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 18th 2026
- Category: Commentary
I publish my BBL fee. Here is why it starts at $11,500, why it climbs, and what a quote at a fraction of that number is usually leaving out.
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- Posted on: September 18th 2026
- Category: Commentary
I put my prices on the internet. Most surgeons will not, and I understand why: a published number invites a comparison, and the comparison is usually with someone cheaper.
Here is the BBL line, as of this writing.
“As of this writing, the Brazilian Butt Lift starts at $11,500, with an additional $2,000 per extra liposuction site. A BBL with buttock implants starts at $14,500, and the Supercharged BBL starts at $20,500. Fees are kept current at agulloplasticsurgery.com/fees.”
Those are all-in numbers. The operating room, the anesthesia, the garments, the vitamins, the scar care. You pick up your own prescriptions and that is it.
They are also starting numbers, and this is where patients get confused. The fee includes one liposuction site. Almost nobody wants one. Every site after the first is $2,000, so three sites is $15,500 before I have done anything else.
Then the something else.
“A lot of times, we will combine liposuction with skin tightening using BodyTite and/or Renuvion J-Plasma. These are charged per site and can increase the overall cost of the procedure. Also, for lengthier procedures, depending on each person, or if they have had liposuction before, it may increase the operative time, which increases the cost of the OR and anesthesia. Sometimes we will use VASER liposuction to break up scar tissue at previous liposuction sites, and this can increase time spent in the OR.”
Sites. Skin. Time. Scar. That is the whole list of what moves a BBL quote, and none of it is a surprise if you ask at the consult.
Now the question I actually get asked, which is about the other quote. The one from across the border, or from a clinic two states over, at a fraction of my fee.
“In general, medicine is less expensive outside of the United States. The cost of the OR and anesthesia is lower, and salaries for staff and supplies are lower. But in my experience, the very good surgeons from abroad, and I know many of them, charge very close to top surgeons in the United States. So when you see a really low fee, it is probably a surgeon that is not as busy as they would like, and they have to lower prices to attract patients. They may be shortcutting some parts of the procedure. They may not be using the best equipment and the latest technologies, and they may not be using the best fat preservation techniques, soaps, and preparation. Some of these facilities may not be using ultrasound for increased safety.”
Read that last sentence twice. Ultrasound is the thing that made this operation safe. It is also a machine that costs money and a skill that takes time, which is exactly the kind of thing a discount removes first.
And the bargain is not always abroad.
“I would also add that sometimes these kinds of prices are actually offered right here in the United States, often in clinics that do very high volumes. These are very common in Florida, for example. A lot of times, we are not sure who is performing the procedure, whether it is a board-certified plastic surgeon or a physician from another specialty. And often the recovery and follow-up are cut down, as these surgeons only come in to perform the procedure, and then the clinic is the one that continues the follow-up.”
The surgeon comes in, operates, leaves. The clinic does the follow-up. You find out who your surgeon was after the fact, if at all.
“In short, if a price seems too good to be true, it usually is.”
The full breakdown, with the tables and what each line covers, is on my practice site: What a BBL Actually Costs in Texas. How much of the fat survives is its own post. 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.
Title alternatives (title picked under the 2026-09-05 standing default; option kept is above)
- If a BBL Price Seems Too Good to Be True
- I Put My BBL Price on the Internet. Here Is Why It Climbs.
- Sites, Skin, Time, Scar: What Moves a BBL Quote
- The Cheap BBL Is Not Always Abroad
- Posted on: September 17th 2026
- Category: Body Contouring, Commentary
He had lost almost a hundred pounds and was in the gym three times a week. The chest had not moved. Here is the consult, nearly as it happened.
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- Posted on: September 17th 2026
- Category: Body Contouring, Commentary
He came in on a Friday morning between a painter and a car negotiation. He had been almost two ninety back in 2017. He was down about a hundred pounds and going to the gym two or three times a week. And the chest had not moved.
I am publishing this consult nearly as it happened, identifiers removed, because men ask me these exact questions and almost nobody answers them out loud.
Him: This has been a thorn in my side since I was about 11 or 12 years old.
Me: “The problem is that we have a considerable amount of sagging. If I just did lipo, obviously you remove the volume, but it would still be sagging. So I don’t think you want that.”
Me: “Unfortunately, the trade off is the only way to do it is really with a scar. So I would have to put a scar right underneath the fold. And it would go to about here. And with that, I would be able to remove the tissue and the fat and the breast tissue, and then we would use the nipple. I would take it off completely, and then put it back on like a graft. Because I don’t think even with the tightening lasers, I don’t think it’s going to spring back. Especially this side.”
Him: How flat will it be?
Me: “It’ll be completely flat.”
Me: “And that’s why I recommend doing the lipo on the sides, because otherwise it’s going to look like you have a side breast. Because you won’t have anything here.”
The tummy tuck came with it
He had already been told he was a candidate. He was.
Me: “So you are a good candidate for a tummy tuck. The incision goes here. It will remove some of the fat on the mons and it’ll also lift it up. And the scar is going to go to where the fold ends. So it’s going to go to about right here where this fold ends.”
Me: “With that, we’ll be able to remove pretty much all the skin from here down. And then I’ll use this skin, and that’s the one we’re going to pull down. Look at your muscles. If there’s any separation, we’ll put them back together. But you’ll have a nice, tight, flat abdomen.”
Him: Does it make sense to do everything all together?
Me: “Yes. Because really the chest is not going to add any recovery. So you have that advantage of just that one recovery, and you’re done. Number one, it’s safe because we’re still under six hours, which is most important. And then it becomes a little less expensive, because the first hour of surgery is the most expensive.”
Me: “If we did it together, the surgery would be about four and a half to five hours, general anesthesia. It is in and out. You can go home the same day.”
Recovery, and the two drains
Me: “Recovery wise, you’re looking at about two weeks, mostly from the tummy, to get back to normal activity, driving, things like that. And then six weeks where you can go back to exercise, lifting, pretty much back to normal without any restrictions.”
Me: “We would have drains, both in the chest, one on each side. Those are going to come out pretty quick, four to seven days. Then the tummy, those can take a little longer. It could be seven to fourteen days.”
Me: “You’ll have your garments. I do recommend doing lymphatic massages. We have a tech here. And it helps get the swelling down a lot quicker, especially in the areas of liposuction. It helps avoid the fibrosis and bumpiness.”
The question men do not think to ask
Him: The only thing recovery wise I was concerned with, I have three dogs.
Me: “Do you have somebody to help you at home?”
Him: No.
Me: “So then is somebody going to bring you to the surgery?”
Him: I’d probably come by myself.
Me: “So then I would keep you overnight, because we can’t send you home like that. And then in the morning, we do have a service that can take you back home. My nurse will visit you the day after you stay overnight, to help you shower and how to take care of the drains and go over all the instructions again. You can extend those visits, or there’s also a third party we work with a lot that can keep coming in to check on you, and even help you with food and transportation.”
Me: “You would probably want to board your dogs for at least a while.”
Then, because it was true: “We had a male patient that had a facelift and we didn’t find out until after the surgery that he had 25 cats. So he would come to his post op and he would have scratches, and we were like, no. No.”
Why he was there at all
Him: I’ll go to the gym, but then I get really discouraged. I get to a certain point, like, oh, this is good. And then it’s not going to tighten.
Me: “We can take care of that for you.”
My exam note from that morning: bilateral gynecomastia, no dominant masses, ptosis worse on the right, right breast bigger than the left, a lot of excess skin and subcutaneous tissue in the lateral chest, abdomen, upper back and lower back, an abdominal pannus continuing laterally, and some degree of rectus diastasis.
The takeaway
Gynecomastia is not a weight problem and the gym does not fix it. If the skin has been stretched for twenty years, or stretched by a hundred pounds and then emptied, it will not recoil, and no laser changes that. On a chest with real sagging, the honest answer is a scar under the fold, and often a nipple graft. On a firm chest with fatty fullness, liposuction with skin tightening can be enough.
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 your chest has bothered you since you were a teenager, you have already waited long enough. 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.
