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Blog

Breast Implants After Pregnancy: Why They Change, What a Revision Fixes, and Whether to Wait Until You Are Done Having Kids

October 27, 2026 | Breast Augmentation, Breast Lift, Breast Revision

Cardi B told X Spaces she is “very scared” to get her breasts done again after four kids, and that they are sagging. She described the most common breast revision consultation in my practice. Here is what pregnancy and breastfeeding do to an augmented breast, the rule that decides lift or no lift, why I put a bra on the inside, and my answer to the woman who wants implants before she is done having children.

Miami Thong Lift in El Paso: Fixing a Double Butt Crease Without a Visible Scar

October 27, 2026 | Body Contouring

A patient with a BBL from two years ago still had a second fold under each buttock. Dr. Agullo’s real answers on the Miami thong lift, the hidden scar, fat to the outer thighs, and what causes fibrosis.

Why the BBL Is Called the Deadliest Surgery, What Changed in My Operating Room, and Who Should Still Say No

October 26, 2026 | Body Contouring, Brazilian Butt Lift, Patient Safety

A New York mother of 29 died in August of fat emboli in both lungs after liposuction and a BBL at a Miami clinic; the same week a comedian joked on television about getting “the deadliest surgery you can get.” The name is earned. Every BBL embolism on record had fat injected into the muscle. Here is the protocol that changed that in my operating room, the one question to ask any surgeon, and the patients I still turn away.

Buttock Implants in El Paso: Projection, Sizing, and Sitting Right Away

October 26, 2026 | Body Contouring

A patient who already had a BBL wanted the projection fat could not give her. Dr. Agullo’s real answers on buttock implants, sizing, recovery, and sitting.

FaceAge and the Facelift: What an AI Reads in Your Photo, and What Surgery Actually Changes

October 25, 2026 | Facelift, Fat Transfer, Patient Safety

A Harvard model trained on more than 40 million faces can read biological age from a photo, and in about 38,000 patients those who looked five years older than their age had a 21 percent higher risk of death. It looks at the temples, the folds beside the nose and the forehead. Here is what I treat in each of those places, why I graft fat into every facelift, why nicotine shows in a photo, and what a lift resets and what it does not.

A Bad Output That Reads Well: What I Told MDLinx About AI Risk in Medicine, and the Rest of the Answer

October 25, 2026 | Patient Safety, Plastic Surgery Consultation, Plastic Surgery News

When MDLinx asked physicians how worried they are about AI in medicine, I said moderately, and I said why: the failure I expect is a confident wrong answer delivered in fluent medical English to someone who cannot check it. The article ran one paragraph of that. Here is the rest: the patient who arrives alarmed by a diagnosis nobody made, the one told a procedure is simpler than it is, the three safeguards I would actually enforce, and why software needs the same post-market watch an implant gets.

Dr. Worldwide Gets Social