An undercover reporter asked an overseas clinic about a tummy tuck and got a “skinny BBL” added to the quote fourteen minutes into a chat. Here are the seven questions I would want every patient to ask before saying yes to a combination, and the answers I give at Southwest Plastic Surgery.

The surgery center at Southwest Plastic Surgery is accredited by QUAD A at Outpatient Class C, the level that covers general anesthesia, through October 2027. Here is what the certificate covers, from the drills the staff run to the discharge plan you go home with, and why Dr. Frank Agullo says to ask for one wherever you are quoted a price.

Jennifer Arias, 29, flew from New York to Miami for liposuction and a BBL and died the same day of fat emboli in both lungs. The same week a comedian called the operation “the deadliest surgery you can get.” Southwest Plastic Surgery turns Dr. Frank Agullo’s protocol into the questions to ask before you book one anywhere, and the reasons he still says no.

MDLinx quoted Dr. Frank Agullo this fall on the AI failure he worries about most: a confident wrong answer in fluent medical English that the patient cannot check. Southwest Plastic Surgery sees both versions in the consult room, the patient talked into alarm and the patient talked into expecting too much. Here is his guidance on using AI to prepare, and where to stop trusting it.

Texas Today put Dr. Frank Agullo on its cover this week with a guide to choosing a plastic surgeon in Texas. Southwest Plastic Surgery walks through what the article says, the four questions to ask any surgeon, how to verify board certification in five minutes, and what the roughly 70 percent of patients who travel to El Paso ask the coordinators before they book.

Sharon Osbourne says a procedure left an indentation from her nose to her chin. Dr. Frank Agullo of Southwest Plastic Surgery has not examined her and names no one, but patients bring him dents every week: after filler, after liposuction, after a lift elsewhere. Here is what the Med Spa can fill, what needs the operating room, and why the fix sometimes has to wait.

The most common pre-consult question at Southwest Plastic Surgery is a number: what BMI do I need? Dr. Frank Agullo’s answer is under 35, ideally under 30, with exceptions decided case by case. Here is what rises above 35, why visceral fat limits a tummy tuck, and the honest conversation he has with the patient whose scale has stopped moving.

On October 8, 2026 the CDC published a Notes from the Field report: three women at one Colorado medical spa developed numbness, muscle weakness, voice changes and blurred vision within a day of a botulinum toxin injection, and the product was not FDA approved. Dr. Frank Agullo on what the report found, how Southwest Plastic Surgery buys and checks every vial, and the questions to ask anywhere else.

MDLinx asked Dr. Frank Agullo what happens when do-it-yourself peptide injections land patients in the clinic. His answer starts with a request: bring me the vial. Here is what he looks for on the label, why a “research use only” stamp means nothing, how a pharmacy-compounded product differs from a gray-market one, the stacks he is seeing in El Paso, one anonymized abscess case, and the 24-hour versus day-five rule for an injection site.

Two weeks before surgery, every patient at Southwest Plastic Surgery stops all non-prescription supplements and starts a recovery protocol in their place. Dr. Agullo, quoted in the Daily Mail on a garlic-and-honey “natural Botox” ritual, explains the rule, the bleeding list behind it, and why “natural” is not the same as harmless.