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 5th 2026
- Category: Plastic Surgery News, Rhinoplasty
Rhinoplasty is one of the most expensive procedures I perform, and one of the most misunderstood prices. Here’s what the number actually includes, and why the cheapest quote is usually the most expensive one.
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- Posted on: August 5th 2026
- Category: Plastic Surgery News, Rhinoplasty
Rhinoplasty has a reputation as one of the more expensive procedures I perform, starting at $15,000 in my practice, and revision starts at $18,000. I’ll give you the honest version of what that number includes, why it varies so much from surgeon to surgeon, and why I think searching for the cheapest rhinoplasty surgeon is the wrong way to go about it.
What the Price Actually Includes
The published price on my web page, on the fees page, includes everything you need to undergo a rhinoplasty. This is the surgeon’s fee, the anesthesia fee, and the operating room fee. It includes the vitamins you’ll take preoperatively and after surgery, as well as supplements like Arnica and Bromelain for bruising and swelling. I give you ice packs and everything you need to recover, as well as your follow-up appointments. The only thing you’ll be responsible for is picking up your prescription medications at the pharmacy.
Why the Price Varies So Much From Surgeon to Surgeon
There are several things that increase the cost of a rhinoplasty with certain surgeons. Location affects the price, due to overhead and the fees related to anesthesia and the operating room, which are more expensive in certain cities. When you seek a board-certified plastic surgeon, they often charge more than a non-board-certified physician, because of their experience and additional training. Other factors include how much demand a surgeon has for rhinoplasties, the expertise and consistent before-and-after results, and patient testimonials and satisfaction.
Sometimes you’ll see too-good-to-be-true prices, and they usually are. When this happens, surgeons usually cut down on surgical time, or rush through the procedure to decrease the cost of anesthesia and the operating room. Also, surgeons who aren’t as experienced, or want to get more experience with rhinoplasty, may charge less to attract new patients.
What Actually Changes the Cost
| Factor | How it moves the price |
|---|---|
| Primary rhinoplasty, standard | Baseline, $15,000+ |
| Open technique with significant tip work | Longer procedure, more controlled contours, cost rises with time |
| Weir incision (ala width reduction) | Adds time, increases cost somewhat |
| Revision rhinoplasty | $18,000+, grafts often needed from other parts of the body or a donor graft, much longer surgery |
| Rhinoplasty plus chin implant | $18,000+ |
Most primary rhinoplasties are standard. If there’s significant tip work, I usually recommend an open rhinoplasty for the best results, and more controlled, longer-lasting contours. But cost is really determined by how long the procedure takes and the number of maneuvers and techniques needed, including grafting. Most rhinoplasties are done in two to two and a half hours. When a patient also wants to reduce the width of the ala, a Weir incision, the time runs a little longer, and that increases the cost somewhat. What increases the cost the most is revision rhinoplasty, where grafts need to be taken from other parts of the body, or using a donor graft. These surgeries run much longer, and multiple revisions make them exponentially longer.
Insurance, Deviated Septum, and the Cosmetic Portion
I have a holistic approach to rhinoplasty. I don’t take insurance myself, but I still take care of the problem. If I encounter a deviated septum, or diagnose it before surgery, I take care of that at the same time as the rhinoplasty itself, which is usually cosmetic in nature. If a septoplasty or turbinate resection is necessary and a patient wants to run that portion through insurance, the insurance will require the procedure be done at a Medicare-certified surgery center or hospital. Some surgeons do it this way, but the patient still gets charged for the cosmetic portion in terms of OR time and anesthesia, and that ends up much higher than if the entire procedure is performed at the surgeon’s own cosmetic surgery center.
Why I Think It’s Worth the Investment
Rhinoplasty is a very technically demanding procedure, and it requires vast experience and great communication with the patient, to find out what the patient is truly looking for. I find 3D imaging systems help communicate better, so patients can visualize the changes that are technically feasible, and that makes certain the surgeon and the patient are on the same page. A rhinoplasty also isn’t something that can be easily hidden after surgery. It’s in the middle of your face. Everybody else is going to be looking at it, and you’re going to be looking at it in the mirror every day. It’s important to get it right, and it’s really important to get it right the first time, because that’s the best chance at the best result.
I do a lot of revision surgeries, and I can say a revision will never get it as good as the first time around. Revisions are far more expensive than an initial rhinoplasty. That’s why I think cost-cutting, or searching for the cheapest rhinoplasty surgeon, isn’t the right way to go about it.
Smart Questions Beyond “How Much”
The most important things to look at are the surgeon’s reviews, the number of reviews, their before-and-after photos, the number of before-and-after photos, the consistency in results, and whether the surgeon is using an accredited facility. Make sure you’ll have proper follow-up and access to the clinic twenty-four hours a day after surgery. Make sure your surgeon is board-certified. And make sure you have good rapport with the surgeon during the consultation, since you’ll be seeing them for a while, rhinoplasties take about a year for their final outcome.
Financing
Making a rhinoplasty affordable is something I take seriously, so my practice offers several financing options, including PatientFi, AlphaEon, Cherry, and CareCredit. Beyond those, I also offer direct financing through the practice itself, where a patient can make payments toward their surgery ahead of time, scheduling the procedure around a timeline that works for them. Patients are always welcome to use a credit card, pay in cash, or finance through their own bank.
What About Non-Surgical Filler Rhinoplasty?
Non-surgical rhinoplasty, the liquid filler option, costs significantly less than surgery, usually around fifteen hundred dollars, and it’s done without anesthesia or an operating room. It’s a temporary fix, and what you’re really doing is creating an optical illusion by adding volume to the nose, so you’re making it bigger. If your goal is to make your nose smaller, this isn’t the right treatment. But if you have a small hump, it can be hidden by adding filler above the hump, below the hump, and to the tip.
Filler doesn’t really go away, it migrates. I see a tendency in some patients where the bridge of the nose, or even the tip, starts getting wider over time as the filler dissipates. If you’re seriously considering a rhinoplasty down the road, you’ll likely need the filler dissolved first with Hylenex, a hyaluronidase that dissolves fillers. You shouldn’t have any other materials injected into the nose, since they’re not dissolvable and can interfere with future treatments.
Hidden Costs and My Revision Policy
The idea behind a primary rhinoplasty is to get it all done correctly the first time. There’s a chance that after surgery there are things a surgeon can’t control, like how an individual scars, how fast swelling resolves, and whether the cartilage’s memory wants to return to its previous shape or deviation. So sometimes revisions are necessary. I always give it at least a year before jumping to any revision, to allow all the swelling to go down. If a revision is requested and I believe the result can be improved, I won’t charge any surgeon’s fees. The patient is only responsible for the operating room and anesthesia.
About Dr. Frank Agullo
Frank Agullo, MD, FACS, is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery and a Fellow of the American College of Surgeons. He completed his plastic surgery fellowship at Mayo Clinic and serves as a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. He has been named a Castle Connolly Top Doctor for thirteen consecutive years.
Ready to Talk?
Bring the real questions, not just the number. I’ll walk you through exactly what goes into your quote.
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
- Patient-facing version on agulloplasticsurgery.com: “What Rhinoplasty Actually Costs in El Paso” (link once live)
- Practice version on swplasticsurgery.com: “Southwest Plastic Surgery on Rhinoplasty Pricing” (link once live)
- Posted on: August 4th 2026
- Category: Breast Augmentation, Commentary
The number quoted online is never wrong exactly. It’s just never the whole answer. Here’s what actually goes into a breast augmentation price, and why I publish mine anyway.
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- Posted on: August 4th 2026
- Category: Breast Augmentation, Commentary
Breast augmentation is the most searched procedure I perform, and the price is the first thing anyone looks for. Fair enough. I publish mine. Starting at $7,000 for saline, $8,000 for silicone, $8,500 to $9,000 for a gummy bear implant. What I won’t do is pretend that starting number is the only number, because it isn’t, and any surgeon who tells you otherwise before an exam is guessing.
Here’s what I’d want to know if I were the one asking.
What the Starting Price Actually Includes
Our published price is real, and it’s genuinely inclusive. It covers the surgery center, the operating room, anesthesia, and an anesthesiologist. It covers my fee. It covers a pair of implants. It covers the post-surgical bra, scar treatments, moisturizer, and vitamins. It covers your pre-op workup and every post-op visit. The only thing it doesn’t cover is your prescription medications, which you pick up at the pharmacy like anyone else.
That’s a longer list than most patients expect, and it’s exactly why I publish it. Better-educated patients walk into a consultation already knowing what they’re buying instead of getting surprised by it afterward.
Why the Number Moves From One Surgeon to the Next
Location changes the number. Overhead is higher in some markets than others, for the surgeon and for the surgery center both. What the anesthesia team charges changes it. What a surgeon can negotiate on implants, antibiotics, and supplies changes it. Experience changes it too. Surgeons in high demand are usually the ones who deliver consistent results safely, and that reputation carries a cost.
When a price looks too good to be true, it usually is. Somewhere, a corner is getting cut. I use a Keller funnel for a no-touch technique when I insert implants, which drives up cost but lowers infection risk. I use Exparel to create a chest block, injecting long-lasting anesthesia between the ribs, which keeps patients more comfortable after surgery. I schedule enough OR time to work at a paced, careful speed instead of rushing to save on anesthesia minutes. Patients get direct access to our nursing staff twenty-four hours a day. Every case happens in an accredited surgical center built for real emergencies, not just routine ones. None of that is free, and none of it should be.
Saline, Silicone, or Gummy Bear: The Implant Sets the Floor
| Implant type | Where it lands | Why |
|---|---|---|
| Saline | Least expensive | Simplest implant, adjustable fill volume |
| Silicone | Mid-range | More natural feel, higher material cost |
| Gummy bear | Highest of the standard options | Cohesive gel, lowest rupture profile |
| Mentor enhanced oversized (800cc+) | Highest overall | Premium sizing tier, priced accordingly |
I recommend the gummy bear category, and Motiva specifically, more than any other option. Motiva carries the lowest capsular contracture rate and the lowest rupture rate of any implant I place, with one of the strongest warranties in the industry, one that can even cover surgical costs if a complication like contracture or rupture happens down the road, or if a patient simply changes her mind.
What Actually Pushes a Quote Higher
A revision that needs more OR time and a more involved technique costs more than a straightforward first surgery. A donut lift or a full lift added to the augmentation costs more. Mesh support, GalaFLEX or DuraSorb functioning as an internal bra, adds cost. A premium implant, especially the Mentor enhanced oversized line, costs more than a standard Motiva or Mentor silicone implant. A longer anticipated surgery time costs more. A transaxillary approach, through the armpit, takes longer than an inframammary or periareolar incision and prices accordingly.
Past that list, there really isn’t a hidden fee. We offer package discounts when a patient combines procedures, but nothing is required. If a case runs long or hits a complication, the patient still pays what was quoted. That’s the deal.
What I Tell a Patient Who Feels Priced Out
Think long-term. You’re paying for reduced complications, a better result, and a surgeon who’s board-certified specifically in plastic surgery rather than someone practicing outside their training. Cheaper packages skip the parts that actually protect you: the better warranty, the internal mesh bra, Exparel, triple antibiotic irrigation, a no-touch technique. Financing exists for a reason. We work with PatientFi, AlphaEon, Cherry, and CareCredit, plus a direct payment plan through the practice itself, paid at your own pace before surgery.
Eighty percent of our patients travel from other cities to have this done here. Not because it’s cheaper. It usually isn’t. They come for the reviews, the before-and-afters we post almost daily, and the fact that so many of our patients come back for something else once they’ve experienced the practice firsthand.
Consultation, 3D Imaging, and Insurance
There’s a separate consultation fee to see me, in person or virtually, and it’s applied toward your procedure if you move forward. That consultation includes 3D imaging with Crisalix, where you can see different implant sizes and brands on your own body before committing to anything, plus time with real sizers in the room. It also lets us catch volume asymmetry between breasts early, and flag whether a lift should happen at the same time.
I no longer take insurance, since I perform these as cosmetic procedures. Reconstruction after breast cancer or for congenital asymmetry is a different category, and I’ll refer you to a colleague who handles that. Some patients with a medical reason still choose to see me on a cash-pay basis, for the results and the experience, and that’s their call to make.
Why This Sits in a Surgical Practice, Not a Price Chart
I did my plastic surgery fellowship at Mayo Clinic and I’m a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. Castle Connolly has named me a Top Doctor for thirteen straight years. Breast augmentation, including the preservation technique with Motiva Preserve, is one of the procedures I do most. That’s the reason I’d rather explain a real number honestly than quote a flat one I can’t stand behind.
Ready to Talk?
Skip the forum number. Come in, and I’ll tell you what actually goes into your quote, implant by implant.
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
- Patient-facing version on agulloplasticsurgery.com: “What Breast Augmentation Actually Costs in El Paso (And Why the Number Moves)” (link once live)
- Practice version on swplasticsurgery.com: “What Breast Augmentation Costs at Southwest Plastic Surgery” (link once live)
