“So much of their work gets documented, especially when they are a brand ambassador for a med spa and probably get a lot of their care in exchange for the publicity.” That is how Dr. Frank Agullo describes reading an influencer’s face from photos, an educational exercise rather than a diagnosis. He has not treated her, and a photo is not a consultation. But the read is a useful tour of the real menu of treatments behind a polished look.
What He Can Be Fairly Sure About
In Dr. Agullo’s read, we know for a fact that she’s had neurotoxin to the upper face, which includes the forehead, crow’s feet, and glabella, in hopes of making her eyes more open. She’s had Sculptra to the temples to fill in her temporal recession, hollowness, or temporal wasting. She’s also had Renuva to the temples, also for volume, which is a processed donor fat graft that encourages ingrowth of fat in that area.
She also had hyaluronic acid filler in the lips, which it seems she did not like and then had dissolved, even though there are hints of more volume than before. She had a Botox lip flip. She’s also had PDGF for the under eyes, platelet-derived growth factor, which encourages collagen ingrowth. And she’s had various lasers and radiofrequency, including Tixel, a thermal resurfacing device, Moxi, a resurfacing laser, and Agnes RF, which is very similar to Morpheus8.
The Weight Change Behind the Contour
Judging by her earlier photos and her photos now, she’s definitely lost too much weight. Dr. Agullo is not sure if she’s been using a GLP-1, but it has caused her to lose a lot of the good fat in the face, which is the reason she had to fix the temporal wasting. You can notice in the current pictures that she has a lot less lower cheek fat and a lot more angulated jawline.
Now she has a lot more anterior malar volume, so she may have had some Sculptra and Renuva in the upper cheek area. He thinks she maintains the skin with broadband light, like BBL, and has probably had neurotoxin to the masseters and lower face, which you can see from her slimmer jawline, plus good skin quality maintenance with medical-grade topicals like tretinoin and vitamin C.
The Treatments, Mapped to the Practice
| Influencer’s Likely Treatment | At Southwest Plastic Surgery |
|---|---|
| Neurotoxin (upper face, masseters) | Injectables at the Med Spa |
| Sculptra, Renuva (temples, cheeks) | Biostimulators and fat grafting |
| PDGF, growth factors | Regenerative adjuncts with microneedling |
| Lasers and radiofrequency | Laser and microneedling with RF |
| Brow shaping | Endoscopic brow lift, ponytail type |
| Skin quality | Medical-grade topicals and BBL |
The One Thing That Hints at Surgery
What calls Dr. Agullo’s attention the most, even though he’s not sure she’s had any surgical work and she is rather young, under forty, is that her brow position is significantly different from her earlier days. It’s pulled up and laterally, which actually opens her eyes. A certain degree of this can be achieved with botulinum toxin, but the degree she’s showing looks more pronounced. She may have had an endoscopic brow lift, the ponytail type, which can help with brow shaping and looks very natural. Other than that, he doesn’t see signs of surgical work, and her nose looks unchanged from her earlier photos.
About Dr. Frank Agullo
Dr. Frank Agullo is the founder of Southwest Plastic Surgery in El Paso, Texas. He is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, a Fellow of the American College of Surgeons, completed a plastic surgery fellowship at the Mayo Clinic, and sits on the Editorial Board of Aesthetic Plastic Surgery. He is a Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine and has been named a Castle Connolly Top Doctor for thirteen consecutive years.
Ready to Talk?
If there is a look you are chasing, bring the photos to Southwest Plastic Surgery. The team will read your own face the same careful way and map a plan to the right menu, in the right order.
For the surgeon’s editorial take on why public-figure reads are tricky, see Dr. Agullo’s essay on drworldwide.com. For the patient-facing treatment-by-treatment guide, see the companion post on agulloplasticsurgery.com.
Call (915) 590-7900, text 1-866-814-0038, or book online at swplasticsurgery.com. #StayBeautiful.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
