Active Member
Frank Agullo, MD
Dr. Frank Agullo is a board-certified plastic surgeon in El Paso, Texas, and the founder of Southwest Plastic Surgery. Mayo Clinic-trained and known worldwide as Dr. Worldwide to over 3.5 million followers, he specializes in preservation-first aesthetic surgery techniques designed to enhance appearance while protecting long-term tissue health. Signature procedures include the Deep Plane Facelift, Ponytail Lift, Motiva Preserve breast augmentation, rib repositioning, and Supercharged BBL.
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Meet Dr. Frank Agullo
El Paso, Texas Board-Certified Plastic Surgeon
Dr. Frank Agullo, affectionately known as “Dr. Worldwide,” is a dual board-certified plastic surgeon practicing in El Paso, Texas. His practice, Southwest Plastic Surgery, offers a comprehensive range of cosmetic and reconstructive procedures built around a preservation-first philosophy — techniques that enhance appearance while protecting long-term tissue health, reversibility, and natural results. Dr. Agullo’s commitment to artistry, safety, and patient satisfaction has earned him recognition as Castle Connolly Top Doctor for eleven consecutive years and induction into the Texas Super Doctors Hall of Fame.
Educational Background and Certifications
Dr. Agullo earned his medical degree at Universidad Anáhuac in Mexico City. He completed his general surgery residency at Texas Tech University Health Sciences Center and his specialized plastic surgery training at the Mayo Clinic in Rochester, Minnesota. He holds dual board certifications from the American Board of Plastic Surgery (2010) and the American Board of Surgery (2008). He serves as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center El Paso and as Affiliate Professor at The University of Texas at El Paso, where he mentors PhD candidates and collaborates on research in diabetes and electrical stimulation, 3D bioprinting, and compression-garment effects on inflammatory markers.
Signature Procedures
At Southwest Plastic Surgery, Dr. Agullo offers an extensive array of surgical and non-surgical procedures:
•Facial Procedures: Deep Plane Facelift, Endoscopic Deep Plane Facelift, Ponytail Lift, rhinoplasty (including revision rhinoplasty), eyelid surgery, brow lifts, chin surgery, and neck lifts. Non-surgical options include BOTOX®, dermal fillers, exosomes, and PRP treatments.
•Breast Procedures: Breast augmentation with Motiva Preserve, fat transfer augmentation, breast lift, breast reduction, and breast revision.
•Body Contouring:Liposuction, Tummy Tuck, Supercharged Brazilian Butt Lift, Ultrasound-Guided BBL, Rib Repositioning (RibXcar) for waistline definition, lower body lifts, arm lifts, thigh lifts, and mommy makeovers.
•Male Procedures:Gynecomastia surgery, pectoral implants, male facelifts, rhinoplasty, liposuction, and non-surgical treatments tailored for men.
•Regenerative & Hair Restoration:Exosomes, PRP, advanced grafting materials AlloClae, Lipoderma, and hair transplantation techniques including Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT).
Academic and Editorial Leadership
Dr. Agullo serves on the editorial boards of Aesthetic Plastic Surgery (Springer, the official journal of ISAPS) and Plastic and Reconstructive Surgery — Global Open (Wolters Kluwer/LWW, the open-access journal of the American Society of Plastic Surgeons). He is Immediate Past President of the World Association of Gluteal Surgeons (WAGS), an Active Member of the International Society of Aesthetic Plastic Surgery (ISAPS), and a Fellow of the American College of Surgeons. He holds memberships in ASPS, ASAPS, the Texas Society of Plastic Surgeons, the Texas Medical Association, and the Mayo Clinic Alumni Association.
Recognition
Dr. Agullo’s honors include Castle Connolly Top Doctor (eleven consecutive years), Texas Super Doctors Hall of Fame, Aesthetic Everything Top Plastic Surgeon of the Decade, Corporate LiveWire Excellence Awards, America’s Best Plastic Surgeons (Newsweek tier), and the RealSelf 100 honor for top board-certified physicians committed to patient education.
Social Media Presence
Under the moniker “Dr. Worldwide,” Dr. Agullo has built one of the largest plastic surgery followings in the world — more than 3.5 million followers across Instagram (@RealDrWorldWide), TikTok, Snapchat, and YouTube, where he shares live surgical procedures, patient transformations, and educational content that demystifies plastic surgery for a global audience.
Dr. Frank Agullo’s practice at Southwest Plastic Surgery in El Paso stands as a regional leader in aesthetic and reconstructive surgery. His Mayo Clinic training, preservation-first philosophy, academic leadership, and commitment to patient education have solidified his reputation as a trusted partner for patients seeking transformative, natural results.
Your Consultation
Every surgical journey begins with a conversation. During your consultation, we'll listen to your goals, evaluate your options, and walk you through a plan tailored to you. Your consultation fee is applied toward your surgery quote, so your investment goes directly into your care.
Consultation Options:
- Virtual consultation with Dr. Agullo — meet face-to-face from anywhere
- In-person consultation with Dr. Agullo — limited availability
- In-person or virtual consultation with our Nurse Practitioner — every case is personally reviewed by Dr. Agullo
- FastTrack email consultation with Dr. Agullo — for patients who prefer a written exchange on their own schedule
Three Easy Ways to Book
- Call us at (915) 590-7900
- Text us at (866) 814-0038
- Submit your information online and our team will reach out to you
Many of our patients from out-of-town choose to have virtual consultations. Our coordinators can facilitate this.
Facilities
Dr. Agullo is proud to offer his patients surgical care at Southwest Plastic Surgery Center. It is a fully accredited ambulatory surgery center by QUADA (AAAASF). Patients experience safety, comfort, and personal attention.
Patient Testimonials
Over the past year I have been thinking about having a Rhinoplasty, and have been researching various physicians in southwest. I work in the medical field and was referred by friends to Dr. Agullo. I immediately started to explore his credentials and realized he had completed his Plastic Surgery Fellowship at the highly esteemed Mayo Clinic in Rochester, Minnesota. After meeting with him in his office I knew I was in good hands and scheduled surgery. In Short, Dr. Agullo is highly trained, very detailed in his approach and uses the best equipment which has led to my great results. I am EXTREMLY satisfied and have recommended him to friends and family.”, Google
“Dr. Agullo had excellent patient care! He provided comfort, professionalism, and performed his surgery to the best of my knowledge.”, RealSelf
“Dr. Agullo is an amazing surgeon but also an amazing human being. Meeting him you feel calm reassured and safe. I have been his patient, I have watched him do surgery (I work in the medical field) and I have had the opportunity to hear and see what he is like when he works. So I went in for a consultation and had my surgery. It is the best thing I have ever done for myself and Dr. Agullo is such a blessing in EL PASO, Texas! Thank you Thank you for coming back to El Paso to help those of us who needed you to feel whole again.”, Google
Procedures Performed
Aesthetic Genital Plastic Surgery
Arm Lift
Body Contouring
Body Lift
Botulinum Toxin
Breast Augmentation
Breast Implant Removal
Breast Implant Removal
Breast Implant Revision
Breast Lift
Breast Reconstruction
Breast Reduction
Breast Reduction
Brow Lift
Buttock Implants
Buttock Lift with Augmentation
Calf Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Chin Augmentation
Chin Surgery
Cleft Lip and Palate Repair
Cosmetic Surgery & Computer Imaging
Dermabrasion
Dermal Fillers
Deviated Septum Correction
Ear Reconstruction Surgery
Ear Surgery
Endoscopic Technique
Eyelid Ptosis Repair
Eyelid Surgery
Facelift
Facial Implants
Gender Surgery
General Reconstruction
Giant Nevi Removal
Hair Transplant
Head and Neck Skin Cancer Reconstruction
Injectable Fillers
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation/Enhancement
Liposuction
Male Breast Reduction
Male Chest Implants
Microdermabrasion
Mommy Makeover
Neck Lift
Nonsurgical Aesthetic Genital Procedures
Nonsurgical Fat Reduction
Permanent Makeup
Post Burn Reconstruction
Retin-A Treatments
Rhinoplasty
Scar Revision
Skin Cancer Removal
Skull/Facial Bone Reconstruction
Spider Vein Treatment
Tattoo Removal
Thigh Lift
Thread Lift
TRAM Flap Breast Reconstruction
Tummy Tuck
Vascular Malformations
Ask a Surgeon
Dr. Frank Agullo participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Gyno returned
Male Breast ReductionMember Response:
Saw a guy in clinic last month with the exact same pattern. Had his gyne done in his 20s, looked great for a couple of years, then it crept back. Hard rocky lump behind the nipple, just like you. He'd been cycling a prohormone on and off and never told his original surgeon. Got him off the supplement, watched a few months, then revised through the same scar with a touch of lipo. He's good now. Your story sounds almost identical, so before anyone takes you back to the OR, get a hormone panel and a real supplement and meds review. Find someone who does revision gyne, not just primaries. That case is its own animal. #StayBeautiful,
Mommy make over
Mommy MakeoverMember Response:
A patient came to me last year asking the same question. She had moderate stenosis and was nervous her spine doc would shut it down. He didn't. We just did the homework first. She brought me her spine records, I sent a clearance request, and her neurosurgeon spelled out exactly what she could and couldn't do during recovery. Turned out the lifting and core restrictions for her spine basically matched what I was going to tell her after a tummy tuck anyway, so we lined them up. The trickier piece was positioning, lying flat on the table for hours and then sitting flexed at the hip for the first couple of weeks. We talked it through, she was comfortable, and she did beautifully. So in most cases stenosis doesn't take it off the table. Severity matters and your symptoms matter, but the workflow is your spine doctor and your plastic surgeon talking before anything gets scheduled. #StayBeautiful,
Previous liposuction
LiposuctionMember Response:
Five months out from inner thigh BodyTite. Past the worst swelling, but not settled, and looking at uneven legs in the mirror every morning. The piece nobody tells you up front is how thin and unforgiving inner thigh skin is. The device does what it does, but the skin retracts at its own pace and one leg can absolutely heal differently from the other. I've revised plenty of these, both mine and other surgeons', and the recipe is usually the same. Hold tight until you are closer to a year out so things settle, get fresh photos and ideally an ultrasound to see what fat is still down there, then plan a touchup. Sometimes that is a little more lipo and some fat grafting to even things out. Sometimes the loose skin really is the driver and a medial thigh lift is what actually fixes it. Either way, get in front of someone who does revision body work routinely. #StayBeautiful, @RealDrWorldWide
Previous liposuction
LiposuctionMember Response:
Five months out from thigh BodyTite is a brutal place to be. Past the worst swelling, but not settled, and looking at yourself in the mirror every morning wondering if it's ever going to even out. The honest answer is that contour problems and asymmetry at five months usually don't fix themselves. Inner thigh skin is thin and notoriously tough, the device only does so much, and one leg can absolutely heal differently from the other. I've revised plenty of these, both my own and other surgeons', and the recipe is almost always the same. Wait until at least a year out so things are stable, get good photos and ideally an ultrasound to see what fat is still down there, then plan a touch up. Sometimes that's a little more lipo and fat grafting to even things out. Sometimes the loose skin really is the driver and we add a small medial thigh lift. Either way, get yourself in front of someone who actually does revision body work. #StayBeautiful,
Any surgeons can help me??!! I lost a lot of weight but now I have alotof excess skin
Body LiftMember Response:
First, please hear this. What you're describing is incredibly common and not on you. I see it in clinic all the time. Had a patient last year who'd lost over 100 pounds and felt exactly the way you're feeling, ashamed of something that was never her fault. Skin that's been stretched for years just doesn't bounce back, no matter how well you take care of yourself afterward. The fix is surgical (panniculectomy, body lift, arm lift, thigh lift, breast lift), no cream or device replaces what those do. A few real things to know. Get to a stable weight for 6 to 12 months before any surgery, it changes how well you heal. Document any rashes, infections, or hygiene problems with your PCP because panniculectomy is sometimes partially covered when those are on the chart. Academic programs offer reduced fees and most practices do payment plans. Be kind to yourself. #StayBeautiful,
Why do my lips look so weird and flat? How would I fix this?
Lip Augmentation/EnhancementMember Response:
A patient sat across from me a few weeks ago telling me her lips looked flat from the side and she wanted them bigger. We pulled up her profile photos. Her overall lip volume was actually fine, what was missing was projection, that forward push of the vermilion that gives lips dimension. Her tubercle was soft and the upper lip draped flat over her teeth. We placed a tiny amount of filler right at the central pout and along the vermilion border, no big bulk add at all, and her profile completely changed. She nearly cried when she saw the after photos. Volume and projection are not the same thing, and when patients ask for bigger lips what they often want is more projection. Get evaluated in person by a board certified plastic surgeon or experienced injector who actually studies your profile before reaching for a syringe. #StayBeautiful,
Post Breast Surgery Pain Syndrome
Breast ReductionMember Response:
Saw a woman last year with the same story. Reduction in her thirties, lived with chest wall pain for over a decade, every doctor told her something different. The piece that finally moved the needle was getting in front of a peripheral nerve surgeon and getting real imaging. We did a high resolution chest wall MRI and a focused ultrasound to scan the intercostal branches. The neuroma showed up almost exactly where she pointed. A pain doc did a diagnostic block to confirm, then she had a neuroma excision with targeted muscle reinnervation. She was not pain free, but it was a real drop. The point is, post breast surgery pain syndrome is a real diagnosis, you are not crazy, and it does not get worked up well in a regular office. You need a peripheral nerve plastic surgeon, often at an academic center, ideally working with a pain doc who does diagnostic blocks. The ASPS Find a Surgeon directory can help you locate someone close. Worth the drive. #StayBeautiful, @RealDrWorldWide
Liposuction front thighs and knee complex
LiposuctionMember Response:
Twenty six days out. Lipedema lipo on the knees and front thighs. I have lived this exact panic with maybe twenty patients now. Around week three or four the early swelling reorganizes itself and for about a week your legs look almost like the day before surgery. Patient after patient has called in convinced the procedure did not work. Every single one of them came around. The knees specifically hold the most fluid because lymphatic drainage down there is slow and the local channels are exactly what the disease was beating up to start with. The fix is not glamorous. It is your compression garment, faithfully, every waking hour. It is manual lymphatic drainage twice a week with someone who actually treats lipedema, not a generic spa massage. It is walking daily. By month three you will start to recognize your shape. By six to nine months the result is real. Six months is also the earliest reasonable window to revisit anything with your surgeon. #StayBeautiful, @RealDrWorldWide
Facial scarring: do I need surgical revision? What lasers is most effective
General ReconstructionMember Response:
Hold off on the lasers entirely until the nose has had three to six months to settle. I see this picture two or three times a year, usually motorcycle patients, and early laser plays out the same way every time. Pigment locks wrong. Contour cooks. Six months later you are worse off than before. Saw a guy from a wreck a couple summers back who pushed me hard for an early laser. I refused. We waited him out, and at month six we finally had a clean picture. His forehead scar was tethered to the depressor muscle underneath. We released the tether in the OR, dropped a touch of neuromodulator on the muscle that kept pulling, and only then ran fractional Erbium Yag over the surface. He looks great now. Your move right now is not picking a laser. #StayBeautiful, @RealDrWorldWide
Can someone help me create a belly button. It’s dead
Tummy TuckMember Response:
Years of being told no for a missing belly button is exhausting. A scar where the navel should be, redness that will not quit, a small fleshy stump that has been inflamed for as long as you can remember. I've revised plenty of these and the conversation always starts the same way. The redness almost always traces back to chronic scar inflammation or a buried suture giving the area trouble. That gets cut out. Then the question is whether the surrounding skin still has enough laxity to rebuild a real cone in place, or whether the cleaner play is a redo tummy tuck so we can move fresh tissue in. A neoumbilicoplasty done right has depth, not just a divot, and the redness goes with it once the inflamed tissue is gone. Find a surgeon who treats belly buttons as their own thing, not just an afterthought to a tummy tuck. #StayBeautiful, @RealDrWorldWide
Asymmetry and one side more droopy
Breast Implant RevisionMember Response:
Almost two years out, nipples at different heights, volumes off, one side has shifted. That is not swelling, that is your result. I'm sorry. The hardest part of revision aug lift work is that almost everyone hopes time will sort it out, and time does not, not at this stage. Had a patient last year with almost the same picture you are describing. Lift with implants done elsewhere, eight months in, one nipple a centimeter higher than the other, the lateral implant sitting halfway under her armpit. Nothing was going to settle further. We redid the lift on the low side, brought the lateral pocket back where it belonged, and laid in GalaFlex Lite as an internal scaffold. No fat transfer. Six months out she was even and soft. The honest answer for you is the same. Get a copy of your op report, find a surgeon who runs revision aug lift work in volume, and trust your eyes. #StayBeautiful, @RealDrWorldWide
How do you loose volume in your checks when you have a face lift .
FaceliftMember Response:
Three months post facelift looking older than you started is one of the worst windows in this whole field. I've sat across from patients in this exact spot more times than I want to count, and what I tell them is true for you too. The cheeks look hollow at three months for two reasons. One, swelling has finally settled and now you are seeing the actual underlying volume, which often is less than you remembered because you were comparing against your puffed up post op face. Two, in some lifts the cheek fat pad gets pulled up and lateralized but not anchored high enough, so it slides back down and leaves the front of the cheek empty. Time fixes the first one in a small way. The second one needs fat. Staged fat grafting to the malar and submalar areas, often a small amount, evens it out beautifully and is a routine office procedure. Wait until you are at least six months out, then sit with your surgeon for a real photo review and a plan. #StayBeautiful, @RealDrWorldWide
How to avoid capsule and get drop and fluff?
Breast Implant RevisionMember Response:
This is a tough one and I'm sorry you're sitting with it. A bleed at primary, a breast that never softened, and a recurrent capsule six months after revision is a story I have heard in clinic more times than a few. It is not bad luck. Old blood seeds chronic inflammation in the pocket and once that engine is running, the capsule keeps coming back unless you change the playing field. Had a patient run that exact path with two surgeons before me. We did a full capsulectomy, swapped the plane, put in a fresh implant, and laid in GalaFlex Lite as an internal scaffold to retrain how the new pocket scarred down. Three years out, soft, sitting where she wants. Pulling the implant for a stretch and then reinserting is also a real option some surgeons use. Drop and fluff after a revision is real but slower than after a primary, and only happens if the new pocket is properly released. Bring your op reports to someone who does high volume capsule work. #StayBeautiful, @RealDrWorldWide
No thigh gap after Lipo?
LiposuctionMember Response:
Patient texted me on the night of her thigh and knee lipo last summer absolutely convinced the surgery had failed because nothing looked smaller. I tell every patient before the OR exactly what to expect at this hour and they still text me at midnight, so you are in good company. Day zero looks bigger than baseline because the leg is full of tumescent fluid and fresh swelling. The garment is pressing all of that out, which is exactly why your gap looked closer with the stockings on. Inner thighs heal slow because the skin is thin and the lymphatics drain slow. Real result lands somewhere between six weeks and three months. The other piece nobody mentions before surgery is that a true thigh gap is part fat and part skeleton. If your pelvis sits a certain way no amount of lipo will carve a gap. Stay in the garment, walk every day, and don't read the mirror this week. #StayBeautiful, @RealDrWorldWide
Asymmetry breasts
Breast AugmentationMember Response:
It is very common for one breast to be different from the other. There are many options for making the breast look more symmetric. If you want to reduce the size of the right breast, then a breast reduction would be necessary. This usually entails an anchor type incision. The left breast can be augmented with an implant or fat transfer to improve symmetry. Obviously, and in-person consultation would be the most reliable in order to measure the difference between the two breasts. #StayBeautiful #RealDrWorldWide
Labia Minora fixed
Aesthetic Genital Plastic SurgeryMember Response:
Hi Mikayla! Your concern is a very common occurrence. The procedure to fix this tear is usually simple, although a full consultation would be necessary to determine the extent. Look for a board-certified plastic surgeon that performs labiaplasties often. The cost of a procedure like this can be between $2,000 and $4,000 depending on the extent of the repair and type of anesthesia. #Staybeautiful
FaceTite
FaceliftMember Response:
Hi MaryJo! FaceTite is a very powerful procedure that combines fat reduction with skin tightening. It can be combined with Morpheus8 (radiofrequency microneedling) to improve skin texture and promote even more tightening. It can be used on the lower face and neck at the same time. AccuTite is a smaller applicator that can be used on the nasolabial folds, brows, and lower lids. A single treatment results in significant permanent improvement. Most patients only undergo one treatment. You can always repeat Morpheus8 without the need for sedation or anesthesia.
Tummy/Butt Augmentation
Mommy MakeoverMember Response:
Knowing that you have diabetes and hypothyroidism, the most important thing to do is to have both well controlled. If they are both well-controlled, then the risks involved with the procedure are the same as in a healthy patient. You could seek out a plastic surgery consultation as well to see if you are a good candidate for the procedure. Every surgeon differs, but I recommend a BMI below 32.
Tummy Tuck after Epigastric Hernia Repair
Tummy TuckMember Response:
The information you received about needing to separate the epigastric hernia repair and the tummy tuck may not be universally applicable. In fact, it's often possible and even preferable to address both an epigastric hernia and a tummy tuck in a single procedure. This is especially true because an epigastric hernia is frequently associated with rectus diastasis, a condition that can be corrected during a tummy tuck. Having both procedures done simultaneously offers several benefits: single recovery period, cost-effective, aesthetics. However, it's crucial to find a surgeon who is comfortable and experienced in performing both procedures concurrently. Ideally, look for a plastic surgeon who is also a board-certified general surgeon, or one who is willing to collaborate with a general surgeon. This ensures that both the cosmetic and the medical aspects of the surgery are handled with equal expertise.
How much would these plastic surgeries cost?
Cosmetic SurgeryMember Response:
Facial procedures vary considerably between patients. When undergoing a surgical procedure we can use your own fat to fill the face instead of spending additional money on temporary fillers. A facelift procedure with fat transfer and rhinoplasty can cost around $16,000. #Staybeautiful
Payment Options
- Cash or Personal Checks
- Patient Financing
Our Locations
El Paso Office
Suite C, 5925 Silver Springs Dr.
El Paso,
TX
79912
El Paso Office
1387 George Dieter Dr. Bldg. C301
El Paso,
TX
79936
Our Office Hours
Monday thru Friday 8:00 AM - 5:00 PM
Patient Testimonials
Over the past year I have been thinking about having a Rhinoplasty, and have been researching various physicians in southwest. I work in the medical field and was referred by friends to Dr. Agullo. I immediately started to explore his credentials and realized he had completed his Plastic Surgery Fellowship at the highly esteemed Mayo Clinic in Rochester, Minnesota. After meeting with him in his office I knew I was in good hands and scheduled surgery. In Short, Dr. Agullo is highly trained, very detailed in his approach and uses the best equipment which has led to my great results. I am EXTREMLY satisfied and have recommended him to friends and family.”, Google
“Dr. Agullo had excellent patient care! He provided comfort, professionalism, and performed his surgery to the best of my knowledge.”, RealSelf
“Dr. Agullo is an amazing surgeon but also an amazing human being. Meeting him you feel calm reassured and safe. I have been his patient, I have watched him do surgery (I work in the medical field) and I have had the opportunity to hear and see what he is like when he works. So I went in for a consultation and had my surgery. It is the best thing I have ever done for myself and Dr. Agullo is such a blessing in EL PASO, Texas! Thank you Thank you for coming back to El Paso to help those of us who needed you to feel whole again.”, Google
“Dr.Agullo has an extraordinary bedside manner, his ability to connect with me and listen to my needs and answer all my concerns was exceptional. His training and expertise is rather impressive. After having shopped around for a plastic surgeon for quite a while I decided without hesitation for him to be my doctor. I am so happy with the results, I was actually pleasantly surprised with the overall outcome. I would recommend him without a doubt.”, Google