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 17th 2026
- Category: Breast Augmentation
Fashion swung back toward the natural silhouette, and my consultation room noticed before the magazines did.
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- Posted on: August 17th 2026
- Category: Breast Augmentation
Trends hit my field like 12 months after they came to the runway. This one came early.
Patients started picking up a description I had never put into their mouths, the phrase “ballerina breasts.” They were “working breasts,” they had a nice shape to them. Smaller. Lighter. The size the breast would be on its own. Not flat. Not androgynous. Just quiet.
Let me be precise about the numbers, because the internet is not. In my practice, approximately half of my patients still desire the largest sizes and they are getting amazing outcomes. The other half has moved, and moved decisively.
The Cup Size Secret
The single math lesson that informs how every size conversation I have ever been in ever unfolds is that 150-200cc implants equate to one full cup size.
The patient arrives saying some version of “a small implant will not change my appearance much.” Then, on the 3D simulation of their own body, I show what 150 cc of change does and ask for comments. You can hear crickets. Even that little volume dramatically impacts projection and cleavage. 150 cc is not a minor change.
I often turn to Motiva Ergonomix when addressing these situations. It mimics the movement and contour of breast tissue: It is rounder while flat and takes a teardrop shape when standing, which appears more natural in motion for its size.
Getting More From Less
Placement of the implant is key: Traditionally placed, it leads to a standard augmentation with a size difference that makes sense relative to the individual’s natural breast size. Under ligaments using the Motiva Preserve approach, it causes the ligaments to support the implant and not cause a “hang” or “unnatural feeling” because nerves, vessels and breast tissue are all left alone; a size is chosen that yields a breast size higher than what might be expected just from the cc count itself.
When I place implants the traditional way, I often add a DuraSorb or GalaFLEX mesh that essentially acts like an internal push-up bra. That placement is secure and lowers the risk of capsular contracture and migration. With Preserve, the breast’s own ligaments achieve this same purpose, for free.
I cover the full surgical walkthrough, along with the downsizing pathways, in the complete smaller implants guide on the practice side.
The Downsizing Wave
These ladies are more interesting because they are not fresh to cosmetic surgery. They are 50- and 60-something women who chose large implants decades ago and now feel they are simply too big to wear.
It is serious surgery with real planning involved. If you plan on dropping only one cup size, you might be fine just taking out the old implant and inserting the new, smaller one. If you are dropping larger sizes, the skin will likely be too saggy and would have to be worked with. This usually takes a shape similar to a “donut lift” or an “anchor lift.” Finally, the now empty space/pocket from the old larger implant needs to be pulled tighter, closed up with some mesh to keep the new, smaller implant from moving out of place or shifting. Skipping it is what turns a downsize into a future revision.
What It Costs to Go Small
That smaller size does not result in a smaller bill, and I would prefer to say so plainly rather than mislead anybody. It is still the same surgery and the same amount of carefulness in that surgery. I went over all the details and costs in my breast augmentation cost read.
Going small might buy some time, as there is much less weight pulling your breasts down as you age and maybe a result that never needs a lift at all. It will also, as many patients say, be much more comfortable to get around.
My Honest Take
Two major waves of breast augmentation fashion have rolled through my professional life. The choice of size should be the patient’s, not the surgeon’s dictation. The physician’s role is to inform the patient of realistic tissue constraints, outline available alternatives via a 3D visual model and then allow them to hold implant samples in their own bra to estimate weight before they go under the knife.
Ballerinas are not even close to a downgrade. If done right with the right type of implant and support, they are honestly some of the most detailed cases that I can do. One recent example is in the 315 cc Motiva Preserve case study.
Ready to Talk?
Bring your version of “natural” and we will find out together what it looks like on you.
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: “Smaller Breast Implants in El Paso: The Ballerina Breast Trend, Downsizing, and the Preservation Approach” (canonical)
- Consultation-experience version on swplasticsurgery.com: “Trying On Your New Size: How Southwest Plastic Surgery Plans a Smaller Breast Augmentation” (link once live)
- Posted on: August 17th 2026
- Category: Commentary, Facial Contouring
Daily Mail asked me about the viral jawline strap trend. Here’s the mechanism it actually uses, why overnight wear isn’t harmless, and what actually fixes a soft jawline.
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- Posted on: August 17th 2026
- Category: Commentary, Facial Contouring
Daily Mail called about jawline compression straps, the under-$10 TikTok Shop item promising an overnight “snatched” jaw. They wanted a surgeon’s read on whether it’s dangerous. It isn’t, the way a badly placed injectable is. But it isn’t harmless either, and it doesn’t do what the videos claim.
What the Strap Physically Does
The band does not redistribute fat. It doesn’t tighten muscle, reconfigure loose skin, or realign bone. All it does is push fluid out of the tissue temporarily, which produces about an hour of misleading transient improvement before your jaw returns to baseline within one to two hours. That “before and after” you see in the videos is real, and it’s also gone by lunch.
If your jawline is genuinely soft, from loose skin, poor platysma muscle tone, or a chin and jaw that were never fully projected, a fluid shift can’t fix any of that. You need a different tool entirely.
Twenty Minutes Is Fine. Overnight Isn’t.
Worn for twenty to thirty minutes, the strap is low risk. Worn overnight, eight hours at a stretch, it’s a different story. The tight synthetic material against skin for that long causes acne mechanica and folliculitis along the band. And holding the jaw closed and back for hours can cause morning jaw and ear soreness, plus aggravate clenching and bruxism in people already prone to it.
I would not endorse overnight use for anyone with a history of jaw pain, clicking, or teeth grinding. That’s a meaningful chunk of the population wearing this thing to sleep.
What Actually Fixes a Soft Jawline
The right fix depends on what’s actually causing the softness. Excess fat under the chin responds to submental liposuction or deoxycholic acid injections. Mild skin laxity responds to energy-based skin tightening. Platysma banding, the vertical neck bands that show up with age, needs a deep plane facelift or neck lift, nothing external is going to fix that. And chin recession, where the underlying structure was never fully projected, responds to a chin implant or filler.
None of those are a $10 strap. All of them address what’s actually driving the appearance, instead of temporarily moving fluid around.
About Dr. Frank Agullo
Frank Agullo, MD, FACS, is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery and a Fellow of the American College of Surgeons. He completed his plastic surgery fellowship at Mayo Clinic and serves as a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. He has been named a Castle Connolly Top Doctor for thirteen consecutive years.
Ready to Talk?
If a strap isn’t giving you the result the video promised, there’s a reason, and it’s usually not the strap’s fault. Let’s talk about what’s actually going on.
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
- Patient-facing version on agulloplasticsurgery.com: “The Jawline Strap Trend: What It Can and Can’t Fix” (link once live)
- Practice version on swplasticsurgery.com: “Southwest Plastic Surgery on Jawline Straps” (link once live)
- Source: Daily Mail, “The hidden dangers of ‘jaw shapers’ as surgeons urge caution over latest beauty fad,” Jane Herz, July 29, 2026. https://www.dailymail.com/lifestyle/beauty/article-16013797/dangers-jaw-shapers-surgeons-caution-risk.html
