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Posted June 22, 2026 in Breast Implants

Over the Muscle vs. Under the Muscle Breast Implants: One Patient’s Revision Story

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Breast augmentation offers two primary implant placement options: over the muscle (subglandular) or partially beneath the muscle (submuscular/dual-plane). Each option offers unique advantages, and the best approach depends on the patient’s anatomy, existing breast tissue, lifestyle, and aesthetic goals.

Choosing a surgeon who carefully evaluates your anatomy, concerns, and desired outcome is an important part of achieving a satisfying result and minimizing the risk of complications or dissatisfaction.

One such example is the experience of 35-year-old Cheyenne Caspary from Morgan Hill, California. 

Cheyenne’s Previous Experience

Actual Patient testimaonial

Over a 15-year period, Cheyenne underwent two breast augmentation surgeries in an attempt to achieve her desired look of upper pole fullness with cleavage. According to Cheyenne, she was unhappy with the appearance of her results and experienced ongoing discomfort following her previous procedures.

In addition to being unhappy with her appearance, Cheyenne experienced several physical concerns related to her implants. Her skin felt stretched constantly, her nipple sensitivity was overstimulating, and the implants moved around as though they had no support. Her previous surgeons told her that she would never achieve the look she wanted. Cheyenne felt her concerns regarding her results were not adequately addressed, and she continued searching for a surgeon who understood her goals.

Cheyenne decided to do her own research, and that’s when she discovered Dr. Leonard Hochstein.

How Breast Revision Surgery Helped Cheyenne Achieve Her Goals

After experiencing two unsuccessful breast augmentations, Cheyenne contacted Dr. Hochstein. After evaluating her anatomy, implant position, and goals, Dr. Hochstein recommended breast revision surgery with under-the-muscle implant placement. Following her procedure and recovery, Cheyenne reported significant improvements in both comfort and appearance. 

Cheyenne reports that the procedure completely changed her life, significantly improving her confidence and overall satisfaction with her results. 

Cheyenne found that, while her over-the-muscle implants looked good immediately after surgery, she experienced ongoing discomfort and dissatisfaction with her results over time. In contrast, she felt that her under-the-muscle revision required more patience during the healing process but ultimately delivered the appearance and comfort she had been seeking.

According to Cheyenne, her implants no longer caused the discomfort she had experienced in the past. Now, her implants feel comfortable, look natural, and give her the confidence to encourage other women to thoroughly research their options before undergoing breast augmentation surgery. Looking back, Cheyenne believes she would have benefited from consulting with multiple surgeons and spending more time researching her options before undergoing her initial procedures.

Why Choosing the Right Surgeon Matters

Rather than over-the-muscle vs. under-the-muscle placement, Cheyenne believes the main thing that made her revision so successful was the surgeon she chose. 

“When I got my revision with Dr. Hochstein,” she says, “[. . .] he told me he could give me that look, I was super stoked. I got it—had no idea I could ever have it—so that was under the muscle. But more importantly, I think it was under the muscle with the right surgeon who could deliver that result that I wanted.”

When it comes to a highly personalized procedure like breast augmentation, choosing a surgeon who listens to your concerns, carefully evaluates your anatomy, and develops a treatment plan tailored to your goals can play a significant role in your overall satisfaction with the outcome.

For over 30 years, board-certified plastic surgeon Dr. Leonard Hochstein has helped thousands of women reach their body goals. Dr. Hochstein has been referred to as “The Boob God” in various media outlets because of his extensive experience performing breast procedures, including breast augmentation.

National Media Coverage of Cheyenne’s Story

Cheyenne’s breast revision journey was recently featured in People magazine, where she shared her experience pursuing revision surgery and emphasized the importance of researching both implant options and surgeons before undergoing breast augmentation.

Schedule Your Breast Augmentation Surgery Today – Miami, FL

If you’re considering breast augmentation, going to the right surgeon is the top priority. Dr. Hochstein will create a personalized treatment plan tailored to your anatomy, health, and goals.

To schedule your breast augmentation consultation with Miami plastic surgeon Dr. Leonard Hochstein, call (305) 931-3338 or complete our online contact form.