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: July 11th 2026
- Category: Aesthetic Surgery, Commentary
The operation people most often confuse with liposuction, plus the second-opinion panic I see constantly: a bulge after a tummy tuck, and whether it is really a seroma.
BLOG
- Posted on: July 11th 2026
- Category: Aesthetic Surgery, Commentary
A patient came in last month convinced she had a fluid pocket that three other offices had been draining with a needle for the better part of a year. She had been stuck. Aspirated, told to wait, aspirated again, no real answer.
I put an ultrasound on her belly for ninety seconds and the whole story changed. There was no fluid. There never had been.
That moment is half of why I wanted to write this. A tummy tuck is the operation people most often confuse with liposuction, and the difference matters enormously. The other half is the steady stream of second opinions I see from patients worried about a bulge after a tummy tuck done somewhere else. Here is how I explain all of it, from real consultations, anonymized.
Liposuction Will Not Do What a Tummy Tuck Does
This is the most common mix-up I run into, so let me clear it up before anything else.
When the abdominal muscles split apart during pregnancy or big weight swings, liposuction does nothing for it. Liposuction handles what we can pinch, and that is all. Relax those muscles and the bulge from the separation is still right there, and the only thing that touches it is a tummy tuck. A tummy tuck flattens everything, tightens it, and repairs that muscle wall, like building you a corset on the inside. It buys you a lot more than liposuction can, and the cost of admission is a scar across the lower abdomen. That trade is the entire decision.
What a Tummy Tuck Actually Repairs
Two things liposuction and dieting cannot touch.
| Problem | What Fixes It |
|---|---|
| Loose, excess skin | Removed during the tummy tuck |
| Separated muscles (rectus diastasis) | Sutured back together down the midline |
| Pinchable fat | Liposuction (often added to the tummy tuck) |
I take out the excess skin and stitch those separated muscles, the rectus diastasis, back together down the midline. That midline repair is what hands you a flat, supported abdomen, not just a thinner layer of fat sitting over the same loose wall.
“I Had a Tummy Tuck Elsewhere and Still Have a Bulge. Is It a Seroma?”
This is one of the most common second opinions to land in my office, and my first move is always to look rather than guess.
I reach for an ultrasound right there in the room. It color-codes the tissue for you. Yellow is fat. Red is muscle. Fluid lights up blue. No blue on the screen means no fluid, which means no seroma. For a patient who has been stuck under a needle over and over with no real answer, that single image is a relief in itself.
What is usually going on instead is residual diastasis. On the same scan you can see the muscle on each side and the gap running between them. Up high, where the muscles nearly touch, that is normal. Drop lower, where they stayed separated, and the abdominal wall goes slack and pushes outward, and that is the fullness people keep feeling. Now and then someone has a connective tissue disorder, and a perfectly correct repair simply stretches back out over time. Nobody’s fault.
“How Do You Fix Residual Diastasis?”
If it is a true diastasis, there is only one real fix: go back in, open it up, and re-suture the muscles tighter.
When a patient’s tissue is very elastic, I will sometimes add a mesh to back up the repair, an internal version of the binder you wear after surgery. My preference is a mesh that dissolves and gets replaced by your own collagen, about as biocompatible as it gets. The alternative is traditional sutures laid down with a few extra reinforcing layers. Which way I go comes down to your tissue, not a rulebook.
“Why Was My Upper Belly Not Liposuctioned During the Tummy Tuck?”
On purpose, and it is a safety decision, not an oversight.
When we do the tummy tuck initially, we do not aggressively liposuction the upper abdomen, because removing too much fat there can compromise the blood supply to the skin, and the skin can die. Once everything is healed, a little liposuction later can safely make that area look less bloated. The staged approach protects the result.
“If the Bulge Does Not Hurt, Do I Have to Do Anything?”
Not necessarily, and I will tell you that honestly even though it is not the answer that books surgery.
If there is no hernia, no seroma, and no fluid collection, then nothing is a health risk. At that point a small residual bulge is more about how it looks than a physical problem, and it is not something I would rush to fix. I would rather you make that decision with clear information than be scared into an operation you do not need.
The Credential Behind the Imaging
I am a double board-certified plastic surgeon, certified by the American Board of Plastic Surgery and the American Board of Surgery, a Fellow of the American College of Surgeons, with a plastic surgery fellowship from the Mayo Clinic, and I teach as a Clinical Associate Professor at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. With abdominal surgery, the honest, useful answer usually comes from imaging and an exam, not assumptions.
For the full patient walkthrough, see the tummy tuck page at agulloplasticsurgery.com and the El Paso version at swplasticsurgery.com. If your concern is the whole post-pregnancy picture, that lives on the mommy makeover page.
Ready to Talk?
Whether it is a first tummy tuck or a worry about one you already had, let us actually look together. Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
- Posted on: July 10th 2026
- Category: Aesthetic Analysis, Commentary
A surgeon’s candid read on the Katie Miller before and after, why the lower face did the talking, and why “she had X” is the wrong way to read any public figure.
BLOG
- Posted on: July 10th 2026
- Category: Aesthetic Analysis, Commentary
A national outlet asked me for a technical read on Katie Miller’s transformation, and I agreed with my colleague that the lower half of the face was where the change was. Here is the longer, candid version. It is an educational read from photographs, not a diagnosis. I have not treated her, and a photo is not a consultation.
The Before
In her earlier pictures, we can see that Katie has pretty full cheeks and fullness in the lower face, making her face very rounded, giving her a tired appearance. There’s also a lack of definition of the jawline.
The After
I think a combination of things has occurred since then. She does look younger and more refreshed. Her face is more triangulated, and her jawline is more defined.
What Could Explain It
I think she’s had a combination of botulinum toxin around the forehead, the glabella, and crow’s feet. I think she’s had some weight loss, probably aided by GLP-1, but the lower face change is rather significant.
I think this would only be achievable either with liposuction, with the aid of something like FaceTite for skin tightening and Morpheus8, both of which are radiofrequency treatments, and removal of the buccal fat pad. If she truly has had weight loss, she may be keeping the upper cheek fullness with fillers or biostimulators like Sculptra. Or if she actually had the liposuction and buccal fat removal, she may have had some fat injections to the cheek and zygomatic area. I think it would be a little bit too far-fetched to think that she’s had a lower face lift, although it’s not out of the question.
Why “She Had X” Is the Wrong Read
This is what I want colleagues and readers to take from it. From a photograph, the honest read is a hedged read. The lower-face change here could be a real procedure, a real GLP-1 weight loss, or a combination, and telling those apart from press photos is hard. The technical read is fair game. The flat “she had a buccal fat removal” headline is not, because the same look can be produced more than one way.
Why the Lower Face Did the Talking
The lower third integrates almost everything that happens above it. Volume that drops, skin that loosens, and weight that comes off all collect along the jawline and the lower cheek. So when a face moves from rounded and tired to triangulated and defined, the lower third is where I look first, because that is where the story almost always is. That is exactly why my colleague and I both landed on the lower half of the face.
The Credential Behind the Opinion
Double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, American College of Surgeons Fellow, Mayo Clinic plastic surgery fellowship, Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine, Editorial Board Member at Aesthetic Plastic Surgery, and Castle Connolly Top Doctor for thirteen consecutive years.
Ready to Talk?
If your own before-and-after is what is on your mind, the read on your face is the place to start.
For the patient-facing version of this read, see the companion post on agulloplasticsurgery.com. For the lower-face treatment menu, see the version on swplasticsurgery.com.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
