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 2nd 2026
- Category: Body Contouring
The phrase “mommy makeover” hides how many separate decisions actually go into building the plan.
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- Posted on: September 2nd 2026
- Category: Body Contouring
Mommy makeover is a misleading name. It sounds like a single procedure. It is not. It is a name given to a decision tree that every patient is faced with.
Most mommy makeovers are the same, except where they are customized. In general, they come 360 around the torso, with a tummy tuck and breast work. Breast work can be a reduction and lift, an augmentation, or an augmentation with a lift. We offer fat grafting to the buttock and people like to call that an extreme mommy makeover, but the truth is that it is often just a further decision-making addition.
Is It Actually Safe
As you will see in the next paragraph, we safely perform this combination of breast, abdominal, and buttock work several times a week. Often patients ask, are the results lasting? So long as the patient does not have more children after the mommy makeover, the results often remain the same. The liposuction performed with the tummy tuck removes most patients of five to ten pounds. You will notice the effect of the shape change more through that than through the change in your weight directly.
People come in asking us: is it safe to combine surgery, and what is included in my mommy makeover? What is even safer is your experience. We do this combination of surgeries three to four times a week. I would not be doing as many mommy makeovers if I had any reservation about the safety of combining them. All mommy makeovers typically run under six hours, with the patient in compression socks and sequential compression devices, walking that same day, following a blood thinner.
What Breast Surgery You Need Depends Entirely on Your Body
The breast has the biggest variety of factors. All we do is look at the patient and decide what we can do to make it better. Maybe you experienced volume loss after nursing, and we repair that with an implant. Some patients even combine a breast implant with fat transfer for extra volume. After you have decided on the fat transfer and or implant, then a conversation about the nipple becomes relevant depending on the change you experienced from nursing.
When planning a breast lift we examine both how much your breast droops and the shape that drooping has taken. Where your nipple ends up is perhaps our most prominent visual guide to an ideal outcome. The other option is a smaller circumareolar lift. Regardless of whether you pursue an extreme mommy makeover, a mini mommy makeover, or somewhere in between, most patients get a mesh that holds the breast result in place, GalaFLEX or DuraSorb.
In contrast to most cosmetic clinics, it is impossible for me to give a price on a mommy makeover when a patient first asks. I do not give a quote until your anatomy is sitting in front of me, so we can have a personalized discussion. My entire purpose as a Mayo Clinic fellowship-trained, double board-certified plastic surgeon is making sure patients feel confident in breast, abdomen, and buttock work without losing their natural looks or jeopardizing their bodies while pursuing a higher level of confidence.
Tummy Tuck Decisions
When making an inquiry into a tummy tuck, the options are generally pretty easy. It entirely boils down to how much skin is loose. Minimal laxity calls for a mini tummy tuck, roughly the length of a C-section incision. A higher amount of skin laxity signals a standard tummy tuck. If the skin rolls are pronounced, we are probably looking at an extended abdominoplasty, or a circumferential body lift when there is more extensive sagging around the back and buttock.
Typically, 360-degree liposuction across the torso pairs with our Renuvion J-Plasma tightening technique. Arms and inner thighs, when treated, get BodyTite for that same skin-tightening effect.
As a Castle Connolly Top Doctor for thirteen consecutive years and a double board-certified plastic surgeon, I have got your back.
Ready to Talk?
Bring your anatomy, not a checklist. We will build the plan together.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Cross-links
- Full surgical guide on agulloplasticsurgery.com: “What Really Goes Into a Mommy Makeover, and Why It’s Safe as One Surgery” (canonical)
- Med spa side on swplasticsurgery.com: “Built Around You: How Southwest Plastic Surgery Customizes a Mommy Makeover” (link once live)
- Posted on: September 1st 2026
- Category: Body Contouring, Commentary
Thirty-four studies, 3,508 patients, 92% satisfaction. I have run ten to twenty Renuvion cases a week since 2019. A candid read on what the data gets right, and the one number I would argue with.
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- Posted on: September 1st 2026
- Category: Body Contouring, Commentary
For seven years my confidence in this device rested on my own eyes, which is the weakest evidence there is. Every surgeon thinks his results are excellent. The ones who are wrong think so just as firmly.
So this year somebody pooled 34 studies and 3,508 patients on Renuvion J-Plasma, and I finally got to check my eyes against other people’s arithmetic.
I started with it in 2019, early enough that I was making calls without much published evidence behind me. Ten to twenty cases a week now. Apyx puts me in the top ten worldwide by volume.
The pooled findings: 92% patient satisfaction, confidence interval 83 to 97. Investigators said 92% improved, patients said 94%. Independent photographic review, where somebody with nothing at stake grades the pictures, said 86%. Complications 5% for Renuvion alone, 8% alongside liposuction.
That photographic number is the one I go to first in any paper like this. Satisfaction is soft. A patient who chose a procedure and paid for it wants to be pleased with it. A stranger looking at photos does not care.
Q: What is your reaction to those numbers?
“I have had a similar experience with my patients. There is a very high satisfaction rate for the patient, and I would like to say that for myself as well, the surgeon. I see considerable skin tightening and very low complication rates. I think that in this study, actually, the complication rates are higher than in my hands. I can say that I rarely see a complication from Renuvion, or Renuvion with liposuction.”
I said a moment ago that a surgeon’s read on his own results is the weakest evidence going, so hold me to it. Mine is an impression, unaudited, unpublished. But the gap is not mysterious either. A meta-analysis averages across every surgeon in it, including the ones who had done twelve cases when they wrote it up.
Q: How has the volume changed your technique?
“With such high volume, we have become very efficient at performing Renuvion J-Plasma, with or without liposuction. We have been following the latest protocols in terms of energy delivery per surface area, and this has proven to be dramatically more effective. And we have learned that more power doesn’t necessarily mean more results. It is more about choosing the exact power needed in the area to create the results.”
Every surgeon new to an energy device assumes more energy buys more tightening. It does not. Past what the tissue needs you get nothing you wanted and something you did not.
Q: Alone, or with liposuction?
“Most of the time, I’m using Renuvion with liposuction, as we’re using it to tighten after liposuction for an improved result. There are instances where we use Renuvion alone, and this is where we just want to get some skin tightening without any removal of subcutaneous fat. So there’s really no volume change, just tightening.”
Q: Who do you turn down?
“Patients with severe skin laxity are really not good candidates for J-Plasma. They may see some improvement, but it’s not going to be as effective as a skin excision procedure. The other group is some patients with implantable devices, such as pacemakers, who may not be able to undergo radiofrequency treatments unless they are monitored in the hospital by their device manufacturer.”
Skin stretched far enough for long enough does not come back, however much you heat it. I would rather lose that case than sell her the smaller operation and watch it disappoint her.
Q: The authors disclosed consulting ties to Apyx. Does that bother you?
“When the authors are consultants or involved with the company, the actual study is scrutinized further to make sure there is no bias or data manipulation. I’m very happy that the authors gave all of their disclosures and conflicts of interest. This creates transparency. For these studies to be published, they are peer reviewed by other plastic surgeons who scrutinize the paper and look for any faults or reasons to reject it. On top of this, the study itself has to be IRB approved, meaning approved by an Institutional Review Board, which in itself scrutinizes any conflict of interest and human safety.”
Do not stretch that past where I meant it. A declared conflict draws extra eyes; an undeclared one draws none, because nobody knows to look. It was the 86% that reassured me here, not the disclosure page.
Ready to Talk?
If you have loose skin and you want an honest answer about whether a device fixes it or whether you need excision, let’s talk. Call (915) 590-7900, text 1-866-814-0038, or book at drworldwide.com.
Source: Shridharani SM, Sterodimas A, Harsch MR, Larson KA. “Helium Plasma Radiofrequency for Aesthetic Subdermal Treatment: A Systematic Review and Meta-Analysis.” Aesthetic Surgery Journal Open Forum, 2026. doi:10.1093/asjof/ojag092. The authors disclose consulting and advisory relationships with Apyx Medical, manufacturer of Renuvion.
Q&A source: Q&A Transcriptions/Renuvion-Systematic-Review-QA.md (Frank, 2026-08-24). All quoted passages are verbatim.
#HappyIsBeautiful #StayBeautiful #MakeItHappen
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
