What are “bitch tits” in body builders?
Body builders are a unique sub-set of patients with gynecomastia. For the most part, they have very low percentages of body fat and are in excellent physical and nutritional shape. Many of them have taken anabolic steroids without proper physician supervision. The obvious goal of these steroids is to help bulk up muscles but the frequent side effect is the development of excess breast tissue (commonly called “bitch tits”). This is due to the conversion in the body of some of the testosterone they have taken into estrogen. The estrogen then promotes the growth of breast tissue. They complain mostly about very localized gynecomastia (just under or around the areola) and/or puffy nipples. In these patients, a peri-areolar incision (incision around the edge of the areola) is done 100% of the time. The operation is on a small area only — it is fast — the healing is very quick and the results are excellent. The results will be permanent providing that additional illegal drugs are not used
