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 19th 2026
- Category: Commentary
Lose sixty pounds and everyone tells you how great you look. Then you catch your face in a car window. The temples, the lids, the folds, the neck: what deflation does, and why the fix is fat.
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- Posted on: September 19th 2026
- Category: Commentary
Lose sixty pounds and everyone tells you how great you look. Then you catch your face in a car window.
The body gets the credit. The face pays for it.
I know the bill by heart, because I dictate it at the exam.
“Facial aging with loss of volume from massive weight loss. She has ptosis, temporal wasting. She has festoons with excess lower eyelid fat bags, excess upper eyelid skin resting on her eyelashes. She has deep nasolabial folds and marionette lines. She has excess skin in the neck. And submandibular gland show.”
Every item on that list is the same event seen from a different angle. The fat left. What it was holding up came down, and what it was covering showed through.
People call it Ozempic face. Bariatric patients had it long before the pen. It is deflation, and the fix follows from the diagnosis.
“Fat is the best filler for a deflated face. A deflated face has lost fat. And what we do when we do fat grafting is replace the fat in those spaces. So it’s like with like.”
That is the whole argument, and I would stop there if patients did not keep arriving with something else already in their temples.
“Many people are using other fillers like Sculptra. But we have to keep in mind that these fillers create scar tissue and fibrosis, which may make the facelift procedure more difficult. It creates collagen through an inflammatory reaction.”
Read that once more if you are on your third round of a biostimulator. The volume it gives you is scar, and scar is what I have to lift through later.
“And last, we have hyaluronic acid fillers, which are temporary, tend to dissipate into the tissues, and can look unnatural. I think they have value in areas that need small corrections and superficial corrections, but not to replace the fat that’s lost due to massive weight loss.”
A man who lost fifty pounds after a sleeve came to me having tried Sculptra and been unhappy with how long it lasted. He wanted permanent. Here is what I told him.
“We overfill the areas, because he will lose about thirty to forty percent of the transferred fat. The remaining fat is permanent, though it will fluctuate with any future weight changes. Even at a low BMI of twenty one to twenty two, there is enough fat to harvest. The inner thighs are the best donor site, followed by the lower back or abdomen.”
Then there is the question of the knife, and when.
“Preferably I want the patient to have lost the weight that they had planned and be weight stable after any facelift procedure. The reason being that oftentimes patients after a facelift tend to lose further weight. And of course, if we lose the volume, then we will have some aging. As the face deflates, the skin tends to sag. So we would lose a lot of the benefit of having done the facelift if the patient continues to lose weight.”
The fat can go in early.
“In terms of fat grafting, it can be done while the patient is still losing weight, as long as the patient knows that it will require repeat treatments. But fat is one of the best fillers we can use, as it is natural, it is soft. It is the same tissue that belongs in those spaces, and can help slow down the aging process as the patient is losing weight.”
Two procedures, two clocks. Fat while the scale is still moving. The lift when it stops. Same rule as the body: you do not tighten what is still shrinking.
And when the lift does happen, in a post weight loss face, it is more than a pull. From a consult with a woman who lost thirty pounds on a GLP-1:
“It would bring this back as well and fill in the cheekbone, bring it back up. And then it’s gonna also bring your neck back tight. So it does give you, it removes about fifteen years.”
She had come in asking for a brow lift.
“Your upper eyelids get better when I do this. So I don’t think you need anything on your upper eyelids. There, you see that hooding. That is the skin. But when I do this, it fixes it.”
Fewer operations than she expected. Better order than she expected. That is usually how these consults end.
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)
- The Body Gets the Credit. The Face Pays for It.
- Like With Like: Fat Back Into the Face That Lost It
- What Sculptra Leaves Behind for the Facelift Surgeon
- Two Clocks: Fat Now, Lift When the Scale Stops
- 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
