Elitefitness.com interviewed cosmetic surgeon Dr. Mordcai Blau, M.D. about his expertise with gynecomastia surgery; “gyno” is a potential side effect of anabolic steroid use. Dave Palumbo was the first bodybuilder on which Dr. Blau performed the gynecomastia procedure. Palumbo was a student in Dr. Blau’s class during medical school. Since the successful operation with Dave, many top professional bodybuilders and top amateur bodybuilders from around the world have gone to Dr. Blau. With 20 years experience with bodybuilders, he is in great demand by athletes in the sport of bodybuilding.

Dr. Blau explains why it is important that the surgeon performing the gynecomastia procedure is familiar with the goals of the bodybuilder.

Yes there is, every operation and patient is different.  When I perform a correction on a very lean person, I have to go about the procedure a bit differently. The bodybuilders are doing the operation to shape their chest and gain more definition of their pectoral muscle.  Gynecomastia is  not just the tissue you see beneath the areola,  there is also what I call a “tail” an a “head”.  The head spreads towards the middle of the chest, the tail grows towards the arm pit, the glandular tissue spreads over the Pectoral muscles and blurs definition.   You must remove the tail and head to gain more definition in the pectoral muscle and to prevent the condition from coming back. This is especially important for a Bodybuilder who’s chest will be displayed and judged constantly by discerning eyes.   It must look like there was never any Gyno to begin with.

Dr. Mordcai Blau’s website lists additional bodybuilders with whom he has worked along with additional information about gynecomastia.