Plastic surgery is undergoing a significant transformation. Surgical practice is no longer solely focused on delivering the most exaggerated results; surgeons are shifting to provide individualized care that promotes long-term health and procedural safety. Surgeons, like Dr. Frank Agullo at Southwest Plastic Surgery, blend global experience with innovation, using cutting-edge techniques, emphasizing transparency, and public education to drive this change.
Evidence-Based Safety in High-Demand Procedures
Brazilian Butt Lifts (BBLs) and body contouring are popular procedures globally, but they remain controversial surgeries due to safety risks. The NHS in the UK lists that the main risk of the procedure is a pulmonary embolism due to the fat being injected.
The NHS also states that the fat should be injected into the subcutaneous area, not into the buttocks muscle.
Dr. Agullo is among the first in North America to publish prospective safety data demonstrating reduced complications with ultrasound-guided fat grafting, and Southwest Plastic Surgery continues this precedent by using the technology for BBL procedures. With this practice, surgeons have greater control over where fat is injected, ensuring it is placed in the correct location and reducing potential risks.
The Rise of Preservation Techniques in Breast Aesthetics
According to Southwest, there has been a noticeable shift toward natural-looking breast enhancements, with tissue preservation and sensory retention being priorities. Techniques such as Motiva’s Preservé and scaffold-supported augmentation enable surgeons to deliver aesthetic enhancement while preserving functional integrity.
The combination of smaller, lighter implants with advanced pocket‑control allows surgeons to preserve the patient’s own tissue envelope and sensation while achieving the desired volume and shape. Each of these technological advances in technique assists professionals in remedying existing issues of malpositioning, sensation loss, breast function, and scarring.
Facial Rejuvenation Across the Lifespan
Demand for facial procedures spans a wide age range, from thirty to seventy and beyond. With no two faces exactly alike, surgeons must address a wide variety of patients’ problems and concerns.
Deep-plane facelifts, scarless endoscopic approaches, eyelid surgeries, and combination procedures are tailored to age, facial anatomy, and recovery goals, reflecting a shift toward subtle rejuvenation rather than more dramatic results. Results are more likely to seem like your face, but better, rather than a whole new person, if that is what a patient desires, and according to trends, it is.
Plastic Surgery as Restorative, Not Just Cosmetic
Plastic surgery is not all about appearance; it also has a more profound impact. Dr. Agullo’s humanitarian missions, like cleft lip/palate surgeries with Smile Network and Smile Train, emphasize surgery as a tool for function and confidence. Local initiatives like BRA Day events and support for breast cancer survivors underscore the commitment to social impact.
Digital Transparency & Education as Differentiators
Under his brand, Dr. WorldWide, Dr. Agullo pioneered live surgery content on Snapchat and now engages patients across Instagram, TikTok, and YouTube. These platforms function as educational tools and trust-builders, with real-time Q&A and patient journey walkthroughs that create visibility and comfort.
Plastic surgery is not only about delivering a complete transformation of self, but also about helping patients achieve the results they desire for the body they will live in for the rest of their lives. It is individualized and health-focused, improving people, communities, and bodies.
