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: October 23rd 2026
- Category: Commentary, Face, Surgeon Take
Plastic Surgery Practice says the facelift patient is getting younger, and the GLP-1 is why. I did not need the article; I needed a bigger schedule. Thirty percent of my consults are post-GLP-1, the face is the first place the weight shows, and the deep plane and ponytail lifts have replaced the lower body lift as my most common post-weight-loss operation. What I tell the younger patient, in order.
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- Posted on: October 23rd 2026
- Category: Commentary, Face, Surgeon Take
Plastic Surgery Practice says the facelift patient is getting younger and the GLP-1 is why. I did not need the article. I needed a bigger schedule.
The Numbers
“About 30 percent of my patients involve a patient who has lost weight on GLP-1s. Before the GLP-1 era, my post-bariatric weight loss surgery practice was about 10 percent.”
“The most common procedure after GLP-1 weight loss right now is a deep plane facelift, a deep neck lift, and/or an endoscopic deep plane facelift, also known as the ponytail lift. This is surprising, because in the post-bariatric patients the most common procedure was a lower body lift, which addressed the abdomen, the buttock and the thighs.”
“The face and neck is the first thing. We’re seeing a lot more since Ozempic started. I’m almost doing three or four every week now. You lose the volume, and of course you’ve already stressed out the skin.”
I wrote up the consult share here.
What I Tell Her First
“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.”
Wait. Not forever. Until the scale stops.
What I Tell Her Second
“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.”
“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.”
The filler she got to bridge the wait can make the lift harder. Fat versus filler, the long version.
Which Lift
“The differentiator is how much excess skin there is. If there’s substantial excess skin, then we do a deep plane open facelift with an incision in front of the ear. If there’s not a lot of excess skin, we can get away with doing everything through the incisions behind the hairline. Nevertheless, a full facelift is always going to have the endoscopic portion of the forehead and brows.”
“I think the deep plane lift and the endoscopic deep plane lift are great procedures, which create very natural and long-lasting results, and we’re seeing patients completely avoid the noninvasive procedures and go straight to the surgical procedures early on.”
Early. That is the word the magazine and I agree on. At thirty-eight with good skin and an early jowl, it is usually the ponytail lift, nothing in front of the ear.
| What the younger patient says (typical, not a real patient) | What I hear |
|---|---|
| I look tired since I lost the weight | Volume. Fat first. |
| My jawline is gone | Early laxity. Ponytail lift once the weight is stable. |
| My neck is loose | Real excess skin. Deep plane with neck lift. |
| Can filler hold me over | Small corrections only. Not the bridge. |
Restoration
“More mature patients, and weight loss patients, especially the GLP-1 patients, are looking for a type of restoration. I still feel that the overall majority of patients would like to obtain a better version of themselves, even a better version of themselves before they had their changes through weight loss, aging or pregnancy.”
The surgical version, with the table by skin and weight, is on agulloplasticsurgery.com. The fat-first version is on the Southwest Plastic Surgery post. Earlier: the face after weight loss.
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. Ponytail Academy courses in Pittsburgh and Santa Monica.
Ready to Talk?
Lost the weight, lost the face? Come before the filler. (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: October 23rd 2026
- Category: Commentary, Recovery, Surgeon Take
Fibrosis has two causes. One is the surgeon taking too much. The other is fluid that never got out. The second one is why I send every liposuction patient to the massage table by day three and keep them there for a month. The surgeon’s version of a recovery post: what the massage does, who skips it, and what it costs.
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- Posted on: October 23rd 2026
- Category: Commentary, Recovery, Surgeon Take
Two causes of a lumpy result. One is mine. One is yours.
The Two Causes
“A lot of times, number one, when they do too much lipo. Number two, if any of the fluid gets caught and it doesn’t come out, it creates like a capsule and scar tissue. That’s why I really recommend doing lymphatic massages after the liposuction. Not wearing your faja is another one. It’s a lot of the aftercare. Number one, if you do too much lipo, then you get that really bumpy look. And number two is the aftercare. It really prevents the fibrosis.”
I control the first. The massage table controls the second.
Why I Changed My Protocol
“I notice significant improvement after each lymphatic drainage massage in my patients. I only used compression garments for many years. After starting lymphatic drainage massage in my patients I noticed that the swelling goes down quicker, there’s less modularity or scar tissue, and they feel good after it.”
“It’s important to do the lymphatic drainage massage, because that helps get the swelling down quicker. It also helps with any bumpiness. They can work it out and eliminate that fibrosis. It also makes you feel better, and you get up and moving a lot quicker.”
The Schedule
“For optimal results, I recommend at least two massages per week for four weeks, ideally starting early on days 1-3 post-surgery. This amounts to a minimum of 8 massages within the first month. It’s essential to begin the massages early to prevent fluid accumulation and to promote faster healing.”
“I recommend my patients to start lymphatic drainage massage 1 to 2 weeks after the procedure. I recommend continuing them once a week for four weeks. As a result I see swelling and discomfort significantly reduced compared to those patients that do not get the massages. The patient’s refer almost immediate improvement after their sessions.”
Two answers, six years apart. The protocol got earlier and more frequent, because the results did.
“You might want to stay two nights, because on the second day we want to try to get that first lymphatic massage, and that’s when we put on the garments.”
What Happens When It Is Skipped
Eleven years after a BBL done elsewhere:
“Eleven years out, what you’re feeling is almost certainly old fibrosis where the seroma sat, plus nerve regeneration through that dense scar.”
Fluid that sat became scar that stayed. A decade later it is still there. I wrote about seromas in tummy tuck, off the record.
| Skipped | Done |
|---|---|
| Fluid pools, then encapsulates | Fluid moves out through the lymphatics |
| Swelling lingers for months | Swelling drops week by week |
| Fibrosis sets, lumps stay | Fibrosis gets worked out while it is still soft |
| Patient stays on the couch | Patient is up and moving sooner |
Cost
“$150 a session, heavily discounted for surgical patients, and packages are available at a discounted price.”
Call the office for package pricing. The schedule by procedure and the out-of-town plan are on agulloplasticsurgery.com; the in-house program is on the Southwest Plastic Surgery post.
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.
Ready to Talk?
I will do my half. Let me show you yours. (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.
