Where would you expect that the most vain people –the ones who believe in better living through surgery– live??

Forbes and Total Beauty found out what ten cities have the most plastic surgeons, tanning salons and spas/salons per capita.  Here’s the countdown:

#10  Louisville, Kentucky.  Go figure.  People there spend more on hair/skin/nail care.  Louisville also has more than its fair share of plastic surgeons.

#9  Minneapolis, Minnesota.  The winter cold there is brutal, and wreaks havoc on the hair and skin.  It’s understandable that they have so many spas and salons.  They need a little extra pampering.

#8  Charleston, West Virginia.  No kidding!  Charleston has more tanning salons per capita than NYC, Los Angeles, San Francisco, San Diego and Miami—combined!!

#7  San Diego, California.  Sure, Californians are consumed with their appearances.  But they also spend too much time outdoors during beautiful sunny weather.  So they have more wrinkles and skin laxity!  Advice from Dr. Obagi:  wear Oclipse SPF 30 Sunscreen!!

#6  Dallas, Texas.  Don’t mess with Texas!  People there spend more time and money in salons so that their hair and nails look good.

#5  Los Angeles, California. This one was a no-brainer.  The folks who live in Lalaland have more cosmetic plastic surgery procedures.  All of the nose jobs, lip plumping and breast enhancements add up.

#4  Salt Lake City, Utah.  There are more plastic surgeons here (per 100,000 people) than anywhere in the US.  Who knew??  One theory is that because Mormons have large families, women there opt for tummy tucks and liposuction—also dubbed “Mommy Makeovers”.

#3  San Francisco, California.  It’s a city best known for herbal and homeopathic supplements.  So they probably like to go au-naturel  on their skincare, haircare and nails as well.  And they pay more than most anywhere else, too!

#2  Miami, Florida.  People who live in Miami are rumored to eat too much, drink too much and smoke too much.  Now we know that they spend too much on manicures, pedicures, facials and hair color, too!

#1  New York, New York.  Everything there just costs more.  Facials, haircuts and massages help to relieve stress in the Big Apple.  Until they see their credit card bills…  Then they need to start all over again.

How about in your hometown?  Where do you think people are particularly vain?