Body-contouring isn’t new. But how is it being done today? That’s an entirely different story. We’ve got the latest tools, new techniques, and even fresh concepts, the ones never before practiced.
And as these advancements continue to evolve, it becomes clear that body-contouring is the perfect fusion of art and science.
“We’re not just removing fat or tightening skin,” Dr. Frank Agullo, a seasoned plastic surgeon, better known online as Dr. WorldWide, explains. “We’re sculpting. We’re refining. We’re researching. And we’re doing it more safely than ever before.”
However, that has people asking: What’s new in body-contouring?
We’re answering that question today, with the help of Dr. Agullo. But, before that, here’s a bit about Dr. Agullo himself.
From Puerto Rico to the World: The Story Behind “Dr. WorldWide”
It’s not every day that a surgeon from El Paso, Texas, ends up with three million social media followers and a nickname that echoes across continents. But Dr. Agullo isn’t your everyday plastic surgeon.
Raised between Puerto Rico, Venezuela, and Georgia, and educated in Mexico City, Dr. Agullo’s multicultural background proved to be foundational. His early clinical rotations exposed him to complex reconstructive cases before most students had even mastered the basics.
That head start fueled a career built on artistry, education, and a relentless curiosity about what’s possible in aesthetic medicine.
Building upon that, his relentless drive to research and innovate, and laser-focus on compassion and transparency made him recognized as Castle Connolly Top Doctor for 10 years in a row.
That’s not all. He’s also been named Aesthetic Everything® “Top Plastic Surgeon of the Decade” and continues as “Top Aesthetic Doctor” and “Top Plastic Surgeon West” recognition for three years.
With all that experience and expertise under his belt, he explores the new era of body-contouring with us.
A New Era of Body-Contouring: What Patients Need to Know
Here are some of the top advancements transforming the landscape, straight from Dr. Agullo’s operating room:
1. Ultrasound-Guided Brazilian Butt Lifts (BBLs)
The BBL remains one of the most requested body-contouring procedures. But it has also come under scrutiny for safety concerns. That’s why Dr. Agullo made it a priority to adopt real-time ultrasound guidance for fat transfer.
“This allows us to monitor exactly where the fat is being placed. Thus reducing the risk of vascular injury and fat embolism,” he explains. His published 2024 study confirmed this approach drastically lowers complication rates, making it a gold standard among responsible surgeons.
2. RibXcar: Scarless Rib Remodeling
This breakthrough technique reshapes the lower ribs to create a more tapered waist. Without leaving visible scars. “It’s done through small, hidden incisions and allows us to sculpt the torso in a way that traditional liposuction or corsets can’t,” Dr. Agullo shares.
The appeal? Minimal downtime, no external hardware, and results that enhance the hourglass silhouette without looking artificial.
3. Triple-Plication Internal Corset Tummy Tuck
Imagine wearing a perfectly tailored internal corset. Without actually wearing one. That’s the concept behind this technique, which strengthens the abdominal wall using three layers of internal support, ideal for post-pregnancy bodies or patients after significant weight loss.
“It’s about building core stability while delivering a flat, contoured midsection,” says Dr. Agullo. “You feel the difference, not just see it.”
4. High-Definition Liposculpture
Forget basic fat removal. This is about etching natural lines and shadows to reveal underlying muscle definition. Using advanced tools and artistic finesse, Dr. Agullo can define the waistline, abs, flanks, and back with a sculptor’s touch.
“Patients want more than to look thinner,” he says. “They want to look athletic and proportioned, and that’s exactly what high-def lipo delivers.”
5. Helium-Plasma and Radiofrequency Skin Tightening
Skin laxity is often the missing puzzle piece after fat reduction. These minimally invasive technologies use controlled energy to stimulate collagen, tighten tissues, and smooth the skin.
“The real win here is treating patients who aren’t ready, or don’t want, extensive skin excision,” Dr. Agullo explains. “We can now lift and firm without large incisions or long recovery periods.”
6. Breast-Preserving Enhancements with Motiva Implants
In a shift away from oversized implants, today’s patients are choosing lighter, more natural breast augmentation options. Dr. Agullo combines smaller implants with the breast’s scaffolding and Motiva technology for added support and shape retention.
“We’re able to maintain the patient’s own breast tissue envelope, preserve sensation, and still achieve youthful, lifted results,” he says. It’s enhancement without excess. And it’s catching on quickly.
7. Deep-Plane Facelifts and Neck Lifts
While technically part of facial aesthetics, these procedures are increasingly being paired with body-contouring for full-spectrum rejuvenation. Deep-plane techniques lift deeper structures rather than just tightening the skin, offering more natural and longer-lasting outcomes.
“When you contour the body, it makes sense to harmonize the face and neck, too,” Dr. Agullo notes. “Especially now that younger patients are seeking subtle, preventative changes.”
8. Vectra 3-D Imaging for Surgical Simulation
Seeing your potential results before going under the knife? That’s what Vectra 3-D imaging offers. This interactive simulation tool allows patients to visualize outcomes from every angle. Boosting confidence and improving communication between patient and surgeon.
“It’s empowering,” says Dr. Agullo. “Patients aren’t guessing. They’re collaborating in the design of their own transformation.”
9. Alloclae for Buttock and Breast Enhancement
AlloClae is a next-generation acellular matrix used in aesthetic surgery to enhance shape, support, and volume. It integrates naturally with the body’s tissue, making it ideal for buttock and breast procedures, especially when there is not enough fat or the patient doesn’t have downtime.
“Whether I’m enhancing volume or correcting asymmetry, AlloClae allows me to push the limits of what’s possible in body contouring.” Explains Dr. Agullo.
The Takeaway
These procedures mentioned are the full stop in the plastic surgery industry. Innovations are on their way, thanks to individuals like Dr. Agullo, who never let this space become stale.
For patients, this means much safer, faster, and easier procedures with better results. However, patients also need to take responsibility and do their homework before testing out a new technique.
“Search on the web, be open with your doctor, never shy away from asking questions,” Dr. Agullo advises. With that, both patients and doctors can work truly as a team, since the goal for both is the same.
Ready to Explore Your Options with Dr. Agullo?
Visit Southwest Plastic Surgery in El Paso or follow @RealDrWorldWide on Instagram, Snapchat, and TikTok to learn more about procedures, outcomes, and the power of aesthetic transparency.
Loi works as a screenwriter & has written various screenplays for films as well as TV dramas. She has always been passionate about storytelling & creative writing. This led Loi Duong to pursue her degree in English Literature from Point Park University in Pittsburgh, Pennsylvania.
