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 3rd 2026
- Category: Commentary, Weight Loss
A beauty magazine has given it a name: the GLP-1 mommy makeover. The weight comes off on a weekly shot, and the consult is for a tummy tuck, a lift and a BBL in one day. I read the piece. Here is what it skipped: the three-month plateau I will not operate without, the quarter of the weight that was muscle, and the fat that would have gone into the buttock and is not there anymore.
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- Posted on: November 3rd 2026
- Category: Commentary, Weight Loss
NewBeauty ran it last week under a name I expect to hear in my consult room by Friday: the GLP-1 mommy makeover. Lose the baby weight and then some on semaglutide or tirzepatide, then book the tummy tuck, the lift and the BBL. Several surgeons were quoted. I wasn’t, and I’m not going to argue with any of them. The trend is real. I see it every week in El Paso.
“The number of patients seeking body contouring procedures has continued to increase since the GLP-1s. What I’ve seen in my practice is a lot more patients coming in for facial surgeries after massive weight loss with GLP-1 medications like semaglutide and tirzepatide. The lower body lift numbers may have decreased because patients are more concerned with the facial aspect first and may pursue the body contouring later.”
What the trend pieces skip is the order of operations. Three things, in my own words.
One: the plateau
“This is a tough question, because the GLP-1s are pretty new. We had everything standardized for bariatric surgery: a sleeve or a bypass, they would lose weight for a year or a year and a half, stabilize, and then we would wait six months. With GLP-1s, patients are losing the weight a lot faster, getting to goal faster, and plateauing faster. What I’ve been seeing is about a six to nine month weight loss and then about a three month stabilization until we’re ready for surgery.”
“And the main thing is not to bounce back. When you stop taking it, if we have a bounce back, that can pretty much destroy everything we did, and the fat is not going to come back in the right places necessarily.”
Here is what that sounds like in a real consult, with a mommy makeover patient who was still losing:
“We cannot do the surgery as you are right now. Some of the fullness is fat that I cannot pinch, there is also visceral fat that pushes out. When I do the plication, I have to be careful not to tighten too much, because that fat is going to go up against your lungs, and we want you to be able to breathe. So if you continue losing weight, the more you lose the better the result, the flatter the tummy, and the tighter the waistline.”
Two: the muscle
“A lot of these patients losing weight fast are not taking in enough protein, so they’re also losing muscle. About a quarter of the weight loss is going to be muscle mass. So the body loses muscle mass plus the fatty content, and then we have the sagging in the buttock. Some patients have it in the inner thighs, the arms, the back. It’s a 360 thing. It’s the whole body, not just the tummy like most people expect.”
“Patients who have lost a lot of weight, we do these surgeries and we’re pulling as tight as we can, but the skin, because it’s lost that elastin, is going to give again. We lose some of the result over the first six months. Another realistic expectation is that a lot of times, six months later, we have to do a little nip and tuck to tighten things up and get them right.”
Three: the fat that is not there anymore
“A mommy makeover is a marketing name for a list of procedures that come included, like a full 360, a tummy tuck, breast augmentation or breast lift, whichever you prefer, and fat injections to the buttocks.”
Fat injections to the buttocks. That line assumes there is fat. After a hundred pounds there often isn’t, and that is the part of the GLP-1 mommy makeover nobody put in a headline. From a second-opinion consult this fall:
“I think they’ve taken all your fat. We don’t wanna do any lipo here, because then it’s gonna look lumpy. All this is just skin. There’s really no fat. So that’s the dilemma.”
“I think you’re at the point where you either use an implant for the projection, or we can use Alloclae, but Alloclae gets very expensive really quick.”
“There is a tendency toward the more natural look, so there has been a decrease in the number of BBLs nationally. But at the same time, a lot of patients are turning to fat transfer or donor grafts like alloClae instead. In the Southwest, there’s still a demand for the bigger hips and greater projection.”
alloClae is donor fat, and it is what I reach for when the patient has none of her own left:
“It’s fat, it’s fat from someone else, another person, that is irradiated. It has no DNA and it’s injected, it’s almost like a honeycomb, the microscopic structure, and your cells are going to arrive there and grow fat, your own fat.”
“We’ve been using alloClae very often. I’m one of the early adopters, and actually one of the first 20 surgeons who was invited to start using alloClae, more than a year ago. The most common places we’re using it are in the breast, in liposuction contour irregularities, and in the buttock, especially for projection or to fill in the hip dips.”
The wish photo
“Some patients bring wish photos and you have to coach them. You have to tell them, this patient you’re showing me is 20 years old, you’re 40. Or this patient’s BMI is 20 and you’re still at 30. You look much better than you did before, but we can’t compare apples to oranges.”
“I would stay away from anybody that has one or two or three amazing before and afters and that’s it. You want to see a surgeon that’s posting before and afters every day, and they’re all consistent, and they’re all getting good results. They’re not going to all be home runs, because it depends how the patient comes in.”
The surgical plan, the table of what changes after a hundred pounds, and the two-week hold on the drug are on Agullo Plastic Surgery. What the skin needs during the six to nine months before any of it is on Southwest Plastic Surgery.
Why Choose Dr. Agullo
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and a Clinical Associate Professor of plastic surgery at Texas Tech University Health Sciences Center. Castle Connolly has listed me as a Top Doctor for 13 consecutive years. Body contouring after weight loss is a large part of what I do, and I was among the first surgeons in the country invited to use alloClae.
Ready to talk?
Trend or not, the order is the same. Weight stops moving, then the labs, then the surgery, and then we talk about what goes where.
Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at agulloplasticsurgery.com/appointments. Find me @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
#StayBeautiful
- Posted on: November 3rd 2026
- Category: MedSpa
Three November Med Spa picks I would actually book before the holidays: ProFrac and the Micro Laser Peel on our Sciton Erbium platform at 20% off, the Glow Package microneedling with Ariessence Pure PDGF+ at $750 with a surprise goodie bag, and buy 50 units of any neurotoxin we carry (Botox, Daxxify, Dysport, or Xeomin) with 10 units treated free.
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- Posted on: November 3rd 2026
- Category: MedSpa
Resurface, Rebuild, Relax: The November Med Spa Specials I’d Actually Book Before the Holidays
It’s November here in El Paso and Thanksgiving is a few weeks away. The office holiday party happens after that and I bet for some of you visiting your in-laws happens soon after that. Every week this month I get some version of this question: “How do I look rested in six weeks without anybody knowing I did anything?”
Resurface the skin’s surface, stimulate collagen production in the deep layers and relax the facial lines that make you look tired. Three different levels of the face, three different time courses and done in time for Christmas if you start in November. That is the whole November board.
Surgeon-to-surgeon, here are the treatments I’d do if I was on the November board: a Sciton laser treatment I’d do on myself, a microneedling package that I think trumps PRP, and a neurotoxin special with numbers that make sense.
And they’re all worth doing. Let me explain.
Renew. Profrac and the Micro Laser Peel, 20% Off.
Sciton’s Erbium laser (2940 nm) comes in a few flavors but the two I use most often are ProFrac (fractional ablative) and Micro Laser Peel (superficial ablative).
Erbium lasers ablate (vaporize) skin. Erbium laser energy is preferentially absorbed by water, and since skin is mostly water, especially at the surface, there’s very little wasted energy. Ablation happens where you aim it and the heat falls off quickly. That makes Erbium accurate and predictable, with less collateral thermal injury and more predictable healing. This is one of the ways it is kinder than a CO2 laser.
A Micro Laser Peel is a light-based peel. Ablation of the skin’s surface is uniform (not fractional) and the depth is tunable, in microns. A peel done with a laser is more consistent than a peel done with a chemical reaction on a moving target (your face). But a peel is a peel, and in the right hands either one can outperform the other in a given skin.
ProFrac creates columns (fractional) of ablation that can be taken deeper than a Micro Laser Peel, and leaves un-ablated columns of skin in between to speed healing. Patients ask what the point of ProFrac is if we are already doing a Micro Laser Peel. The answer is depth. Micro Laser Peel plus ProFrac is a combo I do a lot: uniform, superficial resurfacing of the face plus deeper fractional ablation to stimulate collagen in the dermis. Two levels of the skin treated in one visit with one recovery.
Facelifts and deep plane neck lifts reposition the deeper structures of the face and neck and tighten the deep investing layers, but they don’t improve skin quality. Laser resurfacing after a facelift or deep plane neck lift is how you improve the skin itself. This is another way Erbium lasers shine: they heal more predictably than CO2 lasers, which is kinder to patients who are already healing from surgery. Micro Laser Peel to uniformly resurface the skin and ProFrac to stimulate collagen production in the deeper layers of the face and neck.
For patients who are not surgical candidates (or who don’t want surgery anytime soon) Micro Laser Peel and ProFrac are great stand-alone treatments to improve skin quality. Micro Laser Peel is great for uniform textural change like sun damage and ProFrac is great for deeper lines. Recovery is a little longer than non-ablative lasers. Expect a sunburn feel for a day or two and pink, flaky skin for three to five days after ProFrac, and just flaky skin (depending on the aggressiveness of the treatment) for about a weekend after Micro Laser Peel. Apply numbing cream for forty-five minutes before treatment. Expect a warm sunburn sensation during treatment. Back to normal makeup by day seven. Do it three weeks before Thanksgiving and you are healed and glowing when the family shows up.
Post-inflammatory hyperpigmentation can happen after Erbium laser treatments in darker skin types (Fitzpatrick IV to VI), but it can often be mitigated by altering the treatment parameters, pre-treating the skin, and sometimes choosing Micro Laser Peel over ProFrac. Always discuss candidacy before booking.
Book a Micro Laser Peel or ProFrac in November and get 20% off. That applies to single treatments too. How many will you need? If you have substantial sun damage I might recommend two treatments three to six weeks apart. If you just want to look your best for an event, one treatment three weeks before should do it.
Restore. The Glow Package: Microneedling with Ariessence Pure PDGF+, $750.
I said this is the quiet upgrade over PRP, and I meant it.
This month, one microneedling-plus-growth-factor treatment is $750. It’s called the Glow Package, and you’ll leave with a goodie bag (skincare worth taking home). Sorry, we can’t tell you what’s in the bag. That would ruin the surprise.
Microneedling stimulates collagen by creating thousands of controlled injuries (microchannels) in the skin at a depth we set for you. Your body responds by sending fibroblasts (the collagen-producing cells) to each microchannel to lay down new collagen and elastin over the following weeks. Skin becomes smoother, firmer and more radiant, and the pores tighten up.
PDGF (platelet-derived growth factor) is arguably the most potent growth factor in human wound biology. PRP (platelet-rich plasma) is made from your own blood in the office: we draw blood, spin it down to concentrate the platelets and apply it to the skin during microneedling. Platelets carry growth factors (including PDGF) that signal cells in the skin to make more collagen. PRP works. I have used it for a long time. Problem: the amount of growth factor varies from patient to patient and even from morning to afternoon. Sometimes PRP is great, sometimes not so much.
Ariessence Pure PDGF+ is a PDGF rich topical that delivers more PDGF than you’re likely getting from your own PRP. It’s consistent from tube to tube and visit to visit. No blood draw required. It’s my favorite upgrade for patients who have already tried PRP microneedling or are hesitant about sticking themselves for their own blood.
Expect pink skin for a day or two after treatment, glow two weeks later and continued collagen production for four to six weeks thereafter. Best results after three treatments four weeks apart followed by one treatment every three to four months for maintenance.
Revive. Buy 50 Units of Neurotoxin, Receive 10 Units Free.
Straight from me on the November math: pay for 50, get treated for 60.
Neurotoxins relax muscles to keep dynamic lines from becoming permanent wrinkles. All four neurotoxins we offer (Botox, Dysport, Xeomin, and Daxxify) have slightly different times to onset (time until you start noticing changes), time to peak effect (when it’s working the best), and duration. When choosing which neurotoxin to use for you I take those factors into account as well as which areas we’re treating, how much I plan to inject, and your goals and timeline for seeing results. The special works with any of the four.
Sixty units is enough to treat all three upper-face areas in most people: the forehead (frontalis), the horizontal forehead lines; the frown (corrugators and procerus), the vertical lines between the brows; and the crow’s feet (lateral orbicularis oculi), the lines at the outer corner of the eyes that flare out when you smile. Wrinkles form where the skin repeatedly creases when the muscle underneath contracts, which is why we assess muscle activity before injecting. It is also why I’ll ask you to raise your eyebrows, frown and smile when you’re sitting in my chair.
Underdosed Botox doesn’t soften lines enough. Overdosed Botox leads to a frozen appearance on camera. For most patients, 60 units injected strategically softens lines in the upper face and restores a refreshed appearance.
Neurotoxin peaks at seven to fourteen days after injection and lasts three to four months (sometimes more or less, depending on which product we use, the dose, and your individual biology). If you have holiday pictures coming up, plan on getting it done two weeks before so it is fully effective before you hit the town.
A Clean Comparison
| Special | What it is | Investment | Best for |
|---|---|---|---|
| Renew | Sciton Erbium platform: ProFrac (fractional) and/or Micro Laser Peel (full-field) resurfacing | 20% off, single sessions qualify | Sun damage, fine lines, dullness, surface texture |
| Restore | Microneedling with Ariessence Pure PDGF+ (Glow Package) | $750 per session with a complimentary goodie bag | Collagen rebuild, brightness, firmness, pore quality |
| Revive | Botulinum toxin injectable for the upper face | Buy 50 units, receive 10 units free | Softening forehead lines, frown lines, and crow’s feet |
Where to Come, East or West
All of our November specials can be done at either of our El Paso locations.
Eastside: 1387 George Dieter Drive, Building C, El Paso, Texas 79936.
Westside: 5925 Silver Springs Drive, Suite C, El Paso, Texas 79912.
Same team, same protocols, same device inventory on both sides of town. Pick whichever side fits your week. The Med Spa page has the full menu, the laser treatments page has more on the Sciton platform, and the injectables page covers the neurotoxin menu.
A Note on Who Is Doing the Work
The name on the door matters here. Mine. I’m Mayo Clinic plastic surgery fellowship trained, double board-certified, a Clinical Associate Professor at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine and a Castle Connolly Top Doctor for thirteen years running. The Med Spa at Southwest Plastic Surgery practices medicine the way I practice medicine, on protocols I designed and with staff I trained.
Medicine is complicated, and procedures like ablative laser resurfacing, microneedling with PDGF or neurotoxin injections deserve to be done by an expert. The hand on the device is the whole treatment.
Ready to Talk?
Call our Med Spa at (915) 590-7907 to book any of the November specials at the Eastside (1387 George Dieter Building C) or Westside (5925 Silver Springs Suite C) office, or text 1-866-814-0038. For surgical or combined consults, call my main office at (915) 590-7900 or book online at agulloplasticsurgery.com/appointments. Follow me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful
Cross-links
- Longer clinical read on APS: A Plastic Surgeon’s Read on the November Med Spa Specials
- Front-office read on SWPS: November Med Spa Specials at Southwest Plastic Surgery East and West
