about three months to settle, six months to settle completely.
After the four weeks in the surgical bra comes the sentence I enjoy most. You can go shopping for new bras.
If you have implants and want less, that is a different operation and a different post.
The starting price is public. Your price depends on your anatomy and what we add, and an exact quote can only be provided after a consultation.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Title alternatives (title picked under the 2026-09-05 standing default; option kept is above)
- Does Insurance Cover It? No. Here Is the Rest of the Breast Reduction Answer.
- Smaller Is Instant. Finished Is Six Months.
- Why Your Breast Reduction Quote Came Back Higher Than the Number on My Website
- The Two Questions Every Breast Reduction Consult Starts With
- Posted on: September 19th 2026
- Category: Commentary
Lose sixty pounds and everyone tells you how great you look. Then you catch your face in a car window. The temples, the lids, the folds, the neck: what deflation does, and why the fix is fat.
BLOG
- Posted on: September 19th 2026
- Category: Commentary
Lose sixty pounds and everyone tells you how great you look. Then you catch your face in a car window.
The body gets the credit. The face pays for it.
I know the bill by heart, because I dictate it at the exam.
“Facial aging with loss of volume from massive weight loss. She has ptosis, temporal wasting. She has festoons with excess lower eyelid fat bags, excess upper eyelid skin resting on her eyelashes. She has deep nasolabial folds and marionette lines. She has excess skin in the neck. And submandibular gland show.”
Every item on that list is the same event seen from a different angle. The fat left. What it was holding up came down, and what it was covering showed through.
People call it Ozempic face. Bariatric patients had it long before the pen. It is deflation, and the fix follows from the diagnosis.
“Fat is the best filler for a deflated face. A deflated face has lost fat. And what we do when we do fat grafting is replace the fat in those spaces. So it’s like with like.”
That is the whole argument, and I would stop there if patients did not keep arriving with something else already in their temples.
“Many people are using other fillers like Sculptra. But we have to keep in mind that these fillers create scar tissue and fibrosis, which may make the facelift procedure more difficult. It creates collagen through an inflammatory reaction.”
Read that once more if you are on your third round of a biostimulator. The volume it gives you is scar, and scar is what I have to lift through later.
“And last, we have hyaluronic acid fillers, which are temporary, tend to dissipate into the tissues, and can look unnatural. I think they have value in areas that need small corrections and superficial corrections, but not to replace the fat that’s lost due to massive weight loss.”
A man who lost fifty pounds after a sleeve came to me having tried Sculptra and been unhappy with how long it lasted. He wanted permanent. Here is what I told him.
“We overfill the areas, because he will lose about thirty to forty percent of the transferred fat. The remaining fat is permanent, though it will fluctuate with any future weight changes. Even at a low BMI of twenty one to twenty two, there is enough fat to harvest. The inner thighs are the best donor site, followed by the lower back or abdomen.”
Then there is the question of the knife, and when.
“Preferably I want the patient to have lost the weight that they had planned and be weight stable after any facelift procedure. The reason being that oftentimes patients after a facelift tend to lose further weight. And of course, if we lose the volume, then we will have some aging. As the face deflates, the skin tends to sag. So we would lose a lot of the benefit of having done the facelift if the patient continues to lose weight.”
The fat can go in early.
“In terms of fat grafting, it can be done while the patient is still losing weight, as long as the patient knows that it will require repeat treatments. But fat is one of the best fillers we can use, as it is natural, it is soft. It is the same tissue that belongs in those spaces, and can help slow down the aging process as the patient is losing weight.”
Two procedures, two clocks. Fat while the scale is still moving. The lift when it stops. Same rule as the body: you do not tighten what is still shrinking.
And when the lift does happen, in a post weight loss face, it is more than a pull. From a consult with a woman who lost thirty pounds on a GLP-1:
“It would bring this back as well and fill in the cheekbone, bring it back up. And then it’s gonna also bring your neck back tight. So it does give you, it removes about fifteen years.”
She had come in asking for a brow lift.
“Your upper eyelids get better when I do this. So I don’t think you need anything on your upper eyelids. There, you see that hooding. That is the skin. But when I do this, it fixes it.”
Fewer operations than she expected. Better order than she expected. That is usually how these consults end.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Title alternatives (title picked under the 2026-09-05 standing default; option kept is above)
- The Body Gets the Credit. The Face Pays for It.
- Like With Like: Fat Back Into the Face That Lost It
- What Sculptra Leaves Behind for the Facelift Surgeon
- Two Clocks: Fat Now, Lift When the Scale Stops
