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: November 4th 2026
- Category: Commentary, Patient Safety, Surgery
Very few patients ask whether my surgery center is accredited. They ask about me, the implant, the scar, the price. The building is where the anesthesia happens, where the instruments are processed, where the emergency drills are run or not run. Mine is QUAD A Class C through 2027. Here is why that should be your first question wherever you are quoted a price.
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- Posted on: November 4th 2026
- Category: Commentary, Patient Safety, Surgery
Patients ask about me. The implant. The scar. The price. Almost nobody asks about the building.
Mine is accredited by QUAD A at Class C, the certificate’s words: a facility “in which major surgical procedures are performed under intravenous Propofol or general anesthesia with external support of vital organs.” Through October 2027. QUAD A grants no partial accreditation: every standard, or none.
| What the certificate covers | |
|---|---|
| Anesthesia monitoring | Emergency drills, routine |
| Sterile instrument processing | Equipment testing |
| Infection control, hand hygiene | Patient selection and assessment |
| Specialty-specific training, every staff member | Written discharge plan |
The building is why I can do what I do
“I perform most of my liposuction procedures under general anesthesia or IV sedation. I find that when the patient is comfortable during a liposuction procedure, I can be more aggressive in the areas that need it and remove as much fat as I need to, without any struggles for myself or the patient. I can also combine these procedures with skin tightening, such as Renuvion J-Plasma, BodyTite, or Quantum RF. Since I perform my procedures in a certified surgery center, certified by QuadA, I can safely remove up to five liters in one session.”
“All types of anesthesia are safe,” I tell the people who want local only. The room is the variable.
The building is where the cheap quote cuts
“I allow sufficient operating room time to work in a paced fashion, for safety. Low-cost surgeries get compressed to cut anesthesia and operating room fees.”
“They should make certain that they are having their procedure in a certified surgery center or hospital. They should also understand that they will have to be crossing the border for continued care and possible complications. There are plenty of great doctors and plastic surgeons in Mexico. Most of the well-experienced and highly regarded plastic surgeons will probably have similar surgeon’s fees. Where the patient will save is in the facility and anesthesia fees, the aftercare supplies, and nursing care. I always say that if the deal seems too good to be true, it probably is. I also remind them that revision work is far more expensive than having the surgery done correctly the first time.”
The saving and the certificate live in the same line item. Ask for it. Issuer, date, expiration.
“Our patients get direct nurse access 24 hours a day, and all surgeries are done in an accredited surgical center.”
I see the other side of this: patients who had surgery elsewhere and never saw a certificate. The full read, with our certificate, is on agulloplasticsurgery.com; the surgery-day version is on swplasticsurgery.com. Related: how to choose a Texas plastic surgeon.
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: November 4th 2026
- Category: Ask Dr. Agullo, Breast, Commentary
Patients arrive with two numbers and ask me to pick. 650 or 700. 430 or 490. The honest answer is that nobody can see 50 cc, and the number that matters is the one almost nobody brings: the width of the breast. Five sizing and profile questions as they reached me on RealSelf, paraphrased, with my answers lightly edited for the page.
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- Posted on: November 4th 2026
- Category: Ask Dr. Agullo, Breast, Commentary
650 or 700? 430 or 490? 220 or 255? Patients ask me to choose between breast implant sizes all the time. Often after weeks of research on websites and forums, studying “wish” photos and even trying on a friend’s implant. What almost never comes up in these discussions is the most important number, the width of the patient’s breast!
Below are five questions I have received through RealSelf (one in 2013, one in 2018, and three this year) about breast implant sizing and profile, paraphrased with the patient-identifying information removed, along with my answers, lightly edited for the page.
“My chest wall is uneven and my breasts sit low. Which cc and profile should I choose?”
Answered on RealSelf, May 2026.
Never mind the cc number she gave you. Your natural chest width is what determines the implant.
Personally, I would avoid teardrop implants. They are textured, and texture has been linked to a rare type of lymphoma.
If you want that look, a round implant like the Motiva Ergonomix, which moves with your body, is the closest thing.
“I am 5 foot 1, 105 pounds and a 32A. How do I choose a size and profile?”
Answered on RealSelf, Jul 2018.
Breast width is the most important consideration when choosing size and profile. Ideally, your implant should be about 1 cm narrower than your breast width. That is the reason the profile goes up as the implant gets bigger: it keeps the implant width down. An implant that is wider than ideal is more likely to cause rippling, a top heavy look, lateral implant displacement, or side boob.
“My implants ruptured. For the replacements, 430 or 490 at the same width?”
Answered on RealSelf, May 2026.
If by “not massive” you mean close to your goal then I would go with the 430 cc. The 490 cc is the one that sails past “not massive” and into done.
Keep in mind that since you have little to no breast tissue to begin with, the 490 cc high profile implant will stick out further off of your chest wall than the 430 cc implant will (they are both 12.5 cm in width). This may give you more of an edge effect and cause your skin to stretch more over time especially in the lower pole.
I would not recommend sizing based on your photos as they are very dark. If you want to visualize what each implant size would look like, I would recommend using your photoshopped photo and showing it to your plastic surgeon. Then use implant sizers/sleeves to see what size would get you closest to your goal photo. If your goal photo is between your current implant size and the 430 cc implant, use a 100 cc sizer/sleeve. If your goal photo is between your current implant size and the 490 cc implant, use a 160 cc sizer/sleeve.
“I am 450 cc now and want 650 or 700. Is 50 cc a big difference?”
Answered on RealSelf, May 2026.
At 5+ years post op your pocket is very stretchy and accommodating, going from 450 to 650/700 will be a noticeable difference in your breast. Going from 650-700 in a stretchy pocket will not make as big a difference (for most people). 50 cc inside a five-plus year stretched pocket reads as a quarter cup to nobody.
Some things to consider with a significant upsize. As your pocket gets larger your skin will get thinner. The larger your pocket, the higher your risk of capsular contracture. If your IMF (the breast fold) is not reset when you go up in size you may bottom out more. If you are on the thinner side you may see rippling. A high pocket will give you more fullness up high with an upsize (some love this, some do not).
Have your surgeon use implant sizers and a bra to determine the best size for you! Also don’t forget to discuss profile as even at the same cc a moderate plus and high profile implant will give you different results (width/projection).
“One month out and I feel I went too big. How soon can I have them out?”
Answered on RealSelf, Nov 2013.
It is very unusual for a woman to find her breasts too big after augmentation, and of those who do, most adapt within two to three months and are happy with the result. At one month you are still quite swollen and the implants can ride a little high, and both improve over the coming weeks. I would wait at least three months before deciding on any further procedure.
The three things I say in every sizing consult
Implant sizing is determined by breast width, which determines implant width (implant width will be about a centimetre less than your breast width).
Profile represents projection for a given implant width. It is what allows a bigger implant to fit within the same width.
Volume: you would not be able to tell the difference between implants that differ by 50 cc. Remember, a soup spoon is only 15 cc. Always use implant sizers in a bra to help with volume selection. Do not just choose based on the numbers.
Ten of these, with the short-version table, are on my surgical site. The first roundup in this series, on bottoming out, double bubble and waterfall, is what happens when rule one is ignored, and rippling is what happens when a thin patient ignores rule three in the wrong direction.
Why choose Dr. Agullo
I am certified by the American Board of Plastic Surgery and the American Board of Surgery, completed my plastic surgery fellowship at the Mayo Clinic, and serve as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly has listed me as a Top Doctor every year from 2014 through 2026. I size the same way every time: measure, pinch, sizers in a bra, cc last.
Ready to talk?
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. More of my answers are on RealSelf. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
