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 4th 2026
- Category: Commentary, Patient Safety
Chest masculinization leaves about 5 percent of the breast tissue behind. A surgeon’s read on a new multicenter cohort, the screening that should replace the mammogram, and why every specimen goes to pathology.
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- Posted on: September 4th 2026
- Category: Commentary, Patient Safety
“Chest masculinization significantly reduces the risk of breast cancer. It is not a mastectomy. Some breast tissue (around 5%) is left behind. These patients can still develop breast cancer later on. Screening should continue, but it changes. Imaging is often not indicated. Rather, annual chest exams and self-chest exams are the norm.”
That is what I gave MDLinx on August 12, in a piece by Alpana Mohta, MD, about a multicenter cohort in JAMA Network Open. The study followed 112 transgender, nonbinary, and gender-diverse patients who developed breast cancer. Only 51.8 percent had a mammogram in the ten years before diagnosis. And 13.4 percent of those cancers were found by accident, sitting in tissue removed during chest masculinization surgery.
The line I keep coming back to is that barely half of them had ever had a mammogram.
Q: How do you frame breast cancer risk with patients considering chest masculinization?
“I tell my patients that although the risk of breast cancer decreases after chest masculinization, it does not go away 100 percent, because the surgery that we do is for aesthetics, and there is some breast tissue left behind.”
Q: How is the procedure different from an oncologic mastectomy?
“It’s not the same as a full mastectomy for oncologic reasons, but it is a mastectomy. We have to leave some breast tissue behind to avoid contour irregularities, and there’s often some axillary breast tissue that can be left behind.”
They are two operations on the same organ doing different jobs, because the cancer surgeon is chasing margins while I am building a chest my patient has to live in for the next fifty years, which means a thin layer stays behind and the armpit keeps its share as well.
Q: What screening do you recommend after surgery?
“After surgery, patients no longer need to have mammograms done every year. It’s more of a clinical self-exam and yearly exam procedure. Of course, on higher-risk patients, we may modify the screening for higher risk.”
“Higher-risk patients are those with a family history or positive genetic testing.”
A mammogram needs a breast to compress, and there is not enough left for the machine to do anything useful with. Which is why I want the genetic question answered before surgery, not after.
Q: When and how does this conversation happen in your practice?
“This is something that we bring up during consultation and in the post-op visits. We also send the tissue to pathology after the surgery, to make sure that there were no tumors or lesions, and to identify any findings that would indicate a higher risk for the patient.”
Every specimen goes, without exceptions, and that 13.4 percent is the reason why. Those cancers were found because somebody actually looked at the tissue, and in the other version of the story the specimen goes in the bin and the diagnosis waits a few years to introduce itself.
The same article cites a 2025 JAMA Oncology analysis: these patients were roughly 50 percent less likely to receive endocrine therapy and about 80 percent less likely to receive postmastectomy reconstruction than cisgender patients. No surgical technique fixes that one, and my own view is that a clinician who fumbles the terminology but keeps the patient in the room is doing better than one who says nothing at all.
If you have had the surgery, ask what your pathology showed. If you are planning it, ask whether your surgeon sends every specimen.
Ready to Talk?
If you want a straight conversation about chest masculinization, or about what your screening should look like now that you have had it, come see me. Office (915) 590-7900, text 1-866-814-0038, or book at https://www.agulloplasticsurgery.com/appointments/.
#StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: September 3rd 2026
- Category: Body Contouring, Cost
A patient showed me a quote for half of what we charge. Here is what that other number usually doesn’t include.
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- Posted on: September 3rd 2026
- Category: Body Contouring, Cost
I received a quote from a surgeon in Mexico less than half of ours from a patient this week. She was not haggling; she simply wanted to know where the difference lay. She was right to ask, however, and deserved a real answer, not a defensive one.
The Numbers and the Content
Our price for a tummy tuck begins at $16,000 and extends to $26,000, genuinely all-inclusive: surgeon’s fee, facility fee, anesthesia, garments, and the preoperative and postoperative package, SinEcch for bruising, Skinuva scar cream, a skin moisturizer, and Exparel for extended pain relief, among other items. In addition to every session of drainage therapy and postoperative examination, we include, if necessary, even a BBL cushion. The sole exception is that you must claim your prescriptions.
When you see a quote that is half of that price, something in that list is lacking. It is time to ask what is there. How do all these quotes vary so much?
Why the Number Isn’t the Same Everywhere
Location differs, and overhead in one city versus another. One factor is how much a surgeon is in demand and indeed how complicated the specific case is; this takes into account combinations and expected time. There is a wide difference.
The Type of Tuck Changes the Math
The calculation changes with the kind of tuck. Mini tummy tuck patients do not have as much loose skin. It is a quicker operation and involves a C-section or equivalent incision length being determined, while the excision of surplus tissue within a standard abdominoplasty requires more effort and skill. The incision of an extended tummy tuck extends as far as the hips where the abdominal fold begins to extend over the buttocks. The full circumferential procedure, however, for overall looseness with a sag, is the longest and most comprehensive of the four, adding an increasingly large charge depending on the duration.
Where the Real Savings Show Up
These actual savings can be gained during an abdominal tuck with liposuction combined with a mommy makeover. In this particular case, each operation is included under a single fee in one cost-effective payment; this also allows for just one dosage of anesthesia.
The tummy tuck alone dictates the time for recovery whether combined with other procedures or not. From the time of surgery to return to activity takes up to two weeks and up to six weeks before the patient, as shown above, resumes heavy exercise, even with an additional procedure combined.
How Patients Actually Pay for This
PatientFi, AlphaEon, Cherry, CareCredit, or financing directly through the practice, as well as the major credit cards, cash, or financing through an outside bank, are all accepted, so terms of payment for the surgery ahead can work around whatever schedule you need.
The Part I Actually Want to Warn You About
However, this one piece of warning will suffice to warn you of a risk. I perform abdominoplasty revisions on numerous patients every year, after operations previously completed elsewhere, at times across borders in countries such as Mexico which charge less than what it takes. The price of rectifying a botched abdominoplasty can go beyond anything the original surgery charged, while the outcome usually cannot surpass what could have been achieved if it were done correctly the first time.
Check what has been cut in a quote that seems too good to be true: the surgeon’s training, the facility’s certifications, or the anesthesia used. A deal that demands a revision later, on top of the financial and health cost of that revision, is not a bargain at all.
Why I Price It This Way
As a Mayo Clinic fellowship-trained, double board-certified plastic surgeon and a Castle Connolly Top Doctor for thirteen consecutive years, I would rather be transparent about what’s in the number than let a patient find out what’s missing after the fact. An exact quote can only be given after a consultation, but the starting range and what’s included in it are not a secret. For the complete breakdown, see the full guide on agulloplasticsurgery.com.
Ready to Talk?
Bring your quote. I’ll tell you exactly what’s different about ours.
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 guide on agulloplasticsurgery.com: “What a Tummy Tuck Actually Costs in El Paso (And What Moves the Number)” (canonical)
- Med spa side on swplasticsurgery.com: “What a Tummy Tuck Costs at Southwest Plastic Surgery” (link once live)
