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 30th 2026
- Category: Body Contouring, Commentary
He had trapezius implants put in ten years ago somewhere else. His words for the result: they look like two balls. Here is the conversation about what to do next.
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- Posted on: September 30th 2026
- Category: Body Contouring, Commentary
Muscle implants are a quiet corner of plastic surgery. Calves, pecs, biceps, traps. A man came in for a four month facial follow-up and brought up something else entirely: trapezius implants placed about ten years ago, somewhere else. What follows is that part of the consult, identifiers removed.
Him: “About ten years ago I got trap implants, but now they look like two balls. I don’t know how they moved. They’re just not in their place.”
Me: “Let’s take a look.”
Him: “They made an incision right here. The pain wasn’t anything.”
Me: “Was it the same surgeon that did your abdominal etching?”
Him: “The second time, yes. They found them, but they were in the wrong place. They were under the muscle. They’re supposed to put them on top, and they were under. So of course they were never going to show, especially if I gain weight. And they were folded like a taco.”
Me: “I probably wouldn’t put in a new implant here. I would just take these out.”
Him: “No?”
Me: “I’ve never done it. You know, I’m very honest with you. I will start researching it.”
Him: “Because it would have to be almost like a triangle here, right?”
Me: “Yeah, literally like that. It should go all the way to here.”
He worked out the shape problem himself. The trapezius is a big triangle. A small round implant under it looks like a lump, not like the muscle.
Using His Own Fat Instead of a Second Implant
Me: “What if the fat that I take out, I inject it into your traps, and I bulk them up?”
Him: “You could do that, but if I lose weight? Well, you don’t think so? I usually maintain.”
Me: “If you usually stay the same, that will make them bulk up and it’s going to look natural. I do that with the biceps a lot.”
Him: “And then, the back?”
Me: “No pieces, no scars. Just a little bit. It would make it thinner. But we have to use the J-Plasma to tighten the skin. We could do the whole thing, and use the J-Plasma, that way you get a little bit more fat, and then we’ll put it here, and I think it’ll give you a nice result. It’s going to look better than this.”
Him: “I think eventually these will give me problems in the future.”
Me: “Yeah, and we just need to get them out.”
Him: “It’s like your body’s angry around them.”
Me: “Exactly. They’re almost wanting to come out on their own. So that’s pretty simple.”
The Takeaway
Grafted fat is your own tissue, so it goes up and down with you. Stable weight, stable result. His answer of “I usually maintain” mattered more here than anything I measured.
My exam note from that day: “This patient has two trapezius implants, which are very small, and they look like two bumps on the trapezius area. He has some excess adipose tissue in the upper back and lower back with some excess skin.”
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and I teach plastic surgery as a Clinical Associate Professor at Texas Tech University Health Sciences Center. Revision work is less about technique than about saying plainly which operations I have done and which I have not.
Ready to Talk?
If an old implant has shifted, hardened, or never looked right, let’s take a look together. Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at drworldwide.com.
#StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: September 29th 2026
- Category: Commentary
Almost everyone who asks me about this uses the wrong word. Areola reduction and nipple reduction are two different operations, and the whole consult changes depending on which one you actually mean. The donut, the wedge, the scar that disappears into a color transition, the one combination I refuse, and the starting prices.
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- Posted on: September 29th 2026
- Category: Commentary
There is a procedure people ask me about in a lower voice than any other, and nearly all of them ask for the wrong one.
“We should differentiate the two procedures. One is areola reduction, and the second one is nipple reduction.”
The areola is the pigmented circle. The nipple is what sits in the middle of it. Two different complaints, two different operations, and the first five minutes of the consult are spent finding out which one you mean.
Who asks? More people than you would guess, and not only women.
“I think the most common procedure is areola reduction, and I see it in both male and female patients. This can happen with increased weight, where the areola gets stretched. It can happen genetically, where you are just born with large areolas. It can happen after pregnancy, where the skin stretches out. Or after having implant placements, which also can stretch out the areolas.”
“Nipple reduction is more common in patients that genetically just have larger nipples. They may protrude, or they may be wider than usual. And it is most frequently seen in female patients.”
In my practice the split is steady.
“I would say that we perform areola reduction in about 50 percent of the patients interested in these procedures. Twenty-five percent will have a nipple reduction, and 25 percent will have both procedures.”
The areola operation is geometry. A stencil, two circles, and the ring between them comes out.
“It involves resizing the areola to a smaller circle using a stencil, and cutting out the remaining hyperpigmented skin tissue. So in essence it’s two circles, which create the shape of a donut, and that’s why a circumareolar lift is called a donut lift, or donut reduction.”
The nipple operation depends on what is bothering you: the height, the width, or both.
“If we just want to reduce length so the nipples protrude less, we may do a distal amputation. If there’s also enlarged girth, a wedge resection works better, since it addresses both protrusion and girth. Most of these procedures take under an hour.”
Under an hour. Awake if you want.
“An areola reduction can be done under local anesthesia. But many patients opt to do it under IV sedation, at least, or general anesthesia, for greater comfort.”
Now the part everybody is really asking about, whether they say it or not. The scar.
“In both of these cases, the scar result is very favorable. In an areola reduction, the scar lies right in the edge of the transition from the areola to the normal skin, so it hides very well in that transition zone. For a nipple reduction procedure, the scar heals almost imperceptible, within the hyperpigmented nipple skin.”
A scar that sits exactly where the skin changes color is a scar the eye does not look for. That is the whole trick, and it is why I like these operations.
Recovery is short.
“If it’s being done in a standalone fashion, most patients can return to normal, non-strenuous activity within two or three days. Exercise usually within two to three weeks.”
Sensation, which is the question people are afraid to ask, is usually fine.
“There may be some transitional changes, where you may lose sensation, but it usually comes back within six months. A lot of patients experience hypersensitivity, which also returns to normal within six months. Most patients remain with normal sensation, and the chance of any change in sensation being permanent is less than 5 percent.”
Breastfeeding is where the two operations part ways, and where technique matters.
“Areola reduction does not affect the ability to breastfeed in the future. Nipple reduction may, depending on the technique used. With the distal amputation, there are no changes. But if we do a wedge resection, we are excising some of the breast ducts, so it may affect breastfeeding in the future.”
Most people who ask about the areola are also thinking about implants, and the two go together well.
“The technique for an areola reduction is the same as for an areola lift. The question is whether we’re lifting its position. So yes, an areola lift or an areola reduction is a very common procedure when we do a breast augmentation.”
“To be a candidate for this procedure, the nipple and areola should still be above the inframammary fold for best results. And the great advantage is that the scar is reduced compared to a full lift.”
There is one combination I turn down, and I have written about the full lift before, so this will make sense.
“A nipple reduction can also be done in combination with a breast augmentation. Although I do not like to combine it with a breast lift. When we perform a breast lift, we are already cutting off circulation to the nipple and areola complex, so I would rather delay the nipple reduction to be done at a later time, so we don’t compromise the blood flow to the nipple.”
The nipple lives on its blood supply. A full lift already tests that supply. I am not going to test it twice on the same afternoon to save you a second appointment.
And the money, because I publish it.
“In terms of cost, when we perform a breast augmentation with a donut lift or circumareolar lift, the reduction of the areola size is included in the procedure. A nipple reduction would be a separate fee.”
As standalone procedures, as of this writing: areola reduction starting at $3,500 under local anesthesia or $4,500 with IV sedation; nipple reduction starting at $2,500 or $3,500; both together starting at $6,000 or $7,500. The fees page is where those numbers change first, and an exact quote can only be provided after a consultation. If the areola is part of an augmentation with a donut lift, it is already in that number.
“Doing both procedures at the same time does increase costs, because it will take longer in the operating room, so the operating room fee will increase.”
The full clinical version, with the side-by-side table and the candidacy notes, is on agulloplasticsurgery.com.
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.
