Another thing I think needs mentioning tho, especially in the context of this article:
Women get marked down in comp for having small tits. Not only that, over time the process of prepping for comps over and over slowly strips away that fatty tissue that would normally make up the breast. So yeah, these women get fake tits so they can score well and retain the feminine look.
In a certain light, it isn’t so much a choice for them, but a necessity imposed on them both by society and the judges.