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 7th 2026
- Category: Opinion
A magazine asked me which injectable men are choosing. The honest answer is that the good outcomes stopped coming from choosing one.
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- Posted on: September 7th 2026
- Category: Opinion
Playboy ran a piece on August 11 called The Penis Has Entered Its Filler Era. Rachel Khona wrote it, four of us were quoted, and the magazine had room for one line from me on rising demand.
Here is the version with the rest of it.
Four Complaints, One Name
“I see many men come in for male enhancement. Some are looking for increased girth, some want increased length, others are more concerned with treating erectile dysfunction, and a good number are interested in increasing libido and sexual drive. Today, we have many options that we can use to treat these patients, and these procedures have a very high satisfaction rate.”
Four motivations, not one. Sorting out which one a man actually walked in with is most of the work.
What Filler Does
“Any patient looking for increased girth of the penis is a good candidate for hyaluronic acid, or filler. Contraindications include any open wounds, skin irritation, and sometimes previous scarring from other procedures. I find most men are good candidates, as long as you have the right expectations, that is, there’s an improvement in girth and a slight improvement in length at rest.”
On duration:
“Most hyaluronic acid filler procedures will last at least a year, sometimes more. There are more permanent solutions, such as Lipoderma, which is a donor fat graft, or Bellafill.”
Candidacy here is almost never limited by anatomy. It is limited by expectation.
What the P-Shot Does
“The P-Shot is the injection of platelet-rich plasma into the corpora cavernosa and the tip of the penis. It will increase sensation and sexual arousal. It’s an infusion of growth factors into the penis. It can help with erectile dysfunction and increase libido and sensation.”
I have offered PRP in this area for over ten years. I describe the mechanism as proposed rather than proven, and I say the same thing to patients.
What Bocox Does
“Bocox is a term used for injections of botulinum toxin, Botox, Dysport, or Jeuveau, into the corpora cavernosa. It’s like a long-term Viagra or Cialis, which lasts between three and four months. It relaxes the smooth muscle of the cavernosal arteries, creating harder erections and a slight increase in length of about one centimeter, longer penis length at rest, and many men use it to treat flaccid erections.”
Why the Combination Is the Story
“Yes, it is important to note that in many men we combine all the procedures.”
Filler is volume. The P-Shot is biology. Bocox is hemodynamics. A man with three components to his complaint gets all three.
Which means three clocks running at once:
“The P-Shot is usually done once or twice per year, and Bocox is usually recommended every three to four months depending on how long it lasts on each individual.”
Filler sits at a year or more. Lay that out at the first visit or the patient discovers it piecemeal and feels like the goalposts moved.
Where the Risk Actually Lives
“These procedures are overall low risk, and the main risk comes from using non-FDA-approved substances, or injections by non-licensed providers. The main risks are infection, bumps and nodules, and bruising. All of these can be prevented by an experienced provider.”
I have made this same argument about at-home injectables, about jaw shapers, and about hand filler. The pattern does not change by anatomy. The treatment is rarely the danger. The syringe holder and the contents are.
Why Now
“The demand for both is up as men are more self-aware of the treatments and options available.”
Nothing changed technically. Awareness did, and Playboy running the piece at all is part of that shift rather than separate from it.
Frank Agullo, MD, FACS. Double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, plastic surgery fellowship at Mayo Clinic, Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine.
Consults at Southwest Plastic Surgery in El Paso. Call (915) 590-7900 or text 1-866-814-0038. Full list of male procedures on the practice site.
#StayBeautiful
- Posted on: September 6th 2026
- Category: Facial Surgery
Search facelift cost and you get a useless national average and eleven pages of call for pricing. Here are the actual tiers.
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- Posted on: September 6th 2026
- Category: Facial Surgery
Search “facelift cost” and you get a national average, a range so wide it is useless, and eleven pages of practices inviting you to call for pricing.
Call for pricing. As though the number were a trade secret rather than the single most common question in aesthetic surgery.
I publish mine. Not because I am cheaper (I am not) but because the alternative is a consultation that opens with sticker shock.
The Numbers, Since You Asked
The full range is $15,000 to $75,000, depending on what combination the result actually requires. The tiers underneath it, published on the fees page:
| Procedure | Starting Fee |
|---|---|
| Mid facelift (mini or S-lift) | $15,000 |
| Lower facelift (lower face and neck) | $19,500 |
| Full facelift | $25,750 |
| Endoscopic facelift (the ponytail lift) | $30,000 |
| Neck lift alone | $15,000 |
“Those prices are minimums, and they include anesthesia, the surgical facility, medical tests, garments, and recovery products. Because pricing does change, please confirm current pricing at agulloplasticsurgery.com/fees, which is the page we keep updated.
A final quote is only given after a consultation, and it will include everything.”
Two quotes that look thousands apart are frequently the same operation described differently.
The Naming Problem
Deep plane. Extended deep plane. Endoscopic deep plane. Ponytail lift. MACS. SMAS plication.
Patients arrive fluent in this vocabulary and convinced the terminology sets the price. Mostly it does not. Deep plane, extended deep plane, SMAS plication: all map onto the tiers above.
The ponytail lift is the exception. It takes a little bit longer, and it always requires fat grafting in every case, so the graft is bundled rather than optional. Operative time and a second procedure, not a demand premium.
What decides technique is anatomy:
“The differentiator is how much excess skin there is. If there’s substantial excess skin, then we do a deep plane open facelift with an incision in front of the ear. If there’s not a lot of excess skin, we can get away with doing everything through the incisions behind the hairline. Nevertheless, a full facelift is always going to have the endoscopic portion of the forehead and brows.”
Why the First Hour Costs the Most
The economics patients never get told:
“Combining does change the total, but usually in your favor compared to doing things separately. The first hour of operating room and anesthesia time is the most expensive, because of the equipment and the setup, and you only incur that once instead of two or three times. The same goes for medications, moisturizer, scar cream, and lymphatic massages, you only pay for those once.
That said, each additional procedure adds surgical time, and pricing reflects the time and the complexity of the combination. Adding eyelids, a lip lift, an earlobe reduction, fat grafting, or a skin resurfacing treatment will increase the total.”
Not a discount. Arithmetic.
What I Am Actually Charging For
The version patients think and rarely ask:
“Cost varies with the doctor’s experience. Surgeons in high demand consistently deliver good results in a safe environment with top-quality products, and that increases cost. I allow sufficient operating room time to work in a paced fashion, for safety. Low-cost surgeries get compressed to cut anesthesia and operating room fees.
Our patients get direct nurse access 24 hours a day, and all surgeries are done in an accredited surgical center.”
Pace is not a luxury. Compressed surgery is what makes a low quote possible.
What I tell every patient shopping on price:
“I always feel like when things are too good to be true, they usually are. If a price seems far below what everyone else is charging, you have to ask what’s being cut, the surgeon’s experience, the accreditation of the facility, the type of anesthesia, or the follow-up care.”
It is always one of those four.
What Goes With the Lift
“With most facelift procedures we also do fat grafting. We usually recommend Morpheus8 with Iriescence PDGF, or the Sciton MicroLaserPeel with Profractional, depending on your skin type. We can also use exosomes or nanofat. We recommend ELIXIR MD, which is LED light therapy, for almost double the speed of recovery. And a lot of patients will require an upper blepharoplasty, a lower blepharoplasty, a lip lift, or an earlobe reduction. Those all do increase the cost.”
Lifting tissue that has lost volume gives you a tighter version of a deflated face.
Patients Are Arriving Earlier
“I think the deep plane lift and the endoscopic deep plane lift are great procedures, which create very natural and long-lasting results, and we’re seeing patients completely avoid the noninvasive procedures and go straight to the surgical procedures early on.”
They watch the results hold, and they come earlier. I think they are right.
Paying for It
“Patients can finance through PatientFi, AlphaEon, Cherry, or CareCredit. We also offer direct financing through the practice, where you make payments directly to us ahead of your surgery. That lets you schedule the procedure out for the time you need, and make the payments periodically at your convenience.
Beyond that, patients can pay by credit card or cash, or arrange financing through their own bank or another institution.”
Where I Trained on This
Double board-certified. Mayo Clinic plastic surgery fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. Castle Connolly Top Doctor thirteen consecutive years. Endoscopic deep plane training at the Ponytail Academy in Pittsburgh, then the advanced course in Santa Monica.
The full clinical detail, including what each tier covers and how the add-ons price, is in the clinical breakdown on agulloplasticsurgery.com.
Ready to Talk?
Come with a budget and a question and leave with a real number that includes everything. Call (915) 590-7900, text 1-866-814-0038, or book online. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
