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 7th 2026
- Category: Commentary
Everyday Health ranked the telehealth companies that will sell you Saxenda and asked me to explain the drug. I did. What I actually think about GLP-1 telehealth is more useful than a ranking: it solved the real barrier, it works when someone reads the labs, and it fails the moment nobody looks at the patient.
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- Posted on: October 7th 2026
- Category: Commentary
“It’s true, the skin doesn’t know how you did it. Patients lose the weight, the envelope stays, and some patients feel ashamed of it, like they did something wrong. That’s not the fact. It’s just the way things work.”
I said that on a podcast in August. In September, Everyday Health quoted me in a guide to buying Saxenda online. I answered the pharmacology. Nobody asked me about the skin. So here it is.
The Short Version on Saxenda
What I told Everyday Health: “For many patients, this is the medication that their insurance covers, and sometimes that’s why they’re on it versus the other newer ones.”
It is a daily shot. The newer drugs are weekly and hold their level all week. I rarely see a patient on it and I do not start people on it. The full comparison, and how our program at Southwest Plastic Surgery chooses between semaglutide, tirzepatide and retatrutide, is on the Southwest Plastic Surgery site.
What Nobody Tells You at the Checkout
“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.”
“The biggest surprise patients see is the change in their face. The face doesn’t have a lot of fat, but the fat it does have is the good fat, the baby fat, what makes you look young. In the face you see the loss of the fat under the eyes, the temporal areas, temporal wasting, the buccal fat. We see the face just melt down because it’s lost all that volume. That’s usually the first thing they notice in the early stages of the weight loss.”
Faster Than Bariatric, and Still Cooking
“With GLP-1s, patients are losing the weight a lot faster, getting to goal faster, and plateauing faster. What I’ve been seeing is about a six to nine month weight loss and then about a three month stabilization until we’re ready for surgery.”
“The timing is shorter now with the GLP-1s, but it’s still cooking. We don’t know exactly how it’s going to work. And the main thing is not to bounce back. When you stop taking it, if we have a bounce back, that can pretty much destroy everything we did, and the fat is not going to come back in the right places necessarily.”
The Warnings Are the Same for All of Them
Everyday Health asked about safety: “It still carries the big warning about thyroid C-cell tumors just like semaglutide and tirzepatide, and the serious, but rather rare, risks of pancreatitis and gallstone disease.”
“Just like the other GLP-1s, Saxenda needs to be avoided [by] anyone who has a personal history or family history of medullary thyroid carcinoma or MEN2. It should also be avoided by women who are pregnant or trying to conceive.”
Wish Photos
“Some patients bring wish photos and you have to coach them. You have to tell them, this patient you’re showing me is 20 years old, you’re 40. Or this patient’s BMI is 20 and you’re still at 30. You look much better than you did before, but we can’t compare apples to oranges.”
“If you’re losing 40 pounds, I think you’re going to need a surgical procedure. It depends: some people care about the face, some about the buttocks, so it’s very personal what gives the patient the self-confidence.”
Why Me
Double board-certified, Mayo Clinic trained, Clinical Associate Professor of Plastic Surgery at Texas Tech, Castle Connolly Top Doctor 2014 through 2026. I write the prescription, and I am the one you come back to about the skin.
Ready to talk?
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.
- Posted on: October 6th 2026
- Category: Body Contouring, Commentary
Four skin-tightening devices in one office is either excess or expertise. A patient made me choose one. I chose QuantumRF, and the reason says more about liposuction than about machines.
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- Posted on: October 6th 2026
- Category: Body Contouring, Commentary
A patient asked me which skin-tightening device I would keep if I could keep only one. I have four. My answer, from the dictation this post is built on:
“If I had to pick just one, I would pick QuantumRF over all the other devices, mainly because it delivers more power, and does so much faster, in a safe and controlled fashion.”
The Thing Nobody Says About Liposuction
Here is why I care this much about a machine most people have never heard of.
“Liposuction itself is emptying out the tissue, but leaving the skin envelope looser than before, since the volume is not there to stretch it out.”
That is true of every liposuction. “Before radiofrequency, the only skin tightening we would see was from some fibrosis created after liposuction or VASER treatments, but it wasn’t truly skin tightening.”
“Since I’ve been using radiofrequency treatments, we’ve had better and better results in body contouring.”
Why This One
Each device heats a different layer. Morpheus8 works on the surface, “the superior layers of the skin, dermis, and subcutaneous tissue.” BodyTite “treats the external skin and the internal fat as a bipolar radiofrequency device.” Renuvion J-Plasma “treats the subcutaneous tissue, the tissue below the skin, with radiofrequency and helium plasma.”
QuantumRF goes deep and goes hard. It “treats the deep subcutaneous tissue and skin, creating contracture using higher delivery powers in a safe fashion.”
“So far, we’ve seen far greater contracture with QuantumRF than with any other device.”
The layer-by-layer breakdown of all four devices is in the full post on my practice site.
You Can Hear It
“As we’re delivering the energy during the surgery, we actually hear the fat and the connective tissue crackle, which translates into contraction we can visualize immediately.”
Then the rest arrives on a schedule. “About 30% of the contracture is seen right away during the procedure. Another 30% occurs in the first one to two weeks, and the final third occurs toward the two-month mark.”
Same incision as liposuction, about four millimeters. Same recovery, “usually five days to get back to normal, easygoing activity, and as soon as two weeks to return to exercise.”
Who I Turn Away
The limit is the skin itself, not the machine.
“Massive weight loss patients may not be candidates. If we see a lot of stretch marks on the skin, or large folds with loss of collagen and dermal tears, the likelihood that the skin will contract is lower, and this would require excisional plastic surgery procedures.”
Related reading: body contouring after GLP-1 weight loss, the lipo and tummy tuck cost post, and skin tightening by body area on my fees page.
The Point
“Body contouring is not just about removing fat. It is about shaping and tightening the skin for better overall 360-degree contours, and even muscle enhancement.”
Anyone can take fat out. I have four ways to make the skin follow, and QuantumRF is now the first one I reach for.
Ready to Talk?
Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
