Editor’s Note
**Editor’s Note:** This article examines the growing risks of cosmetic surgery in Central Asia, where weak regulation and social media promotion have led to a rise in failed and sometimes fatal procedures. We present the case of Diana Tergenbayeva to highlight the urgent need for stronger oversight and patient safety measures in the region.
Central Asia is witnessing a surge in failed — sometimes fatal — cosmetic procedures, fueled by social media promotion and weak regulation. Diana Tergenbayeva, a mother of two from Kyrgyzstan, sought a breast lift after her pregnancies but ended up with severe swelling, an open wound, and a legal dispute with her surgeon.
Her case is one of many. The Kyrgyz health ministry told AFP that the situation is “particularly worrying in Bishkek and Osh, where more than 1,300 companies are illegally carrying out their medical or pharmaceutical activities.” Inspections have led to fines and closures, but enforcement remains patchy.

Kyrgyz plastic surgeon Iskender Kachkinbayev warned:
He stressed that all medical interventions must occur in a medical setting, not in an office.
Despite the dangers, influencers with hundreds of thousands of followers on Instagram or TikTok promote dubious private clinics or beauty salons. A quick social media video can result in “10 patients for consultations tomorrow,” Kachkinbayev said, warning that offers “can sometimes be a real scam.”

Jasmine Karipayeva, 27, from Kazakhstan, decided on blepharoplasty after seeing a TikTok video, lured by low prices. She immediately regretted it:
She added, “No one can give me back my original appearance, because a lot of fat and skin have been removed.”
Kyrgyz nurse Oksana Tikhaya, 48, suffered huge swelling covering her eye after an eyelid lift following a minor stroke.
Tergenbayeva urged caution:

Experts attribute the rise in botched procedures to a lack of state regulation, use of expired medicines, and unqualified practitioners working illegally. Many beauty salons offer invasive procedures without proper permits. Around 40 patients had lodged complaints against Tergenbayeva’s surgeon, who was detained for smuggling medications but later released and continues to practice.
The trend has empowered more women to speak up, especially after a Kazakh blogger with around a million Instagram followers died following liposuction in May. Official statistics are lacking, but media in Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan report an increasing number of victims.