Plastic surgery
There are marking differences between perceptions of beauty among working-class patients in public hospitals, and upper-middle class patients in private clinics. Plastic surgery is conceptualized by the upper-middle class mainly as an act of consumption that fosters distinction and reinforces the value of whiteness. In contrast, working-class patients describe plastic surgery as a basic necessity that provides the "good appearance" needed in the job market and "repairs" their bodies from the wear of their physical labor as workers and as mothers. Patients from different walks of life desire plastic surgery for different reasons.