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!
BLOG
- Posted on: August 18th 2026
- Category: Breast, Editorial
No cutting, no cautery, no muscle release. A launch-group surgeon explains the Preservé breast augmentation: 30 minutes, work next day, gym in two weeks.
BLOG
- Posted on: August 18th 2026
- Category: Breast, Editorial
Preservation is the most important word in plastic surgery right now. Preservation rhinoplasty keeps the nasal structures intact. The deep plane facelift respects the anatomy instead of fighting it; I have written the facelift version of this argument before. The whole idea is to preserve as many of the structures that are naturally there without dividing them or cutting them.
Breast augmentation just got its preservation moment, and I was in the room when it arrived in this country.
It is called the Motiva Preservé technique, and the name is literal. We’re not cutting any nerves, arteries, or breast tissue. Nothing gets cut. Let me walk you through what that actually means, because it changes almost every number patients care about.
A Pocket Without a Blade
A traditional augmentation and a Preservé share the basics: an implant, and a pocket to hold it. I use Exparel on all my patients either way, injected between the ribs to numb the breast for up to three days.
From there the two operations separate. The Preservé incision sits in the inframammary fold, but it is much smaller, about two and a half centimeters, an inch. The patient can be under light sedation. And there is no cutting involved in creating the pocket, and no electrocautery either. Instead, we create the pocket with a dilator and a balloon, precisely made above the muscle, behind the breast tissue.
Then the implant, a Motiva Ergonomix, the gummy bear type, goes in through a Keller funnel. The whole procedure takes thirty minutes or less.
The Ligaments Do the Work
Here is the part I find most elegant. Because nothing is divided, the natural breast ligaments survive intact, and they now act like a mesh that keeps the implant in the pocket.
Two things follow from that. By using these ligaments, we get a lot more of a lift from the breast with just the implants. And we obtain greater volumes in the end result using smaller implants. The breast is lighter, but we get more out of the implant in terms of size compared to a traditional augmentation. Smaller implant, bigger result, better support. That arithmetic does not exist in the standard operation.
No Muscle Release, and What That Buys You
The implant goes above the muscle, behind the breast gland, so the muscle does not need to be released as in a dual plane augmentation.
Long term, when patients exercise, flex their pectoralis muscles, or do upper body weights, the implant does not animate. There is no motion. It looks a lot more like a natural breast in that respect, and this technique prevents animation deformity altogether. Muscle function is not jeopardized, strength is not affected, and it is very athlete-friendly.
The short-term version is just as striking: patients notice immediately after surgery that they can raise their hands above their head without any discomfort or pain. Back to work the next day. Gym within two weeks. A traditional augmentation runs about a week to return to work and four weeks to exercise.
The Honest Limits
This is not the operation for everyone, and I would rather tell you that here than in a consultation you paid to attend.
The implant ceiling is 325cc. If a patient desires more than a two cup size increase, we need a traditional augmentation over the muscle, or dual plane. And significant breast ptosis is not solved by this procedure alone; those patients need a breast lift at the same time. The patients who seek out Preservé are chasing the natural result and the ultrafast recovery, and those it delivers.
The implant choice is also not negotiable. The Motiva Ergonomix is really the only implant that can work through such a small incision and tunnel; other implants would easily rupture. Its surface has been studied thoroughly and creates the least inflammatory reaction with the body compared to other implants, and the Motiva line carries a capsular contracture rate under 0.5 percent and a rupture rate under 0.5 percent, well ahead of its competitors.
Where I Fit In This Story
I was one of the very early adopters of this technology. I was in the select thirty-surgeon group that launched the procedure in the United States, chosen by Motiva, and trained in Costa Rica with the surgeons who developed and invented this technique.
I have now performed more than fifty Preservé procedures. I haven’t had to do any revisions, although it might be a little too soon to tell, and I say that out loud because honest data matters more than marketing. What I can say without hedging: my patients have been very happy, every one has returned to work the next day, and they have resumed exercise two weeks later.
The full technique details live on my Motiva Preserve technique page, and the implant background on the Motiva breast implants page.
Ready to Talk?
If a natural result and a next-day recovery sound like your version of an augmentation, come talk about Preservé. 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.
Companion reads: the clinical candidate guide on agulloplasticsurgery.com, and the practice overview at swplasticsurgery.com.
- Posted on: August 17th 2026
- Category: Breast Augmentation
Fashion swung back toward the natural silhouette, and my consultation room noticed before the magazines did.
BLOG
- Posted on: August 17th 2026
- Category: Breast Augmentation
Trends hit my field like 12 months after they came to the runway. This one came early.
Patients started picking up a description I had never put into their mouths, the phrase “ballerina breasts.” They were “working breasts,” they had a nice shape to them. Smaller. Lighter. The size the breast would be on its own. Not flat. Not androgynous. Just quiet.
Let me be precise about the numbers, because the internet is not. In my practice, approximately half of my patients still desire the largest sizes and they are getting amazing outcomes. The other half has moved, and moved decisively.
The Cup Size Secret
The single math lesson that informs how every size conversation I have ever been in ever unfolds is that 150-200cc implants equate to one full cup size.
The patient arrives saying some version of “a small implant will not change my appearance much.” Then, on the 3D simulation of their own body, I show what 150 cc of change does and ask for comments. You can hear crickets. Even that little volume dramatically impacts projection and cleavage. 150 cc is not a minor change.
I often turn to Motiva Ergonomix when addressing these situations. It mimics the movement and contour of breast tissue: It is rounder while flat and takes a teardrop shape when standing, which appears more natural in motion for its size.
Getting More From Less
Placement of the implant is key: Traditionally placed, it leads to a standard augmentation with a size difference that makes sense relative to the individual’s natural breast size. Under ligaments using the Motiva Preserve approach, it causes the ligaments to support the implant and not cause a “hang” or “unnatural feeling” because nerves, vessels and breast tissue are all left alone; a size is chosen that yields a breast size higher than what might be expected just from the cc count itself.
When I place implants the traditional way, I often add a DuraSorb or GalaFLEX mesh that essentially acts like an internal push-up bra. That placement is secure and lowers the risk of capsular contracture and migration. With Preserve, the breast’s own ligaments achieve this same purpose, for free.
I cover the full surgical walkthrough, along with the downsizing pathways, in the complete smaller implants guide on the practice side.
The Downsizing Wave
These ladies are more interesting because they are not fresh to cosmetic surgery. They are 50- and 60-something women who chose large implants decades ago and now feel they are simply too big to wear.
It is serious surgery with real planning involved. If you plan on dropping only one cup size, you might be fine just taking out the old implant and inserting the new, smaller one. If you are dropping larger sizes, the skin will likely be too saggy and would have to be worked with. This usually takes a shape similar to a “donut lift” or an “anchor lift.” Finally, the now empty space/pocket from the old larger implant needs to be pulled tighter, closed up with some mesh to keep the new, smaller implant from moving out of place or shifting. Skipping it is what turns a downsize into a future revision.
What It Costs to Go Small
That smaller size does not result in a smaller bill, and I would prefer to say so plainly rather than mislead anybody. It is still the same surgery and the same amount of carefulness in that surgery. I went over all the details and costs in my breast augmentation cost read.
Going small might buy some time, as there is much less weight pulling your breasts down as you age and maybe a result that never needs a lift at all. It will also, as many patients say, be much more comfortable to get around.
My Honest Take
Two major waves of breast augmentation fashion have rolled through my professional life. The choice of size should be the patient’s, not the surgeon’s dictation. The physician’s role is to inform the patient of realistic tissue constraints, outline available alternatives via a 3D visual model and then allow them to hold implant samples in their own bra to estimate weight before they go under the knife.
Ballerinas are not even close to a downgrade. If done right with the right type of implant and support, they are honestly some of the most detailed cases that I can do. One recent example is in the 315 cc Motiva Preserve case study.
Ready to Talk?
Bring your version of “natural” and we will find out together what it looks like on you.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. #StayBeautiful
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
Cross-links
- Full surgical guide on agulloplasticsurgery.com: “Smaller Breast Implants in El Paso: The Ballerina Breast Trend, Downsizing, and the Preservation Approach” (canonical)
- Consultation-experience version on swplasticsurgery.com: “Trying On Your New Size: How Southwest Plastic Surgery Plans a Smaller Breast Augmentation” (link once live)
