Are there alternative non surgical options for gynecomastia?

I understand your concerns. I can offer general advice, since there are no photos posted. For a full recommendation, I advice you to see a Plastic Surgeon in person.
I recommend you maintain a healthy body weight, and exercise and eat well. This will maximize any treatment.
If you have tried this already, keep it up and don't give up on the benefits of a healthy diet and exercise.
Non-surgical options include Coolsculpting. Coolsculpting reduces the amount of fat that is present. It does not eliminate all fat, but does reduce the amount of fat present. It is a non-surgical treatment with minimal to no recovery time.
Coolsculpting will not remove any glandular tissue that is present in gynecomastia and does not remove excess skin however it can reduce the size of the chest somewhat. Please be sure to see an experienced provider prior to deciding whether or not it will be beneficial for you.
All the best to you,
Dr. Nancy de Kleer

Dear Fantastic544595,
it is hard to tell for sure without an examination. Generally speaking, gynecomastia will require surgical removal. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is very common for men to want male breast reduction or gynecomastia surgery. While surgery is the best option, nonsurgical treatment with Kybella injections and laser skin tightening are options for those not interested in surgery but you must be realistic and expectations need to be set accordingly. I tell all my patients that there's a 100% chance of asymmetry after any breast surgery with or without a lift. Of course, the goal is to try to make you as equal as possible but everyone has asymmetries of the ribs, the muscles etc. It's very important to understand this as you, like all men, have some breast asymmetry that would be pointed out on examination and before any surgery. When men have excess breast skin, a reduction of this excess skin can be done through various scars and there are 3 different types of scars including liposuction, areolar scar, as well as all sorts of other chest scars. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of male breast reductions and gynecomastia surgery. I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.