Modern bodybuilding is about size.
Megadosing of both steroids and insulin give you size.
Along with that insulin, growth hormone megadosing must be present in order to have conditioned mass.
Megadosing gh will give you a gut.
So no, hypotheticaly, you cannot have modern pro size and still hit vacuum poses left and right.
And of course... megamoney is required for all the above.