Frank Agullo, MDBoard Certified Plastic Surgeon

The Jawline: Essentials of a Beautiful Face

Category: Facelift

The Jawline: Essentials of a Beautiful Face

A very small percentage—about 5 percent—of American women have a naturally prominent, chiseled jaw. You may see this trait in some of the top most beautiful women in Hollywood, like Jennifer Aniston, Sandra Bullock, and Keira Knightley. While attractiveness is subjective, a strong jawline in women is definitely a coveted feature in our present culture. It evokes a look of power, strength, and confidence in women, which is what many of the best supermodels express. This feature may be so desired because it is such a rarity, but it also has to do with the golden ratio of facial proportions and what many consider to be the basic standard of beauty for centuries.

Chin Implant Before and After Photos


What Is The Golden Ratio?

No matter what type of beauty you are personally attracted to, there are certain symmetrical “lines” in the face that always capture attention and please the eye. The golden ratio is a standard mathematical way to measure the proportions of the face, where the distance between certain features of the face compared to other distances of the face equals the ratio of approximately 1.618. The closer the measurements come to the golden ratio, the more balanced the facial features are and the more attractive the person seems to be. When a strong jawline is complemented by strong cheekbones, it forms facial symmetry that falls in line with the golden ratio and defines the main areas of the face and neck.

How Can I Get Strong Jawline Definition?

Dr. Agullo can create stunning facial definition in one procedure with a simple chin implant. Although it is a small implant and a less invasive cosmetic surgery, a chin implant makes a major difference in the appearance of the face and jawline. It creates a sleek, chiseled profile and a stronger appearance to the front of the face. To further define the face, some patients require removal of the buccal fat pad, which creates a hollowness below the cheekbone and above the jawline. BOTOX® Cosmetic injections to the masseters can also help to create a more feminine figure in patients with squared faces. Finally, fat injections to the face can help reinforce the cheekbones.

A similar result can be accomplished when sagging jowls are removed with a facelift or when wrinkles, sagging skin, and a “double chin” are improved with a neck lift. Both procedures create more definition between the face and neck, which is essential to a youthful and healthy appearance.

If you would like to achieve youthful jawline definition with chin implants or the removal of stubborn fat beneath the chin to create a stronger facial appearance, please schedule a consultation with Dr. Agullo. Call (915) 590-7900 or fill out our online contact form for additional information.

Fact or Myth – The Fallacies Behind Facial Procedures

Facelift Before and After PhotosFor every facial procedure, there seem to be three or more corresponding myths. Misconceptions may be the reason you won’t get a facial procedure or the reason you won’t get the results you want. Here are some of the most common myths and truths about facial procedures.

Myth: Everyone ages the same way.

Research has shown that not all individuals age the same way. A study showed that even identical twins age differently based on lifestyle factors. You should discuss your personal situation with your plastic surgeon to determine the best course of treatment for you.

Myth: Facial fillers and BOTOX® Cosmetic are just as effective as facelift surgery.

Facial fillers and BOTOX® Cosmetic can significantly enhance your appearance, but they cannot compare to facelift surgery, especially after a certain age. These treatments create the appearance of a lift and fewer wrinkles, but a facelift surgically lifts and tightens the underlying facial tissues for more permanent and dramatic results. Unlike injectables, facelift surgery offers long-lasting results and a solution for skin laxity. Some patients may benefit from receiving both types of treatment for facial rejuvenation.

Myth: To improve your profile, you should undergo rhinoplasty.

Rhinoplasty may be the answer for some individuals, but it is not right for everyone. For example, some patients who are dissatisfied with their profiles already have a well-balanced nose, but they have a small chin. Depending on your needs, chin surgery could be a more appropriate way to enhance a weak profile.

Myth: It doesn’t matter where you go for BOTOX® Cosmetic treatments.

Patients who receive BOTOX® Cosmetic treatments at discounted rate run the risk of having received a diluted form of BOTOX® Cosmetic or something else entirely. They also risk that their treatment may be performed by individuals who are not properly trained. To get reliable, high-quality results, only undergo BOTOX® Cosmetic treatments with a plastic surgeon or a trained expert nurse injector.

Myth: It doesn’t matter which filler you choose because they all do the same thing.

Each facial filler works in a different way and is comprised of a different substance or concentration. Some are better for lip enhancement, others are better for cheek volume, and still others are better for around the eyes or mouth. Most patients should receive a combination of fillers on different areas of their faces to get the best results.

Myth: Age-related fat loss in the face and neck makes you look younger.

The truth is that age-related fat loss in the face and neck makes you look older. Newer facial procedures such as fat injections can restore youthful softness to the face.

Myth: A facelift can get rid of sagging brows and forehead wrinkles.

Contrary to belief, facelift surgery does not target the upper face. Rather, it rejuvenates the middle and lower regions of the face. To target the brow area, you may need to undergo brow lift surgery.

Myth: BOTOX® Cosmetic and facial fillers are only for women.

More and more men are undergoing facial treatments. In fact, according to the American Society for Aesthetic Plastic Surgery, men underwent over 600,000 facial injectables treatments in the U.S. in 2015.

Myth: Facelift surgery gives you a windswept appearance.

This used to be true with older facelift techniques or amateur surgeons. Now, facelift surgery can restore a naturally youthful appearance so that you do not look “operated on.”

Myth: BOTOX® Cosmetic gives you a frozen appearance.

When administered properly, BOTOX® Cosmetic only “freezes” the muscles that cause wrinkles. You should be able to make normal facial expressions with fewer wrinkles and without any sign of a frozen appearance. It is essential that you choose an expert plastic surgeon so that BOTOX® Cosmetic is safely, carefully, and strategically administered.

If you are interested in learning more about facial procedures, schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo. To book your appointment, call our office at (915) 590-7900 or complete our online contact form today.

The Benefits of Blepharoplasty

If time and circumstances have given you crow’s feet, sagging upper eyelids, and permanent bags under your eyes, you may look older than you feel. Blepharoplasty (eyelid surgery) can erase the effects of time, gravity, and stress to bring out a more youthful and attractive appearance.

No More Sagging Skin or Droopy Eyelids

Sagging skin is a common sign of aging in the upper eyelids. When it causes eyelid hooding, sagging skin may lead to vision impairment. Droopy lids can make you look like you are always tired, and excess skin may also make it more difficult to apply eye makeup. During eyelid surgery, Dr. Agullo can remove excess upper eyelid skin. This creates a more youthful and refreshed appearance and eliminates eyelid hooding for improved sight lines.

Fewer Wrinkles and Creases

Before and After BlepharoplastyWrinkles and creases are commonly found around the eyes of individuals of all ages. However, excess wrinkles portray a more noticeably aged appearance. Blepharoplasty tightens the delicate tissues around the eyes to minimize wrinkles such as brow furrows and crow’s feet so that the eyes appear more naturally youthful.

No More Bags or Dark Circles Under Your Eyes

Another common sign of aging is when bags or dark circles appear permanently etched beneath the eyes. By trimming away excess fat storage from under the eye, Dr. Agullo can eliminate these dark circles or puffy bags to soften your appearance. This will help you to look more awake and refreshed.

Easily Combined With Other Procedures

Many individuals who desire blepharoplasty would also benefit from additional facial rejuvenation procedures. Blepharoplasty can easily be combined with other procedures to rejuvenate more than just the eyes. Often, patients will combine blepharoplasty with facelift surgery, fat injections, lip augmentation, rhinoplasty, a brow lift, a neck lift, or protein-rich plasma (PRP) injections. Combining eyelid surgery with one or more of these procedures can maximize your time and budget and will also give you a whole new look all at once.

Look and Feel Many Years Younger

As the eyes are one of the most prominent facial features, aging eyes will age your whole appearance. Simply undergoing eyelid surgery can make you look and feel many years younger. In fact, many of Dr. Agullo’s patients have indicated that blepharoplasty has led them to receive many compliments about their age. Blepharoplasty can improve your appearance, enhance your confidence and self-esteem, and help you to look and feel younger.

To revitalize your eyes and refresh your appearance, schedule your personal consultation with board-certified plastic surgeon Dr. Frank Agullo in El Paso. Call our office at (915) 590-7900 or complete our online contact form to schedule your appointment today.

Is it Normal for Men to Get Plastic Surgery?

The playing field in cosmetic surgery patients is changing. As more men are realizing that cosmetic procedures are minimally to non-invasive, they are increasingly coming in for plastic surgery and cosmetic treatments. It may just be that in the future, just as many men are getting treatment as women. Last year, over 1 million men in the US saw a plastic surgeon for cosmetic treatment.

The fact that technology has made treatments more comfortable and affordable is a huge factor. But men are also realizing that it isn’t narcissistic or painful for them to ‘get work done.’ They’re just now figuring out what women have already known!

So, what are the top procedures I’m seeing men for at my El Paso cosmetic surgery center?

Beard Transplants

If you weren’t naturally well endowed with a full facial beard, that’s ok. It’s now possible to do single follicular hair transplants from the back of the head onto the face – leaving you with a fully functional beard! For men with baby faces or patchy facial hair, beard transplants are the perfect touch for getting that  “lumberjack” or “metrosexual” look you’ve been working so hard toward. Plus, nobody has to know that you even had it done!

Laser Hair Removal

We’ve seen about a 40% increase in laser hair removal treatments in men. The results are permanent, and great for men who have excessive hair in less-than desirable areas, such as the back or even their chest.

Non-Invasive Facelifts

Light, laser, and radio therapy can tighten the skin throughout the face, neck, stomach and legs for a smoother, more youthful skin tone. It’s perfect for erasing loose skin around the eyes and mouth – areas that show our age. Plus, it triggers collagen production which makes the skin look fuller and smoother.

Fat Reduction

Did you know that it was possible for us to use non-surgical techniques to reduce the appearance of body fat? Liposuction is also useful for men with excessive fatty tissue buildup (even in the breasts) for a more toned body contour that diet and exercise can’t always achieve on their own.

Neck Treatments

Before and After Male Neck LiposuctionWhether it’s using lasers to firm and tighten the neck tissues or a surgical neck lift, tightening the skin in this area can add youth to your appearance. We also reduce fat through the area under the chin, which can make you look like you’ve lost weight. Sometimes I even add injectables to remove the fatty tissues underneath the skin.

Are you new to the dating crowd again? Just looking for a way to feel your best? Now you know the truth – I see men on a regular basis and the treatments available are usually far simpler than they realized!

If you’re considering doing something for yourself, whether it’s a beard transplant, liposuction, or laser therapy – I invite you to call my El Paso office to schedule a consultation. We’ll have a chance to sit and discuss what type of goals and expectations you have, and then go over your options available.

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

Why Men Should Consider Plastic Surgery?

Male Plastic Surgery Before and After PhotosTraditionally, women have been more likely to undergo plastic surgery than men. However, body issues and aging concerns are common for many individuals, irrespective of gender. Many of the procedures available today can benefit both men and women, and over the past few years we have indeed seen a steady rise in men undergoing plastic surgery. If you don’t think that plastic surgery is for you, it may be time to reconsider, as there are many benefits that men stand to gain from male plastic surgery procedures.

Becoming More Competitive in the Job Market

It’s a dog-eat-dog world out there, and every day it gets harder to stay ahead of the competition in the job market. You may find that after a successful interview for a job you’re well-qualified for, you’ve been passed up in favor of a man who is slightly younger or more attractive than you. Younger and more attractive men are often perceived as more capable in the job market, and even if you think you have a stable job, it may be only a matter of time before you’re phased out. While you can’t stop the clock, there are all kinds of plastic surgery procedures that can help you to look fitter, younger, and more attractive, from liposuction and pectoral implants to facial augmentation, eyelid surgery, and rhinoplasty. These procedures can help you maintain a competitive edge in the job market with a more youthful, attractive, and confident look.

Becoming More Desirable to Potential Partners

If it is difficult to stay ahead of the game in the workforce, it is likely even more difficult in the dating realm. Physical chemistry and sexual attractiveness are significant factors in choosing a partner. Potential partners are often looking for a man who they find sexy, attractive, and masculine. Plastic surgery procedures can improve your body contour, your face, and your overall appearance so that you become more desirable to potential partners.

Feeling Confident About Yourself

Confidence is one of the most desirable qualities in any man. A man who is confident in himself and his abilities will go far in life. If you are self-conscious or embarrassed about your appearance, it is difficult to maintain confidence in yourself. Plastic surgery can enhance your appearance so that every time you look in a mirror or look down at your body, you get an extra boost of confidence due to your attractive and masculine physique.

Plastic Surgery Procedures That Are Great for Men

There are many plastic surgery procedures that are specifically designed to benefit men or both genders. Men can improve their body contour with liposuction, male breast reduction, pectoral implants, and buttock implants. These procedures can help your body to look and feel fit, toned, firm, and youthful. Additionally, men can restore a more youthful appearance with procedures such as facelift surgery, rhinoplasty, and eyelid surgery. These procedures can help to define the face with more masculine contours and a fresh, youthful look.

Men have much to gain from male plastic surgery procedures. To learn more about the types of procedures that could benefit you, schedule your consultation with Dr. Frank Agullo today. To book your appointment now, call our El Paso office at (915) 590-7900. You may also fill out our online contact form for more information.

Brow Lift vs. Eyelid Lift

Brow Lift vs. Eyelid LiftIt is a common misconception that a facelift is all you need to restore a youthful appearance. A facelift only corrects the lower portion of your face around the cheeks, jaws, and neck, but many signs of aging develop around the eyes and on the upper half of the face. To get a fully rejuvenated facial appearance, you should also consider a brow lift and/or an eyelid lift.

The procedure that will benefit you most ultimately depends on what you desire to correct on your face. Do drooping eyelids make you look constantly fatigued? Does a sagging brow make you appear worn out? Both are caused by the weakening of the underlying musculature that gravity pulls downwards, and each requires a different technique to correct.

Brow Lift   

Forehead wrinkles and a drooping brow can make you appear constantly angry, tired, or sad. These conditions develop over the years and can be exacerbated by sun exposure, smoking, and your natural facial movements. Brow lift surgery is performed to lift the muscle structures and restore a smooth and youthful brow and forehead. One of many techniques may be utilized depending on your aesthetic goals.

  • Temporal Brow Lift: focuses on creating a pleasing contour along the brow line.
  • Forehead Lift: uses an endoscopic approach, which allows the muscles to be tightened through small incisions. This technique results in less swelling, bruising, and bleeding.
  • Periorbital Rejuvenation: corrects brows that sag laterally rather than centrally or vertically.
  • Coronal Brow Lift: utilizes incisions from one ear to the other within the hairline, which helps hide any resulting scarring.
  • Direct Brow Lift: uses an incision near the brow and lifts the muscles.

Eyelid Lift

Flabby, hooded eyelids can severely age the face. Eyelid lift surgery corrects sagging eyelids as well as crow’s feet, upper and lower lid creases, puffiness, and dark undereye circles. Correcting the eyelids can brighten your whole facial appearance and can even correct impaired vision.

  • Transconjunctival approach goes through the tear trough the reach the underlying muscles of the lower lid.
  • Transcutaneous approach accesses the muscle structure through an incision in the skin.
  • Fat lipolysis removes excess fat from the lower eyelid.
  • Erbium YAG lasers offer non-invasive treatment to correct crow’s feet and wrinkles around the eyes.


For many patients, it isn’t just one area of the face that has signs of aging. When multiple areas need to be corrected, you can combine procedures to save time and money. Brow and eyelid lifts can be combined to rejuvenate the entire upper portion of the face. If you desire a full facial rejuvenation, consider combining both techniques with a facelift, which targets the lower half of your face.

If you are tired of having a sagging, aged facial appearance, schedule your consultation with Dr. Agullo today in El Paso or Las Cruces. Contact our office by calling (915) 590-7900, or fill out our online contact form here for more information.

What Age Should You Get a Facelift?

A lot of patients who come in to Southwest Plastic Surgery ask how young (or old) you need to be to get a facelift. These days, “40 is the new 30” and more people want to look younger, and with less effort. Dr. Frank Agullo is our board-certified plastic surgeon and does amazing transformations, yet with so many non-invasive cosmetic procedures on the market today, his answer may surprise you.smiling_woman

Very often, Dr. Frank Agullo may recommend waiting to undergo facelift plastic surgery until a patient creeps over the middle age mark, rather than doing it at a younger age of 40 or less.
Facelifts used to be one of the Top 5 cosmetic procedures in the United States, but they are no longer on the Top 5 list.

Now there are new opportunities for people in the 40-ish crowd. Nonsurgical options such as injectables, Dermaglow LED therapy, chemical peels, Ultherapy and microdermabrasion make it possible to achieve a youthful appearance without the need for surgery. Many of these newer methods represent the most cutting-edge of cosmetic enhancements, with a remarkable ability to remove fine lines, sun spots, acne scars and to fill in the facial imperfections. Although not always a permanent solution, the effects do last a long time, meaning a patient can now wait longer to undergo facelift surgery.

However, if a patient does experience sagging skin, double chin or baggy eyelids that are often part of the aging process, they may find that getting a facelift is the best solution. There is no right or wrong age to get a facelift, but it really depends on a patient’s overall health, desired results, and how extensive they want the transformation to be.

If you want to find out whether you are a good candidate for a facelift, or possibly for one of the numerous non-invasive procedures now available, it is best to seek a consultation with Dr. Agullo. He will give you his most honest, forthright perspective and show you the outcome on a revolutionary 3D Vectra Imaging System, which will give you confidence that you are making the right decision. Schedule a free consultation today.

Results are in! Top 5 Plastic Surgery Procedures of 2014 at Southwest Plastic Surgery

At Southwest Plastic Surgery of El Paso, TX we love to keep track of what means the most to our patients. Although similar trends throughout the U.S. reflect that our clients desire many of the same cosmetic procedures as in other states, within our region of Southwest Texas and New Mexico, these five favorites were the most popular in 2014.

#5: Facelift – While thetop_5re may be a lot of great non-invasive alternatives to facelifts these days, the classic facelift still remains very popular. New technologies make healing time faster, while innovative methods offer convenience to patients who want to truly make a marvelous transformation.#4: Mommy Makeovers – After women have one or more babies, their bodies may develop extra skin overlaps from the pregnancies. Especially women who go through a C-section may feel discouraged when dieting and exercising at the gym do little to make that “baby pooch” go away. A Mommy Makeover is a great solution to lift, tighten and smooth the abdominals and lift sagging breasts.

#3: Buttock Augmentation – Brazilian Butt Lifts are all the rage in 2014. Perhaps because of the Kardashians or other celebrities, more women want to get a lift and implants to look just as good going as they do coming.
#2: Nose Reshaping – If you are feeling a little too “nosy” you can come in and have our dedicated team help you to get your nose feeling more proportionate with your face. Whether you just want it a little smaller or a little less crooked, or perhaps it has been altercated from an injury or accident, we can do a nose reshaping surgery or a full-blown rhinoplasty.
#1: Breast Augmentation – This popular procedure has been on our list for years and still remains the #1 performed plastic surgery options for our clients.

Dr. Agullo of Southwest Plastic Surgery would be happy to show you “before” and “after” photos of any type of plastic surgery you may be considering. Come talk to us about your goals and get a preview of yourself on our 3D Vectra Imaging System!


Finally – An Answer to Hollow Cheeks

a cropped version of previous photoWhen it comes to the aging process, hollowed or sunken-in cheeks rank right up there with turkey necks and droopy eyebrows.  Fortunately there is now a simple way to instantly add volume to the cheek area – and without the time and expense of surgery!

Juvederm Voluma XC, the first and only Hyaluronic Acid (HA) filler approved by the FDA to address this issue, is an injectable gel that subtly lifts and contours your cheeks to help you recapture your youthful profile.  Hyaluronic Acid is a natural anti-aging substance in the body that supports cell growth and repair.  As we age, the body reduces its production of this precious material.  Used cosmetically by an experienced physician, HA builds up collagen in the cell tissues and helps the skin retain water, temporarily plumping up the skin and smoothing out wrinkles.

 What Results Can I Expect?

When used optimally, Juvederm Voluma XC has been clinically proven to last up to two years.

 Are There Any Side Effects?

Side effects are moderate and can include itching, tenderness, firmness, swelling, bruising, pain, redness, and lumps or bumps at the site of injection.  These reactions are temporary and generally disappear within two to four weeks.  Most patients are able to resume their normal activities 24 hours after receiving the injection.

Dr. Agullo can help you restore your cheeks to their more youthful appearance.  To find out more and schedule a consultation, please contact Southwest Plastic Surgery at (915) 590-7900.

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