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: August 23rd 2026
- Category: Body Contouring, Commentary
Nobody thinks about their belly button until it looks wrong. The fix is smaller than most people expect, and for the right patient it happens under local.
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- Posted on: August 23rd 2026
- Category: Body Contouring, Commentary
A patient flew into El Paso last month to ask me about two things that had bothered her since a prior surgery: a belly button that healed flat, and a raised scar on her lower back. Seven minutes of consult dictation answered both. I am publishing the exchange nearly as it happened, identifiers removed, because patients keep asking me the same questions.
Her: Why does my belly button look flat?
Me: “When I went in, there was very little skin. I have to make it like a new one from scratch. This is the only skin you had, the tiny bit in the middle. It’s the only skin you had that was actually the belly button. So I have to bring in this to make it look in, and so we don’t see a scar. And I think it’s gonna look a lot better.
“And then depending on how it heals, or even during the surgery, sometimes I put a little bit of fat around it so it gives it more of a depth. So we can start planning. It should only be probably about a thirty, forty-five minute procedure.”
Her: They wanted you to look at the back. One of the scars is raised.
Me: “So there’s two choices here. It’s like a hypertrophic scar. So one is to put steroid in it. It’ll make it flatter, but it’ll probably make it wider. The other one is just to do a revision, do this area here and then re-suture it, and it should heal better because there won’t be as much tension as the first time. That will probably give you a better-looking scar in the end. Is this the part that you’re most concerned with, the part right here?”
Her: Yeah, just the raised part.
Me: “I think if we do the steroid, it will be flat, but it will get wider. So I think it’s gonna look better if we actually do the revision, and since we’re gonna be doing something anyway, we could just do the back at the same time.”
Her: Not putting me out, right? We can still do it with local?
Me: “It’ll probably take a little longer, probably about an hour.”
Both procedures, one visit, local anesthesia only. My exam note from that day: “Patient doesn’t have much belly button skin, so it looks flat. We will have to do a new umbilicus with possibly some fat grafting, and revision of the hypertrophic scar in the back and the coccyx area.”
The takeaway
A flat or scarred navel after a tummy tuck or other abdominal surgery is fixable. On its own it is a thirty to forty-five minute procedure. Paired with a scar revision, about an hour. For the right patient, no general anesthesia at all.
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and I teach plastic surgery as a Clinical Associate Professor at Texas Tech University Health Sciences Center.
Ready to Talk?
If your belly button or a scar has been bothering you, let’s look at it together. Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at drworldwide.com.
#StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: August 22nd 2026
- Category: Breast Lift
Patients keep asking for volume without a foreign object. The tissue was there the whole time.
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- Posted on: August 22nd 2026
- Category: Breast Lift
A version of the same request walks into my clinic every few years wearing new clothes. These days, the lines sound something like this: “I want more volume, but I do not want anything artificial inside me.”
There is a real procedure hiding behind that line, not just some newfangled marketing gimmick, and it is worth explaining plainly and clearly what it is.
The Idea, Stated Simply
An auto augmentation breast lift uses tissue the patient already has and reshapes it to gain a little bit of volume that goes predominantly into the upper pole, during a breast lift. There is no implant involved. When they have plenty of tissue (usually after some weight loss), I use tissue from the breast and sometimes from the lateral chest wall.
To maintain the shape, I incorporate a GalaFLEX mesh, which functions as an internal bra and helps hold everything perfectly in place. It forms a nice capsule, similar to how an implant’s capsule works, allowing the volume to sit high and circular post-lift, but without any artificial device.
What It Will Not Give You
This is the part where I get blunt with patients like this. Any marketing you see for ‘natural augmentation’ is basically overselling this technique, so I make it clear up front just what someone looking for an operation like this should and should not expect. Implant-level upper pole cleavage does not occur utilizing your own soft tissue, which has more tendency than implants to eventually soften over and reshape. The result is a more tapered, natural-looking upper pole. If anyone starts talking to me about hoping for significant, round cleavage, I clarify that this operation simply will not achieve that, even before we consider booking.
The patient population who really shines with this technique are massive weight loss patients. There is real tissue left to begin with, but almost certainly, not enough structure underneath to maintain an upward position. We take care of that structural problem with this, no device needed.
The Technical Trade
I perform with the same Wise pattern or anchor incision pattern I use for any full mastopexy. The difference with auto augs is that I carry the incision laterally. So, for mastopexy, I extend to the area underneath the armpit, then elevate that skin portion before lifting it to form a nice contour. After elevating the skin, I then add some internal sutures to try and redistribute parenchyma over, and once all that is done, I raise my mesh higher on the patient than I would in a typical implant placement to assist with further support. This way, we put gravity to less of a test going into the future. That also goes for women having a mastopexy, for example, from an implant explant.
I would say for patients, it is pretty much a one-or-the-other consideration, having the auto aug is not an add-on option to any plans for implants. The options are either a mastopexy with an implant or a mastopexy with auto augmentation. I have not found any clear, viable way of doing combined operations on the unique individual. And what is more, I would not pretend otherwise with a patient that is actually asking for exactly that when she approaches me.
Recovery, No Surprises
Recovery is much like that for any similar breast lift. A week to light duty. Four weeks light exercise and normal life. Then four weeks full exercise, no holds back. There will be bilateral drains, which come out around a week after the surgery. Then there is an anti-underwire, anti-push-up, supportive bra regimen, which lasts a while beyond that and for the laundry too; it is a two-bra situation all the way with this one so the clothes pile does not pile up!
The Honest Limitation
Long-term durability with an auto-augmented breast lift, even without implants, comes down to the same constraints as any similar breast procedure: The longevity or durability will be the same after the procedure, including even when implants are present later in life, provided no changes are made to the patient’s weight or body condition. We are talking weight changes including swings, gaining it and losing it later, and in particular to pregnancy; it moves the result same way any other lift will be displaced.
Why I Reach for This Technique
As a Mayo Clinic fellowship-trained and double board-certified plastic surgeon and a Castle Connolly Top Doctor for thirteen consecutive years, I see plenty of and perform a lot of post-weight loss reconstruction. That is why an auto augmentation earns its place within the population with some added specific conditions. The truth is that when you have a support problem and can actually take care of that particular problem with the technique, without a need to add a foreign body to your body when an implant could just be avoided, a patient who has just gone through sufficient amounts of change might just really end up being the best candidate for this treatment which can give her more stability. All the way from incision to what needs to be considered, see the full guide on agulloplasticsurgery.com.
Ready to Talk?
If your own tissue can do the job, let’s find out before anyone talks you into a device it does not need.
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 surgical guide on agulloplasticsurgery.com: “Auto Augmentation Breast Lift: A Fuller Lift Without an Implant” (canonical)
- Med spa side on swplasticsurgery.com: “No Implant, Still Fuller: The Auto Augmentation Lift at Southwest Plastic Surgery” (link once live)
