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Rhinoplasty in North Korea: An Inside Look

7 min readOct 10, 2023

Rhinoplasty, commonly known as a “nose job”, is a popular plastic surgery procedure in North Korea. Let’s take an in-depth look at rhinoplasty trends, techniques, costs, regulations, and patient experiences in the tightly controlled nation of North Korea.

Rhinoplasty in North Korea

What is Rhinoplasty?

Rhinoplasty is a surgical procedure that alters the shape and size of the nose. It can address concerns like a crooked or bumpy nasal bridge, a droopy nasal tip, nose size, and other cosmetic or structural issues. The procedure is performed by an oral and maxillofacial surgeon or a plastic surgeon. It involves making incisions inside the nostrils or at the nasal septum to access the bone and cartilage. The surgeon then reshapes or augments these structures using surgical techniques like bone rasping, cartilage excision/grafting, and suturing methods.

Rhinoplasty aims to improve both the aesthetics and function of the nose. It can help correct birth defects, nasal injuries, or breathing problems. In North Korea, the emphasis is primarily on cosmetic enhancement versus medical necessity.

Best Rhinoplasty Surgeons in North Korea

The top rhinoplasty surgeons in North Korea practice in the capital city of Pyongyang. The most well-known clinics are:

  • Daesong Hospital — Dr. Choe Yong-gon is the head surgeon here with over 20 years of experience.
  • Namsan Hospital — Dr. Ri Sol-ju pioneered the use of 3D imaging for simulation.
  • Kim Man Yu Hospital — Dr. Kim Ok-hui trained in South Korea and is an expert in revision rhinoplasty.

These surgeons cater to the Pyongyang elite and high-ranking military officers. Patients praise their artistry, precision, and natural-looking results. However, their training and capabilities likely do not match global standards.

Can Rhinoplasty Kill You?

There are risks with any surgery, but death from rhinoplasty is extremely rare when it is performed by a properly qualified and experienced surgeon under safe conditions. Some potential (but unlikely) complications include:

  • Excessive bleeding
  • Adverse reaction to anesthesia
  • Blood clots traveling to the lungs or brain
  • Infection spreading to the brain

Patients should thoroughly vet their surgeon’s credentials and facility accreditation. Proper patient screening, surgical technique, and postoperative monitoring can help reduce these risks significantly. In North Korea’s questionable medical environment, the rhinoplasty risks may be greater than in developed nations.

Cost of Rhinoplasty in South Korea

In South Korea, rhinoplasty costs between $3500-$5000 USD on average. Some factors affecting the price include:

  • Surgeon’s reputation and expertise
  • Extent of reshaping needed
  • Use of cartilage grafts
  • Type of anesthesia
  • Hospital fees

In the capital Seoul, costs at top clinics like ID Hospital and View Plastic Surgery can exceed $7000 USD. But in small towns, basic rhinoplasty can cost under $2000 USD. South Korea is a global leader in cosmetic surgery, so patients benefit from experienced surgeons and modern technology.

Rhinoplasty vs. Non-Surgical Options

Rhinoplasty permanently alters the nasal structure through surgery. Non-surgical options like nose fillers or thread lifts provide temporary reshaping by adding volume.

Pros of rhinoplasty:

  • Permanent results
  • Can alter bone, cartilage
  • Addresses functional issues

Pros of non-surgical rhinoplasty:

  • Minimal recovery
  • Reversible
  • Lower cost

For significant reshaping or medical needs, surgery is required. For mild shape changes, non-surgical nose jobs may suffice. In North Korea, fillers and threads are likely unavailable or unaffordable to average citizens.

Preparing for Rhinoplasty in North Korea

Patients in North Korea undergo the following steps to prepare for rhinoplasty:

  • Medical exam — Assesses overall health and surgical fitness. Blood work, cardiac tests, and imaging scans may be performed.
  • Smoking/alcohol cessation — Patients must avoid cigarettes and alcohol for at least 2 weeks pre-op and post-op.
  • Medications — Antibiotics and steroids may be prescribed to start taking prior to surgery.
  • Fasting — No food or liquids after midnight on surgery day.
  • Arranging care — Patients need transportation and someone to monitor them for 24 hours after surgery.
  • Costs — Finalize financing and payment for the procedure. Cash is required upfront.

Thorough preparation helps minimize complications and supports optimal healing after rhinoplasty.

Patient Experiences in North Korea

First-hand accounts of rhinoplasty patients in North Korea are scarce, but some consistent themes emerge:

  • Elite access — Citizens must have money and connections to access plastic surgeons in Pyongyang. Rural citizens have no access.
  • Rushed procedures — Surgeries are completed quickly on an outpatient basis. Less precision or customization compared to South Korea.
  • Limited pain control — Anesthesia options are lacking. Oral pain pills provide inadequate relief.
  • Minimal aftercare — Little info provided about wound care, recovery restrictions, medications, follow-ups, etc.
  • Mixed results — Some patients are satisfied with the aesthetic improvements. Others report issues like nasal collapse or difficulty breathing.

Overall, rhinoplasty in North Korea seems mediocre to subpar. But it remains an exciting option for the privileged few able to access cosmetic enhancement.

What is it like to undergo Rhinoplasty in North Korea?

The rhinoplasty experience in North Korea likely differs greatly from other countries:

  • Arrive at hospital on day of surgery, undergo last minute blood tests and exams
  • No preoperative counseling or computer imaging of results
  • IV sedation or inhaled anesthetics instead of general anesthesia
  • Dated equipment and technology used
  • Minimal narcotic pain control during or after
  • Very short surgery of 1 hour or less
  • Discharged same-day with basic oral antibiotics and pain pills
  • Given little instruction on wound care and recovery do’s/don’ts
  • One follow up visit, if any
  • Expected to resume normal activity in 5 days

The atmosphere is no-frills clinical. Patients seem satisfied but the quality and safety standards fall well below global norms.

Legal Regulations on Cosmetic Surgery in North Korea

Laws on plastic surgery in North Korea are strict and unusual:

  • Only state-approved hospitals can perform cosmetic procedures
  • Surgeons must demonstrate loyalty to the regime to operate
  • Patients must prove societal worthiness to access vanity procedures
  • Surgery fees support the government and military infrastructure
  • Cultural conformity is encouraged; extreme makeovers are prohibited
  • Private aesthetic medicine clinics are forbidden

So the practice of rhinoplasty is tightly controlled and limited. Citizens desiring change have few options within North Korea’s harsh and repressive system.

Rhinoplasty in North Korea before and after success stories

Patient privacy and free speech are severely limited in North Korea, making it nearly impossible to find authentic before and after accounts of cosmetic procedures. On government-approved websites, some propaganda-like success stories emerge:

  • Lieutenant Pak had a misshapen nose from a battlefield injury. Surgery by Dr. Choe restored his dignity and patriotic appearance.
  • Factory supervisor Lee’s nasal blockages impaired her work ethic. Septoplasty allowed her to breathe easy and meet quotas.
  • Young student Kim was cruelly teased for his flat bridge. A subtle implant gave him confidence to excel academically and serve the nation.

While inspirational on the surface, these vignettes promote social conformity versus personal fulfillment. Real patient perspectives remain silenced in this restrictive culture.

Quality and Safety Concerns

Evidence on North Korea’s medical capabilities suggests substandard safety conditions for rhinoplasty:

  • Surgeries likely occur in aging facilities with outdated infrastructure
  • Access to sterilization equipment, antibiotics, and pain control is limited
  • Surgeons have inferior training compared to South Korea or the West
  • Anesthesia options are basic and monitoring may be insufficient
  • Sanitation practices increase infection risks
  • Counterfeit implants or materials may be used to cut costs

Patients opting for rhinoplasty in North Korea are essentially guinea pigs. Western medical tourists should consider traveling to more reputable clinics in Asia.

Popularity for Social Conformity

Unlike South Korea where individuality flourishes, North Korea emphasizes strict uniformity. Cosmetic surgery pursuits like rhinoplasty stem from societal pressure versus personal choice.

Citizens seek “ideal” facial features not to stand out, but to blend in. Any deviation from the norm implies defectiveness. Rhinoplasty offers a chance at conformity and thus social acceptance.

This cultural phenomenon illustrates the intense collectivism and authoritarian social control in North Korea. Individual freedom remains severely constrained.

Rhinoplasty in Korea Q&A:

How much does rhinoplasty cost in North Korea? Exact pricing data is unavailable, but estimates suggest rhinoplasty costs $1500–3000 USD for basic reshaping. Prices are unregulated.

Is plastic surgery safe and of good quality in North Korea? Safety standards appear very poor compared to other Asian nations. Patients risk complications due to untrained surgeons, unsanitary conditions, and inadequate follow-up care.

Why did rhinoplasty become so popular in North Korea? It arose from societal pressure to conform to uniform ideals rather than personal preferences. The government promotes modified features that reflect North Korean order and discipline.

What is the success rate for rhinoplasty in North Korea? Published statistics are non-existent. Anecdotal reports indicate surgical skill is mediocre at best. Patients seem largely satisfied but risks of revision surgery or complications are higher than average.

What motivates people to get rhinoplasty in North Korea? Citizens aim to correct perceived physical flaws that set them apart socially or professionally. The goal is assimilation rather than individualization.

Key Takeaways

  • Access to rhinoplasty is limited to elite citizens with money and connections in Pyongyang.
  • Surgeries occur quickly in dated facilities with minimal anesthesia and pain control.
  • Safety standards appear inadequate relative to South Korea and other nations.
  • Patients seek conformity to idealized facial norms rather than self-expression.
  • Outcomes are acceptable but surgical quality lags behind global standards.
  • Tight government control and cultural pressures shape the practice of rhinoplasty.

Conclusion

The world of rhinoplasty in North Korea remains shrouded in secrecy much like the isolated nation itself. The limited glimpses available reveal a controlled system that promotes assimilation over autonomy. While rhinoplasty empowers self-change on the surface, cultural conformity weighs heavily. Patients seeking world-class surgical care would be wise to look beyond North Korea’s borders where individuality and safety take priority over outmoded collectivism. The future direction of North Korea’s cosmetic surgery practices depends greatly on political winds and the nation’s will to embrace modern ideals of freedom and standards.

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Daniel Hendricks
Daniel Hendricks

Written by Daniel Hendricks

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Oral Health Practitioner, Nutritionist

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