July 28, 2025 | El Paso Office, Techniques
El Paso, TX — Renowned board-certified plastic surgeon Dr. Frank Agullo—widely known as Dr. WorldWide—was invited to Establishment Labs’ global campus in Alajuela, Costa Rica, to take part in an intensive surgeon‑to‑surgeon program on minimally invasive breast‐preservation augmentation. The hands‑on course focuses on Motiva’s preservation and minimal scar techniques, which reshape the breast with ultra‑light, ergonomic implants through an incision measuring just 2–3 cm.
WHY THIS MATTERS FOR PATIENTS
Traditional breast augmentation often requires a 4–6 cm incision and dissection beneath the pectoralis muscle. The preservation approach gently elongates native tissues instead of cutting them, avoids muscle detachment, and creates a nest that stabilizes the implant. Clinical data show no cases of lower‑pole malposition at three years, underscoring the structural benefits of tissue preservation.
SMALLER, LIGHTER, MORE NATURAL IMPLANTS
Dr. Agullo trained with Motiva Ergonomix devices, next‑generation, low‑weight silicone implants that adapt their shape with body position for a softer, more “all‑me” feel. Because the implants weigh less and occupy a smaller footprint, surgeons can achieve the visual impact of a 300–350 cc implant with volumes closer to 150–200 cc, reducing stress on supporting ligaments and improving long‑term comfort.
ULTRA‑FAST RECOVERY WITH TWILIGHT ANESTHESIA
The entire operation typically lasts about thirty minutes under light conscious‑sedation (“twilight”) anesthesia. Most patients are able to dress themselves, walk out of recovery in under an hour, resume daily routines within one to two days, and return to gym activities within a few days, dramatically shortening downtime compared with conventional augmentation.
LESS PAIN, MORE CONFIDENCE
Because breast nerves, ducts, and blood vessels remain largely undisturbed, postoperative discomfort is mild, bruising is minimal, and sensation is better preserved. The petite incision is hidden in the inframammary fold, leaving a virtually imperceptible scar. Patients gain a refined shape rather than simply “more volume,” opening the door for women who previously avoided surgery out of fear of large implants, long recoveries, or visible scarring.
DR. AGULLO’S COMMITMENT TO INNOVATION
“Being invited to Costa Rica by Establishment Labs allows me to bring the most forward‑thinking solutions back to Southwest Plastic Surgery,” says Dr. Agullo. “My goal has always been natural enhancement with the least disruption to a patient’s life, and breast‑preservation augmentation aligns perfectly with that philosophy.”
Dr. Agullo will offer preservation and minimal scar breast augmentation in the United States at Southwest Plastic Surgery starting at the end of August 2025, providing his patients with access to smaller scars, lighter implants, and faster, more comfortable recoveries than ever before.
ABOUT FRANK AGULLO, MD
Dr. Agullo is a double board‑certified plastic surgeon, Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center, and founder of Southwest Plastic Surgery in El Paso, Texas. He specializes in advanced aesthetic procedures and is known globally for his patient‑centered approach. He is known as Dr. WorldWide to those that follow him on his social media channels @RealDrWorldWide.
MEDIA CONTACT
Pam Agullo
Southwest Plastic Surgery
