Pain in the name of beauty, or some twisted version of it.
But that trend is slowly dying, as more men than ever are trying surgery as a way to make themselves look better.
According to recent stats from the American Society of Plastic Surgeons (ASPS), 13 percent of all cosmetic procedures were performed on men in 2010, up from 8 percent in 2008.
From 2009 to 2010, male facelifts rose 14 percent, ear surgeries increased 11 percent and male breast reductions were up six percent.
Hollywood is already full of brave men who've opted for the less natural look, such as Barry Manilow, Bruce Jenner and Carrot Top, but plastic surgery is apparently no longer reserved for the rich and famous.
"The growth in cosmetic surgical procedures for men may be a product of our aging baby boomers who are now ready to have plastic surgery," ASPS president Phillip Haeck said in a statement. "They want to look good. So when they have the financial means to do it, they are ready to do it now."
According to the ASPS, the top five cosmetic procedures for men in 2010 were: