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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My industry keeps the price off the website and the money talk in the exam room. Doctors Magazine asked me how I do it instead, and the answer is a rule: clinical first, financial second, never in a gown. Here is the feature, and the reason every one of my prices is public.
“My approach is to keep the clinical conversation and the financial conversation separate, in that order, and to never start the second one while the patient is still in a gown.”
That is what I told Doctors Magazine when they asked physicians how to talk about cost without shame.
They headed my section “Publish Fees and Use Coordinators.” Prices on my fees page. Quote from a coordinator, separate office, patient dressed.
Why publish at all?
“Those prices are minimums, and they include anesthesia, the surgical facility, medical tests, garments, and recovery products. Because pricing does change, please confirm current pricing at agulloplasticsurgery.com/fees, which is the page we keep updated.”
“Baseline: if nothing else is added and the surgery is not expected to take longer than the standard time, the quote matches the website.”
“A final quote is only given after a consultation, and it will include everything.”
What does a coordinator do that I cannot?
Hold the quote while I hold the exam.
“Patients can finance through PatientFi, AlphaEon, Cherry, or CareCredit. We also offer direct financing through the practice, where you make payments directly to us ahead of your surgery. That lets you schedule the procedure out for the time you need, and make the payments periodically at your convenience.”
“Beyond that, patients can pay by credit card or cash, or arrange financing through their own bank or another institution.”
Why do surgeons charge such different numbers?
“Cost varies with the doctor’s experience. Surgeons in high demand consistently deliver good results in a safe environment with top-quality products, and that increases cost. I allow sufficient operating room time to work in a paced fashion, for safety. Low-cost surgeries get compressed to cut anesthesia and operating room fees.”
And the quote that is too low?
“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.”
“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.”
“In short, if a price seems too good to be true, it usually is.”
“A bargain that costs you a revision, or your health, is not a bargain at all.”
I wrote about the numbers themselves last week. This is about the room they are discussed in.
The full patient version is on agulloplasticsurgery.com. The fees page is where the numbers live. 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.

The world’s number one surgery fell 11 percent last year. Every lift rose, some by nearly 40 percent. The survey never says why. I will.
Liposuction is the number one surgery in the world, and in 2025 it fell 11.4 percent. Upper body lifts rose 38 percent. Buttock lifts rose 39. Lower body lifts rose 22. Arm lifts rose 13. That is the International Society of Aesthetic Plastic Surgery’s survey of procedures performed in 2025, published at the end of September. It never mentions weight loss medication. It does not have to.
We used to only talk about massive weight loss after bariatric surgery, like a Roux-en-Y or a gastric sleeve. But nowadays, massive weight loss also happens with GLP-1s. There is a rapid amount of weight loss, and the loss of volume deflates the skin that was previously stretched out. This ultimately sags and creates contour irregularities.
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. Some patients have it in the inner thighs, the arms, the back. It’s a 360 thing. It’s the whole body, not just the tummy like most people expect.
Once the skin has been stretched out to a certain degree, it loses its elasticity and really doesn’t react to radiofrequency energy the same way healthy skin would. When the skin laxity is significant, the only option at this point is excisional.
I think the gold standard for massive weight loss is usually performing an abdominal procedure, which entails a tummy tuck. But more often than not, because of the massive weight loss, this tummy tuck has to be extended circumferentially, so that we can lift the buttock and the lateral thigh, reduce the lower back, and fix the abdomen at the same time.
After a full consultation, we can determine whether you can undergo all the procedures at once, which usually entails an overnight stay and possible blood transfusion, versus breaking them up into parts. I think the most convenient way to break them up is to do the upper body, and then do the lower body.
Body contouring surgery does entail surgical scars, but most of them can be hidden by normal clothing. The circumferential body lift can be hidden by swimwear or underwear. There are some procedures whose scars are a little harder to hide, like the arm lift, or brachioplasty.
Oftentimes the patients are willing to have these scars because of the amount of excess skin in these areas, and ultimately they will feel better in clothing than not doing anything at all.
The timing, the staging and the screening are in the full post on the Agullo Plastic Surgery site.
Double board-certified, Mayo Clinic trained, Clinical Associate Professor of Plastic Surgery at Texas Tech, Castle Connolly Top Doctor 2014 through 2026. ISAPS says one surgeon in five performs an upper body lift. I am one of them.
Call (915) 590-7900, text 1-866-814-0038, or book online. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.