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: October 17th 2026
- Category: Commentary, Hair Restoration
Every hair loss ad promises regrowth. I was the lead expert in Mochi Health’s explainer on finasteride for women, and I promised the opposite: the medication’s real job is to keep what you have. Who I prescribe it to, the off-label conversation I have every time, why the growth phase takes a year, and the sentence I use to reset expectations.
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- Posted on: October 17th 2026
- Category: Commentary, Hair Restoration
Every hair loss ad promises regrowth. I promised the opposite.
What did you tell Mochi Health?
“In women, finasteride is a stabilizer first and a regrower second. The win is the hair you keep. Any new density over the following year is a bonus.”
That was the line for Mochi Health’s explainer. The practice version is on the Southwest Plastic Surgery site.
So what is the drug actually doing?
“It slows down that signal driving the follicle to shrink. It is not a hair-growing medication. It is a mechanism to slow down hair-loss activity and maintain hair growth.”
Who do you put on it?
“It is actually very common in women with female pattern hair loss. I offer it to all postmenopausal women as one of the main preventative means to stop further hair loss. We use it sparingly and with a lot of care in premenopausal women due to pregnancy risks.”
It is not approved for women. Say that part.
“Finasteride is not FDA approved for the treatment of alopecia in women. Yet we know that it works, because it has the same mechanism of action in women who have hair loss due to androgenic alopecia. We use it off-label, and we advise patients that we’re using finasteride off-label, and they understand this use. When we use it in premenopausal women, we do so with a lot of patient education, as this is important, as the medication can cause birth defects if used during pregnancy.”
When does anyone see growth?
“Phase two consists of hair growth. There is a slight, if minimal, growth boost in phase two, but the effects on hair thickness or receding hairline are not fully seen until around 12 months down the road.”
A year. Slight, if minimal. Reset the expectation there.
And the hairline the medication cannot touch?
From a consult this month, in Spanish, rendered in English: “Did you pull your hair back a lot before, in a ponytail or a bun? Sometimes when you do that for many years, the hair suffers and falls out.”
What about the hair she still has?
“Exosomes are little particles that the body itself forms, but inside they have all the growth factors that signal the hair to grow. Like when you cut yourself, all the growth factors go there to fix it, but now we’re doing it artificially, we put them here so the body concentrates on the hair. And it’s giving us very good results.”
And when she wants density?
“So we would take hair from the back, we take it in a strip, so it leaves a scar, but your hair will hide it, and we place the hairs one by one.”
“There is a technique where we take the hair one by one, but to do that we have to shave, and in women that doesn’t make sense, right?”
Keep first. Add second. The surgical half is on agulloplasticsurgery.com.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: October 16th 2026
- Category: Commentary, Recovery, Surgeon Take
A patient has a tummy tuck in another city, flies home, and nobody will take the drain out. Here is why most surgeons say no, why I say yes, and the line I will not cross in the early weeks.
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- Posted on: October 16th 2026
- Category: Commentary, Recovery, Surgeon Take
“Most surgeons do not accept patients from other surgeons, which makes it difficult for these patients to obtain optimal treatment. We are here for patients, and we are available if we can help.”
I understand the no. Liability, no operative report, somebody else’s judgment in the wound. I still think the no is wrong, because the patient is standing in El Paso and the surgeon is in Miami.
“These are patients that have had their procedures done elsewhere. Most commonly they have traveled outside of El Paso. They are locals; they come from and live in the El Paso area or the Southwest. They’ve had their surgeries done throughout the United States, but most commonly in the Florida, Miami area, or in Mexico. After their surgery, they still need aftercare. Whether it is routine or not, they find themselves in a bind because they cannot easily travel back to see their surgeons.”
The Line I Will Not Cross
“In the early stages, we really cannot revise any of the surgery itself.”
Drains, sutures, seromas, scars, massage, LED, fluids. Yes. Reopening someone else’s work in week two. No.
The Phone Call
“Communication with the other surgeon is ideal, but it is not always possible, or desired by the patients themselves. Oftentimes the patient has been in communication with the other surgeon’s office, and they have recommended certain treatments, whether it’s a drain placement or a splint removal after rhinoplasty, suture removals, or even a drain removal.”
The ER Is Not Me
“In terms of when to go to the ER, this is very clear, and the patient should already have these instructions from their original surgeon. This includes any changes in vital signs, such as low blood pressure, tachycardia, which is a high pulse rate, fever, lightheadedness, or fainting; redness, purulent discharge, changes in the color of the drain output, specifically if it becomes white, yellowish, or creamy; a fluid collection that keeps growing, shortness of breath or chest pain, swelling in the legs or tenderness in the calves, a breast that suddenly gets larger and painful, or uncontrolled bleeding.”
The Revision Question
“Some patients do come in unhappy with their results and are looking for a revision surgery. This is not possible in the early stages, and patients are usually told to wait until healing has been achieved, which can vary depending on the procedure from three months to a year. For their own particular reasons, many surgeons do not perform revision surgeries on other doctors’ patients. At Southwest Plastic Surgery, I believe that we are here to help patients, and we do perform revision surgeries on other surgeons’ patients, as long as we believe that the results can be improved and that the patient’s expectations are appropriate.”
The full list of what my office does, what it needs from you, and how it is billed is on agulloplasticsurgery.com. The med spa side of recovery is on the Southwest Plastic Surgery post. And if you have not operated yet, read flying in for surgery first.
Why Choose Dr. Agullo
Double board-certified, by the American Board of Plastic Surgery and the American Board of Surgery. Mayo Clinic plastic surgery fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly Top Doctor for 13 consecutive years.
Ready to Talk?
Your surgeon is a flight away. I am not. (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
