: Can teen-originated-lipomastia in an otherwise healthy person treated without surgery? From reading accessible information about gynecomastia through the years I understand there is a subtype known as lipomastia or pseudogynecomastia

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Can teen-originated-lipomastia in an otherwise healthy person treated without surgery?
From reading accessible information about gynecomastia through the years I understand there is a subtype known as lipomastia or pseudogynecomastia and that it is characterized by a large uniletral or bilateral fat mass in the chest ? either with a subclinical amount of mammary gland tissue or without any mammary gland tissue at all.

Possible causes

Genetic: Specific body structure with fat concentrated in the chest and on top of the Tens minor and upper part of Tens major muscles (going from chest to armtip area to back area) alongside a "stubborn" obesity
Epigenetic: Likely unilateral, likely idiopathic, appearing in teen years
Prolonged intake of certain molecules: Likely with some feminizing and/or antiandrognic activity

Treatment

I understand common treatment for gynecomastia is surgical:

Numbing the area in local or general anesthesia
Injecting saline solution to inflate the fatty area
Using either nonelectromechanical liposuction xor electromechanical liposuction and/or scalpel, to remove the fatty mass

What incision type for accessing the fatty tissue to remove it, is completely dependent on a surgeon's personal opinion after inflating the area.

Non surgical solution for lipomastia

I understand that unlike classical gynecomastia, lipomastia treatment could be nonsurgical:

Eliminating obesity
Cryolipolysis
Using selective Estrogen Receptor Modulator (SERM) molecules such as tamoxifene and clomifene
A combination of one or more of the above
An extreme and controversial approach that might be used in minor to subclinical lipomastia cases is injection lipolysis in which a detergent is injected to the area

I am not sure if there is strong evidence for cryolipolysis nor for SERMs.

My question

Can teen-originated-lipomastia in an otherwise healthy person treated without surgery?

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