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: September 21st 2026
- Category: Commentary
Marc McKee lost 126 pounds on GLP-1s and still had questions about his skin. He asked me all of them on his podcast. The episode is live, and here is what we covered.
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- Posted on: September 21st 2026
- Category: Commentary
Marc McKee lost 126 pounds on Mounjaro. Two years in, he still had questions about his skin. So he asked me all of them, on camera, for 28 minutes.
The episode went live this week on his podcast, This Is My Journey. It is the GLP-1 show out of the UK that people on these medications actually listen to, because Marc is one of them.
Watch it here, then read on for what we got into.
The line Marc could not stop thinking about
He opened with something I had said before, and asked me to explain it. The skin doesn’t know you lost the weight the healthy way.
“It’s true, the skin doesn’t know how you did it. Patients lose the weight, the envelope stays, and some patients feel ashamed of it, like they did something wrong. That’s not the fact. It’s just the way things work. Skin stops producing elastin after puberty, so it just doesn’t contract like it does during puberty.”
“You shouldn’t feel bad if you have excess skin. It’s part of losing weight, and everybody’s different. Even with pregnancy, some women spring right back and it looks like nothing ever happened, and some don’t.”
That is the whole episode in two answers. The rest is detail.
Why the face goes first
Marc wanted the deflation story for the whole body, not just the tummy. Here is the part that surprises people.
“The biggest surprise patients see is the change in their face. The face doesn’t have a lot of fat, but the fat it does have is the good fat, the baby fat, what makes you look young. In the face you see the loss of the fat under the eyes, the temporal areas, temporal wasting, the buccal fat. We see the face just melt down because it’s lost all that volume.”
I wrote a full post on that face last week, what deflation does and why the fix is fat. The episode is the spoken version.
And it is not only the face.
“The breast loses its fat content, and this is for both men and women, which is also surprising. You suddenly have saggy breasts, and that can affect a lot of patients mentally. The same thing happens in the buttock area. 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.”
“It’s a 360 thing. It’s the whole body, not just the tummy like most people expect.”
The timing question, answered out loud
This is the question I get in every consult now, and Marc asked it plainly. How stable does the weight need to be?
“We had everything standardized for bariatric surgery. 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.”
“If you’re losing 40 pounds, I think you’re going to need a surgical procedure.”
And the one thing that undoes all of it:
“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.”
What the before-and-after photo leaves out
Near the end Marc asked what before-and-after culture online hides. I have opinions.
“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.”
“The before and after doesn’t tell the whole story. It doesn’t tell you about the patient’s psychology, if they’re happy or not. It doesn’t tell you about the recovery, everything they had to go through, or any complications there could have been. The before and after is a quick fast-forward through all of that.”
Who should watch
Anyone on a GLP-1 who has started to notice their face before their waistline. Anyone at goal weight wondering whether the skin will tighten on its own if they wait. And anyone whose family keeps saying “you look great” while they are quietly avoiding mirrors.
Marc is 37, two years in, and still on the road. He asked the questions the way a patient asks them. I answered the way I do in the exam room.
Why me, and why this show
I am a double board-certified plastic surgeon, Mayo Clinic fellowship trained, and a Clinical Associate Professor of Plastic Surgery at Texas Tech’s Paul L. Foster School of Medicine. Massive weight loss surgery has been part of my practice since before the pen existed. Marc built This Is My Journey for people who could not find straight answers, and that is the same reason I started filming surgery in 2014. We were always going to get along.
Watch the episode, then send me the question he did not ask.
Ready to talk?
If you have lost the weight and want a surgeon’s read on the skin, call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: September 20th 2026
- Category: Commentary
Two questions open every breast reduction consult. I answer both in the first hundred words, then explain why the starting price is not the ending price and why the shape is instant but the result takes six months.
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- Posted on: September 20th 2026
- Category: Commentary
Two questions open every breast reduction consult. Does insurance cover it. What does it cost.
First one first. I do not work with insurance. If you would rather have a surgeon who takes insurance, we will recommend one, and we mean that. I am not going to make you scroll for that answer.
Second one. I dictated it for this post, so here it is the way I said it.
How much does a breast reduction cost?
Dr. Agullo: “As of this writing, a breast reduction runs from 11,000 to 15,000 dollars, depending on whether the internal bra mesh is used. You can always find our current fees at agulloplasticsurgery.com/fees, which is the page we keep updated.”
What drives the cost up or down?
Dr. Agullo: “Several things can affect the total. One is the internal bra mesh, which provides internal support and, when it is used, adds to the cost. Liposuction is often combined with a breast reduction to refine the sides and the contour, and any additional lifting of the breast can add to the total as well. The final cost depends on the combination of these elements and the length and complexity of the procedure.”
I publish my fees. Most surgeons do not.
What the Fee Buys
Everything but your prescriptions.
Operating room. Anesthesia. Garments, which for a reduction means two surgical bras, since you will be in one for a month. Vitamins. Scar care. You pick up your own medications. That is all that is on you.
The tissue I remove goes to a pathology lab. The lab bills your insurance directly for the analysis. It is a separate business. Nothing about it runs through my office.
Why a Quote Comes Back Higher Than the Website
| What gets added | Why it comes up |
|---|---|
| Internal bra (mesh support) | Holds the new shape up from the inside |
| Liposuction of the sides plus Renuvion J-Plasma | No fullness at the edges of the chest, and the skin there tightens |
| Additional lifting | The nipple has a long way to travel |
| Nipple graft | Severe cases only |
| Incision extended toward the back | The tissue does not stop at the breast |
| Additional operating room time | A longer case is a longer case |
The side liposuction plus Renuvion pair is the same pair that moves a gynecomastia quote. Different patient, same mechanic.
Revisions of someone else’s reduction sit above all of this and vary more from case to case.
Smaller Is Instant. Finished Is Six Months.
Both halves are true. The breast is smaller and lifted the moment you wake up. What needs to settle is everything around it.
- Drains out at one week.
- Normal, easy-going activity at one week.
- Bruising for two to three weeks.
- Exercise at four weeks.
- Four weeks in the surgical bra. No underwire, no pushup.
- Swelling takes about three months to settle, six months to settle completely.
After the four weeks in the surgical bra comes the sentence I enjoy most. You can go shopping for new bras.
If you have implants and want less, that is a different operation and a different post.
The starting price is public. Your price depends on your anatomy and what we add, and an exact quote can only be provided after a consultation.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
