DR. WORLDWIDE GETS SOCIAL
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.WWFrank 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.


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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Twenty-three trials said collagen works. Sort them by who funded them and the effect disappears. What that pattern should teach us about aesthetic evidence.
The collagen meta-analysis got quoted everywhere this year. Almost always for its top line, almost never for the finding underneath it.
“Oral collagen has real science behind it, in a meta-analysis of 23 randomized controlled trials with almost 1,500 participants. The supplement significantly improved skin hydration, elasticity, and wrinkles. The most common dose was 4 grams per day, with a median of about 3.5 grams per day.”
“The most interesting thing about this meta-analysis is that it showed only the pharmaceutical-sponsored studies had significant improvement, while the independent studies did not see any change.”
The effect survives in the trials the industry paid for and disappears in the ones it did not. The authors’ own conclusion is that there is currently no clinical evidence supporting collagen supplements for preventing or treating skin aging. Both sentences live in the same document, and only one of them made it into the coverage.
That pattern is the reason to read aesthetic evidence by funding source before reading it by result.
“Two grams of collagen in a bag of chips sits at the bottom of any range that has been studied. And keep in mind that the studies used a daily dose for three months, every single day. A bag of chips is not really recommended as a daily dose, so somebody eating these a few times a week is only getting a fraction of the dose studied to provide results. I think the same goes for the collagen coffee creamers and waters.”
“I think the reason the collagen ended up in these products is because it has marketing power for beautification, but also it’s flavorless, and it dissolves easily into foods and fluids. It’s an easy additive.”
Flavorless and soluble is a manufacturing property, not a clinical one.
“In conclusion, collagen is one of the few supplements in aesthetics that actually has some science behind it, and improves hydration, elasticity, and wrinkles. Patients should take 3 to 4 grams per day for at least three months, which puts them in the range that has actually been studied.”
Cheap and safe, and worth the studied dose if you want to take it. It is not a substitute for radiofrequency microneedling or medical-grade skincare, where the evidence is not split by who wrote the check.
The clinical version of this, with the dosing detail, is in the clinical version on agulloplasticsurgery.com. My earlier read on collagen formats covers powders, serums and gummies.
Frank Agullo, MD, FACS. Call (915) 590-7900 or text 1-866-814-0038, or book online.
#StayBeautiful

A magazine asked me which injectable men are choosing. The honest answer is that the good outcomes stopped coming from choosing one.
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.
“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.
“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.
“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.
“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.”
“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.
“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.
“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