DR. WORLDWIDE GETS SOCIAL
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.WWFrank 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.


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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The Daily Mail asked me whether garlic in honey is natural Botox. It is not. But garlic inhibits platelets, and that is the part of the story a surgeon actually cares about.
The Daily Mail asked me about a man who eats raw garlic in honey every morning and calls it natural Botox. Nothing in a clove relaxes a muscle. The line I wanted printed was about my operating room: “I ask patients to stop garlic supplements roughly two weeks before surgery for the same reason I ask them to stop fish oil and high-dose vitamin E.”
This is how that sounds on my pre-op nurse’s phone call. Her words.
Our pre-op nurse: “You’re gonna stop all vitamins, supplements, pre-workouts, or anything that you take that is not prescribed. If you’re taking any prescribed medications, you continue taking them.”
Our pre-op nurse: “So your vitamins, I’m gonna explain them to you, but it’s a lot. But we’ll be sending you written instructions for everything.”
Nobody is left with an empty shelf.
Our pre-op nurse: “Our vitamins are called Recovery Support. They help you with the bruising, the swelling, and everything that you need to heal, to have a smooth healing process. It’s a month treatment that you start 2 weeks before, then you finish it 2 weeks after.”
Our pre-op nurse: “One bottle labeled Morning Formula, the other bottle Evening Formula, the third bottle Bromelain. The morning and the evening formula, those are the only ones that you’re going to start.”
Our pre-op nurse: “Bromelain is what pineapple contains, a natural antibacterial and a natural anti-inflammatory.”
Our pre-op nurse: “That box is actually opened and taped because I labeled every tablet for you. You’re gonna start with the first tablet that is labeled pre-op, 24 hours before the surgery. The arnica pills is only a 4-day treatment.”
On a GLP-1?
Our pre-op nurse: “I’m gonna need for you to stop taking it 2 weeks before the surgery and 2 weeks after. The reason why, they slow down your intestinal motility, as well as the surgery, and we do need for you to have bowel movements right after surgery.”
Want to heal faster?
Dr. Agullo: “We do have something called ElixirMD, which, if you can come every day for five days, it’s an LED treatment, and it speeds up the recovery by, like, twice as fast.”
Dr. Agullo: “NAD infusions with glutathione before and after surgery help clear the anesthesia. Arnica and bromelain help with bruising.”
Back to the garlic. Keep cooking with it. “One clove in food is not a crisis, but a patient who has escalated to several cloves a day plus a supplement is a patient I want to know about.”
Iron, nicotine and the rest of the call are on agulloplasticsurgery.com. Bring me the list.
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.

I told a UK podcast host who had lost 126 pounds that the tummy was the easy part. The breasts go, in men too. The buttock goes twice, because a quarter of fast weight loss is muscle. The arms, the inner thighs, the back. It is a 360 thing, and here is how I think about it.
The tummy is the part everybody plans for. It is the part they have been pinching in the mirror for years, the part the tummy tuck was invented for. So when a patient a hundred pounds lighter sits down across from me, they are ready for that conversation.
They are not ready for the rest of it. I said as much on a podcast last week, to a host 126 pounds down, and I have written up the timing half already. This is the other half.
“It’s a 360 thing. It’s the whole body, not just the tummy like most people expect.”
Start with the physics, because it explains everything after it.
“The skin envelope has been stretched out. It’s lost those connections with elastin, and you can’t make any new elastin. Once you deflate, just like a balloon, the outside wrinkles. We’re going to get some contracture, it’s just not as much as we would want.”
A balloon does not wrinkle in one spot. So, zone by zone.
The breasts, and I mean both sexes.
“The breast loses its fat content, and this is for both men and women, which is also surprising. You suddenly have saggy breasts, and that can affect a lot of patients mentally.”
The men are the ones blindsided. Fixable. Not the reward they pictured.
The buttock is the one I want you to understand, because it deflates twice.
“The same thing happens in the buttock area, and there we have a combination. A lot of these patients losing weight fast are not taking in enough protein, so they’re also losing muscle. About a quarter of the weight loss is going to be muscle mass. So the body loses muscle mass plus the fatty content, and then we have the sagging in the buttock.”
A quarter of it is muscle. The buttock is mostly muscle. So the weight-loss months matter here.
“It depends on the amount of weight you lose, how fast you do it, and how you take care of yourself during that time. Are you taking protein? Are you doing weightlifting and building muscle? The skin is going to react the way it does. We can’t do a lot about it. We can help it in some ways, but you shouldn’t feel bad if you have excess skin.”
Then the zones nobody mentions until I ask.
“Some patients have it in the inner thighs, the arms, the back.”
Inner thighs rub. Arms show in a short sleeve. The trunk I covered in the body lift post.
Will it come back if you wait? Some.
“Younger patients are going to retract better. Everybody retracts some, probably not as much as we would want, and it’s also sooner than people think. It really happens in the early stages, and I think at a maximum of a year it’s all done.”
A year is the ceiling.
Where do I start?
“If you’re losing 40 pounds, I think you’re going to need a surgical procedure. It depends: some people care about the face, some about the buttocks, so it’s very personal what gives the patient the self-confidence.”
The face changes first. You rank the rest, not me.
Timing, which I laid out here:
“What I’ve been seeing is about a six to nine month weight loss and then about a three month stabilization until we’re ready for surgery.”
“And the main thing is not to bounce back. When you stop taking it, if we have a bounce back, that can pretty much destroy everything we did, and the fat is not going to come back in the right places necessarily.”
One last thing, usually said as an apology.
“Patients lose the weight, the envelope stays, and some patients feel ashamed of it, like they did something wrong. That’s not the fact. It’s just the way things work. Skin stops producing elastin after puberty, so it just doesn’t contract like it does during puberty.”
You did the hard part. The skin is the part I do.
The full clinical version, with the zone-by-zone table and the procedure pages, 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.