TAMPA — Here we go again. Men's Health magazine says residents of Tampa are the most vain in America, based on the rate at which they consume things like Botox, teeth whitener, at-home hair dyes, shapewear, plastic surgery, cosmetic dentistry and tanning salon sessions.

This is not necessarily new, according to the magazine: "Five hundred years before Botox, that Ponce de Leon guy scoured Florida for a fountain that could rinse off the wrinkles."

Rounding out the top 10, in order, were Plano, Texas, Atlanta, Las Vegas, Dallas, Pittsburgh, Houston, Miami, San Francisco and Providence, R.I.

St. Petersburg ranked 11th and Orlando 16th.

Los Angeles, if you're curious, ranked 60th — behind insecure, looks-obsessed cities like Billings, Mont., and Manchester, N.H.

Des Moines, Iowa, won the distinction of being the least vain of the 100 cities ranked by the magazine.

The Tampa Bay area, of course, has been down this road before.

In May, Tampa was ranked eighth on a Men's Health list of smuttiest cities, based on online pornographic film views, number of adult bookstores and nature of Internet searches.

In January, CNBC did a survey that concluded that Tampa-St. Petersburg-Clearwater is the most stressful metro area, as calculated by divorce rates, commute times, unemployment, violent crime, property crime, suicides, alcohol consumption, mental health, sleep troubles and the annual number of cloudy days.

In December, LivingSocial, with the help of a third-party research firm, did an online survey leading it to rate Tampa-St. Petersburg as the worst-dressed region in the country.

For that, survey respondents judged their own cities.

And in November, Men's Health declared St. Petersburg to be America's saddest city (Tampa was in fourth place) after looking at rates of suicide and unemployment, as well as the percentage of households using antidepressants and the number of people who say they feel sad all or most of the time.