It is important to understand that gynecomastia surgery is a process that delivers generalized results. The volumes of fat and glandular tissue will be reduced, and the chest will become flatter and less pronounced. However, the final aesthetic outcome is determined by a variety of factors that are not specifically under the control of the surgeon. For one, it is incumbent on the patient to assiduously follow the post-operative care protocols with regards to the use of the compression garment. Moreover, as discussed above, there will be variations in outcomes as a function of the patient’s age, weight, and skin type. But also, there will be unforeseeable factors specific to the biochemistry of each patient that will have a bearing on the healing process and, as such, the final results. Patients must be prepared to accept some risk that surgery does not produce their perfect result.