Is that really her in the after? The freckle pattern looks a little different to me.
I was thinking the same thing. I call shenanigans. I'm not saying she can't have implants, I'm just saying that the pictures don't match.
I can absolutely see what you're saying, but there could be other factors at play, here. Such as, how much sun she was exposed to, leading up to each of those pics.
Besides, why would a surgeon, whose career pivots on his reputation, post such a blatant falsehood on his own site? Especially one which connects back to another publicly recognized person? Not saying it's not possible, but it's the sort of risky play which could result in career conflagration.