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 6th 2026
- Category: Botox, Commentary, Injectables
Boey is a serotype E toxin: onset in hours, gone in two to three weeks. Europe approved it on July 17, 2026; the FDA has not. It is the first toxin designed around the patient who never comes in, and it changes less than the “try before you buy” headlines suggest. Placement and dose still decide the face.
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- Posted on: November 6th 2026
- Category: Botox, Commentary, Injectables
Allergan’s new toxin, Boey, got its European approval on July 17, 2026. Dazed called it “try before you buy” Botox in October. The FDA has not approved it.
My read, mostly in words I have already said about toxin.
The Molecule
“Boey (trenibotulinumtoxinE) is a serotype E toxin, which is a different family from Botox and the other type A products.”
Onset as early as eight hours in the trials. Gone in about two to three weeks. Approved in Europe for frown lines in adults.
Who Walks In for It
“Most people who stay away from toxin are not afraid of the needle. They are afraid of looking frozen or wrong for four months.”
We already use toxin as a preview in my practice. “Well, if you’re happy with what you get with Botox, you’re probably gonna be happy with what you get with Quantum. And it’s worth a try.”
Boey makes the preview the product.
Who Should Not Bother
The patient who already likes her toxin. Mine is on a schedule.
“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. I believe the skin quality in these areas is also maintained with the use of botulinum toxin.”
“It really is a maintenance therapy.”
“Patients really like the results, and that’s why they keep coming back to get the botulinum toxin injections.”
“I think Botox is something you just kind of have to keep doing, because it gives us the best result for this area.”
Two weeks, for that patient, is a visit every few weeks.
How Long Toxin Lasts Already Varies
“I see very active patients, runners and high-intensity athletes, tend to come back for Botox in about two and a half to three months. At the same time, I see my more sedentary, less active patients at four months.”
“Although there is no scientific study to explain this, there are a few theories. One is a higher resting metabolism, which of course increases blood flow throughout the body, including the facial muscles, especially during strenuous exercise.”
What Decides the Face
Not the serotype.
“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.”
The trial side effects in Europe were eyelid ptosis, brow ptosis and Mephisto sign. Same list as type A.
“We see a good number of patients where the botulinum toxin is incorrectly applied resulting in eyelid droopiness, brow droopiness, and uneven smiles.”
“I do ask patients not to exercise for twenty-four hours after a botulinum toxin injection, but this is not because it is going to wear off sooner. It is because I want the solution to stay exactly where I injected it, and strenuous exercise immediately after an injection could increase the risk of the product migrating, complications, and swelling.”
Same argument I made about the frozen forehead in my read of the Megan Fox photos.
The Gray Market
Any Boey offered in the US today did not come through an approved channel. More in the counterfeit toxin commentary.
“The danger with counterfeit products is that we only find out because they go to the ED because of severe life threatening complications. Some counterfeit products result in no result at all because they do not contain the botulinum toxin.”
“We buy directly from the manufacturers, Galderma, Allergan, and Evolus. The toxin is shipped to us directly from them in temperature controlled containers.”
“We do not use a middle man or discount pharmacy to order our toxins.”
My Bottom Line
“This doesn’t mean that it’s the safest bet; it means that it’s something that’s tried and proven.” That was about type A. Boey has two trials behind it and no US approval. A trial run, if it ever gets here.
The med spa version is on the Southwest Plastic Surgery site, and the first-timer’s guide is on agulloplasticsurgery.com. Type A toxin is at Agullo Plastic Surgery and the MedSpa. I trained at the Mayo Clinic and teach at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: November 6th 2026
- Category: Breast Augmentation, Commentary
Allure’s Best of Beauty 2026 Breakthrough list has an eyeliner, a foundation balm, eye shadow sticks, a face mask, and one operation. I was one of the first US surgeons doing it. Here is what it means when surgery lands on a beauty list.
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- Posted on: November 6th 2026
- Category: Breast Augmentation, Commentary
A liquid eyeliner. A foundation balm. Eye shadow sticks. A Swiss face mask.
And a surgical balloon.
Those are Allure’s five Best of Beauty 2026 Breakthrough winners, picked from 358 entries. The balloon is Preserve by Motiva, the breast augmentation technique I have done since the US launch.
Patients got to the beauty shelf before the magazines did. From a consult this summer, after I described the operation without naming it:
Patient: “Oh, the Motiva.”
Dr. Agullo: “The Motiva Preserve. Yes. So that’s the one where you can go back to work the next day.”
She knew the brand before the operation. Now she will know the award. Fine, as long as she knows what won. (I made the same point when Forbes asked whether Preserve was the Rolls-Royce of implants.)
What Won
A way of not cutting.
“It is called Preserve because we’re not cutting any nerves, arteries, or breast tissue. All of those structures are preserved, and the most important ones are the natural breast ligaments, which will now act like a mesh and keep the implant in that pocket.”
Allure describes the tools: a channel separator that opens a path from the fold incision, a balloon that inflates inside the breast to make the pocket, ultrasound so the surgeon can watch it. Thirteen years of development. First cases in Tokyo in 2019.
“What we’re doing is we’re creating a space with a balloon right behind the breast gland, over the muscle. It creates that space, and that’s where we put in the implant.”
“There’s certainly a preservation trend in plastic surgery, with rhinoplasties and facelifts. The whole idea is to preserve as many of the structures that are naturally there without dividing them or cutting them. This is the same idea in Preserve, or breast preservation surgery.”
The award went to a philosophy. See Preservation, Not Minimalism.
The Honest Part
Allure’s surgeons name who should not: very thin patients (the implant edge can show), anyone wanting a big change (the implants stop at 315 cc), anyone with a prior implant in front of the muscle.
My version: “Patients who are looking for a natural result are the ideal candidates. It’s important to note that 325cc is the upper limit of how big the implant can be with this technique. So if a patient desires more than a two cup size increase in their breast, we need to go to a traditional breast augmentation over the muscle, or dual plane. This procedure by itself is not ideal for patients who have significant breast ptosis. They will actually require a breast lift, or a mastopexy, at the same time.”
An eyeliner has no candidates. An operation does.
What a Panel Cannot See
“Patients notice immediately after surgery that they’re able to raise their hands above their head without any discomfort or pain.”
“This technique prevents animation deformity altogether. It is a procedure that is very athlete-friendly, because it does not interfere with muscle strength or range of motion.”
“You can see it gives you the volume where you’ve lost it, which is the upper part. Gives you more projection. It lifts it up a little bit. From the top, you get a nice cleavage, but it’s still, we call it ballerina breast, because it’s not obvious that there’s an implant there.”
That is the look half my patients ask for now. I wrote about it in Ballerina Breasts, a year before Allure put the technique on a list.
Why I Get to Say This
“I was one of the very early adopters of this technology. I was in the select thirty-surgeon group that launched the procedure in the United States, chosen by Motiva, and trained in Costa Rica with the surgeons who developed and invented this technique.”
“After performing more than fifty Motiva Preserve procedures, I haven’t had to do any revisions, although it might be a little bit too soon to tell. Overall, my patients have been very happy.”
Too soon to tell. You will not read that on a beauty award. You should hear it from a surgeon.
Why Choose Dr. Agullo
Double board-certified. Mayo Clinic fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly Top Doctor for 13 consecutive years. Trained by Motiva on Preserve, still doing traditional augmentation for the women it suits.
Ready to Talk?
Measurements first, magazine second.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com/appointments. Pricing starts on the fees page. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
