Varicose vein removal has moved ahead of eyelid surgery as the second most often performed cosmetic surgical procedure, according to a new survey.

The reason for this, the American Academy of Cosmetic Surgery (AACS) says in a news release, is cosmetic surgery preferences of men, not women, have changed dramatically. Sclerotherapy, the removal of spider veins and varicose veins, has increased about 226 percent among US men in the past five years, the AACS says, while it has only increased about 3.5 percent as a preference for US females.

By contrast, US men seem to be thinking twice about hair transplants, according to the survey. Price may be a factor, with hair transplant costs increasing by almost $1,300 in the past five years, while sclerotherapy costs have declined by slightly more than $100, according to AACS statistics.

Liposuction remains the top cosmetic surgical procedure, the AACS says, followed by sclerotherapy and blepharoplasty (eyelid surgery). The top non-surgical cosmetic procedure is Botox injection, the AACS reports.