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 26th 2026
- Category: Commentary, Face
He broke his nose with a baseball as a kid and had been breathing through one side ever since. Here is the consult, nearly as it happened.
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- Posted on: September 26th 2026
- Category: Commentary, Face
He had never had surgery. He exercised four times a week. He was not on any medication. The only thing wrong with him was a nose that had been crooked since a baseball hit it when he was a kid.
I am publishing this consult nearly as it happened, identifiers removed, because the questions men ask about their nose almost never get answered out loud.
Him: I broke it when I was young. It was a baseball. But ever since that, I’ve had complications and I know I have trauma inside. You can tell it’s kind of deviated. So I wanted to get that corrected. But if I’m going to do that, I might as well get the exterior as well.
Me: “Do you have problems breathing?”
Him: Yes. I get congestion right away. But I’ve lived like this for a long time, so it’s kind of normal for me. I do notice that I get congested a lot if I start doing exercise.
Me: “And what would you want to change about the way it looks?”
Him: Pretty much, I want to straighten it out. And I noticed that the tip is a little bit down. And I know the bridge here is kind of low. I don’t like that look, it’s too low for me.
He had already been to someone else
Him: I had an appointment with somebody else. The way they wanted to make my nose was too small for my face.
He had gone home, downloaded an app, and made his own version.
Him: I actually liked it more.
He was right. I said it out loud: “It doesn’t balance.”
What I found on exam
Me: “Your nasal base is a little bit wide. So we do bring these bones in, and that helps me straighten everything out. So they probably healed a little bit off. I’m going to look inside just to check your septum too.”
Me: “Your nose looks really irritated. I feel like you have a lot of allergies. And then your septum is going this way. So there’s a lot less space on this right side, and the left side is very open.”
Me: “So we’ll straighten that out. The breathing should improve, but it’s not going to change the congestion when it gets congested or there are allergies. Really, we can’t do much about that, but we can make it structurally more open.”
The tip, and why it barely moves
Him: Doctor, I don’t want my nostrils to be too…
Me: “No, we’re just going up a little bit, so really we shouldn’t change the nostrils at all.”
Me: “It’s just the tip a little bit, because on men we still like a right angle here. We don’t want to make it bigger than that, that’s more feminine.”
Him: So by lifting it, it won’t make it more round or anything?
Me: “No, it’s just going to rotate it up a tiny bit. We’re talking about like two millimeters.”
Him: And the tip of the nose, is it going to be kind of rounded?
Me: “Do you want to change that?”
Him: No.
So we left it.
Where the cartilage comes from
Me: “For this, I have to put in cartilage to fill that in, so it’s permanent and you don’t have to be adding anything else later. So first I’ll use the cartilage that’s in your septum. If it’s not enough, then we do have donor cartilage that we can use. It’s irradiated, doesn’t have any cells, but it saves me and you from having to get any from your ear or your rib, which can be more painful. So this makes it a lot easier, because the rib hurts a lot. And the ear can be uncomfortable too, and sometimes it can make it look funny too.”
The turbinates question
Him: Inside we have the ones that filter the air, the turbinates. Are those going to be reduced?
Me: “So they don’t look big, but on this right side, usually when your septum is deviated, the open side gets bigger, but in your case it’s not that big. So if anything, when I’m in there, if I see that they’re a little bit big, what I do is I fracture them and that makes them shrink a little bit. But I don’t think you need to get mucosa removed or anything like that.”
The scar
Him: The incision right here, am I going to have a visible scar?
Me: “You’re going to have a scar, but it’s going to be very hard to see. Usually it heals in a way that nobody sees it, and you’ll have to look at it in a mirror like this to see it.”
Recovery, in his words and mine
Me: “So it’s an open rhinoplasty. We’ll get everything centered, and the surgery takes about two, two and a half hours. It’s general anesthesia, you go home the same day. I do have to put splints on the outside and on the inside, so it might be a little stuffy for about seven days, then we’ll remove everything. At that point, your breathing should be better.”
Me: “You’ll see the changes in the nose, but it’s still going to be a little swollen. So it’s probably going to take a couple of weeks to start looking better and better. And then about six weeks, we’re pretty close to what it’s going to look like, but the nose itself takes about a whole year for it to keep getting better and better.”
Me: “But the good thing is that there’s no pain after surgery, so it’s a relatively easy recovery. We do have to wait about six weeks before going back to exercise. And going back to normal activity, you’ll feel fine after about three days. It’s just a matter of whether you want people seeing you with the splint or not.”
Me: “If you get any bruising, sometimes you get bruising, I would say only twenty percent of our patients get any bruising underneath the eyes, it can take two weeks to go away, and you can always put a little makeup on if you want to hide it.”
The last thing I told him
Me: “In the beginning, it may look a little extra. Because some of that gets reabsorbed, so we have to plan on it, on how it’s going to come down a little bit.”
He asked me to follow his own simulation during the surgery. I told him I would save it and reference it in the OR. That is not a concession. A patient who can show me what he wants has already done half of my planning for me.
My exam note from that afternoon: sunken and relaxed dorsum, deviation to the left with a subtle deviation to the right, previous trauma, slight downward tip rotation. Plan: rotate the tip up about two millimeters, shave the hump, add a graft for the radix, straighten the nose.
The takeaway
An old broken nose is a structural problem before it is a cosmetic one. The septum and the outside are the same operation. The tip on a man moves two millimeters, not ten. And the version of your nose that looks right is almost never the smallest one on offer.
I am a double board-certified plastic surgeon, certified by both the American Board of Plastic Surgery and the American Board of Surgery, a Mayo Clinic fellowship alum, and I teach plastic surgery as a Clinical Associate Professor at Texas Tech University Health Sciences Center.
Ready to Talk?
If you have been breathing through one side of your nose since middle school, you do not have to keep doing it. 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 25th 2026
- Category: Commentary
Hundreds of thousands of people a month ask a search engine what liposuction and a tummy tuck cost, and the industry answers with a lead form. I answer with a number. The bands, the liposuction that is already inside the tummy tuck, and the honest mechanism behind a quote that comes back higher than the website.
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- Posted on: September 25th 2026
- Category: Commentary
My industry has a rule it will not say out loud: never put a price on the website. Make them call. Make them come in. Let the coordinator handle the number.
I broke that rule years ago, and the most searched question in body contouring, what liposuction and a tummy tuck cost together, is the one it was built to dodge. So here is the answer, in my numbers, as of this writing.
As of this writing, the liposuction bands on my fees page are: flanks $4,000; abdomen $5,500 to $7,500; 360 $11,000 to $15,000; and “Lipo, Lipo, Everywhere” $15,000 to $21,500. Confirm the current number there before you plan around it.
A tummy tuck runs $16,000 to $26,000, which I wrote about here. And now the part that makes the addition wrong.
“Yes. Flank lipo is bundled in, not priced on top. This is why a combined case comes in below the two line items added together.”
Every tummy tuck I do carries liposuction of the abdomen and the flanks inside it. Not as a courtesy. Because a tummy tuck without the sides done looks like a tummy tuck, and I want it to look like a waist. So if you have been adding the tummy tuck band to the lipo band, stop. The combined case starts at the tummy tuck band.
Where does the number actually move? Three places on the liposuction side.
“The number of liposuction sites performed. How long the surgery takes, since that determines the cost of the operating room and anesthesia. Adding skin tightening (BodyTite or Renuvion J-Plasma) adds both cost and time.”
And three on the tummy tuck side.
“The exact type of tummy tuck required, which often tracks the incision length: mini, standard, extended, or circumferential. Expected time in the operating room, since that influences anesthesia and OR cost. That time is often determined by the complexity of the case and the patient’s BMI.”
Sites, time, technology. Incision, time, BMI. Time shows up in both lists because the operating room and the anesthesiologist bill by the hour, and I am not going to pretend otherwise. What I will say is that my published number already includes them. The facility, the anesthesia, the garments, the vitamins, the scar care. You pick up your prescriptions. That is the whole list of things on you.
The add-on everyone asks about is skin tightening, and the answer is yes, it costs extra, and no, it is not one device.
“Skin tightening is an add-on that increases cost and time. The practice offers a family of radiofrequency devices, chosen by body area: BodyTite: radiofrequency with both an internal and external component. Renuvion J-Plasma: radiofrequency plus a helium plasma component; works internally only (subdermal). FaceTite: used on the neck. Many patients combine liposuction with skin tightening.”
Arms and inner thighs get BodyTite. Neck gets FaceTite. Nearly everything else gets Renuvion J-Plasma, which I have written about at length because it is the reason many of my liposuction patients never need the skin excision they were told to expect.
Now the email I get the morning after a consult. Why is my quote higher than the website?
“Baseline: if nothing else is added and the surgery is not expected to take longer than the standard time, the quote matches the website.”
“Common reason a quote runs higher: the patient wants liposuction in more areas to improve the overall body contour, frequently adding the upper back and the lateral chest. Those areas especially benefit from adding Renuvion J-Plasma. This makes the procedure longer (more OR and anesthesia time) and adds the cost of the additional procedures and areas themselves. So the base price holds, but added zones plus skin tightening lift the final quote.”
That is the whole mechanism, and I would rather you read it here than discover it in a quote. The band did not move. The case did. You asked for the upper back and the lateral chest, and you were right to, and then you asked for the skin over them to contract. The operation got longer and bigger. The website number is the operation as published.
The combined case I book most often has its own name.
“Most common of all, with its own name: the MOMMY MAKEOVER. A tummy tuck with liposuction, plus some kind of breast procedure, whether a breast augmentation, a breast reduction, or a breast lift. Adding more liposuction sites: upper back, lateral chest, arms, inner thighs, and neck. Adding a BBL or fat transfer to the buttocks to improve the hip and buttock contour.”
One anesthesia, one operating room, one recovery. That is why a combination is generally less than the sum of its parts, and why the mommy makeover has its own cost read.
One more thing, because publishing a number invites comparison with numbers that are not really numbers. A surgeon’s fee is not a price. It is the first of three bills. And a price far below the market is not a discount; it is a question.
“A bargain that costs you a revision, or your health, is not a bargain at all.”
I revise other surgeons’ tummy tucks, from this side of the border and the other, more often than I would like. The revision costs more than the original would have here, and the result is never quite what it could have been.
The full clinical version, with the comparison table and the FAQ, is on agulloplasticsurgery.com. The fees page is where the numbers live and where they change first. 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.
