As you can imagine, the attitude in gyms among weight lifters is often overly masculine so male bodybuilders often refer to gynecomastia as having “bitch tits.”

You may also hear one or two complain about “man boobs” or the abbreviated phrase, “moobs.”

One New York City plastic surgeon had to constantly tell his answering service that callers asking about “bitch tits” were not being crude or impolite, but just using the language of the gym.

Because the mirror is the measuring tape of body building, many want absolute perfection in their bodies.

Consequently, they will go to extreme lengths to make sure those “ripped pecs, abs and lats” (Translation: highly developed chest, stomach and lateral muscles) show well through the skin.

But many often take a misstep and see a surgeon for only liposuction of chest fat.

In reality, many have cases of gynecomastia, quite often caused by the steroids they take to build larger muscles.

Usually, weight lifters have a very low body fat percentage, with some very dense breast tissue around and under the nipple.

But not always. We’ve seen some guys come in with solid white breast tissue as big as a softball.

What’s all this mean? A couple of things:

• Breast tissue is too dense to liposuction
• Breast tissue requires an incision in the brown area around the nipples
• But we do liposuction around the areola

That extra liposuction helps make the buffed up muscles shine through the skin more.

In a very few cases, some overweight body builders lost a lot of weight but were left with loose, hanging skin.

In those cases, we perform skin tightening and nipple relocation procedures.

Which can result in a perfect chest!

This bodybuilder had loose skin removed and his areoli lifted to a higher position.

(See more bodybuilder before and after Gynecomastia pictures.)