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 4th 2026
- Category: Commentary
I have posted before-and-afters since 2014, so this is not a post against them. It is a post about how to read them. The three-photo red flag, why consistency beats the home run, the wish photo at BMI 20 when you are at 30, what a photo cannot show you, and the six-month settle and the nip-tuck nobody puts on the feed.
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- Posted on: October 4th 2026
- Category: Commentary
I have posted before-and-afters since 2014. This is not a post against them. It is about how to read them.
Marc McKee of This Is My Journey is 126 pounds down on a GLP-1. He asked me what the photos hide. Here is the exchange, as I said it.
Marc: What do you most want people to understand about surgery that before-and-after culture online hides?
Me: I would stay away from anybody that has one or two or three amazing before and afters and that’s it. You want to see a surgeon that’s posting before and afters every day, and they’re all consistent, and they’re all getting good results. They’re not going to all be home runs, because it depends how the patient comes in. You can’t get a home run out of everybody, but you can definitely get them to a better place as long as the expectations are set.
Three photos is a portfolio. A daily feed is a track record.
Me: The before and after doesn’t tell the whole story. It doesn’t tell you about the patient’s psychology, if they’re happy or not. You don’t know that from a photo. Some patients get amazing results and they’re still not happy; they have these little things they want to perfect. It doesn’t tell you about the recovery, everything they had to go through, or any complications there could have been. And of course the cost the patient had to undergo, what it cost the family, just getting through the whole procedure. The before and after is a quick fast-forward through all of that. But it is an important part of choosing a surgeon, because you want to see somebody that can consistently deliver good results.
Psychology. Recovery. Complications. Cost. None of it is in the frame.
Marc: How do you handle it when someone wants something surgery can’t give?
Me: That’s the toughest part of my job, telling patients that’s not possible. Realistic expectations. We have to set that from the beginning, otherwise nobody’s going to be happy. I’m not going to be happy, the patient’s not going to be happy, it’s going to be a sad story. Thankfully, with social media and the way we’ve been educating patients, less behind the curtain, patients are having a lot more realistic expectations. 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.
Bring the wish photo anyway. We will talk about it.
Me: And realistic expectations afterwards too. Patients who have lost a lot of weight, we do these surgeries and we’re pulling as tight as we can, but the skin, because it’s lost that elastin, is going to give again. We lose some of the result over the first six months. Another realistic expectation is that a lot of times, six months later, we have to do a little nip and tuck to tighten things up and get them right.
That is the part nobody posts. The early after is pulled tight. The six-month after has settled. A small revision does not photograph.
Marc: What made a Mayo-trained plastic surgeon decide to show the public what happens in an operating room?
Me: Before, I would have a consultation with a patient in front of me and they were so anxious and worried, and I was giving them all this information, and I think it just went in one side and came out the other. At the end of the consultation they were more confused than before. Now they come in and they know what’s going on. They’re telling me what they want. I start explaining and they’re like, yeah, yeah, I know, I know. It’s a lot more comfortable, and I think they are better for it.
Marc: What does #StayBeautiful mean and why is it significant to you?
Me: This is one of the slogans we came up with early on. Everybody’s beautiful when they come in. We’re helping you become the best version of yourself, and we’re working as a team to get there, but it doesn’t mean that if you don’t have plastic surgery you’re not beautiful. There are certain things that make each person beautiful, and it’s not always the physical. The other slogan we say a lot is happy is beautiful. If you’re happy, you’re beautiful.
So read the feed all the way down. Your age. Your BMI. Their ordinary result, not their best one. Then remember the after is month one of a six-month story.
The five-minute license and board check comes before any of this. The rest of what I said on the podcast, on loose skin and timing, is here.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: October 3rd 2026
- Category: Commentary
The Daily Mail asked me whether garlic in honey is natural Botox. It is not. But garlic inhibits platelets, and that is the part of the story a surgeon actually cares about.
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- Posted on: October 3rd 2026
- Category: Commentary
The Daily Mail asked me about a man who eats raw garlic in honey every morning and calls it natural Botox. Nothing in a clove relaxes a muscle. The line I wanted printed was about my operating room: “I ask patients to stop garlic supplements roughly two weeks before surgery for the same reason I ask them to stop fish oil and high-dose vitamin E.”
This is how that sounds on my pre-op nurse’s phone call. Her words.
Our pre-op nurse: “You’re gonna stop all vitamins, supplements, pre-workouts, or anything that you take that is not prescribed. If you’re taking any prescribed medications, you continue taking them.”
Our pre-op nurse: “So your vitamins, I’m gonna explain them to you, but it’s a lot. But we’ll be sending you written instructions for everything.”
Nobody is left with an empty shelf.
Our pre-op nurse: “Our vitamins are called Recovery Support. They help you with the bruising, the swelling, and everything that you need to heal, to have a smooth healing process. It’s a month treatment that you start 2 weeks before, then you finish it 2 weeks after.”
Our pre-op nurse: “One bottle labeled Morning Formula, the other bottle Evening Formula, the third bottle Bromelain. The morning and the evening formula, those are the only ones that you’re going to start.”
Our pre-op nurse: “Bromelain is what pineapple contains, a natural antibacterial and a natural anti-inflammatory.”
Our pre-op nurse: “That box is actually opened and taped because I labeled every tablet for you. You’re gonna start with the first tablet that is labeled pre-op, 24 hours before the surgery. The arnica pills is only a 4-day treatment.”
On a GLP-1?
Our pre-op nurse: “I’m gonna need for you to stop taking it 2 weeks before the surgery and 2 weeks after. The reason why, they slow down your intestinal motility, as well as the surgery, and we do need for you to have bowel movements right after surgery.”
Want to heal faster?
Dr. Agullo: “We do have something called ElixirMD, which, if you can come every day for five days, it’s an LED treatment, and it speeds up the recovery by, like, twice as fast.”
Dr. Agullo: “NAD infusions with glutathione before and after surgery help clear the anesthesia. Arnica and bromelain help with bruising.”
Back to the garlic. Keep cooking with it. “One clove in food is not a crisis, but a patient who has escalated to several cloves a day plus a supplement is a patient I want to know about.”
Iron, nicotine and the rest of the call are on agulloplasticsurgery.com. Bring me the list.
Call (915) 590-7900, text 1-866-814-0038, or book at agulloplasticsurgery.com. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
