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: November 5th 2026
- Category: Breast, Commentary, Face
On The Cut’s new cover Jennifer Lawrence, 36, says she had the breast surgery she talked about last year, skips filler because it shows on camera, keeps her Botox light so her forehead still works, and wants to be a sexy mom. She named no surgeon and I have not examined her. What I can tell you is what two pregnancies do to a breast, the one measurement that decides lift versus implant, what a lens does to filler, and why the surgeons guessing her bill from photos are playing a parlor game.
BLOG
- Posted on: November 5th 2026
- Category: Breast, Commentary, Face
Jennifer Lawrence, 36, two sons, on the cover of The Cut this week. A year after telling The New Yorker she had breast surgery booked, she says she did it (People calls it a lift; other outlets say augmentation; she named no surgeon). She skips filler because it shows on camera. She keeps the Botox light because an actress needs her forehead. A facelift is “someday.” And the line everyone quoted: “I want to be a sexy mom.”
I have not examined her. I will not diagnose her from a magazine cover, and I will not name anyone’s surgeon. But I have every one of those conversations in my exam room, most weeks. Here is my side of them.
What Two Pregnancies Do to a Breast
“It really depends on what happens during pregnancy. If there are big changes in weight, the breasts also get much larger and the skin and tissues get stretched.”
“Once pregnancy and breastfeeding are done, the breast shrinks back in size and the skin somewhat retracts, but not always to the same extent as pre-pregnancy. That is where bottoming out, ptosis or sagginess, and rippling can happen.”
Deflation. The volume leaves, the skin stays. Patients say “nothing bounced back.” Good phrase.
The One Measurement That Decides Lift or Implant
People are going to argue online about what kind of breast surgery she had. A lift? An augmentation? In my office there is no argument about that. We measure.
“The level of droopiness determines whether the patient will require a lift or not. If the nipple areola complex is below the inframammary fold, then a full lift, anchor type incision, will be necessary. If the nipple areola complex is at or slightly above the inframammary fold, I will often recommend a circumareolar lift or donut lift. The ideal sternal notch to nipple areola distance is anywhere from 19 to 22 centimeters. Any number greater than that should consider some type of lift.”
“If the lift is not performed during the augmentation and there is considerable sagging, then the implants will appear to be higher up, even though they are in the right place, and the nipple areola and breast tissue will hang over it.”
Where the nipple sits against the fold. Then what size you want to be. That is the whole decision.
“Once we’ve identified that a lift is necessary, we ask the patient whether they want to stay the same size or slightly smaller, or if they want to be larger. Of course, if they want to be larger, we will need an implant or a fat transfer to the breast.”
What a Lift Looks Like, Honestly
Every lift patient brings wish photos of twenty-five-year-olds with implants and no lift. What I told one of them:
“When we do a lift and use implants, the result ends up being a little more of a natural look. You will have fullness, of course, but we are always going to get a little bit of a slope. That is the limitation of doing a lift, so you are always going to have a little slope even if I go to the biggest implant.”
“A breast lift will always give a perkier look, more upper fullness, and cleavage, but it’s going to have usually a natural slope on top.”
For a mother who wants to look put together at drop-off, not like a reveal, the slope is the point.
What a Camera Sees, and What Filler Does to It
She skips filler because it shows on camera. My version:
“I think we have seen that facial fillers have been quite overdone, and patients are really getting away from looking overfilled and want to look more natural. We have seen that these hyaluronic acid fillers may not dissolve completely, and they do tend to migrate. It seems like they create some kind of inflammatory response in some patients, creating nodules or inflammation. And of course, the feel of a filler is not quite like natural fat, which is squishy and soft, something whose borders you wouldn’t be able to identify the way you can with a filler.”
A lens finds borders. Side light finds a cheek rounder than the bone under it. That is “shows on camera.”
“When patients use fillers, they see that they have to have this redone anywhere from every six months to one year. And what we’re also seeing is that not all of that filler goes away, but it’s migrating and flattening out, so it’s not giving us the volume exactly where we want it.”
“In my practice, I’ve seen more than a twenty to thirty percent decrease in the use of fillers, and a shift toward biostimulators and donor fat grafts instead.”
Long version in my Megan Fox read. Short version: fat is like with like. Filler is a bridge.
Light Botox Is a Technique Choice
She keeps the dose light so the forehead still moves. So do I.
“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.”
“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.”
Botox does not freeze a forehead. Too much Botox, in the wrong spot, does.
“Unrecognizable” in a Cover Shoot Proves Nothing
Then the cover ran and the comments called her unrecognizable (The Daily Beast covered the pile-on). A cover shoot is lighting, a stylist, a makeup artist, a retoucher and the angle the photographer picked. Surgery moves tissue. A cover moves light.
What I check when I read photos, from a dictation about another actress:
“If you compare the two time frames and look at the brows, they sit in the same position. They have not been lifted. The excess upper eyelid skin remains. The volume of the cheeks is still in the same place, and the jawline is still sharp.”
And the thing that moves a face more than any of us admit, same dictation: “as surgeons we know that 10 or 15 pounds makes a huge difference in the face, whether you gain it or lose it.”
“A facelift will change the position of the tissues, and what we’re seeing on her is a change in the volume or amount of tissue.”
That was about someone else. The method is the same for anyone. Position or volume. Cheek or brow. Structure or light. One cover shot answers none of it.
Kris Jenner, the Friend Who Has Been Through It
Star (via Yahoo) says Kris Jenner has been advising her on surgeons. The article names Jenner’s surgeon. I am not going to. A friend’s referral, even from a friend who had a facelift, gets you a name. The rest is your homework: a consult, a plan, patience.
I wrote about Kris Jenner at 18 months because month 18 is the honest before-and-after. Month three is the honeymoon. Judge a friend’s result on the 18-month clock, not the premiere photos.
The $30,000 Guess Is a Parlor Game
Page Six (via Yahoo) had surgeons pricing her face from photos at “$30K of procedures.” I do not know what she has had done. Neither do they.
Lighting changes a face. Retouching changes a face. Ten pounds changes a face. Five years changes a face, and she has been in front of cameras her whole adult life. In my office I measure the brow, the cheek, the nipple-to-fold distance. I do not measure a JPEG. Guessing in public with a dollar sign on it is a parlor game, not medicine.
The Facelift “Someday”
She says a facelift is someday. Good answer at 36. The best facelift is the one nobody can see, and there is nothing to lift yet.
Why Choose Dr. Agullo
Double board-certified, by the American Board of Plastic Surgery and the American Board of Surgery. Mayo Clinic plastic surgery fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly Top Doctor for 13 consecutive years. Breast lifts and lift-with-implant cases are among the most common operations in his practice.
Ready to Talk?
Bring the wish photos and I will tell you which of them your breast can become. (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: November 5th 2026
- Category: Commentary, Male Enhancements
The most private consult in my practice happens over the phone, with a nurse, before I ever meet the patient. Three of those calls, transcribed, with every patient detail removed.
BLOG
- Posted on: November 5th 2026
- Category: Commentary, Male Enhancements
“Hi, this is [my nurse] from the office of Dr. Agullo from Southwest Plastic Surgery. I was calling regarding your consultation for the penile enlargement. Do you have time right now?”
Nobody asks me about this in the waiting room. They ask on the phone, usually from a parked car, after sending photos to a private text line, and the person who calls them back is one of my registered nurses. She has stood next to me for these procedures for years and she places the local anesthetic before I inject.
I had three of those calls transcribed and scrubbed of every patient detail. The full version, with the fee table and my clinical notes, is on my practice site: the penile enhancement phone consult, in my nurse’s words. What interests me here is the conversation itself: what men ask when they think nobody is listening, and what a good nurse says back.
They Ask for Length. She Hears Girth.
“What is it that you’re trying to achieve?”
“So for this procedure, it’s more to add girth. Because we’re adding volume, sometimes it elongates it a little bit, but it’s more for girth.”
“So we have two procedures that we can help you with what you’re trying to achieve. We have the penile enlargement that is done with hyaluronic acid.”
She does not argue with the wish. Men come to me for four different reasons, girth, length, erection, and drive, and I sorted them in an earlier post. Filler answers the first one, with a small bonus at rest.
The Question Every Man Is Thinking
“Wouldn’t it be better if it was erect?”
“No, because when it’s erect, any penis, when it’s erect, it’s not symmetric. It can erect from one side more than the other. So if he injected erect, it can be very asymmetric.”
“So if he injects it like that, and the penis is not like that when it’s normal, it can make it look like that when it’s relaxed.”
I could not have said it better.
How She Talks About the Product
“The hyaluronic acid, it’s a biocompatible substance that is naturally found in the body. So it’s safely injected beneath the penile skin. He uses a cannula, where the cannula, it’s round. So when he’s injecting the filler, he doesn’t cut any blood vessels or anything like that.”
“It is injected in the shaft of the penis and in the crown. If it’s not injected in the crown, the penis can look different.”
“If you kind of take care of the filler, like you don’t wait the whole time, you kind of do it every 9 months. You don’t have to do as many as you do the first time, depending on the results that you want.”
“If you don’t like it, we have medicine to revert it.”
The product is hyaluronic acid filler, Voluma, Volux, Defyne, or a mix, my pick. It lasts up to two years here, and the “crown” is the corona, the ridge under the head.
She Will Not Sell You Two Syringes
A caller wanted to spend about two thousand dollars. She put him on hold, checked, and came back with the truth.
“Two syringes, you will not notice a difference. It is doable, but it’ll be like a very minimal change.”
“Of course, the more that you get, the better results that you have. I would recommend for you to start kind of like in the medium, so you can notice a very good difference.”
“The small, which is only 5 cc of Voluma, it costs you $3,500. The medium, it’s 10 Volumas, which is $6,750. We have the large, which is 15, which is $9,750.”
Ten syringes is the average for a visible result. That was the quote on that call. I changed the fees on October 21, 2026, so her numbers are old now. As of this writing every man hears two prices at every size. HA filler, or Lipoderma. Lipoderma is processed donor fat, long-lasting with the potential to be permanent, no PLLA foreign body response, and it runs $1,100 per cc:
| Size | Volume | HA filler | Lipoderma |
|---|---|---|---|
| Small | 5 cc | $4,500 | $5,500 |
| Medium | 10 cc | $8,500 | $11,000 |
| Large | 15 cc | $12,000 | $16,500 |
| Extra Large | 20 cc | $15,500 | $22,000 |
Every fee is on my practice site, and the phone quote matches it.
Where I Tighten the Phone Version
On the calls, filler is for girth and Botox in the penis, which patients call Bocox, is “for length.” Close, but here is the medicine. Bocox goes into the corpora cavernosa, the two erectile bodies in the shaft. It relaxes the smooth muscle there and lets more blood in. The first thing men notice is a harder erection. The second is about a centimeter more length at rest, because relaxed tissue hangs fuller. It lasts three to four months. So it is an erection-quality treatment with a resting-length bonus, and many of my patients stack it with filler because the two do different jobs. I went into the full combination after Playboy asked me about it.
“Does It Hurt?” Asked Twice Per Call
“The only thing that you feel is when we do the local anesthetic, when we do the penile block. After the penile block, you don’t feel anything.”
“We do a lot of them a week, and the patients are very, very comfortable. They don’t feel the procedure at all.”
To a nervous caller, in Spanish: “It is a very, very safe procedure. It is done by Dr. Agullo, who is a double board-certified plastic surgeon. We do between two and three a week and we have not had major complications. Sometimes it is riskier to put you under anesthesia than the procedure itself.”
“You can drive yourself. If you want to bring somebody with you, they can go ahead and do so. The whole thing is approximately between 45 minutes to 1 hour.”
What She Tells Them About Afterward
“The results are immediate. They’re immediate. You just have to have some postoperative care: you’re going to have to avoid sexual activity for 1 to 2 weeks after the procedure. You also have to avoid strenuous exercises at least for 48 hours. You do have to massage after, because at the beginning the penis does get swollen, and you have to massage it.”
“The anesthesia probably wears off in 4 hours. Then you can use Tylenol, not ibuprofen, because we do need the swelling process to take effect.”
“At the beginning, there might be some asymmetries, but we monitor you for everything.”
The Photos Problem
“If you log in into his actual website, because all the other social media platforms, Instagram, Snapchat, Facebook, they will close his accounts if he shows before and afters. But if you go into his actual website and you go to the menu, he has a photo gallery. He has photos of doing 10, 15, 20 syringes so you can see the difference.”
“For the Bocox, no, because we don’t take pictures when the penis is erected.”
She is right about the platforms, and it is why so much of what men find online about this is a forum or a scam. The gallery is on my sites under male procedures.
Why I Let Her Take the Call
“I’m usually the one that goes in with Dr. Agullo to the procedure, and the results are very, very good. We have a lot of patients from out of town, and they are very, very happy with the results.”
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and I teach plastic surgery at Texas Tech University Health Sciences Center. I do every one of these injections myself. The first conversation is still better coming from her. A man who will not say the word out loud to a surgeon will say it to a nurse in the car, and by the time he reaches me the only thing left to decide is whether he wants it. #StayBeautiful
Ready to Talk?
Call my office at (915) 590-7900, text the consult line at 1-866-814-0038, or book a consultation at agulloplasticsurgery.com. Photos can be sent privately through the text line before your call.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
