Focusing too much on superficial beauty was frowned upon in the Soviet Union as un-communist. But in case you wanted to fix those frown lines later, or completely redo your face for a spying job, plastic surgeons were in fact available.

The USSR wasnโ€™t known for its beauty industry, but it existed nevertheless โ€“ both in terms of temporary treatments like cosmetics, and the more permanent procedures of plastic surgery. Lyubov Orlova, one of the Soviet Unionโ€™s most legendary actresses and star of cult films like Circus (1936), Volga-Volga (1938) and Springtime (1947), became the face of Soviet cosmetic surgery in her later years. So much so that at the age of 71 Orlova played the role of a woman in her twenties in Skvorets and Lira, a 1974 film directed by her husband Grigory Aleksandrov. The plot of the film also included Orlovaโ€™s character Lira getting plastic surgery; whatโ€™s more, her real-life plastic surgeon, Aleksandr Shmelev, played a small role as the actressโ€™s on-screen doctor. Many assume that this was Orlova and Aleksandrov expressing their gratitude for the brilliant surgeries that he had carried out on the film star.

And while Orlovaโ€™s Lira certainly looked older than twenty, many admired the actressโ€™s dedication to appearing a certain way. Indeed, the โ€œOrlova Syndromeโ€ was how doctors described her contemporariesโ€™ desperate aspirations to look like the famous actress, as more and more women in the USSR dyed their hair blonde, cinched their waists and drew on thin, thread-like eyebrows. Many became obsessed with the star, and even claimed to be Orlovaโ€™s long-lost sisters, or, later, daughters.

Aleksander Shmelev wasnโ€™t just known as the plastic surgeon who operated on the megastar of Soviet Hollywood: he was a star himself, but for a different audience. He worked in Moscowโ€™s Beauty Institute and operated on the most famous and powerful people in the Union โ€“ the Party elite, famous actors and musicians. Ordinary people had little chance of getting an appointment with him without utilising common connections or a favourable position within the Party. Some of his patientsโ€™ recollections from the late โ€˜70s are available on plastic surgery forums online, and snippets of Soviet reality nestle alongside the endless praise: โ€œmy mother worked in medicine and managed to snag me an appointment through Health Ministry channels, so I could get my nose done.โ€