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: September 5th 2026
- Category: Body, Commentary
The fat is free, it feels like you, and somewhere between half and four fifths of it stays. On the two things patients consistently get wrong.
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- Posted on: September 5th 2026
- Category: Body, Commentary
Two things patients believe about fat transfer, both wrong.
The first is that none of it lasts.
“One of the biggest misconceptions is that all the fat disappears. Patients think that none of it lasts, when in actuality, we do get a fifty to eighty percent retention rate. This could be less than what the patient wanted, but it’s still an addition and not a complete loss.”
The second is that they will see it right away.
“The other misconception is that the results are instant, but the patient has to keep in mind that swelling often hides the results. It does take about four to six weeks to start seeing the actual retention, volume, and new contours.”
Now the rest of it.
“Fat transfer is exactly what it sounds like. We take fat from one place and move it to another place. So a lot of times, patients get a double benefit. They get to reduce the amount of fat from a place they want to reduce, and they get to augment the amount of fat in a place they want to augment.”
The list of places it can go is longer than most people expect.
“In my practice, we routinely do fat transfer to the face, which can go in the temporal hollows, the periorbital area or around the eye, the nasolabial lines, the lips, the jawline, the chin, and the cheekbone area.
“We can also use it to augment the breasts or to hide rippling. We can use it for fixing a bad liposuction where there’s a lot of contour irregularities. We can use it to enhance the buttock, the hips, and the thighs. We can also inject it into the muscles to create muscle definition in the biceps, triceps, trapezius, the calf muscles, and even the thighs. You can also enhance the six-pack by injecting into the rectus muscles.”
On what drives the retention number:
“A lot is determined by the patient’s own healing response and circulation, and also if they adhere to instructions, keeping them away from exercise and on a healthy diet. I often use AuraClens, which contains Poloxamer 188, to wash out the fat graft and also strengthen the cell membrane for higher retention rates.”
If you think you are too lean to donate:
“Although you may think that lean patients don’t have any fat that they can donate for themselves, there are usually areas where some amount of fat can be obtained. And these areas are usually the flanks and the medial thighs.”
And against the alternatives:
“Fillers are going to be more palpable, and fat is going to feel a lot more natural, but it is unpredictable in terms of how much retention we can get. The great thing about fat is that it’s free, and we can use as much as we need to correct the deformity, or augment, or sculpt, versus fillers, which have a cost per unit.”
One condition on all of it:
“Remember that fat grafts will change with the patient’s weight, so it is ideal to maintain your weight over time.”
The graft is living tissue. It gains and loses along with the rest of you, which is the part nobody mentions when they are selling it.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Title alternatives for Frank
- Fifty to Eighty Percent, Not Zero
- The Fat Is Free
- Two Things Patients Get Wrong About Fat Transfer
- It Gains and Loses Along With You
- Posted on: September 4th 2026
- Category: Commentary, Patient Safety
Chest masculinization leaves about 5 percent of the breast tissue behind. A surgeon’s read on a new multicenter cohort, the screening that should replace the mammogram, and why every specimen goes to pathology.
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- Posted on: September 4th 2026
- Category: Commentary, Patient Safety
“Chest masculinization significantly reduces the risk of breast cancer. It is not a mastectomy. Some breast tissue (around 5%) is left behind. These patients can still develop breast cancer later on. Screening should continue, but it changes. Imaging is often not indicated. Rather, annual chest exams and self-chest exams are the norm.”
That is what I gave MDLinx on August 12, in a piece by Alpana Mohta, MD, about a multicenter cohort in JAMA Network Open. The study followed 112 transgender, nonbinary, and gender-diverse patients who developed breast cancer. Only 51.8 percent had a mammogram in the ten years before diagnosis. And 13.4 percent of those cancers were found by accident, sitting in tissue removed during chest masculinization surgery.
The line I keep coming back to is that barely half of them had ever had a mammogram.
Q: How do you frame breast cancer risk with patients considering chest masculinization?
“I tell my patients that although the risk of breast cancer decreases after chest masculinization, it does not go away 100 percent, because the surgery that we do is for aesthetics, and there is some breast tissue left behind.”
Q: How is the procedure different from an oncologic mastectomy?
“It’s not the same as a full mastectomy for oncologic reasons, but it is a mastectomy. We have to leave some breast tissue behind to avoid contour irregularities, and there’s often some axillary breast tissue that can be left behind.”
They are two operations on the same organ doing different jobs, because the cancer surgeon is chasing margins while I am building a chest my patient has to live in for the next fifty years, which means a thin layer stays behind and the armpit keeps its share as well.
Q: What screening do you recommend after surgery?
“After surgery, patients no longer need to have mammograms done every year. It’s more of a clinical self-exam and yearly exam procedure. Of course, on higher-risk patients, we may modify the screening for higher risk.”
“Higher-risk patients are those with a family history or positive genetic testing.”
A mammogram needs a breast to compress, and there is not enough left for the machine to do anything useful with. Which is why I want the genetic question answered before surgery, not after.
Q: When and how does this conversation happen in your practice?
“This is something that we bring up during consultation and in the post-op visits. We also send the tissue to pathology after the surgery, to make sure that there were no tumors or lesions, and to identify any findings that would indicate a higher risk for the patient.”
Every specimen goes, without exceptions, and that 13.4 percent is the reason why. Those cancers were found because somebody actually looked at the tissue, and in the other version of the story the specimen goes in the bin and the diagnosis waits a few years to introduce itself.
The same article cites a 2025 JAMA Oncology analysis: these patients were roughly 50 percent less likely to receive endocrine therapy and about 80 percent less likely to receive postmastectomy reconstruction than cisgender patients. No surgical technique fixes that one, and my own view is that a clinician who fumbles the terminology but keeps the patient in the room is doing better than one who says nothing at all.
If you have had the surgery, ask what your pathology showed. If you are planning it, ask whether your surgeon sends every specimen.
Ready to Talk?
If you want a straight conversation about chest masculinization, or about what your screening should look like now that you have had it, come see me. Office (915) 590-7900, text 1-866-814-0038, or book at https://www.agulloplasticsurgery.com/appointments/.
#StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
