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: October 19th 2026
- Category: Commentary
The device industry sells you a wand and lets you assume it does what my operating room does. It does not, and the reason it is safe to sell you is the same reason it barely works. A surgeon on the temperature that remodels collagen, the honest ceiling of every radiofrequency device including mine, and the lift.
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- Posted on: October 19th 2026
- Category: Commentary
I get asked about these wands constantly. The conversation, in order.
Are home radiofrequency devices safe?
“When a patient asks me about home radiofrequency devices, I tell them that they are safe. The main reason being that these devices do not deliver the same energy as medical grade office devices, and do not heat the dermis up to the 40 to 45 degrees Celsius range, which is what actually remodels collagen. This is also the reason why the results are very mild.”
Could it cause fat loss over years of use?
“The fat loss question is a fair one to raise, especially over a long period of time. I tell everyone that the home device may keep the skin looking a little firmer, but it does not replace an office treatment series or a lift.”
What does radiofrequency do at temperature?
“RF, or radiofrequency, uses energy to heat and coagulate the tissues, which contracts the subcutaneous tissue and the skin right away. But it also stimulates your fibroblasts to produce new collagen and elastin over the following weeks and months, so you get an immediate tightening plus a gradual, longer-term improvement.”
Is the wand the same technology as Morpheus8 or Renuvion?
“Well, the mistake here is that RF is the energy used by Morpheus8, BodyTite, AccuTite, FaceTite, and Renuvion. The only difference is that Renuvion, or J-Plasma, also has the helium plasma component. Otherwise, all these technologies are using radiofrequency effectively, and I like all of those modalities. Each is used in different areas.”
“I prefer BodyTite on thinner skin, which is usually in the arms and thighs. I prefer Renuvion J-Plasma in larger areas like the abdomen, the back, the lateral chest wall, and the flanks. I prefer FaceTite in the lower face and neck. And AccuTite around the eyes and nasolabial lines.”
Same word, different hands. More on Renuvion J-Plasma here.
What is the honest ceiling, even in the office?
“Radiofrequency is going to give us mild to moderate improvement in skin laxity. It is important to note that every patient is going to react differently to the radiofrequency energy, and the amount of skin contracture can really not be predicted, but will tell itself over the following three months.”
“With some of the radiofrequency technologies, we can repeat the treatments for further tightening. And the results that you obtain really are permanent. We create contracture, and we keep going in that timeline from that result. So obviously, as time passes, the skin can begin to lax again, but the actual contracture obtained sets the clock back.”
When is a lift the answer?
“The big difference from a surgical lift is that a lift actually cuts out excess skin and repositions the tissues, so it corrects more significant sagging. RF doesn’t remove any skin, it tightens what you have, so it’s best for mild to moderate laxity or for patients who aren’t ready for surgery.”
“Radiofrequency energy is going to work well for mild to moderate cases where the skin is still good quality. By good quality, I mean that the skin has good elasticity and is usually absent of stretch marks. In more severe cases, or when the skin quality cannot give us predictable contracture, then surgical excision is indicated.”
No device removes skin. That is a lift.
And after weight loss?
“In the area of GLP-1s, which are Ozempic, tirzepatide, and Retatrutide, small amounts of weight loss cause some skin looseness because of the loss in volume. A lot of times, the tightening effect is done by adding volume, but it can be improved in the early stages with radiofrequency, whether it’s Morpheus8 or something more invasive.”
“Massive weight loss patients will rarely respond to radiofrequency by itself, and although it can still be used, excisional surgery is necessary.”
What about the reviews on the product page?
“I think the biggest misconception is that on social media, practitioners only show their best results. This gives patients a certain expectation which may not actually happen to them.”
Keep the wand. Know what it is. The device table is on swplasticsurgery.com; the surgical side 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.
- Posted on: October 18th 2026
- Category: Botox, Commentary, Patient Safety
A counterfeit toxin fails one of two ways. It does nothing, because there is no toxin in it. Or it puts someone in the emergency room. The CDC just published three Colorado cases. Here is the report, what I see from my own chair, and the five questions that would have stopped it.
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- Posted on: October 18th 2026
- Category: Botox, Commentary, Patient Safety
Three women. One Colorado med spa. One lot of a toxin the FDA never approved. The CDC published it on October 8, 2026 (the report).
What happened to them?
Numbness and tingling, muscle weakness, voice changes, blurred vision, neck stiffness, all within 24 hours of an injection in the brow, the glabella or the upper lip. All three recovered. None of them knew the product was not FDA approved. The spa had bought it from an online supplier, shared single-dose vials between patients, and used reconstituted vials past their date.
Have you seen this?
“The danger with counterfeit products is that we only find out because they go to the ED because of severe life threatening complications. Some counterfeit products result in no result at all because they do not contain the botulinum toxin. We see a good number of patients where the botulinum toxin is incorrectly applied resulting in eyelid droopiness, brow droopiness, and uneven smiles.”
Why does anyone buy from an online supplier?
Price. What I told the Daily Mail about cheap injectables: “That’s not a discount. That’s paying with risk instead of dollars.”
So how do you know your vial is real?
“We buy directly from the manufacturers, Galderma, Allergan, and Evolus. The toxin is shipped to us directly from them in temperature controlled containers. The vials are stored in a medical temperature controlled refrigerator that is monitored 24 hours a day for temperature variations.”
“We record the lot number and toxin information in every chart and encounter. Vials come sealed in a box with holograms. The lot number on the box matches the vial. All the toxins are reconstituted according to manufacturer FDA approved instruction. We do not use a middle man or discount pharmacy to order our toxins.”
Who holds the syringe?
“Botulinum toxin are reconstituted and administered by registered aesthetic nurses, nurse practitioners supervised by Dr. Agullo. Dr. Agullo also administers the treatments. Patients can see the vial at any time.”
What should a patient ask, anywhere?
Where the vial came from. Whether they can see the sealed box and the matching lot number. Where it was stored. Who is injecting and who supervises them. Whether the vial is theirs alone.
Ask to see the vial. The practice version, with the full checklist, is on the Southwest Plastic Surgery site; the exam-room version is on agulloplasticsurgery.com.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
