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 29th 2026
- Category: Commentary, Face, Injectables
The filler era is ending in my practice and I have said so for a year. This month I put the replacement on the menu: Lipoderma, donor fat in a vial, injected in the exam room. Here is why it sits above HA filler, what it gives up next to your own fat, and the one patient I see most who should book it.
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- Posted on: October 29th 2026
- Category: Commentary, Face, Injectables
I said fat was overtaking the filler era. Now it is on my menu. Lipoderma, donor fat, above HA filler at the MedSpa.
Why fat beats gel
“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.”
“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.”
What donor fat is
“We can also use Lipoderma, which is a donor fat graft. This comes already prepared in a vial, so it can be injected in the office in one of the exam rooms, and it gives a lot of the same benefits as using your own graft. These benefits are that the results are soft, very long-lasting, and very natural.”
No harvest. No operating room. Long-lasting, potential to be permanent, no PLLA foreign body response.
What it gives up
“For some patients that don’t want as much downtime, we’ve been using Lipoderma, which is a donor fat graft that gives us very similar results to the patient’s own fat grafting.”
Very similar. Not identical. Your own fat is free by the cc, placed while you sleep. Donor fat is bought by the cc, placed awake. That is the trade.
Who should book it
“The first thing patients notice is the deflation on the face, which we may treat early with fillers like Sculptra, Lipoderma or hyaluronic acid to restore this lost volume.”
The GLP-1 face, early. Before the skin lets go and it becomes a lift.
Menu and prices: the MedSpa post and fees. My ranking of own fat, donor fat and filler: agulloplasticsurgery.com. Last launch: Morpheus8 Cool.
Why Choose Dr. Agullo
I am certified by the American Board of Plastic Surgery and the American Board of Surgery, trained in plastic surgery at the Mayo Clinic, and teach as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly has listed me as a Top Doctor for thirteen consecutive years, 2014 through 2026.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: October 29th 2026
- Category: Breast, Commentary
She wanted to go from between an A and a B to a full C. What she had was a mild tuberous breast. What I told her about the donut lift, the scored gland, and the implant over the muscle, nearly as I said it.
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- Posted on: October 29th 2026
- Category: Breast, Commentary
She came in for a breast augmentation. Between an A and a B, hoping for a full C or small D. One side sat lower than the other, and her areolas were larger than she liked. She had never heard the word tuberous. I am publishing the exchange nearly as it happened, identifiers removed.
The visit
Me: “So you’re thinking about a breast augmentation? And you’re right now between an A and a B and you want to be a full C small D?”
Her: I think I might, I like don’t know what it would look like on me, so I don’t know if I want bigger than that. So I guess I maybe need like a, something to see like what it would look like.
Me: “Yeah, we’re going to do that. I’ll take some measurements first and then we’ll go from there.”
Me: “Six and a half, six and a half, fifteen, and fifteen. So they are a little bit low, and this one’s a little bit lower. So the nipple is still above your fold, which is good. So if we wanted them to be a little bit more symmetric and perkier, we can do a donut lift at the same time, which is a circle around the areola, and with that I can bring them up about an inch so that then they’ll be more centered on the actual breast implant, and then they’ll be more symmetric, because this one’s a little bit saggier than the other one. And then we would go in through that same incision for the implants.”
The word she had never heard
Me: “I think you have a little bit of a tuberous breast, which is something you’re just born with where the gland is kind of more, instead of being spread out, it’s very concentrated. And then it creates a little bit of that areola stretching. And so the gland is kind of pushing through the areola. So when we make it smaller, we’ll fix that, and then also we’ll score the breast gland so it spreads out.”
The sizes
Me: “We would do the donut lift, which is this one. That brings everything up. That makes it pretty even there. It makes the areolas a little bit smaller too. And then on top of that, we can add an implant. We’ll start with 300, and then you tell me.”
Me: “So this is 300 cc’s. You can see it kind of fills in your entire breast. It gives it a nice upper fullness from the top. Of course, a lot more cleavage. And from the side, you can see that it fills in that concavity you have, and gives you a nice projection.”
Her: Can I see a little bigger? I was also going to ask about the internal mesh bra.
Me: “I do recommend it, because these implants you don’t have to change every ten years, like the old ones. So they’re going to be in there for a very long time, so we want that added support so that they don’t sag over time.”
Me: “So this is 425, and you can see from the top it’s gonna give you more cleavage. So this is a demi, which is a moderate profile. Because of the width that you have, it fills it in. So this is the full. It just gives you a little more projection, but it doesn’t fill up as high. So that’s the difference between full and demi. I think they look very close, almost the same.”
Over the muscle
Me: “This one we can put, because you have the tuberous breast, we put it over the muscle because it fills in the breast better. And it expands that tissue. And then of course we’ll use the mesh underneath to give you the extra support.”
Her: So it won’t be under the muscle.
Me: “Right. So the reason we used to put them all under the muscle was because we were using the older implants, and those had a very high capsular contracture. The problem is when you have them under the muscle, when you do exercise, they flex. So we call that animation. And then when you have them under the muscle, your muscle’s always pushing to the side. So they eventually go a little bit to the side, and you get a little bit more gap in the middle. So when we go over the muscle, you don’t get any animation, and we can get a closer cleavage, and it expands the breast a little bit better. And there’s also less pain.”
Her: Does it look just as natural as under the muscle? Cause I’ve seen some over the muscle, and they look not.
Me: “So the ones that you see that look like super round, those are usually saline implants. So this will look natural.”
Her other questions
Her: How long will it take for me to see my final results?
Me: “So final results is usually between three and six months.”
Her: Will I get side boob with that?
Me: “Not a lot. It’s pretty much the way you saw it on the picture. Because we don’t really want to go past your width, because that’s when you start having problems.”
Her: If you do the donut lift, what incision site would that be?
Me: “So it’s around the areola, right on the edge of the difference between the skin and the darker color. So it hides really well on that edge.”
Her: Do y’all use a Keller funnel?
Me: “Yes. Another thing we use is Exparel, which is a local anesthesia that I’ll inject between your ribs, so it’ll numb everything for the first three days. So a lot of my patients don’t have any pain. You’ll feel pressure, but no pain.”
The one warning
Me: “So the most important thing is that two weeks you’re gonna feel great, and that’s when it’s easy for you to start doing a little more than you should, and that’s when you could get into trouble. If you stretch too much or you pull your hand back too much, you could bleed, and then you have a hematoma, and we would have to bring you back and empty that out.”
Me: “So we don’t want lifting more than twenty pounds, no major stretching, no running, no jumping. So just, you know, easy mode. For the first month.”
My exam note that day: mild tuberous breasts with asymmetry, right breast lower than the left, large areolas, no masses, no axillary lymph nodes.
Surgery is about an hour and a half under general anesthesia, and she goes home the same day. Five to seven days to normal easy activity and driving. Four weeks to the gym.
A tuberous breast is not a bigger-implant problem. Open the gland, shrink the areola, lift the nipple an inch, and put a soft implant over the muscle with support under it.
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and I teach plastic surgery as a Clinical Associate Professor at Texas Tech University Health Sciences Center.
Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at drworldwide.com.
#StayBeautiful
