What can a bodybuilder with gynecomastia look like?

Gynecomastia: Breast development after steroid use or hormone manipulation is usually be treated with removal of the breast tissue thru an incision around the areola. If the excess tissue is fat it can be treated with liposuction.

Visible breast tissu: Most body builders are very lean, with very little body fat. But they still have visible breast tissue. They usually have a "puffy nipple" appearance.

Unusual: Since male body builder ideal is 3 to 5 % body fat, gynecomastia would likely be obvious.

Depends on extent: Since body builders have very little subcutaneous fat. Even small amount of gynecomastia may be visible. In some cases the the smooth carve of the lower chest is interupted by a large protuding areola, the colored skin surrounding the nipple. In other cases the entire lower chest may be enlarged.