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: August 19th 2026
- Category: Rhinoplasty
The nose does not care what city it is in. The patient does. On travel, trust, and the week you spend hiding anyway.
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- Posted on: August 19th 2026
- Category: Rhinoplasty
In most such visits, the patients begin by apologizing for the commute. “I am sorry that it is far away,” they begin from their homes on screens in Seattle, Toronto, or, on one occasion I still recall, Dubai.
This is what I tell them: the nose does not care what city it is in. Eighty percent of my patients come from out of town now. Texas and New Mexico send the most, then New York, California, Florida, and Seattle, a whole contingent from Canada, and international patients from as far away as Japan.
Your travel time is nowhere near the barrier to be, but there are specific factors you will need to assess before committing to travel for your surgery. Let us be clear: honesty wins out.
What Travel Does Not Change
When you look, every checklist you see is the exact same. Board-certified plastic surgeon, either in general plastics or facial plastics, that specializes in rhinoplasty (this is key; they do them over and over, unlike a plastic surgeon that rarely works on noses). Make sure it is an accredited surgery center. You want to look for a long string of before-and-after photos of noses just like yours and to see happy patients whose problems look just like your potential problem. If you can talk to any former patients, then you will really get good information.
I published the full checklist, plus how our process works step by step, in the complete Texas rhinoplasty guide on the practice site.
What Travel Actually Changes
Logistics. Solely logistics. The patient will consult from her country. 3D simulation of the case will be completed entirely in my virtual office. By the time she boards an airplane, we have worked through the Surgical Plan piece by piece and agreed on the plan. Pixel by pixel.
From there, your personal coordinator handles the remaining details, such as arranging your hotel, surgery booking, nurse visit after your surgery, post-op appointments and virtual check-ins after you return to your home country. My patients are actually scheduling their rhinoplasty similar to scheduling their vacation with one mandatory and the most crucial meeting in the middle.
And the framing’s not inaccurate. It would take about a week, no matter where you went, to recover at home after a rhinoplasty. And again, this comes down to bias on my end, if I were going to hide out for a week, West Texas sun and Texas cuisine sound as good a place to do it as any.
The Simulation Is the Contract
Here is the part of my process I would defend to any colleague: nobody gets on a plane until the simulation is settled.
My patient and I edit using VECTRA 3D and Crisalix, determining their goals, what they find undesirable, and what is realistic for their particular body type. By the time we agree on a plan, we are entirely in accord and the image will then be utilized over the coming year as our visual guideline through the healing process.
This is even more important in ethnic rhinoplasty, which is 30 to 40 percent of what I do. Some patients prefer a more Western profile; others just want a refined version of their own nose.
The simulation forces that conversation to happen before surgery, where it belongs. And the image bypasses language differences entirely, which matters in a bilingual border practice where my patients move between Spanish and English.
The Year After
Distance is irrelevant; it generally takes one full year for rhinoplasty to heal. The residual swelling will dissipate and the nasal tip will relax as the healing process reaches its final stage, which takes one year to become apparent.
That should be a check on the vetting list. You will have spent more hours on your surgeon than on virtually anyone else over the year; pick someone you are willing to see more than one more time. Do not pick someone whom you barely tolerated in one single visit.
It really is not too hard; I wrote the rough range prices I had down on paper in there: real-deal prices for plastic surgery and what makes them so.
Ready to Talk?
The consultation is virtual. The simulation is virtual. The only thing that has to travel is you, once.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Cross-links
“Rhinoplasty in Texas: Why Patients Cross the State (and the Border) for a Nose” can be found on agulloplasticsurgery.com. Southwest Plastic Surgery also offers an out-of-town program, which will be linked here once it goes live.
- Posted on: August 18th 2026
- Category: Breast, Editorial
No cutting, no cautery, no muscle release. A launch-group surgeon explains the Preservé breast augmentation: 30 minutes, work next day, gym in two weeks.
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- Posted on: August 18th 2026
- Category: Breast, Editorial
Preservation is the most important word in plastic surgery right now. Preservation rhinoplasty keeps the nasal structures intact. The deep plane facelift respects the anatomy instead of fighting it; I have written the facelift version of this argument before. The whole idea is to preserve as many of the structures that are naturally there without dividing them or cutting them.
Breast augmentation just got its preservation moment, and I was in the room when it arrived in this country.
It is called the Motiva Preservé technique, and the name is literal. We’re not cutting any nerves, arteries, or breast tissue. Nothing gets cut. Let me walk you through what that actually means, because it changes almost every number patients care about.
A Pocket Without a Blade
A traditional augmentation and a Preservé share the basics: an implant, and a pocket to hold it. I use Exparel on all my patients either way, injected between the ribs to numb the breast for up to three days.
From there the two operations separate. The Preservé incision sits in the inframammary fold, but it is much smaller, about two and a half centimeters, an inch. The patient can be under light sedation. And there is no cutting involved in creating the pocket, and no electrocautery either. Instead, we create the pocket with a dilator and a balloon, precisely made above the muscle, behind the breast tissue.
Then the implant, a Motiva Ergonomix, the gummy bear type, goes in through a Keller funnel. The whole procedure takes thirty minutes or less.
The Ligaments Do the Work
Here is the part I find most elegant. Because nothing is divided, the natural breast ligaments survive intact, and they now act like a mesh that keeps the implant in the pocket.
Two things follow from that. By using these ligaments, we get a lot more of a lift from the breast with just the implants. And we obtain greater volumes in the end result using smaller implants. The breast is lighter, but we get more out of the implant in terms of size compared to a traditional augmentation. Smaller implant, bigger result, better support. That arithmetic does not exist in the standard operation.
No Muscle Release, and What That Buys You
The implant goes above the muscle, behind the breast gland, so the muscle does not need to be released as in a dual plane augmentation.
Long term, when patients exercise, flex their pectoralis muscles, or do upper body weights, the implant does not animate. There is no motion. It looks a lot more like a natural breast in that respect, and this technique prevents animation deformity altogether. Muscle function is not jeopardized, strength is not affected, and it is very athlete-friendly.
The short-term version is just as striking: patients notice immediately after surgery that they can raise their hands above their head without any discomfort or pain. Back to work the next day. Gym within two weeks. A traditional augmentation runs about a week to return to work and four weeks to exercise.
The Honest Limits
This is not the operation for everyone, and I would rather tell you that here than in a consultation you paid to attend.
The implant ceiling is 325cc. If a patient desires more than a two cup size increase, we need a traditional augmentation over the muscle, or dual plane. And significant breast ptosis is not solved by this procedure alone; those patients need a breast lift at the same time. The patients who seek out Preservé are chasing the natural result and the ultrafast recovery, and those it delivers.
The implant choice is also not negotiable. The Motiva Ergonomix is really the only implant that can work through such a small incision and tunnel; other implants would easily rupture. Its surface has been studied thoroughly and creates the least inflammatory reaction with the body compared to other implants, and the Motiva line carries a capsular contracture rate under 0.5 percent and a rupture rate under 0.5 percent, well ahead of its competitors.
Where I Fit In This Story
I was one of the very early adopters of this technology. I was in the select thirty-surgeon group that launched the procedure in the United States, chosen by Motiva, and trained in Costa Rica with the surgeons who developed and invented this technique.
I have now performed more than fifty Preservé procedures. I haven’t had to do any revisions, although it might be a little too soon to tell, and I say that out loud because honest data matters more than marketing. What I can say without hedging: my patients have been very happy, every one has returned to work the next day, and they have resumed exercise two weeks later.
The full technique details live on my Motiva Preserve technique page, and the implant background on the Motiva breast implants page.
Ready to Talk?
If a natural result and a next-day recovery sound like your version of an augmentation, come talk about Preservé. Call (915) 590-7900, text 1-866-814-0038, or book online. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Companion reads: the clinical candidate guide on agulloplasticsurgery.com, and the practice overview at swplasticsurgery.com.
