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In what ways, and to what effect, does scientific knowledge about medical hygiene also carry with it cultural and aesthetic perceptions of beautiful and pleasant cleanliness that reveal feminine connotations rooted in the nineteenth century? Macromastia (breast hypertrophy) has significant influence on patients' quality of life (QoL), therefore surgical treatment has a clear medical benefit. Rapid improvements in musculoskeletal complaints are being reported long before when final aesthetic results are traditionally evaluat