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: July 7th 2026
- Category: Aesthetic Surgery, Commentary
The quiet question I answer almost every week, answered plainly: sensation, the clitoral hood detail, recovery, and why this is a no-judgment conversation.
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- Posted on: July 7th 2026
- Category: Aesthetic Surgery, Commentary
The voice drops. That is the tell.
A patient will be five confident minutes into talking about a lift or some liposuction, and then there is a pause, and the volume comes down half a notch, and the real reason she booked finally arrives. It is almost always some version of the same thing. She has been thinking about labiaplasty for a while. Sometimes years. And she has never said it out loud to a single soul.
So let me put the unglamorous part first. In my practice this is one of the most ordinary requests there is, and there is nothing to be embarrassed about. I run it like a rhinoplasty consult. Anatomy, options, honest limits, zero theater. What follows is the candid version, drawn from real consultations and stripped of anything that could identify anyone.
Stop Trying to Sort It Into One Box
Patients walk in already braced for me to ask which it is. Vanity, or a real problem? They have an answer rehearsed, as if the wrong one disqualifies them.
It does not work that way. For most women it is both at once, and both count. Extra tissue tugs under leggings. It chafes on a bike seat. It gets in the way at the gym and it can drive recurrent irritation. If that is your life and you also do not love how things look down there, you do not owe me a single justifying reason. The discomfort is legitimate. So is the preference. Either one, by itself, is plenty to start the conversation.
The Detail Nobody Warns Patients About
Here is the part I refuse to let anyone leave the room without hearing, because it is where a lot of results go wrong.
When I trim the labia minora, I leave tissue behind on purpose. I am not chasing the smallest possible version of you. But trimming the labia alone creates a problem that surprises people: the clitoral hood can suddenly look like it is poking out, simply because the thing that used to balance it is now smaller. Not a flattering trade. And patients are rarely told it is coming.
That is why, in most cases, I reduce the hood a little at the same time. Everything settles flush and proportionate instead of lopsided. If you began with very little tissue, a small amount may still show. Far less than before, though. The goal is the whole picture, not one isolated piece of it.
The Sensation Worry, Answered Like an Adult
This is the fear that keeps women from ever booking, so I will be blunt about it. Will you lose sensation?
Look at the anatomy. I am taking tissue away, and yes, I cut through small nerves to do it. But the nerve stays put on the surface right at the line where I cut. In all my years, loss of sensation simply is not something my patients circle back to complain about. You keep what you walked in with.
There is even a quiet upside. With a little less tissue crowding the clitoris, full sensation often goes up rather than down. The opposite of the thing people are scared of on the way in.
Asleep, Numb, Out in Under an Hour
You do not need general anesthesia for this. I usually use IV sedation, the same deep sleep you would get for a colonoscopy. We place the IV, you drift under, I numb everything with local, and I do the work. No memory of it, no feeling of it. If you would genuinely rather have general, it is available, but it is overkill here.
The procedure itself runs under forty-five minutes. Here is the day and the weeks after, side by side.
| Question | The Honest Answer |
|---|---|
| Anesthesia | IV sedation, like a colonoscopy (general optional) |
| Procedure time | Under forty-five minutes |
| Pain | Usually minimal; Exparel numbs the area about three days |
| Spotting | A little, for a couple of days |
| Back to work | About five days, nothing strenuous, under fifteen pounds |
| Intercourse | Wait four weeks |
| Exercise | Four weeks |
| Final look | Visible right away, settles by four to six weeks as swelling fades |
No, There Will Not Be a Keloid
People ask this constantly, usually because they keloid on an ear or across the chest and assume every incision behaves the same. It does not.
I have never once seen a keloid form here. Not in all my years. Keloids live on ankles, shoulders, ears, the sternum, places that stretch and pull and stay under tension. The genital region is a different material altogether, more mucosa and skin, and it is not yanked around the way those high-tension spots are. It is just not where keloids show up.
Why I Take My Time on the Symmetry
Early on you may catch some unevenness in the mirror. Almost always that is swelling, because one side likes to puff up more than the other for a while. Underneath it, like breasts, the two sides were never perfectly identical to begin with. My job is to get them as even as the anatomy honestly allows, and I will not close a case until I am satisfied with what I am looking at.
If a touch-up is ever called for down the road, my revision policy means I do not charge for the revision itself, only the operating room and anesthesia time.
The Credential Behind the Candor
I am a double board-certified plastic surgeon, certified by the American Board of Plastic Surgery and the American Board of Surgery, a Fellow of the American College of Surgeons, with a plastic surgery fellowship from the Mayo Clinic. None of that buys you a fancier technique here. What it buys you is a straight conversation. I will tell you plainly whether removing more is realistic for your anatomy, and I will not sell you a result I cannot actually deliver.
This is a private decision, and it deserves a surgeon who treats it as a perfectly normal one. For the patient-facing walkthrough, see the companion post on agulloplasticsurgery.com. For skin and recovery support after intimate procedures, the team lays it out on swplasticsurgery.com.
Ready to Talk?
If this is something you have quietly wondered about, you can ask me directly and privately. There is no wrong way to start. Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: July 5th 2026
- Category: Commentary, Recovery
A surgeon’s candid answers to the recovery questions every patient asks, why aftercare is half the result, and what actually speeds healing.
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- Posted on: July 5th 2026
- Category: Commentary, Recovery
Here is something most surgeons do not put on a billboard. A good result is half operation and half aftercare.
I can do a beautiful surgery, and if the aftercare falls apart, the result drifts. The patients who do their massages, wear their garments, and call early when something feels off are the ones who heal beautifully. The ones who skip all three are the ones who write the bad reviews.
So the questions I get after surgery are remarkably consistent, and I want to answer the common ones the way I do in a follow-up visit. These are pulled from real follow-ups and consultations, anonymized.
“Is This Firmness Normal?”
Usually, yes. After surgery, firm or hard areas are fibrosis and edema, which is a normal part of healing. I have patients massage these areas a lot, and I tell them it keeps getting softer over about three months. It is a lot better at three months than at three weeks.
What is not routine is new, painful, red, or rapidly changing firmness. That is a reason to call, not to wait.
“A Stitch Is Poking Out, or My Incision Opened a Little”
That is usually a suture working its way to the surface, which is common and minor. If a small area opens where a suture extruded, we keep it covered, sometimes with a little silver dressing because it is antimicrobial, and it heals. It does not mean something went wrong. Rarely an incision needs a few extra sutures, maybe one patient in fifty.
“How Do the Massages Work?”
For body work, the lymphatic massages are not optional in my book. They are how we keep fibrosis from becoming a problem. We have an in-house tech, and I recommend two or three a week for about four weeks. In the abdomen I leave a small drain so that when you massage, any trapped fluid comes out fast, because trapped fluid is what creates lumpiness.
“Which Garment, and for How Long?”
We provide them, two Marena fajas with clips so we can size you down as the swelling drops. You wear them for four weeks, taking them off twice a day to shower and let your skin breathe. If a standard post-op bra is uncomfortable, a supportive alternative is often fine. Comfort that keeps you in compression beats a “correct” garment you refuse to wear.
“When Can I Shower?”
The next day. My nurse actually visits to help with your first shower, check that you are healing well, give IV fluids if you need them, and go over instructions and questions.
What’s Routine vs. What’s a Call
| What You Notice | What It Usually Means |
|---|---|
| Firm, hard areas softening over weeks | Normal fibrosis and edema |
| A suture poking through the skin | Common, keep it covered |
| Soreness with movement after lipo | Like the gym after a layoff |
| New, painful, red, rapidly changing firmness | Call us |
“What About Nausea and Pain?”
If you tend to get nauseous from anesthesia, there is a pill called Emend you take the night before that usually prevents it. Facial procedures barely hurt at all. Liposuction feels like going back to the gym after a long break, sore with movement but tolerable, and easier than a C-section.
“Who Is Actually Taking Care of Me?”
My anesthesia is run by CRNAs who are army and combat trained and have been with me over ten years. They have done anesthesia on me and my family. My surgical techs are certified first assist and have been with me since 2012. After surgery you get a wristband with a 24-hour line to my nurses or nurse practitioner.
“Anything That Speeds Healing?”
A few things I like. NAD infusions with glutathione before and after surgery help clear the anesthesia. Post-op peptides, GLOW for face work and GLOK for body, help with inflammation and tissue regeneration. Arnica and bromelain help with bruising. And for facial recovery, our ElixirMD LED therapy starting seven days out roughly doubles the speed of healing.
The Three Habits That Separate Good Recoveries
If I had to put it on a sticky note, it would be three things. Do your massages. Wear your garment. Call early.
The patients who do their lymphatic massages on schedule are the ones whose tissue stays soft and even. The ones who skip them are the ones I am breaking up fibrosis on months later. The garment is the same story. It is not a fashion accessory, it is the mold your new contour sets into, and the patient who refuses to wear it is fighting against the result we built together.
The third one is the quiet hero. Call early. Almost everything that worries a patient at three weeks is normal, and the few things that are not are easiest to fix when caught early. I would rather take a hundred calls about normal firmness than miss the one that mattered.
“When Can I Travel or Go Back to Work?”
That depends on the procedure and how you are actually healing, so it is a per-patient answer, not a number off a chart. I would rather clear you based on how you look in front of me than on a generic timeline.
If a trip is coming up, tell me early. We can often plan around it, including any precautions to take with you, like movement on long flights and what to watch for. The worst version of this is finding out about the trip after the surgery is booked, so bring it up at the consult.
The Credential Behind the Care
Double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, Mayo Clinic plastic surgery fellowship, and Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. A good result is half operation and half aftercare, and I treat the second half with the same discipline as the first.
Ready to Talk?
Recovery questions deserve real answers from the surgeon, not the internet. For the patient-facing walkthrough, see the companion post on agulloplasticsurgery.com. For the recovery menu, see the version on swplasticsurgery.com.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
