Frank Agullo, MDBoard Certified Plastic Surgeon

Which Tummy Tuck Is Right for Me?

Category: Abdominoplasty

Which Tummy Tuck Is Right for Me?

Woman Being Marked Before Tummy Tuck SurgeryNow that many plastic surgery procedures can be personalized for your needs, achieving your ideal body contour has never been more within reach. Dr. Frank Agullo offers the following techniques for tummy tuck surgery, one of which could be exactly what you need to redefine your waistline.

Comprehensive Abdominoplasty (Full Tummy Tuck)

A full tummy tuck smooths out the entire midsection. The incision scar is placed low between the hip bones so that it can be hidden by clothing. During the procedure, Dr. Agullo will tighten the abdominal muscles to produce an internal corset and create a firmer, tighter waistline. He uses the triple plication technique for a “Hollywood Waist.” He not only tightens the rectus muscles, but also the obliques. He will also remove the excess skin and stretch marks as well as stubborn abdominal fat. Part of the procedure often includes relocating the belly button once the excess skin has been removed. Liposuction is included with this procedure and can remove fat from the abdomen, flanks, and back.

Ideal Candidates

  • Abdominal wall muscle laxity
  • Stretch marks and excess abdominal skin
  • Skin and muscle laxity and excess fat in the entire abdominal area

Tummy Tuck Surgery Before and AfterMini Abdominoplasty (Partial Tummy Tuck)

A partial tummy tuck improves the area below the navel. The incision scar is shorter than it is for a full tummy tuck, but it is located in the same general area above the pubic line. This surgery is shorter and may even be performed under twilight anesthesia as an outpatient procedure. Dr. Agullo will tighten the skin and remove excess fat with liposuction from the lower abdomen to produce a flatter waistline. All improvements are seen in the lower abdomen below the navel.

Ideal Candidates

  • No abdominal wall muscle laxity
  • Minor skin laxity below the navel
  • No excess skin in upper abdomen
  • Fat deposits primarily below the navel

Extended Abdominoplasty (Extended Tummy Tuck)

The extended tummy tuck improves the contour of the abdomen as well as the hips. The incision scar extends around to the back, which leads to a longer scar but enables more significant body shape correction. The scar is still easily hidden by bikini or underwear. Dr. Agullo often recommends this technique with high definition and comprehensive abdominoplasties because, in addition to providing the same benefits as a full tummy tuck, it contours the love handles and even provides a lateral thigh lift and mild buttock lift. Due to the complexity of this technique, it is the longest tummy tuck procedure but has a similar recovery time.

Ideal Candidates

  • Abdominal wall muscle laxity
  • Stretch marks and excess abdominal skin
  • Skin and muscle laxity and excess fat in the entire abdominal area
  • Laxity in the lateral hips
  • Excess skin and fat also in the flanks and love handles

Selecting Your Technique

Patients should select their tummy tuck technique based on the type of correction they need. Here are some general recommendations based on select tummy issues:

  • Abdominal fat: liposuction, typically combined with any of the tummy tuck techniques
  • Excess skin in the lower abdomen only: mini tummy tuck
  • Excess skin and stretch marks in upper and lower abdomen: comprehensive or extended tummy tuck
  • Abdominal wall muscle laxity: comprehensive or extended tummy tuck
  • Tissue laxity and excess fat that are also in the lateral hips/flanks: extended tummy tuck

With any of these techniques, tummy tuck surgery can give you a more youthful and toned abdominal contour.

You can watch Dr. WorldWide perform these procedures on Snapchat under the username RealDrWorldWide.

Of all the different tummy tuck techniques, only one will be right for you. If you are not certain which technique you need, request your personal consultation with Dr. Frank Agullo. Dr. Agullo can offer his expertise and counsel you in choosing the technique that will yield the best results for you. To book your appointment, please call (915) 590-7900 or contact Dr. Agullo online today.

Improve Your Appearance Following Weight Loss

Improve Your Appearance Following Weight LossMajor weight loss can simultaneously be the most triumphant and frustrating experience in your life. It is no small task to stick to your diet and exercise plan. Shedding those unwanted pounds and reaching your goal feels amazing. What doesn’t feel as great? Not having the body you envisioned at the start of your weight-loss journey. What keeps many men and women motivated through their weight loss is the idea of the new, fit body they will have achieved at the end of it all. However, this healthier, leaner you is often obstructed by excess, sagging skin. If you are frustrated with your appearance, body contouring to improve your appearance following major weight loss may be just what you need.



What Is Body Contouring?

Body contouring includes a set of select procedures that are designed to eliminate excess skin and fat to enhance your body’s physique. Each body contouring procedure is customized to the patient in order to target your trouble spots and highlight your body’s natural curvature. Possible treatments included as a part of body contouring are:

  • Tummy TuckAchieves a flatter, smoother abdomen by eliminating excess skin and tightening the abdominal muscles
  • LiposuctionRemoves excess fat to enhance slender curves in women and create better body definition in men and women
  • Lower Body LiftTargets sagging tissues around the hips, thighs, and buttocks for a slimmer, more toned lower body
  • Thigh LiftRemoves sagging thigh tissue for more toned legs and to eliminate painful chafing
  • Breast EnhancementsMay include a breast lift and/or breast augmentation to restore firmness, shape, and volume to drooping, deflated breasts
  • Arm LiftRemoves sagging arm tissue for firmer, slimmer arms

Why Choose Body Contouring?

Body Contouring Before and After PhotosMany people struggle to avoid surgery during their weight loss, while others undergo surgery and don’t desire to do it again. It can be disappointing for some that surgery is their only option. However, body contouring surgeries offer numerous benefits that often outweigh the drawbacks of surgery, including:

  • Permanent and precise removal of skin and fat
  • Elimination of painful skin irritations and chafing caused by excess folds of skin
  • Removal of stubborn fat deposits that resist diet and exercise
  • A stronger abdominal core
  • Enhancement of new, lean muscles
  • Customized procedures tailored to the patient’s needs

When Should I Consider Body Contouring?

Body contouring is often right for both men and women following major weight loss or for patients with large amounts of excess skin. Patients should be within their goal weight and should have maintained a stable weight for at least six months. Future weight loss or gain can affect the quality of body contouring surgery results. Some health conditions may prevent you from qualifying for body contouring, which will be discussed during your consultation.

If you are ready to reveal the new, fitter, and healthier you following weight loss, schedule your body contouring consultation with Dr. Agullo today. Contact our office at (915) 590-7900 or fill out our online contact form for additional information.

Is a Mommy Makeover the Best Way to Get Your Pre-Baby Body Back?

If you’re done having children and have made it a mission to get your body back to the way it was pre-kids, you’re not alone. Each year thousands of women enjoy the thrill of becoming a mother, but then face the daunting task of getting their bodies back into shape.

While some women bounce right back, others endure more physical tolls on their body. For instance, a very stretched tummy due to abdominal growth during pregnancy can leave saggy, folded tissues years after childbirth. For others, the breastfeeding process has caused stretching or droopiness of the breast, resulting in loss of fullness.

A rigid diet and exercise program may do the trick, but if saggy tissues are to blame, then a Mommy Makeover could be exactly what you were looking for.

What’s Involved in a Mommy Makeover?

Each time I meet with a woman to discuss a Mommy Makeover; I want to know what her goals are. Is it just the breasts? The tummy? Both? Something else? Buttock augmentation? A Mommy Makeover isn’t just one treatment in particular. Rather, it is a series of aesthetic procedures that are all performed at once – giving you great results that return your pre-baby body back to a reality!

Mommy Makeover Before and After

Depending on the actual physical needs of each woman, I will typically recommend combining treatments such as:

Breast Augmentation or Lift – Stretched or saggy breasts are a common side effect of pregnancy and nursing. Breasts may be much smaller and droopier than they were before you became pregnant. You would be amazed at what a simple augmentation or lift can do to restore natural breast fullness and contour. It’s a key to just about every Mommy Makeover that I perform.

Breast Reduction – Unlike women who experience shrinkage of their breasts during nursing, some women feel like their breasts are too large after having a baby. Reducing some of the fullness and lifting the breasts can create a fuller, more youthful appearance.

Abdominoplasty Excessive abdominal fat or stretched tissue can make your stomach appear saggy and increase your waistline. In most cases, I recommend a tummy tuck to reduce the skin in the area, remove fatty tissues, and tighten the abdominal wall. This leaves your stomach much flatter, and eliminates the “baby belly” that even daily trips to the gym can’t get rid of.

What to Expect

In most cases, you can expect to spend a bit more time recovering from a Mommy Makeover than you would just a breast augmentation or single procedure. Why? Because we complete everything at one time. Women who are physically active and have a strict workout routine do typically tend to recover quicker, as their bodies handle the stress much easier. I usually recommend taking at least two weeks off of work. If you still have small children, you will definitely need someone to help you care for them at home, as you will not be able to pick them up during recovery.

You’ll be thrilled with the results of your procedure! The makeover process allows us to refine your waistline, restore fullness to your breasts, and make up for what exercise can’t.


During your consultation at my office, we’ll discuss the varying characteristics of your body that have changed since childbirth, and what you want to change. Then I will present a series of realistic plans that we can implement to give you both your body and your confidence back. If you’ve been embarrassed for far too long about the beating that motherhood has taken on your body, then you owe it to yourself to schedule a consultation.

You can make an appointment at the office of Dr. Frank Agullo by calling (915) 590-7900 or filling out an online contact form.

Internal Silk Corsets Can Define Waistline

Southwest Plastic Surgery of El Paso, TX always likes to stay ahead of the game when it comes to breakthrough innovations, tools and techniques. Although still new to the plastic surgery industry, the internal silk corset is yet another valuable tool we can apply to certain patients who need it. Although it is most popularly used for breast augmentations and mastectomies, the SERI biosilk can also be beneficial for abdominoplasties.

Particularly in patients with very loose skin, either from a major weight gain or loss, hernia operations, or who are getting a tummy tuck post-pregnancy, the SERI silk scaffold can enhance tissue support and help to achieve a more desirable outcome with a better. The FDA approved silk is worn internally, and it works much like an internal silk corset. It is very safe and cA woman with a slender waist in a grey sweater with her fists in the air in triumphomfortable. Patients don’t even notice it there, except for the extra support.

Dr. Agullo of Southwest Plastic Surgery says, “From what I have seen, the SERI silk corset helps to create a long-lasting waistline and greater degree of abdominal firmness and flatness.”

Longer lasting sounds good, but there are some instances where the SERI silk scaffold corset is not necessary. Younger patients, for example may already have enough skin tissue and elasticity to heal without SERI corsets for an abdominoplasty.

On the other hand, Mommy Makeovers and Tummy Tucks may be one of the more popular procedures at Southwest Plastic Surgery and across the country. For these types of surgeries, the abdominal corset can lessen the chances for modifications. The silk is worn internally and dissolves over an eighteen to twenty-four month period of time as the body substitutes it with strong collagen.

If you have questions about SERI, contact the office of Southwest Plastic Surgery at 915-590-7900.

SERI Surgical Scaffold for Breast Lifts and Abdominoplasties

An attractive woman with bandages wrapped around her breasts and her hands underneath lifting them up on a white backgroundAfter a certain age, healing from breast lifts, implants and abdominoplasties becomes more difficult due to the loss of elasticity and tissue able to sustain the augmentation. Some patients just don’t have enough strength or elasticity, which can result in breast ptosis or abdominal laxity. This has led to frustration among patients who want to change the appearance of sagging breasts because they end up not being able to get the perkiness and/or firmness from a breast lift that they were hoping to achieve.

Dr. Agullo from Southwest Plastic Surgery has risen to this challenge with the use of a breakthrough device. The SERI Surgical Scaffold is a silk mesh support worn internally that helps to lift breasts and tighten tummies underneath the skin. The woven silk offers strength and long lasting results.

What is SERI Surgical Scaffold?

The silk derived biological scaffold is made from a woven, multifilament that absorbs internally and acts kind of like replacement strength tissue for the affected area. It is a purified, bioengineered BIOSILK™ with an ability to strengthen the weakest areas, resulting in higher quality healing and more desirable outcomes.

In a way, the silk facilitates the creation of new tissue growth, and as studies have revealed, the patients will experience twice the thickness after two years, as compared to those who do not have the help of a SERI silk scaffold. The new tissue helps “hold up” the breast lift and gives post-pregnant women or women with little or lax breast tissue a more comfortable way to get a breast lift or augmentation.

The silk can be used for men, too. Dr. Agullo uses the surgical scaffold for abdominoplasties in both men and women, which can yield very good results with the use of the SERI. The SERI scaffold is used as an internal corset to define the waistline and produce tighter abdomens. We encourage you to call and find out more about how SERI can benefit your breast augmentation or abdominoplasty.

Mommy Makeovers Improve Self Esteem in Mothers

A happy mother holding her baby on her back and lifting up her handsOne fear of many mothers is that their personal appearance may suffer after one or more pregnancies. No matter how hard a woman tries to work out or eat healthy, the effects of child bearing can certainly be tough on a woman’s body. Some women experience stretching of the hips, abdominal areas and sagging breasts after breastfeeding, or simply from the toll of bearing children. The body loses some of its elasticity after having a baby. Weight gain or having a cesarean can also leave some mothers with a “pooch” right above the line where their pants typically sit, which can feel awkward and make women feel insecure. That is one big reason why mommies often wear baggy shirts and yoga pants, to cover up their former baby bumps.

The Mommy Makeover: A Great Body Contouring Solution for Moms

What is a “Mommy Makeover?” This is a term used for a procedure designed to correct and reposition the changes that occur in a woman’s figure after having children. It often combines multiple procedures, such as a tummy tuck, breast augmentation, liposuction and sometimes contouring of the hips, buttocks and thighs.

At Southwest Plastic Surgery in El Paso, TX, the Mommy Makeover is a popular procedure. Using a Vectra 3D tool, our resident Dr. Frank Agullo can show patients what the results will look like on a monitor, which can also be printed. This device is 100% accurate and is a useful tool in the decision of whether or not to pursue a Mommy Makeover.

Dr. Agullo will also discuss your highest areas of concern and he will explain exactly what needs to be done to make these corrections. Using a number of different methods – depending on your personal goals – he can make an accurate assessment and proper recommendations.

Mommy Makeovers Remove Unwanted Fat

Although the joys of motherhood outweigh the cons, one thing many women wish for is to have their sexy, pre-baby body return to its full glory. This is difficult to achieve through diet and exercise alone, especially for busy mothers. Moms often feel embarrassed by their bodies after having little ones and wear things to “cover up” the fat, rather than being proud of the way they look as a Mom.

Getting a Mommy Makeover is not as bad as it sounds, and most women are thrilled with the results and newfound confidence. Schedule a consultation with Southwest Plastic Surgery to see what your post baby body can really look like! Call (915) 590-7900 to talk to our caring staff.

New Trends Reveal Increase in Men Getting Cosmetic Procedures

A man with his eyes closed and a pair of gloved hands touching his faceThe society we live in calls for vanity and pride in one’s appearance, but not just for women. Men no longer have to be ashamed to seek the services of a plastic surgeon, whereas at one time it was more taboo for men to get nipped and tucked. Some plastic surgeons are now dedicating an entirely separate website just for their male clients, but it does not stop there.

Just to give you an idea of how popular this trend has become, the American Society of Aesthetic Plastic Surgery (ASAPS) reported an increase in the number of male patients has grown by 106% from 1997 to 2012.

Why Is This a Growing Trend?

In El Paso, TX, Dr. Frank Agullo sees a lot more men through the doors of Southwest Plastic Surgery than ever, in part because of popular TV shows that make it more accepted for men to preserve their health and reverse the evident signs of aging.

“Men want to maintain confidence just as much as women, but for men, keeping a great appearance has to do with professional success and preserving a youthful look.” –Dr. Frank Agullo

This is especially true for middle aged men who may be going through a divorce or who are planning to attend a class reunion. They want to look good, not only for the opposite sex but to turn back the hands of time in the presence of classmates who have seen them at their best. Nothing boosts a guy’s self-esteem more than going to a class reunion only to hear people say, “Whoa, you haven’t aged a bit!”

And why not? Men should not be excluded from bettering themselves and dipping into the proverbial fountain of youth.

What Types of Cosmetic Procedures are Popular among Men?

•    Hair Transplants
•    Liposuction/Tummy Tucks
•    Rhinoplasty/Nose Jobs
•    Facelifts or Laser Treatments
•    Pec Implants

Some plastic surgery facilities throughout the U.S. have responded to the popularity of “Mommy Makeovers” with “Daddy Do-Overs”, which is a nickname for cosmetic procedures for men that can include a tummy tuck or liposuction, jawline contouring, eyelift, and perhaps facial rejuvenation to remove fine lines and wrinkles. Hair transplants with grafting have also grown in popularity. Men want to achieve a more athletic appearance and can get pectoral implants, where traditionally it was only females who received breast augmentations with implants. This gives men a more defined, body-builder profile.

For men in the Southwest Texas region, Southwest Plastic Surgery of El Paso welcomes you to come by and talk to an experienced plastic surgeon. Dr. Agullo is a board certified, award-winning doctor who is known for excellence in men’s cosmetic procedures. Call (915) 590-7900 for a consultation today.

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