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: July 22nd 2026
- Category: Commentary, Face
A plastic surgeon reads the Devil Wears Prada cast’s twenty-year glow-up: deep plane facelifts, brow lifts, chin implants, and the case for restraint.
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- Posted on: July 22nd 2026
- Category: Commentary, Face
Twenty years is a long stretch of photo-snapping. Two decades after the original red carpet, the cast regrouped for The Devil Wears Prada 2, and the press photos popped up complete with comments and questions as to how they all still look like this.
The Daily Mail asked me for an answer. Their health features editor, Cassidy Morrison, took my opinion alongside that of two colleagues, and the piece ran in May. Here, a longer and more candid review. Not just who had what done, but what is interesting, at least to me, about how four famous faces aged.
A Photo Read Is an Exercise, Not a Diagnosis
Before that, we agree to a few rules. Anne Hathaway, Meryl Streep, Emily Blunt, Stanley Tucci: none of these actors have ever been my patients, and I have never examined any of them. When I look at photos of faces, I do so as a learning exercise in pattern recognition, an assessment of which anatomical changes would create what is seen, just as I do looking across my consult desk every day at real-life people. Nothing here is a diagnosis.
The exercise still teaches. Walk through the precise elements that change with aging and a reader starts to see structure and logic, not magic. With that said, the following are observations, not verdicts.
Anne Hathaway: The Brow Tells the Story
The brow is the best guide to Andy Sachs, who is now in her 40s. Unlike in 2006, her brow sits higher and more open, particularly the lateral tail, the outer one-third of the eyebrow, which generally starts to fall with age. Hers rises instead. Rising outer eyebrows suggest an endoscopic brow lift or a ponytail lift, both done through small incisions hidden in the hairline.
Her chin has changed too. Back in 2006 it projected less strongly than now, and a good portion of the jawline has firmed up relative to the younger face. The combination suggests a chin implant, perhaps aided by removal of the buccal fat pads to sculpt the area of the mid cheek where fullness gathers.
With moderate Botox, some modest hyaluronic acid filler used strategically, and laser treatment to enhance skin texture, Hathaway got a satisfying result. Even with all of that, she looks natural. And to those who look closely enough, she clearly had work. The two statements do not contradict each other, which is exactly my point.
Meryl Streep: The Facelift That Settled
Streep, in her 70s, tells her story with the lower portion of her face. The jaw is relaxed and not pulled, and the lower face is cleaner than her age would predict, yet the banding visible in the neck region is still there, and she still moves her face in classic Meryl Streep expressions.
I have never known for certain what Streep has had done, and I want to be plain about that. But the indications point toward a deep plane facelift roughly five to seven years ago, now fully settled, followed up with subtle Botox and frequent dermatologist visits. The neck bands are the piece that tells the tale most convincingly. A surgeon chasing perfection would hunt out every band in the neck. Somebody had restraint and left them in. That is why the true movement in her face survives, and why you can still see her on a fifty-foot screen and say, that is Meryl Streep.
It is the point I bring up in consultations weekly: holding back on procedures is how a face stays expressive.
The Four Reads, Side by Side
| Cast member | What the photos suggest | The lesson |
|---|---|---|
| Anne Hathaway | Brow lift, likely chin implant with possible buccal fat removal, Botox, filler, laser | Structural work can read as natural when it is proportionate |
| Meryl Streep | Deep plane facelift five to seven years ago, subtle maintenance | A settled lift moves; restraint preserves expression |
| Emily Blunt | Tweakments, modest filler, possibly an endoscopic brow lift | Small and early beats big and late |
| Stanley Tucci | No surgical or injectable signs | Intentional natural aging is a valid plan |
Where Old Facelifts Pulled, the New Ones Settle
For decades, a facelift meant nothing but lifting skin. Pull the surface tight, create the illusion of youth. But skin moves with age and gravity, so those old lifts loosened quickly, and all that pulling created the wind-tunnel look we sometimes still laugh at. The deep structure, the muscle and fascia below the skin, remained unaffected.
A deep plane facelift works in the opposite order. The ligaments that anchor the deeper facial tissues are released under the SMAS (the superficial musculoaponeurotic system, the structural layer of the face), and the whole unit is repositioned upward from within. The skin is then redraped with no tension at all. Nothing stretches, so nothing looks stretched, and the lift lasts because the foundation moved rather than the surface.
Lifting from deep down, not superficially, is what produces the relaxed, natural results circulating in these celebrity comparisons. The best ones are imperceptible.
A Plea for Subtlety, as Embodied by Blunt and Tucci
Emily Blunt looks well maintained into her 40s with tweakments, a reasonable amount of filler, and potentially the smallest of brow elevations from a possible endoscopic lift. She is the most unaltered of the three women. Impeccable skin care, sunscreen, and genetics contribute, and nothing has transformed her face into someone else’s.
Stanley Tucci is my favorite read in the article: no facelift, no eyelid surgery, no injectables visible. He perfectly embodies an intentionally, naturally aging face, with sunscreen and consistency quietly doing the work.
Despite coming from opposite directions, they prove one thing. An ageless look is never the product of one dramatic event. It requires moderation, restraint, and the decade-after-decade habits nobody posts about. Those are the faces of aging gracefully.
Where I Learned to Read a Face
My ability to read faces was developed at the Mayo Clinic during my plastic surgery fellowship, as a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center teaching residents, and by performing deep plane and endoscopic deep plane facelifts week in and week out at my El Paso practice. I took the Ponytail Academy’s intermediate course in Pittsburgh and the advanced course in Santa Monica, directly from the surgeons who built the technique. Castle Connolly has named me a Top Doctor thirteen consecutive years.
Operate on every layer of the face weekly and a photograph becomes a map. Brow position, the shadow line under the jaw, light on the cheekbone: each point traces to what was or was not done in the planes below.
Ready to Talk?
If the Devil Wears Prada cast made you look twice at your own twenty-year comparison, bring it to a consultation. I will give you the same honest read I gave the Daily Mail, including the option of doing less. Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. Follow along at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful
Companion reads: my clinical breakdown of the brow lift and chin implant reads is on Agullo Plastic Surgery, and the maintenance side of ageless faces is on Southwest Plastic Surgery.
- Posted on: July 21st 2026
- Category: Commentary, Injectables
A plastic surgeon on masseter Botox, how it narrows and softens a wide jaw, why it lasts longer than forehead Botox, and pairing it with the chin.
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- Posted on: July 21st 2026
- Category: Commentary, Injectables
Ask most people where Botox goes and they point at the forehead. Frown lines, crow’s feet, the eleven between the brows. Fine.
My favorite spot is lower, and it has nothing to do with wrinkles. The masseter, the chewing muscle anchored at the angle of the jaw. When that muscle is strong, it widens and squares the lower face. Relax it and the jaw narrows, softens, reads more feminine. No incision. No downtime. Nothing for anyone to notice but the result.
For the right person, it is a small treatment that quietly reshapes the whole face.
What Masseter Botox Actually Does
It relaxes the big chewing muscle along the back of your jaw. Overdevelop that muscle, usually from clenching or grinding, and it bulks the lower face out wide and square.
Soften it, and over the following weeks the jaw draws in, so the face reads more oval and more feminine. You get that tapered lower third, and nobody can tell you had a thing done. That is the part I love. A surgeon-level result delivered through a needle.
Why It Lasts Longer Than Forehead Botox
The masseter behaves differently from regular Botox, and that surprises people.
Treat the forehead or the eyes and you get about three to four months. The masseter holds far longer, usually around six, because of how that muscle responds to being relaxed. So you are not chasing it as often. We treat it, you enjoy it for half a year, then we touch it up.
| Area | Typical Duration |
|---|---|
| Forehead, glabella, crow’s feet | About three to four months |
| Masseter (jaw) | Around six months |
How I Decide the Dose
It rides on the strength of your muscle. First time, if the masseter is strong, I may treat it more fully, an even split across both sides. Once a prior round has already softened it, we back off, because now we are maintaining rather than starting cold.
What I am after is a balanced, even result so the jaw narrows symmetrically. I would rather build the effect gradually than overdo it in one sitting. You can always add more. Subtracting is the hard part.
Can It Feminize the Face?
Yes, and this is one of the things I love most about it. Narrowing the jaw does a lot of the work in softening a masculine or very square lower face. Bring the angle of the jaw in and the face turns more heart-shaped, more feminine, and it does it in a way that reads natural rather than surgical. People notice you look better. They do not notice why.
Where the Chin Comes In
The chin works in concert with the jaw. Sometimes, once we have narrowed the sides, a little projection in the middle of the chin finishes the look, keeping it pointed and feminine instead of wide. That can start as a small amount of filler.
For something permanent, I reach for a button-style chin implant. A button projects the chin straight forward rather than widening it, so the chin reads narrower and you get that clean shadow underneath the jawline everyone is after. Filler previews the look first. If you want it to last, the implant is the better long-term tool. The two pair naturally with masseter Botox. Relax the jaw to draw the sides in, add projection out front, and the whole lower face settles into balance. I think about the lower face the same way I think about a facelift, as one connected unit rather than a set of separate parts.
The Credential Behind the Approach
I am double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, a Mayo Clinic plastic surgery fellowship alum, and a Castle Connolly Top Doctor for thirteen consecutive years. I treat the lower face as one connected unit, the masseter, the jawline, and the chin together. A few units of Botox in the right muscle, sometimes paired with a little chin work, can reshape a face more than people expect. Done well, it looks like you, just more refined. The in-office injectable side of all this lives at our Med Spa.
Ready to Talk?
If your jaw has always looked wider or squarer than you would like, masseter Botox may be the simplest fix, no surgery required.
For the patient-facing version, see the companion post on agulloplasticsurgery.com. For the El Paso treatment menu, see the version on swplasticsurgery.com.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
