I don´t understand how you guys know if a woman has fake tits or not.
Ok, when her implants are really big ones you can see it. But personnally i know some "DD" tit girls but i could never say if they are real or fake. In fact many implants looks very natural today and i think there are still many girls who prefer "natural-looking" fake tits.
And i also think that in public only a minority would proclaim that her tits are fake ones.
A valid comment, for sure.
In my case, I know my wife has implants because I brought her to the consult, to the surgery, helped her heal, etc.
In other cases, it's possible to see hints of the outline of the implant, at least for those women who still go over the muscle. Going under the muscle, it gets more difficult, but at times the clues are there. Most (all?) surgeons strive to make the work look as natural as possible. The obvious exception is when the woman explicitly asks for the fake look. Even then, there is no binary "fake vs not fake", there are shades of grey. A woman could look extremely fake, mostly fake, somewhat fake, a hint of fake, "plausible deniability" fake, unexpectedly perky fake, etc. If a woman has saggy boobs to begin with, chances are pretty good that she doesn't want to look saggy post-op. Even then, there's saggy and then there's full.
The same can be said of any cosmetic procedure, even dentistry. At some point, white teeth can seem freakishly unnatural, but nobody wants to go to the dentist, pay a chunk of money and say "oh and by the way, could you make the crown look yellow and coffee-stained like the rest of my teeth?"
Having a gap which is too wide between the breasts can be a tip that she's had surgery. Or more precisely, if she looks like she's had 2 scoops of ice cream stuck to a wall, with a gap so wide you could put another breast there. (I realize some guys like that look, but it's not my thing.) Likewise, having a cleavage where the breasts continually chafe on one another, regardless of whether she's wearing a bra or not, is probably not good.
There's a reason why having a surgeon who is a master technician isn't enough, the surgeon needs to have artistic skills and a sense of aesthetics. It wouldn't surprise me to find out that those surgeons who produce consistently good work also have similar skills in their spare time, whether in photography, or sculpting, or painting, or martial arts, or interior design, or landscaping, or....
This is true of any profession, whether computer programming, or racing auto mechanics, or architecture, etc. Doing 10,000 repetitions of the same movements will help to create mastery, but those movements need to be mindful repetitions, and not mindless repetitions. Each stroke of the paintbrush, each cut of the scalpel/surgical scissors, if done with thought and deliberation without external distraction ("hmm, I need to pick up some pasta for tonight's dinner") will help to hone the art.
Sorry, guess I went off on a bit of a tangent there.